NZ Nursing State EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
Exam Coverage
The exam coverage includes the theoretical nursing knowledge and clinical
competence required for the New Zealand Nursing State Final Examination,
administered by the Nursing Council of New Zealand. The exam is required for
nursing graduates to qualify for registration as a registered nurse or enrolled nurse
in New Zealand. It consists of two main parts: medicine calculations (about 10%)
and nursing knowledge (about 90%), with questions based on the Nursing
Council's standards of nursing competence. The exam assesses clinical decision-
making, safe medication administration, patient assessment, professional practice,
and application of evidence-based nursing care across various healthcare settings.
1. What does inpatient surgical care mean? - ANSWER ✔ Admitted to
hospital (min 24 hours)
2. Surgery classifications? - ANSWER ✔ Elective
Diagnostic
Acute
3. What does Ambulatory mean? - ANSWER ✔ Day surgery (max stay 23
hours)
4. List 3 patient orientated goals post surgery? - ANSWER ✔ Return to
normal physical function
Remain free from post op complications
Achieve emotional and physical comfort
5. What is included in a pre-op assessment? (5) - ANSWER ✔ Obtain history
Physical assessment
,Determine patient understanding
Identify emotional state and coping skills
Check consent, pre anaesthetic form complete, other pre anaesthetic orders
6. What does atelectasis mean? - ANSWER ✔ Collapse or closure of lung
resulting in reduced or absent gas exchange
7. List 5 ways to safely care for post op patients? - ANSWER ✔ Fluid
balance input and output
Pain management
Assessing wound
Vital signs every five minutes
Checking IV site
8. What is meningitis? - ANSWER ✔ A serious disease in which there is
inflammation of the meninges
9. Signs and symptoms of meningitis? - ANSWER ✔ Intense headache
Fever
Light sensitivity
Muscular rigidity
10.Main cause of meningitis? - ANSWER ✔ Bacterial: Streptococcus
pneumoniae
Viral: Enterovirus
11.Signs of raised intercranial pressure? (4) - ANSWER ✔ Headache
Nausea
Increased bp
Confusion
12.What is the purpose of the nursing council? - ANSWER ✔ To protect the
health and safety of members of the public by ensuring RNs are registered,
fit to practise, and competent.
13.Signs of otitis? (Ear infection/inflammation) - ANSWER ✔ Ear pain
Fever
Difficulty hearing
,14.What would you do if prescribed medication was not signed by the doctor? -
ANSWER ✔ Do not give until a signature or verbal consent has been given
with a witness
15.Signs of a patient on methamphetamine? (5) - ANSWER ✔ Dilated pupils
Agitation
Increased bp
Loss of appetite
Paranoia
16.What are complications of an ear infection? - ANSWER ✔ Hearing loss
Fluid collection usually lasting 12 weeks
A hole in the eardrum
17.What immunisations are given to a child of 6 weeks? - ANSWER ✔
Rotavirus 1 oral vaccine (Rotateq)
Diphtheria, tetanus, pertussis, polio, hepatitis B, haemophilus influenza type b 1
oral injection (infanrix)
Pneumococcal 1 injection (prevenar 13)
18.What immunisations are given to a 3 month old? - ANSWER ✔ Rotavirus
1 oral vaccine (rotateq)
Diphtheria, tetanus, pertussis, polio, hepatitis B, haemophilus influenza type b 1
oral injection (infanrix)
Pneumococcal 1 injection (prevenar 13)
19.When is rotavirus vaccine given? - ANSWER ✔ 6 weeks
3 months
5 months
20.What vaccines are given at 5 months? - ANSWER ✔ Rotavirus 1 oral
vaccine (rotateq)
21.Diphtheria, tetanus, pertussis, polio, hepatitis B, haemophilus influenza type
b 1 oral injection (infanrix)
Pneumococcal (prevenar 13)
, 22.What vaccines are given at 15 months? - ANSWER ✔ Haemophilus
influenza type b 1 injection (ACT-HIB)
Measles mumps rubella 1 injection (MMR)
Pneumococcal 1 injection (prevenar 13)
23.What immunisations are given at 4 years? - ANSWER ✔ Diphtheria,
tetanus, pertussis, polio, hepatitis B, haemophilus influenza type b 1 oral
injection (infanrix)
Measesls mumps and rubella 1 injection (MMR)
24.What vaccines are given at 11 years? - ANSWER ✔ Tetanus diphtheria
pertussis 1 injection (boostrix)
25.What vaccine is given at 12 years? - ANSWER ✔ Human papillomavirus 3
doses given over 6 months (GARDASIL)
26.What vaccine is given at 45 years? - ANSWER ✔ Diphtheria tetanus 1
injection (ADT booster)
27.What vaccine is given at 65 years? - ANSWER ✔ Diphtheria and tetanus 1
injection (ADT booster)
Influenza
28.What is naturally acquired active immunity? - ANSWER ✔ Exposed to a
live pathogen, develops the disease and becomes immune as a result of a
primary immune response
29.What is artificially acquired active immunity? - ANSWER ✔ Can be
induced by a vaccine a substance that contains the antigen
30.What is passive immunity? - ANSWER ✔ Naturally acquired during
pregnancy
31.What is artificial passive immunity? - ANSWER ✔ Short term
immunisation
32.Is measles contagious? - ANSWER ✔ Yes it is highly contagious
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
Exam Coverage
The exam coverage includes the theoretical nursing knowledge and clinical
competence required for the New Zealand Nursing State Final Examination,
administered by the Nursing Council of New Zealand. The exam is required for
nursing graduates to qualify for registration as a registered nurse or enrolled nurse
in New Zealand. It consists of two main parts: medicine calculations (about 10%)
and nursing knowledge (about 90%), with questions based on the Nursing
Council's standards of nursing competence. The exam assesses clinical decision-
making, safe medication administration, patient assessment, professional practice,
and application of evidence-based nursing care across various healthcare settings.
