IQN Theoretical Examination for Nursing Council New Zealand – Mock Test 1
Part A: Medication Safety
1. A nurse is preparing to administer intravenous (IV) fluids to a patient. Which of the following is the MOST critical step to ensure fluid safety before initiating the infusion?
a) Checking the patient’s allergies.
b) Verifying the IV fluid order against the fluid bag.
c) Priming the IV administration set with the fluid.
d) Applying a tourniquet above the insertion site.
2. A patient is prescribed 500mg of a medication to be administered intravenously. The medication is available as a solution of 1g in 10mL. How many milliliters (mL) should the nurse administer?
a) 2.5 mL
b) 5 mL
c) 7.5 mL
d) 10 mL
3. A nurse is administering medication via a nasogastric (NG) tube. Which action is MOST important to ensure medication safety and tube patency?
a) Crushing all medications into a fine powder.
b) Mixing all medications together in one syringe for administration.
c) Flushing the NG tube with water before and after each medication.
d) Administering medications rapidly to prevent tube blockage.
4. When administering a subcutaneous injection of insulin, what is the MOST appropriate action to minimize the risk of lipohypertrophy?
a) Always using the same injection site for each dose.
b) Rotating injection sites within the same anatomical area.
c) Consistently using the abdomen as the preferred injection site.
d) Rotating injection sites systematically across different anatomical areas.
5. A patient is prescribed a medication that is known to cause drowsiness. What is the MOST important nursing intervention to ensure patient safety related to this medication?
a) Encouraging the patient to ambulate frequently to counteract drowsiness.
b) Advising the patient to take the medication only in the morning.
c) Educating the patient about the side effect and advising caution with activities requiring alertness.
d) Withholding the medication if the patient reports feeling even slightly drowsy.
6. A nurse is preparing to administer a high-alert medication. Which of the following practices is MANDATORY to prevent medication errors with high-alert medications?
a) Administering high-alert medications only during daylight hours.
b) Having another qualified nurse independently double-check the medication and dose before administration.
c) Using only pre-filled syringes for high-alert medications.
d) Administering high-alert medications via a continuous intravenous infusion only.
7. During blood transfusion, a patient develops signs of a transfusion reaction. What is the FIRST action the nurse should take?
a) Administer antihistamines as per standing orders.
b) Slow down the rate of blood transfusion and monitor closely.
c) Stop the blood transfusion immediately and disconnect the blood tubing.
d) Call the healthcare provider to report the reaction.
8. A patient is prescribed an antibiotic to be administered intravenously over 30 minutes. The IV infusion set delivers 20 drops per mL. To administer the medication over 30 minutes, at what rate in drops per minute should the nurse set the IV infusion? (Assume the volume to be infused is already calculated and set).
a) 10 drops/minute
b) 20 drops/minute
c) 30 drops/minute
d) 40 drops/minute
9. Which of the following is the MOST appropriate method for verifying patient identity prior to medication administration to enhance medication safety?
a) Asking the patient “Are you Mrs. Smith?”
b) Checking the patient’s room number and bed label.
c) Asking the patient to state their full name and date of birth and checking against the medication administration record (MAR) and patient identification band.
d) Verifying patient identity with a family member present at the bedside.
10. A nurse is preparing to administer a controlled medication. Which of the following actions is essential for the safe handling and documentation of controlled medications?
a) Documenting the medication administration only at the end of the shift.
b) Discarding any unused portion of a controlled medication in the general waste bin.
c) Having another registered nurse witness the wasting of any unused portion of the controlled medication and documenting it.
d) Storing all controlled medications in a locked medication cart, accessible only to the nurse administering the medication.
11. A patient is receiving intravenous potassium chloride (KCl). Which of the following nursing actions is MOST important to ensure patient safety during KCl infusion?
a) Administering KCl as a rapid IV bolus to quickly correct potassium deficiency.
b) Infusing KCl via a peripheral IV line to minimize discomfort.
c) Continuously monitoring the patient’s cardiac rhythm and IV site during infusion.
d) Mixing KCl in a large volume of IV fluid (e.g., 1000mL) to dilute it effectively.
12. A nurse is reviewing a patient’s medication chart and notices a medication reconciliation is required. What is the PRIMARY purpose of medication reconciliation?
a) To ensure the patient understands all their medications and dosages.
b) To compare the patient’s current medication orders to all of the medications the patient is actually taking.
c) To reduce the pharmacy workload by standardizing medication orders.
d) To identify potential drug interactions and adjust medication dosages proactively.
