Nz Nursing State Exam 300 Actual Questions And Correct Answer With Rationale Latest Update Already Graded A+ Assured Pass

NZ NURSING STATE EXAM 300 ACTUAL QUESTIONS
AND CORRECT ANSWER WITH RATIONALE LATEST
UPDATE ALREADY GRADED A+ ASSURED PASS


This comprehensive study guide delivers 300 unique, non-repetitive multiple-
choice questions specifically designed for the New Zealand Nursing State
Examination. The content is systematically organised into distinct sections
covering medication safety and dosage calculations, professional responsibility and
legal frameworks, and clinical nursing knowledge across medical-surgical, mental
health, and paediatric care. Each question is accompanied by a correct answer and
a detailed rationale, explaining the underlying clinical reasoning and nursing
principles. This resource serves as an effective self-assessment tool for exam
preparation, reinforcing critical concepts required for safe nursing practice in
Aotearoa New Zealand.




Question 1: A patient is prescribed morphine 8mg 2-3 hourly PRN for pain. The
unit stock of morphine is 10mg/1mL. How much morphine should be drawn up for
the patient?
A. 0.08mL
B. 0.25mL
C. 0.75mL
D. 0.80mL
Answer: D. 0.80mL
Rationale: To calculate the required volume, use the formula: (Desired dose /
Available dose) x Volume. (8mg / 10mg) x 1mL = 0.8mL. This is a standard
dosage calculation for a parenteral medication.

Question 2: A child weighs 22.4kg and the prescription is for 24mg/kg of body
weight. The medication comes at a strength of 50mg/mL. How many mL to one
decimal place should the child receive?
A. 7.5mL
B. 8.5mL
C. 9.8mL
D. 10.8mL

,Answer: D. 10.8mL
Rationale: First calculate the total dose: 22.4kg x 24mg/kg = 537.6mg. Then
calculate the volume: 537.6mg / 50mg/mL = 10.752mL, rounded to 10.8mL. This
calculation involves both weight-based dosing and concentration.

Question 3: Ondansetron 2mg has been prescribed for a child who weighs 13.6kg.
The safe dosage of this medication is 0.15mg/kg. Is 2mg a safe dose?
A. No, a safe dose would be 0.3mg
B. No, a safe dose would be 0.6mg
C. No, a safe dose would be 1.02mg
D. Yes, 2mg is a safe dose
Answer: D. Yes, 2mg is a safe dose
Rationale: The safe dose is calculated as 13.6kg x 0.15mg/kg = 2.04mg. The
prescribed dose of 2mg is slightly below the calculated safe dose, making it a safe
and appropriate dose. This question tests the ability to apply weight-based safety
parameters.

Question 4: A patient is prescribed 250mg of antibiotics in 200mL of intravenous
fluid over 30 minutes. What is the correct rate in mL per hour to set the infusion
device?
A. 100mL per hour
B. 200mL per hour
C. 400mL per hour
D. 500mL per hour
Answer: C. 400mL per hour
Rationale: If 200mL is to be infused over 30 minutes, the rate per hour is double
that amount. 200mL / 0.5 hour = 400mL/hour. This is a standard IV infusion rate
calculation.

Question 5: How many mg is 5000mcg?
A. 0.5mg
B. 5mg
C. 50mg
D. 500mg
Answer: B. 5mg
Rationale: 1mg = 1000mcg. Therefore, 5000mcg / 1000 = 5mg. This tests the
fundamental metric conversion required for medication safety.

Question 6: A patient is prescribed 125mg of a medication. The ampule contains
400mg/4mL. How many mL will you administer?

,A. 0.8mL
B. 1mL
C. 1.25mL
D. 1.5mL
Answer: C. 1.25mL
Rationale: Using the formula (Desired dose / Available dose) x Volume: (125mg /
400mg) x 4mL = 0.3125 x 4 = 1.25mL. This requires calculating the volume from
a multi-dose vial concentration.

Question 7: A patient is prescribed 1g of paracetamol. The available tablets contain
500mg each. How many tablets will you administer?
A. 1 tablet
B. 1.5 tablets
C. 2 tablets
D. 2.5 tablets
Answer: C. 2 tablets
Rationale: Convert the prescription to the same units: 1g = 1000mg. 1000mg /
500mg per tablet = 2 tablets. This requires recognising equivalent metric units
(grams to milligrams).

Question 8: A patient's intravenous normal saline infusion of 1000mL is to be
completed in 8 hours' time. The drop factor of the giving set is 15 drops per mL.
How many drops per minute are required to finish the infusion on time?
A. 11 drops per minute
B. 15 drops per minute
C. 31 drops per minute
D. 35 drops per minute
Answer: C. 31 drops per minute
Rationale: First determine the hourly rate: 1000mL / 8 hours = 125mL/hour. Then
convert to drops per minute: (125mL/hour x 15 drops/mL) / 60 minutes = 31.25
drops/minute, rounded to 31 drops per minute.

Question 9: A patient is prescribed oral digoxin 125mcg daily. The tablet strength
available is 62.5mcg. How many tablets must be given?
A. 1 tablet
B. 2 tablets
C. 3 tablets
D. 4 tablets
Answer: B. 2 tablets

, Rationale: The prescribed dose is 125mcg and the available tablet is 62.5mcg.
125mcg / 62.5mcg = 2 tablets. This question tests understanding of medication
administration for cardiac medications.

Question 10: A patient is prescribed metronidazole 400mg IV. The vial contains
500mg/100mL. How many mL should be administered?
A. 40mL
B. 60mL
C. 80mL
D. 100mL
Answer: C. 80mL
Rationale: Using the formula: (400mg / 500mg) x 100mL = 0.8 x 100mL = 80mL.
Metronidazole is a common antibiotic used for anaerobic infections requiring
accurate dosing.

Question 11: A patient is prescribed 750mg of amoxicillin. The stock strength is
250mg per 5mL. How many mL should be given?
A. 5mL
B. 10mL
C. 15mL
D. 20mL
Answer: C. 15mL
Rationale: First determine the number of doses: 750mg / 250mg = 3 doses. Then
calculate volume: 3 x 5mL = 15mL. Amoxicillin suspension must be shaken well
before measuring.

Question 12: A patient is prescribed 40mg of furosemide IV. The vial contains
furosemide 20mg/2mL. How many mL should be drawn up?
A. 1mL
B. 2mL
C. 4mL
D. 8mL
Answer: C. 4mL
Rationale: The concentration is 20mg/2mL = 10mg/mL. Volume = 40mg /
10mg/mL = 4mL. Furosemide should be administered slowly (no faster than
20mg/min) to prevent ototoxicity.

Question 13: A patient requires 2.4g of a medication. The available strength is
600mg per tablet. How many tablets should be administered?
A. 2 tablets