Sample NCNZ State Examination RN Flashcards
The role of the Nursing Council of New Zealand is
a) To protect the unregulated and regulated health workforce.
b) To regulate doctors to protect public safety.
c) To regulate nursing to protect public safety.
d) To protect the nursing workforce.
c) To regulate nursing to protect public safety.
While at work you answer a phone call from a person who is very distressed but
won’t give you their name. You should
a) Tell them to ring back when they are less upset
b) Introduce yourself and tell them what you do.
c) Explain that you need to see them to talk to properly
d) Establish a rapport to obtain useful information.
d) Establish a rapport to obtain useful information.
A person’s response to surgery is influenced by many factors. When a person is admitted for surgery you should explore
a) Their perceptions and expectations for the admission.
b) The risks they are exposed to during surgery.
c) The reason for surgery instead of more conservative treatment.
d) How psychological stress affects their long-term prognosis.
a) Their perceptions and expectations for the admission.
A patient tells you they are worried about their surgery. You can most effectively
help to relieve their concerns by
a) Explaining what will happen before the surgery.
b) Explaining how pain will be controlled after the operation.
c) Encouraging them to discuss their perceptions of the operation.
d) Explaining how post-operative complications can be prevented.
c) Encouraging them to discuss their perceptions of the operation.
While admitting a patient for a surgical procedure they ask you why they need to
be weighed. Your best reply would be
a) “Surgery is not carried out on people who are above the ideal body weight.”
b) “We need to compare your weight on admission with that on your discharge.”
c) “Some drug dosages are calculated according to body weight.”
d) “It is routine for all admission to this unit.”
c) “Some drug dosages are calculated according to body weight.”
Prior to surgery a patient is to have nothing to eat or drink. This is necessary to
a) Assist in the proper absorption of the anaesthetic
b) Prevent nausea and vomiting immediately after surgery.
c) Avoid the danger of inhaling stomach contents.
d) Avoid incontinence during surgery.
c) Avoid the danger of inhaling stomach contents.
One of your responsibilities when caring for a patient in the post-operative phase
is to observe for signs of haemorrhage. The type of shock resulting from
haemorrhage is
a) Hypovolaemic.
b) Vasogenic.
c) Neurogenic.
d) Cardiogenic.
a) Hypovolaemic.
For eight hours following surgery your patient has had an intravenous infusion
running but they are having difficulty passing urine. Your most appropriate action would be to
a) Offer adequate analgesia so that they are able to use their abdominal muscles.
b) Assist the patient to stand and pass urine.
c) Increase oral fluids to counteract any dehydration.
d) Contact the house surgeon and prepare a tray for catheterisation
b) Assist the patient to stand and pass urine.
To form a basis of trust in your professional relationship with a patient it is
essential for you to
a) Show an interest in the patient’s problems.
b) Be honest and authentic when interacting with the patient.
c) Make a special time each day to meet with the patient.
d) Be open to any activity that the patient wishes to be involved in.
b) Be honest and authentic when interacting with the patient.
A patient’s partner is worried that the patient is not getting enough to eat. They
want to feed them. Your most appropriate response is
a) “I’m sure your partner would appreciate you doing this for them.”
b) “What makes you think they are not getting enough to eat?”
c) “We want to encourage your partner’s independence.”
d) “I will discuss your partner’s dietary needs with the dietician.”
b) “What makes you think they are not getting enough to eat?”
A patient has been prescribed morphine 8 mg 2-3 hourly PRN for pain. Unit stock
of morphine is 10 mg in 1 mL. 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
d) 0.80 mL
8/10 x 1
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 dpm
b) 96 dpm
c) 83 dpm
d) 100 dpm
c) 83 dpm
1L= 1000 mL
1000/12 x 60/60
A child weighs 22.4 kg, and the prescription is for 24 mg/kg body weight. The
medication comes at the strength of 50 mg/mL. Calculate how many mL (to one
decimal place) of the medication the child should receive.
a) 7.5 mL
b) 8.5 mL
c) 9.8 mL
d) 10.8 mL
d) 10.8 mL
24/50= 0.48
0.48 x 22.4
= 10.752
=10.8