Part B
1. Culturally safe nursing practice involves
a) Asking clients about their knowledge of their cultural heritage
b) Relating to all clients in a neutral manner regardless of their culture
c) Ensure clients are nursed by nurses of their own culture
d) Use of appropriate resources to meet clients identified cultural needs
2. Māori communities are encouraging Māori to be involved in health research with their own people. What is the most likely reason for this
a) That ownership of the information will remain with Māori
b) Previously there has been little feedback which has been useful to Māori
c) Non-Māori promote themselves on Māori research
d) Non-Māori researchers are unaware of Māori values
3. The internal migration of Māori people from rural to urban life since the mid-1940s has adversely affected Māori health. What is the most likely reason for this
a) Overcrowding within urban communities
b) Increased exposure to infectious diseases
c) Dietary changes from naturally produced to processed food
d) Loss of cultural, social, and spiritual ties
4. In clause 2 of the treaty of Waitangi (Māori version) Māori were guaranteed possession and control of their taonga. Taonga means
a) All land that Māori choose not to sell
b) All land and fisheries
c) Land, forests and fisheries
d) All things held precious by the Māori
5. Treaty of Waitangi was signed by
a) Missionaries and Māori chiefs
b) The New Zealand government and Māori people
c) Captain Hobson and Māori chiefs of north Auckland
d) A representative of the British crown and Māori chiefs
6. Traditional Māori health practices were outlawed by which of the following acts of parliament
a) Suppression of rebellion act 1860
b) Native lands act 1865
c) Suppression of tohunga act 1908
d) Constitution act 1852
7. Māori attend tangi (funeral) because they need to
- Share with the bereaved, family in their grief
- Reaffirm family and friendship ties
- Take the opportunity to come together
- Look back on their past to make that past come alive
- Gain prestige on the marae
- a) 1, 2 and 4
- b) 1, 3 and 4
- c) 1, 2, 3 and 4
- d) All of the above
8. Māori see „primary health care‟ initiatives as being
a) Māori driven, Māori controlled, Māori financed and government supported
b) The first line of contact with a Māori doctor and Māori nurse
c) A place where as Māori we go to speak our language only
d) The government sharing the resources 50/50 thus ensuring equity
9. You are a public health nurse, who has compelled a project on diabetes involving Māori clients. You are to visit the local marae to share the results. You are working in a bicultural relationship with the local Māori health initiative on diabetes. Which statement would best describe your role within this initiative
a) To set up a structure that allows access to funds
b) To teach the Māori initiative about health reforms
c) To provide resource materials and information
d) To promote partnership, protection and participation in Māori health
10. You have invited Raewyn your supervisor to attend. As part of the preparation for the visit what is essential for Raewyn to know
a) Learn Māori greetings so she can communicate with the marae committee
b) Learn about the treaty of Waitangi so she can be culturally safe
c) Learn about the history of the marae
d) Learn about the local Māori health initiative on diabetes
11. Raewyn asks you what cultural safety means
a) To provide care that acknowledges others values and beliefs
b) Learn about marae protocol, so she can behave appropriately
c) To ensure that all clients get adequate care
d) To make sure that a Maori nurse works with a Maori client
12. She then asks how does culturally safety relate to the treaty of Waitangi. Your reply would be
a) The treaty was signed by both Maori and pakeha
b) Hospital charters acknowledge the treaty in caring for Maori
c) The rights of all Maori clients are being meet according to the treaty
d) Acknowledges the choice for Maori in order to meet their health needs
13. Raewyn is very excited about the coming marae visit, and surprises you two days prior to the event by saying „as 1993 was women‟s suffrage year, I want to make a speech during the welcome‟. Your response should be
a) Tell her she should talk to the elders of the community
b) That’s exciting, which song do you want me to sing in support
c) We should discuss this with the Maori elders involved with our research project
d) Contact a Maori nurse in the community to support her
14. In the meeting house during the marae visit, Raewyn offers you a peppermint. Which of the following is the most appropriate way to response to Raewyn
a) Any food needs to be blessed before we eat here
b) We should share these peppermints with everyone
c) It is culturally inappropriate to eat in the meeting house
d) It is appropriate only to eat between speakers
15. The Maori community health committee approaches you for input into their health care submission for the regional health authority. Your response would be
a) How can I best assist your committee
b) I do not feel qualified to do that
c) I will write up a draft copy for you
d) I will discuss this with my colleagues first
16. Margaret a kaiako (a teacher) at the kohunga reo tells you that tama has fallen and grazed his knee. Tama has hepatitis B. What advice should the nurse give to the teacher
a) Wash your hand before and after attending to tama
b) Keep Tama’s eating utensils separate from others
c) Cover the graze with a waterproof dressing
d) Keep tama at home until the graze heals
