NZ STATE EXAM QUESTIONS AND ACCURATE ANSWERS 2024/2025 | VERIFIED
What does Ambulatory mean? - ✔️✔️Day surgery (max stay 23 hours)
What does inpatient surgical care mean? - ✔️✔️Admitted to hospital (min 24 hours)
Surgery classifications? - ✔️✔️Elective
Diagnostic
Acute
List 3 patient orientated goals post surgery? - ✔️✔️Return to normal physical function
Remain free from post op complications
Achieve emotional and physical comfort
What is included in a pre-op assessment? (5) - ✔️✔️Obtain history
Physical assessment
Determine patient understanding
Identify emotional state and coping skills
Check consent, pre anaesthetic form complete, other pre anaesthetic orders
What does atelectasis mean? - ✔️✔️Collapse or closure of lung resulting in reduced or absent gas
exchange
List 5 ways to safely care for post op patients? - ✔️✔️Fluid balance input and output
Pain management
Assessing wound
Vital signs every five minutes
Checking IV site
What is meningitis? - ✔️✔️A serious disease in which there is inflammation of the meninges
,Signs and symptoms of meningitis? - ✔️✔️Intense headache
Fever
Light sensitivity
Muscular rigidity
Main cause of meningitis? - ✔️✔️Bacterial: Streptococcus pneumoniae
Viral: Enterovirus
Signs of raised intercranial pressure? (4) - ✔️✔️Headache
Nausea
Increased bp
Confusion
What is the purpose of the nursing council? - ✔️✔️To protect the health and safety of members of the
public by ensuring RNs are registered, fit to practise, and competent.
Signs of otitis? (Ear infection/inflammation) - ✔️✔️Ear pain
Fever
Difficulty hearing
What would you do if prescribed medication was not signed by the doctor? - ✔️✔️Do not give until a
signature or verbal consent has been given with a witness
Signs of a patient on methamphetamine? (5) - ✔️✔️Dilated pupils
Agitation
Increased bp
Loss of appetite
Paranoia
List 5 pieces of advice to give a patient following a total hip replacement? - ✔️✔️Place a pillow between
legs when lying on side
,Avoid bending past 90 degrees
Avoid crossing legs
Sit on chairs higher than knee height
Take short frequent walks
What is airway obstruction caused by? - ✔️✔️Tongue
Laryngospasm
Retained secretions
Insufficient anaesthetic reversal
Treatment for airway obstruction? - ✔️✔️Correct positioning
o2 therapy
Suctioning
Close monitoring
Viral signs
Anti emetics
Manifestations of atelectasis? - ✔️✔️Insidious onset
Early s&s: cough, sputum, low grade fever
Later s&s: respiratory distress, dyspnoea, tachycardia, pleural pain, cyanosis, anxiety
What is a pulmonary embolism? - ✔️✔️Occurs from a deep vein thrombosis, clot forms, travels to lungs
or brain, life threatening
Diagnosis of a pulmonary embolism? - ✔️✔️Chest X-ray
Ecg
Abg
Ultra sound
Pulmonary angiography
, How to prevent a pulmonary embolism? - ✔️✔️Pre op weight loss
Compression stockings
Early animation
Hydration
Meds
What causes a deep vein thrombosis? - ✔️✔️Occurs in leg veins due to inactivity, body positioning, and
pressure
Risk factors for DVTs? - ✔️✔️Elderly
Poor nutrition
Surgery over three hours
Limited mobility
Long haul flights
Diabetes
What is wound dehiscence? - ✔️✔️Disruption of previously joined wound edges due to an infection,
too tight sutures, or injury to wound
Risk factors for wound dehiscence? - ✔️✔️Elderly
Poor nutrition
Diabetes
Abdominal surgery
Immunosuppressant
Smoking
Signs of wound inflammation? - ✔️✔️Redness
Warmth
Malaise ( general discomfort)
Tachycardia
Febrile
What does Ambulatory mean? - ✔️✔️Day surgery (max stay 23 hours)
What does inpatient surgical care mean? - ✔️✔️Admitted to hospital (min 24 hours)
Surgery classifications? - ✔️✔️Elective
Diagnostic
Acute
List 3 patient orientated goals post surgery? - ✔️✔️Return to normal physical function
Remain free from post op complications
Achieve emotional and physical comfort
What is included in a pre-op assessment? (5) - ✔️✔️Obtain history
Physical assessment
Determine patient understanding
Identify emotional state and coping skills
Check consent, pre anaesthetic form complete, other pre anaesthetic orders
What does atelectasis mean? - ✔️✔️Collapse or closure of lung resulting in reduced or absent gas
exchange
List 5 ways to safely care for post op patients? - ✔️✔️Fluid balance input and output
Pain management
Assessing wound
Vital signs every five minutes
Checking IV site
What is meningitis? - ✔️✔️A serious disease in which there is inflammation of the meninges
,Signs and symptoms of meningitis? - ✔️✔️Intense headache
Fever
Light sensitivity
Muscular rigidity
Main cause of meningitis? - ✔️✔️Bacterial: Streptococcus pneumoniae
Viral: Enterovirus
Signs of raised intercranial pressure? (4) - ✔️✔️Headache
Nausea
Increased bp
Confusion
What is the purpose of the nursing council? - ✔️✔️To protect the health and safety of members of the
public by ensuring RNs are registered, fit to practise, and competent.
Signs of otitis? (Ear infection/inflammation) - ✔️✔️Ear pain
Fever
Difficulty hearing
What would you do if prescribed medication was not signed by the doctor? - ✔️✔️Do not give until a
signature or verbal consent has been given with a witness
Signs of a patient on methamphetamine? (5) - ✔️✔️Dilated pupils
Agitation
Increased bp
Loss of appetite
Paranoia
List 5 pieces of advice to give a patient following a total hip replacement? - ✔️✔️Place a pillow between
legs when lying on side
,Avoid bending past 90 degrees
Avoid crossing legs
Sit on chairs higher than knee height
Take short frequent walks
What is airway obstruction caused by? - ✔️✔️Tongue
Laryngospasm
Retained secretions
Insufficient anaesthetic reversal
Treatment for airway obstruction? - ✔️✔️Correct positioning
o2 therapy
Suctioning
Close monitoring
Viral signs
Anti emetics
Manifestations of atelectasis? - ✔️✔️Insidious onset
Early s&s: cough, sputum, low grade fever
Later s&s: respiratory distress, dyspnoea, tachycardia, pleural pain, cyanosis, anxiety
What is a pulmonary embolism? - ✔️✔️Occurs from a deep vein thrombosis, clot forms, travels to lungs
or brain, life threatening
Diagnosis of a pulmonary embolism? - ✔️✔️Chest X-ray
Ecg
Abg
Ultra sound
Pulmonary angiography
, How to prevent a pulmonary embolism? - ✔️✔️Pre op weight loss
Compression stockings
Early animation
Hydration
Meds
What causes a deep vein thrombosis? - ✔️✔️Occurs in leg veins due to inactivity, body positioning, and
pressure
Risk factors for DVTs? - ✔️✔️Elderly
Poor nutrition
Surgery over three hours
Limited mobility
Long haul flights
Diabetes
What is wound dehiscence? - ✔️✔️Disruption of previously joined wound edges due to an infection,
too tight sutures, or injury to wound
Risk factors for wound dehiscence? - ✔️✔️Elderly
Poor nutrition
Diabetes
Abdominal surgery
Immunosuppressant
Smoking
Signs of wound inflammation? - ✔️✔️Redness
Warmth
Malaise ( general discomfort)
Tachycardia
Febrile