1. What does inpatient surgical care mean? - ANSWER ✔ Admitted to
hospital (min 24 hours)
2. Surgery classifications? - ANSWER ✔ Elective
Diagnostic
Acute
3. What does Ambulatory mean? - ANSWER ✔ Day surgery (max stay 23
hours)
4. List 3 patient orientated goals post surgery? - ANSWER ✔ Return to
normal physical function
Remain free from post op complications
Achieve emotional and physical comfort
5. What is included in a pre-op assessment? (5) - ANSWER ✔ Obtain history
Physical assessment
,Determine patient understanding
Identify emotional state and coping skills
Check consent, pre anaesthetic form complete, other pre anaesthetic orders
6. What does atelectasis mean? - ANSWER ✔ Collapse or closure of lung
resulting in reduced or absent gas exchange
7. List 5 ways to safely care for post op patients? - ANSWER ✔ Fluid
balance input and output
Pain management
Assessing wound
Vital signs every five minutes
Checking IV site
8. What is meningitis? - ANSWER ✔ A serious disease in which there is
inflammation of the meninges
9. Signs and symptoms of meningitis? - ANSWER ✔ Intense headache
Fever
Light sensitivity
Muscular rigidity
10.Main cause of meningitis? - ANSWER ✔ Bacterial: Streptococcus
pneumoniae
Viral: Enterovirus
11.Signs of raised intercranial pressure? (4) - ANSWER ✔ Headache
Nausea
Increased bp
Confusion
12.What is the purpose of the nursing council? - ANSWER ✔ To protect the
health and safety of members of the public by ensuring RNs are registered,
fit to practise, and competent.
13.Signs of otitis? (Ear infection/inflammation) - ANSWER ✔ Ear pain
Fever
Difficulty hearing
,14.What would you do if prescribed medication was not signed by the doctor? -
ANSWER ✔ Do not give until a signature or verbal consent has been given
with a witness
15.Signs of a patient on methamphetamine? (5) - ANSWER ✔ Dilated pupils
Agitation
Increased bp
Loss of appetite
Paranoia
16.What are complications of an ear infection? - ANSWER ✔ Hearing loss
Fluid collection usually lasting 12 weeks
A hole in the eardrum
17.What immunisations are given to a child of 6 weeks? - ANSWER ✔
Rotavirus 1 oral vaccine (Rotateq)
Diphtheria, tetanus, pertussis, polio, hepatitis B, haemophilus influenza type b 1
oral injection (infanrix)
Pneumococcal 1 injection (prevenar 13)
18.What immunisations are given to a 3 month old? - ANSWER ✔ Rotavirus
1 oral vaccine (rotateq)
Diphtheria, tetanus, pertussis, polio, hepatitis B, haemophilus influenza type b 1
oral injection (infanrix)
Pneumococcal 1 injection (prevenar 13)
19.When is rotavirus vaccine given? - ANSWER ✔ 6 weeks
3 months
5 months
20.What vaccines are given at 5 months? - ANSWER ✔ Rotavirus 1 oral
vaccine (rotateq)
21.Diphtheria, tetanus, pertussis, polio, hepatitis B, haemophilus influenza type
b 1 oral injection (infanrix)
Pneumococcal (prevenar 13)
, 22.What vaccines are given at 15 months? - ANSWER ✔ Haemophilus
influenza type b 1 injection (ACT-HIB)
Measles mumps rubella 1 injection (MMR)
Pneumococcal 1 injection (prevenar 13)
23.What immunisations are given at 4 years? - ANSWER ✔ Diphtheria,
tetanus, pertussis, polio, hepatitis B, haemophilus influenza type b 1 oral
injection (infanrix)
Measesls mumps and rubella 1 injection (MMR)
24.What vaccines are given at 11 years? - ANSWER ✔ Tetanus diphtheria
pertussis 1 injection (boostrix)
25.What vaccine is given at 12 years? - ANSWER ✔ Human papillomavirus 3
doses given over 6 months (GARDASIL)
26.What vaccine is given at 45 years? - ANSWER ✔ Diphtheria tetanus 1
injection (ADT booster)
27.What vaccine is given at 65 years? - ANSWER ✔ Diphtheria and tetanus 1
injection (ADT booster)
Influenza
28.What is naturally acquired active immunity? - ANSWER ✔ Exposed to a
live pathogen, develops the disease and becomes immune as a result of a
primary immune response
29.What is artificially acquired active immunity? - ANSWER ✔ Can be
induced by a vaccine a substance that contains the antigen
30.What is passive immunity? - ANSWER ✔ Naturally acquired during
pregnancy
31.What is artificial passive immunity? - ANSWER ✔ Short term
immunisation
32.Is measles contagious? - ANSWER ✔ Yes it is highly contagious