17. Margaret asks you to give a teaching session to the mothers about hepatitis B. What would be your first action in implementing this session
a) Access a video and pamphlets about hep B
b) Set a time and date immediately with the teacher
c) Arrange for the mothers to come and visit your clinic
d) Meet with the mothers and teacher to arrange a suitable time
18. You discover more than half the children at kohunga reo have not been vaccinated against hep B. What should your first action be
a) Discuss with the care givers and parents what they wish to do about this
b) Give these children hep B vaccinations explaining that it is essential for their protection
c) Report your findings to the health department as soon as possible
d) Inform the ministry of education to gain funding for them to be immunised
19. Pepe has been discharged to a marae-based community house. How would you ensure his continued well-being
a) Set up regular appointments to monitor Pepe’s well-being
b) Explain to the community workers Pepe‟s requirements
c) Arrange for Pepe to attend the local sheltered workshop
d) Ensure Pepe and his whanau have ongoing support and access to resources
20. Considering article 1 of the treaty of Waitangi (partnership), which statement best describes this principle in Pepe‟s care
a) The whanau are the initiators. The health care workers are the supporters
b) The whanau work with the health care workers in providing care
c) The partnership is between the health care workers and the whanau
d) The partnership is between the Maori community and the crown
21. How do you relate the treaty of Waitangi, to the importance of Pepe being discharged to his whanau
a) The institution could no longer provide for his care
b) It ensures that Pepe’s cultural heritage is protected
c) That Pepe will be safer in a Maori community
d) That the principle of tino rangatiratanga is maintained
22. Piripiri a 16-year-old street kid, with a history of alcohol and solvent abuse, is alienated from his Maori culture. He has expressed to you a desire to re-establish himself with his blood whanau and his culture. Choose the most appropriate initial action you would take to assist Piripi in learning about his culture
a) Identify Piripi’s tribal affiliations
b) Locate the nearest marae
c) Ask a Maori colleague for assistance
d) Tell him not to be concerned, you can learn that later
23. Piripi has very little understanding of substance abuse. How would you begin to educate him
a) Check that he can read and write
b) Give him some pamphlets and handouts
c) Arrange an appointment with the doctor involved
d) Invite his whanau to be involved with his learning
24. How would you best assist Piripi to stay free of substance abuse following discharge
a) Check that he is booked in for random urine tests
b) Make sure he understands the consequences of continued abuse
c) Stress the importance of keeping his follow-up appointments
d) Provide whanau with ongoing support and resources
25. Colleague comments, why are all these street kids allowed open visiting. How would you respond
a) It’s easier than being involved in confrontation
b) Maori patients have special rights
c) Because they are his whanau
d) The company keeps him quiet
26. Hine, a 42-year-old woman, who identifies as Maori. Is to have a mastectomy. Which of the following breast symptoms may indicate the presence of breast cancer
Retraction of the nipple
Puckering of the skin
Discharge from the nipple
Alteration of contour
a) 1
b) 2
c) 3
d) All of the above
27. Which of the following characteristics of malignant tumours are not of benign tumours
1. Lack of a capsule
2. More rapid growth
3. Less mature cells
4. Spread to distant parts
a) 1
b) 2
c) None of the above
d) All of the above
28. Hine refuses to sign the consent form until she is sure that her breast will be returned following surgery. What action should you take to ensure Hine’s wishes are respected
a) Document and support Hine in her decision
b) Check hospital policy and legal requirements
c) Tell the doctor of Hine’s request
d) Inform the whanau of the situation
29. It is agreed Hine will take her breast home. A consent form is signed. What action must you now take to ensure Hine’s request
a) Telephone the theatre staff before Hine goes to theatre
b) Supply an appropriate container to receive the breast
c) Document her request in the nursing notes
d) Enter the information on the operation form
30. Hine returns to a single cubicle. Her whanau ask to stay the night. The staff nurse says this is not appropriate for that number to stay. What action should you take
a) Negotiate other suitable accommodation for whanau
b) Explain politely that the nurse in charge disagrees
c) Tell them that only two people can stay at one time
d) Explain there are no extra mattresses
31. Iris a 55-year-old woman, who identifies as Maori, is admitted to the emergency department with severe chest pain. Her whanau are with her. What immediate nursing action is the most appropriate to take
a) Show the whanau where the waiting room is
b) Interview the whanau regarding Iris’s previous history
c) Carry out a physical examination in a non-threatening manner
d) Administer oxygen and monitor her blood pressure and pulse
32. The whanau are very anxious about her condition. What is the most appropriate action to take
a) Identify the spokesperson and explain what is happening
b) Take the whanau to a quiet room and discuss their concerns
c) Acknowledge their anxiety and allow a whanau member to stay
d) Assure them that the doctors will do everything they can
