NZ NURSING STATE EXAM QUESTIONS
WITH CORRECT VERIFIED AND DETAILED
ANSWERS 2024/2025
QUESTION; Main cause of meningitis? - ANSWER-Bacterial: Streptococcus pneumoniae
Viral: Enterovirus
QUESTION; Signs of raised intercranial pressure? (4) - ANSWER-Headache
Nausea
Increased bp
Confusion
QUESTION; 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.
QUESTION; What does Ambulatory mean? - ANSWER-Day surgery (max stay 23 hours)
QUESTION; What does inpatient surgical care mean? - ANSWER-Admitted to hospital (min 24 hours)
QUESTION; Surgery classifications? - ANSWER-Elective
Diagnostic
Acute
QUESTION; List 3 patient orientated goals post surgery? - ANSWER-Return to normal physical function
Remain free from post op complications
Achieve emotional and physical comfort
QUESTION; 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
QUESTION; What does atelectasis mean? - ANSWER-Collapse or closure of lung resulting in reduced or
absent gas exchange
QUESTION; 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
QUESTION; What is meningitis? - ANSWER-A serious disease in which there is inflammation of the
meninges
QUESTION; Signs and symptoms of meningitis? - ANSWER-Intense headache
Fever
Light sensitivity
Muscular rigidity
QUESTION; Main cause of meningitis? - ANSWER-Bacterial: Streptococcus pneumoniae
Viral: Enterovirus
QUESTION; Signs of raised intercranial pressure? (4) - ANSWER-Headache
Nausea
Increased bp
Confusion
QUESTION; 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.
,QUESTION; Signs of otitis? (Ear infection/inflammation) - ANSWER-Ear pain
Fever
Difficulty hearing
QUESTION; 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
QUESTION; Signs of a patient on methamphetamine? (5) - ANSWER-Dilated pupils
Agitation
Increased bp
Loss of appetite
Paranoia
QUESTION; List 5 pieces of advice to give a patient following a total hip replacement? - ANSWER-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
QUESTION; What is airway obstruction caused by? - ANSWER-Tongue
Laryngospasm
Retained secretions
Insufficient anaesthetic reversal
QUESTION; Treatment for airway obstruction? - ANSWER-Correct positioning
o2 therapy
Suctioning
, Close monitoring
Viral signs
Anti emetics
QUESTION; Manifestations of atelectasis? - ANSWER-Insidious onset
Early s&s: cough, sputum, low grade fever
Later s&s: respiratory distress, dyspnoea, tachycardia, pleural pain, cyanosis, anxiety
QUESTION; What is a pulmonary embolism? - ANSWER-Occurs from a deep vein thrombosis, clot forms,
travels to lungs or brain, life threatening
QUESTION; Diagnosis of a pulmonary embolism? - ANSWER-Chest X-ray
Ecg
Abg
Ultra sound
Pulmonary angiography
QUESTION; How to prevent a pulmonary embolism? - ANSWER-Pre op weight loss
Compression stockings
Early animation
Hydration
Meds
QUESTION; What causes a deep vein thrombosis? - ANSWER-Occurs in leg veins due to inactivity, body
positioning, and pressure
QUESTION; Risk factors for DVTs? - ANSWER-Elderly
Poor nutrition
Surgery over three hours
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