Nz Nursing State Exam And Practice
Exam Newest Test Bank| New Zealand
Nursing State Final Exam Prep With
Complete 200 Real Exam Questions And
Correct Detailed Answers
Important Disclaimer
This is a completely original practice examination created for educational
purposes. It is not affiliated with, endorsed by, or derived from any official
examination administered by the Nursing Council of New Zealand (NCNZ). The
questions are inspired by publicly available NCNZ standards of competence, scope
of practice documents, and sample examination materials but are written
independently. Always verify current standards and requirements with the
Nursing Council of New Zealand.
Instructions
This examination assesses knowledge across the NCNZ Registered Nurse
Standards of Competence (2025), including Māori health, cultural safety,
communication, evidence-informed practice, and people-centred care. Questions
cover medication calculations, clinical decision-making, professional practice, and
application of evidence-based nursing care across healthcare settings. Each
question includes the correct answer and a detailed rationale.
,SECTION 1: MEDICATION CALCULATIONS (Questions 1–30)
1. A patient has been prescribed morphine 8mg 2-3 hourly PRN for pain. Unit
stock of morphine is 10mg/1mL. How much morphine should be drawn up for
the patient?
A. 0.08 mL
B. 0.25 mL
C. 0.75 mL
D. 0.80 mL
Answer: D
Rationale: Using the formula: Desired dose / Stock dose × Volume = 8mg / 10mg ×
1mL = 0.80 mL.
2. A child weighs 22.4kg, and the prescription is for 24mg/kg of body weight.
The medication comes at the strength of 50mg/mL. How many mL (to one
decimal place) should the child receive?
A. 7.5 mL
B. 8.5 mL
C. 9.8 mL
D. 10.8 mL
Answer: D
Rationale: Total dose = 22.4 kg × 24 mg/kg = 537.6 mg. Volume = 537.6 mg / 50
mg/mL = 10.752 mL, rounded to 10.8 mL.
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
Rationale: Safe dose = 13.6 kg × 0.15 mg/kg = 2.04 mg. The prescribed dose of 2
mg is within the safe range (equal to or below 2.04 mg).
4. A patient is prescribed 250mg of antibiotics in 200mL of intravenous fluid over
30 minutes. The correct rate in mL per hour to set the infusion device is:
A. 100 mL per hour
B. 200 mL per hour
C. 400 mL per hour
D. 500 mL per hour
Answer: C
Rationale: Rate (mL/hr) = Total volume (mL) / Time (hours) = 200 mL / 0.5 hours =
400 mL per hour.
5. How many mg is 5000mcg?
A. 0.5 mg
B. 5 mg
C. 50 mg
D. 500 mg
Answer: B
Rationale: 1000 mcg = 1 mg, so 5000 mcg = 5 mg.
6. A patient is prescribed 125mg of a medication. The ampule contains
400mg/4mL. How many mL will you administer?
A. 0.8 mL
B. 1 mL
C. 1.25 mL
D. 1.5 mL
, Answer: C
Rationale: Desired dose / Stock dose × Volume = 125 mg / 400 mg × 4 mL = 1.25
mL.
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
Rationale: 1g = 1000mg. 1000mg / 500mg = 2 tablets.
8. A patient's intravenous normal saline infusion of 1000mL is to be completed
in 8 hours. The drop factor of the giving set is 15 drops per mL. How many drops
per minute are required?
A. 11 drops per minute
B. 15 drops per minute
C. 31 drops per minute
D. 35 drops per minute
Answer: C
Rationale: Drops/min = (Volume × Drop factor) / Time (minutes) = (1000 × 15) /
480 = 31.25, rounded to 31 drops per minute.
9. A patient has one litre of fluid running intravenously every 12 hours. The drop
factor is 60 drops per mL. How many drops per minute should be given?
A. 68 drops per minute
B. 83 drops per minute
Exam Newest Test Bank| New Zealand
Nursing State Final Exam Prep With
Complete 200 Real Exam Questions And
Correct Detailed Answers
Important Disclaimer
This is a completely original practice examination created for educational
purposes. It is not affiliated with, endorsed by, or derived from any official
examination administered by the Nursing Council of New Zealand (NCNZ). The
questions are inspired by publicly available NCNZ standards of competence, scope
of practice documents, and sample examination materials but are written
independently. Always verify current standards and requirements with the
Nursing Council of New Zealand.
Instructions
This examination assesses knowledge across the NCNZ Registered Nurse
Standards of Competence (2025), including Māori health, cultural safety,
communication, evidence-informed practice, and people-centred care. Questions
cover medication calculations, clinical decision-making, professional practice, and
application of evidence-based nursing care across healthcare settings. Each
question includes the correct answer and a detailed rationale.
,SECTION 1: MEDICATION CALCULATIONS (Questions 1–30)
1. A patient has been prescribed morphine 8mg 2-3 hourly PRN for pain. Unit
stock of morphine is 10mg/1mL. How much morphine should be drawn up for
the patient?
A. 0.08 mL
B. 0.25 mL
C. 0.75 mL
D. 0.80 mL
Answer: D
Rationale: Using the formula: Desired dose / Stock dose × Volume = 8mg / 10mg ×
1mL = 0.80 mL.
2. A child weighs 22.4kg, and the prescription is for 24mg/kg of body weight.
The medication comes at the strength of 50mg/mL. How many mL (to one
decimal place) should the child receive?
A. 7.5 mL
B. 8.5 mL
C. 9.8 mL
D. 10.8 mL
Answer: D
Rationale: Total dose = 22.4 kg × 24 mg/kg = 537.6 mg. Volume = 537.6 mg / 50
mg/mL = 10.752 mL, rounded to 10.8 mL.
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
Rationale: Safe dose = 13.6 kg × 0.15 mg/kg = 2.04 mg. The prescribed dose of 2
mg is within the safe range (equal to or below 2.04 mg).
4. A patient is prescribed 250mg of antibiotics in 200mL of intravenous fluid over
30 minutes. The correct rate in mL per hour to set the infusion device is:
A. 100 mL per hour
B. 200 mL per hour
C. 400 mL per hour
D. 500 mL per hour
Answer: C
Rationale: Rate (mL/hr) = Total volume (mL) / Time (hours) = 200 mL / 0.5 hours =
400 mL per hour.
5. How many mg is 5000mcg?
A. 0.5 mg
B. 5 mg
C. 50 mg
D. 500 mg
Answer: B
Rationale: 1000 mcg = 1 mg, so 5000 mcg = 5 mg.
6. A patient is prescribed 125mg of a medication. The ampule contains
400mg/4mL. How many mL will you administer?
A. 0.8 mL
B. 1 mL
C. 1.25 mL
D. 1.5 mL
, Answer: C
Rationale: Desired dose / Stock dose × Volume = 125 mg / 400 mg × 4 mL = 1.25
mL.
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
Rationale: 1g = 1000mg. 1000mg / 500mg = 2 tablets.
8. A patient's intravenous normal saline infusion of 1000mL is to be completed
in 8 hours. The drop factor of the giving set is 15 drops per mL. How many drops
per minute are required?
A. 11 drops per minute
B. 15 drops per minute
C. 31 drops per minute
D. 35 drops per minute
Answer: C
Rationale: Drops/min = (Volume × Drop factor) / Time (minutes) = (1000 × 15) /
480 = 31.25, rounded to 31 drops per minute.
9. A patient has one litre of fluid running intravenously every 12 hours. The drop
factor is 60 drops per mL. How many drops per minute should be given?
A. 68 drops per minute
B. 83 drops per minute