33. You are alone with Iris when she suddenly collapses. What is your first priority
a) Commence cardiac massage
b) Ring emergency phone number
c) Maintain an airway
d) Administer oxygen and monitor her blood pressure and pulse
34. Typically, the pain of myocardial infarction is different from the pain of angina in that the pain of myocardial infarction is
a) Intermittent in nature
b) Is relieved by anginine
c) Is relieved by rest
d) May occur at rest
35. Which of the following symptoms often follow a myocardial infarction
1. Pallor
2. Diaphoresis
3. Anxiety
4. Breathlessness
5. Vomiting
a) 1 and 3
b) 2 and 4
c) All but 5
d) All of the above
36. Iris condition deteriorates and she dies. What is the most appropriate nursing action to help the whanau
a) Ensure privacy for the family to have karakia (prayers)
b) Allow a spokesperson to contact the rest of the family
c) Move Iris’s body to a side room
d) Offer the whanau to go to a quiet room for a cup of tea
37. State your initial action before beginning a diabetic education programme for Tipene and his whanau (family)
a) Assess their level of understanding of diabetes
b) Obtain pamphlets about diabetes that are bi lingual
c) Negotiate a time when whanau can be present
d) Contact the diabetic education nurse
38. How will you know if Tipene understands the information
a) He repeats the information in his own words
b) He demonstrates use of the equipment
c) He has seen the Maori nurse educator
d) He has his whanau with him
39. Tao is 24 year old man who identifies as Maori. He is an acute admission, via the police, under a committal order. On admission he appears preoccupied,1 physically untidy and is unable to speak. This is his third admission. What would your priority of care be for Tao over the next two hours
a) Encourage Tao to talk about what has happened
b) Ensure that he is not left alone
c) Complete a mental health assessment
d) Notify his relatives of his admission
40. Following a cultural assessment profile, Tao expresses fear of being on his own. Your best action would be
a) Encourage his whanau to come and be with him
b) Encourage him to talk about his fears
c) Ensure he has adequate prescribed medication
d) Reassure him that he is safe here
41. Tao’s mother reports that she has been unhappy with his previous care. How best would you ensure the whanau are satisfied with the standard of care
a) tell the whanau to visit daily
b) arrange an appointment for the whanau to see the doctor
c) involve the whanau in all decision making
d) make sure whanau are familiar with ward procedures
42. Tao’s mother believes he has mate Maori (Maori illness) and states he will never get well here. How would you best respond
a) notify1 a Maori health worker
b) how can we help you to meet Tao’s needs
c) explain to her about mental illness
d) arrange for a tohunga (Maori healer) to see Tao
43. Tao is referred to a Maori mental health unit. Of what benefit would this referral be to Tao
a) Maori people understand how to best care for Maori
b) the unit can provide a safe spiritual environment
c) his whanau would feel more comfortable when visiting
d) he will comply with treatment more readily
44. Kiri, a 36-year-old woman who identifies as Maori is admitted to the psychiatric unit with a provisional diagnosis of paranoid schizophrenia. Choose the statement that best describes the behaviours Kiri would exhibit
a) illusions, flight of ideas, suspiciousness
b) visual hallucinations, ritualistic behaviour
c) echolalia, delusions, fearfulness
d) suspiciousness, visual and audible hallucinations
45. What particular aspect should you consider when assessing Kiri
a) cultural/spiritual reasons for her changed behaviour
b) any recent loss in Kiri’s family
c) inability to cope with recent stresses
d) physical reasons for changed behaviour
46. What priority action should you take when identifying reasons for Kiri’s behaviour
a) obtain a detailed history from Kiri
b) check for a history of mental illness in the family
c) arrange for a family interview to discuss Kiri’s current situation
d) complete a physical assessment of Kiri
47. Kiri refuses to eat her food. She says you are poisoning me. Your most helpful response is
a) that must be a scary feeling for you
b) why do you say that
c) I’m not poisoning you, it is good for you to eat your food
d) do try your lunch. The food is safe
48. Kiri refuses to eat in the dining room despite suggestions from you to do so. Her behaviour would most accurately reported as
a) negative behaviour demonstrated at mealtime
b) patient seemingly withdrawn, does not follow suggestion
c) did not eat in dining room, even though suggested she do so
d) preferred to eat in her room, against nurses advice
49. That night you find Kiri huddled in the corner of her room. She tells you that her dead husband appeared to her. What immediate action should you take
a) check that she had her night medication
b) stay with her until she settles, than reassess the situation
c) reassure her dead husband is not in the room
d) notify the doctor and ask for extra sedation for her
50. Tui, a 23-year-old woman who identifies as Maori, attends a clinic for her maintenance injection of fluphenazine deconate 12.5 ml. She has been employed as a cabin crew attendant for the last 5 years, recently she has been transferred to international flights. She expresses the following concerns to you. Although her present medication has controlled her previous psychiatric breakdown, will this be sufficient in the future? State your best response.
a) As long as you don’t stop taking this medication
b) We can increase your medication if it becomes ineffective
c) Providing you keep your appointments, we can monitor the effectiveness of your medication
d) We can work together to manage your situation to maintain your wellbeing
51. She has noticed an increase in weight due to the medication. What advice should you give
a) Discuss the benefits of maintaining regular exercise and having a sensible diet
b) As your situation changes you may need your medication adjusted
c) Encourage her to join a weight watchers clinic
d) Contact the hospital dietician to make an appointment
52. With increasing redundancies in Tui’s area of employment, she is keen to ensure she stays well. What advice should you give her
1. Encourage her to keep in contact with her whanau for support
2. Discuss ways of maintaining support system while overseas
3. Discuss ways of coping with extra stress
4. Provide relaxation tapes to use to ensure adequate sleep
a) 1, 3 and 4
b) 2, 3 and 4
c) 1, 2 and 3
d) All of the above
53. Tui’s employers have stated that all staff must undertake bicultural workshops. She is asked to relate how the treaty of Waitangi relates to Maori health. How best would Tui respond
a) We are all one people with equal rights to health care
b) Because you are Maori the treaty gives you priority health care
c) Article 3 guarantees the right to equitable health care
d) The treaty guarantees the rights of Maori to decide their own health needs
54. Wiremu, who identifies as Maori is a 32-year-old solo father, his wife died one year ago. He is caring for 8-year-old Hone and 4-year-old Ana. Hone’s teacher is concerned about his disruptive behaviour at school and asks you to visit the home. How should you best initiate contact with this family
a) Send a letter to Wiremu asking him to meet you at the school
b) Go to see Wiremu at his home
c) Organise a family conference at the school
d) Ring Wiremu to explain why you wish to see him
55. You visit Wiremu’s home, he invites you in. What should be your first action
a) Greet Wiremu with a cheerful kia ora
b) Make an initial assessment of Wiremu’s appearance
c) Introduce yourself and state why you are visiting
d) Make a brief assessment of the state of the home
56. What assessment will you need to make of Wiremu
a) Assess his physical condition
b) Identify the level of whanau support
c) Assess his interactions with his children
d) Do a psychosocial assessment
57. Ana attends the local kohanga reo. You wish to visit to assess her at school. What protocols do you need to follow
a) Advise Wiremu that you will attend the kohanga reo
b) Contact the Maori public health nurse to assess Ana
c) Suggest Wiremu arrange for you both to visit the kohanga reo
d) Ring the kohanga reo to arrange a visit
58. Ana has school sores and is being treated by her grandmother. Ana has not been taking her prescription antibiotics. What should your response be
a) Tell Wiremu that Ana should take the prescribed antibiotics
b) Acknowledge the value of Maori health remedies
c) Express your concern that Ana will infect other children
d) Discuss how both treatments are of value in curing Ana
59. A colleague comments to you that she is concerned about a elderly client, Moana, who identifies as Maori. Moana is in early stages of Alzheimer’s disease and is wandering away from her home. Your colleague believes Moana should be cared for in an institution where she is less likely to harm herself. What should be your reply to your colleague
a) Yes, I agree she would be safer in an institution
b) Has she been assessed by her gp
c) Has she got family involved in her care
d) I would call in a social worker to help
60. Sally’s friend has rubella and she is worried that it might affect her foetus. Rubella has the greatest potential for damage when it is contracted during which period of pregnancy
a) The first 12 weeks
b) 12-16 weeks
c) After 16 weeks
d) All of the above periods
61. Sally asks the nurse how will she know when she is going into labour. One of the signs of impending labour is
a) A blood show
b) Increasing fatigue
c) Shortness of breath
d) Sudden weight gain of 0.5-1.5 kg
62. Sally goes into labour. Her partner asks you how to measure the frequency of contractions. The nurses best response is
a) From the beginning of the contraction to the end of the contraction
b) From the end of a contraction to the beginning of the next contraction
c) From the beginning of a contraction to the beginning of the next contraction
d) From the beginning of a contraction to the end of the next contraction
63. The nurse tells Sally she in the first stage of labour. The first stage of labour ends when
a) The baby’s head moves through the cervix into the vaginal canal
b) Dilatation of the cervix begins
c) The baby has left the mothers body
d) Full effacement of the cervix has occurred
64. Up until 1840, settlers in New Zealand were
a) Subject to Maori (tribal) law
b) Obliged to obey Busby’s instructions
c) Governed from New South Wales
d) In effect not answerable to any laws
65. The Waitangi tribunal was established under the treaty of Waitangi act
a) 1840
b) 1953
c) 1975
d) 1986
66. The steps to cultural safety are in this order
a) Safety, awareness and sensitivity
b) Awareness, sensitivity and safety
c) Sensitivity, awareness and safety
d) Sensitivity, safety and awareness
67. Which of the following acts of parliament outlawed traditional Maori health practices
a) Suppression of rebellion act 1860
b) Tohunga suppression act 1907/1908
c) Native lands act 1865
d) Constitution act 1852
68. A 79-year-old client has pale, cold feet bilaterally, no hair tufts on toes, and a circumscribed 3 cm lesion on the plantar surface at the first metatarsal joint. Which of the following is the most likely source of the client’s problem
a) Insufficient venous circulation
b) Venous thrombosis
c) Expected age related physiological changes
d) Insufficient arterial circulation
69. On assessing an older client the nurse notes that the left leg is swollen and warm, with palpable pedal pulses; an open, wet ulcer above the medial malleolus; and thick, coarse, and brown pigmented skin surrounding the ulcer. The probable cause of the ulcer would be
a) Acute deep vein thrombosis
b) Chronic venous insufficiency
c) Chronic arterial insufficiency
d) Chronic lymphoedema
70. At the time of Leonard’s admission to hospital, it would be impossible to accurately predict the neurological deficit that would ultimately be left because
a) With correct alignment of the severed sections of cord, some healing of fibres will occur
b) Some of his symptoms may be the result of spinal shock rather than severance of the cord
c) If the cord has been severed cleanly, it may be possible to suture the tracts together
d) It is impossible for the spinal tracts to heal until the disrupted blood vessels supplying the cord regenerate
71. Reflex control over the bowel and bladder functions following spinal injury is expected to be regained. This control over evacuation may develop because
a) Initial bowel and bladder problems result more from psychological than from physical injury
b) Some of the severed motor fibres will reconnect, permitting impulse transmission
c) With mobilisation and improved circulation, muscle control will improve
d) Return of parasympathetic activity will permit automatic emptying of bladder and bowel
72. Which of the following actions should you take if a patient you know to have cancer asks if the lump that was removed is malignant
a) Say yes and sit down and discuss with her
b) Gloss over the question and talk about something else
c) Tell her it was benign, in case she is not supposed to know yet
d) Acknowledge your lack of seniority and ask the charge nurse to talk to her
73. Sally tells you she is pregnant. The first day of her last normal menstrual period was the 18 February 2003. Her EDD or EDC is
a) 18 November 2003
b) 25 November 2003
c) 25 December 2003
d) 18 December 2003
74. Sally states I have heard that a pregnant woman needs more iron. Is that true. The nurses best response would be
a) Yes a pregnant woman, 23-40 years, needs 25% more iron
b) Yes but the increase is so small a pregnant woman can meet the needs by eating a well balanced diet
c) Yes pregnant women needs at least twice as much iron than non pregnant women
d) Only pregnant adolescents have an increased needs for iron
75. Sally asks why it is important to eat protein during pregnancy. The nurse should explain, protein is necessary for the
a) Development of foetal bones and teeth
b) Growth of foetal and maternal tissues
c) Prevention of anaemia
d) Coagulation of the blood
76. Sally tells you that she has heard that pregnant women need to take folic acid. It is recommended that women take 0.8 mg folic acid orally daily
a) From when finding out about the pregnancy until 12 weeks gestation
b) Throughout the whole pregnancy
c) From 12 weeks before conception to 12 weeks after conception
d) From 4 weeks before conception to 12 weeks after conception
77. A client has signs of increased intracranial pressure (ICP). Which of the following is an early indicator of deterioration in the client’s condition
a) Widening pulse pressure
b) Decrease in the pulse rate
c) Dilated, fixed pupil
d) Decrease in level of consciousness
78. During the initial phase of care for a patient with spinal cord trauma at C5 level, the nurse gives high priority to maintaining respiratory function because
a) There is total loss of diaphragmatic and intercostals muscle function
b) Extension of edema above the site of the injury may affect phrenic nerve function
c) Immobilization of the patient’s spine promotes pooling of respiratory secretions
d) Without abdominal muscle control the patient cannot adequately cough
79. A client whose condition remains stable after a myocardial infarction gradually increases his activity. Which of the following conditions should the nurse assess to determine whether the activity is appropriate for the client
a) Oedema
b) Cyanosis
c) Dyspnea
d) Weight loss
80. The nurse is preparing to administer 0.1 mg of digoxin (lanoxin) intravenously. Digoxin comes in a concentration of 0.5 mg/2mls. How many millilitres (ml) should the nurse administer
a) 0.2 ml
b) 0.4 ml
c) 2.2 ml
d) 2.5 ml
81. To promote bowel evacuation in a patient with irregular bowel elimination, the nurse teaches the patient that the effects of the gastro colic and duodenocolic reflexes can facilitate bowel elimination if the patient attempts defecation
a) After physical exercise
b) After the first daily meal
c) Upon arising in the morning
d) Upon the sight and smell of food
82. A patient who has an obstruction of the common bile duct is most likely to manifest
a) Malena
b) Steatorrhea
c) Decreased serum cholesterol levels
d) Increased serum indirect bilirubin levels
83. When giving advice to a vegetarian, you would suggest a good source of protein would be contained in
a) Cereal and grains
b) Vegetables and fruits
c) Eggs and cheese
d) Beans and lentils
84. Iron is important for healthy red blood cells. what other nutrients are also important
a) Vitamin E and vitamin C
b) Vitamin B12 and vitamin E
c) Folic acid and vitamin B12
d) Ascorbic acid and folic acid
85. The body’s need for ascorbic acid and iron are inter related because
a) Iron assists in the use of ascorbic acid
b) Iron assists in the transport of ascorbic acid
c) Ascorbic acid assists the transport of iron
d) Ascorbic acid assists the absorption of iron
86. The term phenylketonuria refers to a disorder involving
a) Increased sugar in the urine
b) Inability to metabolise some fats
c) Excessive breakdown of red blood cells
d) Inability to break down amino acid
87. Emergency interventions for a victim with upper torso injuries or face, head, or neck trauma include
a) Suctioning to clear the airway
b) Immobilization of the cervical spine
c) Administration of supplemental oxygen
d) Ensuring venous access with at least two large bore IV lines
88. An employee spilled industrial acids on his arms and legs at work. The appropriate action by the occupational nurse at the facility is to
a) Apply cool compresses to the area of exposure
b) Apply an alkaline solution to the affected area
c) Cover the affected area with dry, sterile dressings
d) Flush the substance with large amounts of tap water
89. According to the privacy act 1993 when collecting health information from a client the nurse must
a) Ensure the client is aware that health information is being collected
b) Tell the client why health information is being collected
c) Inform the client about their rights of access and correction
d) All of the above
90. An example of the use of primary prevention for family violence is
a) Working to eliminate the glamorisation of violence on television
b) Counselling a woman living in an abusive relationship about available shelter programs
c) Calling child protective services regarding a school age child who has reported sexual attacks by her stepfather
d) Carefully examining the skin of an elder who has just returned to an extended care facility following a weekend with his children
91. The long-term consequences of Chlamydia is most likely to be
a) Menorrhagia
b) Chronic vaginitis
c) Chronic cervicitis
d) Sterility
92. When describing the effects of insulin on the body to a patient newly diagnosed with diabetes mellitus, the best explanation by the nurse is
a) Insulin promotes the breakdown of fatty tissue into triglycerides, which can be used for energy
b) When proteins are taken into the body, insulin promotes their breakdown and conversion to fats
c) Insulin stimulates the conversion to sugars into blood glucose and the conversion of proteins into glucose
d) When carbohydrates, fats, and proteins are eaten, insulin promotes cellular transport and storage of all these nutrient
93. A serious complication of acute malaria is
a) Congested lungs
b) Impaired peristalsis
c) Anaemia and cachexia
d) Fluid and electrolyte imbalance
94. A registered nurse stops to assist at the scene of an accident but the injured man dies before the ambulance arrives. The nurse should understand that she
a) Should leave the scene before the ambulance arrives
b) Will be covered by her actions by the good Samaritan laws
c) Has a legal duty of care to perform at a competent level as a registered nurse
d) Should pronounce the person dead at the scene
95. During the initial postoperative assessment of a patient’s stoma formed with a transverse colostomy, the nurse finds it to be brick red with moderate oedema and a small amount of bleeding. The most appropriate interpretation of this finding by the nurse is that there is
a) A viable stoma with high vascularity
b) Obstruction of the stoma with venous congestion.
c) Inadequate blood supply to the stoma caused by oedema
d) An abnormal stomach condition that should be reported to the surgeon
96. A client has been diagnosed with viral hepatitis. Which of the following expected outcomes would be most appropriate for the client
a) Achieve control of abdominal pains
b) Increase activity levels gradually
c) Be able to breathe without difficulty
d) Experience relief from edema
97. The nurse discusses the eating habits of school aged children with their parents, explaining that these habits are most influenced by which of the following
a) Food preference of their peers
b) Small and appearance of foods offered
c) Examples provided by parents at mealtimes
d) Parental encouragement to eat nutritious foods
98. Which of the following is an offence under the Hydatids act 1959
a) Failure to report stray, unregistered dogs
b) Feeding raw offal to any dogs in your care
c) Tenuicollis worms in lambs at the time of killing
d) Tenuicollis cysts in any purged material from dogs
99. What is the responsibility of the nurse who, for two days, has observed the nurse manager putting several syringes into her pocket
a) Report the matter to another nurse manager
b) Discuss the matter with your nursing colleagues
c) Watch the nurse manager to see if it happens again
d) Ignore the incident as a nurse manager is a responsible person
100. When performing a cultural assessment with a patient of a different culture, it is important for the nurse to first ask about the patient’s
a) Racial heritage
b) Use of cultural healers
c) Language spoken at home
d) Affiliation with a cultural group
101. After being bitten by an unknown insect, a patient allergic to wasp stings is brought to a clinic by a co-worker. Upon arrival the patient is anxious and is having difficulty breathing. The first action by the nurse is to
a) Administer oxygen
b) Maintain the patient’s airway
c) Remove the stinger from the site
d) Place the patient in recumbent position with his legs elevated
102. During immediate care of a victim of a bite or sting to the hands or fingers, it is most important for the nurse to
a) Elevate the affected extremity
b) Scrub the wound with an antibacterial solution
c) Apply ice to the site with ice water or ice packs
d) Remove rings and watches from the affected extremity
103. A young man seeks medical care after a friend with whom he shared needles during illicit drug use develops hepatitis B. To provide immediate protection from infection, the nurse expects to administer
a) Corticosteroids
b) Gamma globulin
c) Hepatitis B vaccine
d) Fresh frozen plasma
104. A 63-year-old man has terminal cancer of the liver and is cared for by his wife at home. His abdominal pain has become increasingly severe, and he now says it is intense most of the time. The nurse recognizes that teaching regarding pain management has been effective when the patient
a) Limits the use of opiate analgesics to prevent addiction
b) Resigns himself to the fact that pain is an inevitable consequence of cancer
c) Uses pain medication only when the pain becomes more than he can tolerate
d) Takes analgesics around the clock on a regular schedule, using additional doses for breakthrough pain
105. A middle aged woman enjoys orienting new young women and men at work. She enjoys being a teacher and mentor and feels she should pass down her legacy of knowledge and skills to the younger generation. The nurse recognizes that the woman is involved in the behaviour described by Erikson as
a) Generativity
b) Ego integrity
c) Identification
d) Valuing wisdom
106. For the nursing council to find a registered nurse guilty of malpractice following an assault on a client, it would have to prove that the nurse
a) Intended to cause bodily harm to the client
b) Actually assaulted the client
c) Did not establish a therapeutic relationship with the client
d) Committed a felony against the client
107. Several high school seniors are referred to the school nurse because of suspected alcohol misuse. When the nurse assesses the situation, which of the following would be most important to determine
a) What they know about the legal implications of drinking
b) The type of alcohol they usually drink
c) The reasons they choose to use alcohol
d) When and with whom they use alcohol
108. After teaching the parents about the cause of ringworm of the scalp (tinea capitis), which of the following if stated by the father, indicates successful teaching
a) Overexposure to the sun
b) Infestation with a mite
c) Fungal infection of the scalp
d) An allergic reaction
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