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NZ NURSING STATE EXAM LATEST VERSION
WITH ALL 250 QUESTIONS AND CORRECT
DETAILED SOLUTIONS WITH RATIONALES
JUST RELEASED THIS YEAR
A summarized exam coverage followed by 250 randomized MCQs for the NZ Nursing State
Exam (NCLEX–NZ style). All questions are scenario-based, exam-relevant, with answers and
italicized rationales.
SUMMARIZED EXAM COVERAGE
Safe nursing practice (competencies 1.1–1.4, 2.1–2.3, 3.1–3.3): clinical judgement, Māori health
(Te Tiriti o Waitangi), pharmacology, fluid/electrolytes, infection prevention, wound care,
respiratory/cardiac/neurological/endocrine/GI/renal emergencies, mental health, child & older
adult health, risk assessment, ethical/legal (privacy, consent, cultural safety), medication
calculation, deterioration recognition, primary health, chronic disease, palliative care, health
promotion.
250 RANDOMIZED MCQS (NO SUBTOPICS)
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1. A postoperative patient suddenly becomes short of breath, tachycardic, and hypotensive.
What is the priority action?
A) Apply oxygen via nasal cannula
B) Elevate the head of the bed
C) Prepare for CPR
D) Call the rapid response team
Answer: D
Rapid response team activation is priority for suspected pulmonary embolism or deterioration;
oxygen and positioning are secondary.
2. A Māori patient avoids eye contact during assessment. What is the best nursing response?
A) Gently ask if they feel uncomfortable
B) Assume they are hiding information
C) Continue without acknowledging
D) Lean closer to make eye contact
Answer: A
Cultural safety respects non-verbal cues; direct but gentle inquiry shows respect without
assumption.
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SUCCESS!
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3. A diabetic patient has blood glucose 2.1 mmol/L and is conscious. What should you give first?
A) 50% dextrose IV push
B) 15g fast-acting carbohydrate orally
C) Glucagon IM
D) Orange juice with peanut butter
Answer: B
Conscious patient with hypoglycemia gets oral fast-acting carbs; IV dextrose or glucagon if
unconscious.
4. A patient with chest pain has 0.4mg GTN spray, BP 90/60. What should you do?
A) Administer GTN as ordered
B) Hold GTN and reassess BP
C) Give 2 puffs 5 minutes apart
D) Lie patient flat before giving
Answer: B
GTN contraindicated if SBP <90; hold and inform prescriber.
5. You find a fire in a waste bin. What is your first action?
A) Pull the fire alarm
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B) Use the nearest extinguisher
C) Remove patients from the area
D) Close all doors
Answer: C
RACE: Rescue patients first, then alarm, contain, extinguish.
6. A postoperative day 1 patient has redness and warmth around the IV site. What is your
priority?
A) Apply a warm compress
B) Document findings and monitor
C) Remove the IV cannula
D) Start antibiotics
Answer: C
Remove the source of possible phlebitis/infection immediately; then reassess.
7. A patient with heart failure has 2+ pitting edema, weight gain 2kg in 3 days, and crackles.
Which diuretic is expected?
A) Spironolactone
B) Hydrochlorothiazide
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SUCCESS!
NZ NURSING STATE EXAM LATEST VERSION
WITH ALL 250 QUESTIONS AND CORRECT
DETAILED SOLUTIONS WITH RATIONALES
JUST RELEASED THIS YEAR
A summarized exam coverage followed by 250 randomized MCQs for the NZ Nursing State
Exam (NCLEX–NZ style). All questions are scenario-based, exam-relevant, with answers and
italicized rationales.
SUMMARIZED EXAM COVERAGE
Safe nursing practice (competencies 1.1–1.4, 2.1–2.3, 3.1–3.3): clinical judgement, Māori health
(Te Tiriti o Waitangi), pharmacology, fluid/electrolytes, infection prevention, wound care,
respiratory/cardiac/neurological/endocrine/GI/renal emergencies, mental health, child & older
adult health, risk assessment, ethical/legal (privacy, consent, cultural safety), medication
calculation, deterioration recognition, primary health, chronic disease, palliative care, health
promotion.
250 RANDOMIZED MCQS (NO SUBTOPICS)
1
SUCCESS!
,Page 2 of 121
1. A postoperative patient suddenly becomes short of breath, tachycardic, and hypotensive.
What is the priority action?
A) Apply oxygen via nasal cannula
B) Elevate the head of the bed
C) Prepare for CPR
D) Call the rapid response team
Answer: D
Rapid response team activation is priority for suspected pulmonary embolism or deterioration;
oxygen and positioning are secondary.
2. A Māori patient avoids eye contact during assessment. What is the best nursing response?
A) Gently ask if they feel uncomfortable
B) Assume they are hiding information
C) Continue without acknowledging
D) Lean closer to make eye contact
Answer: A
Cultural safety respects non-verbal cues; direct but gentle inquiry shows respect without
assumption.
2
SUCCESS!
,Page 3 of 121
3. A diabetic patient has blood glucose 2.1 mmol/L and is conscious. What should you give first?
A) 50% dextrose IV push
B) 15g fast-acting carbohydrate orally
C) Glucagon IM
D) Orange juice with peanut butter
Answer: B
Conscious patient with hypoglycemia gets oral fast-acting carbs; IV dextrose or glucagon if
unconscious.
4. A patient with chest pain has 0.4mg GTN spray, BP 90/60. What should you do?
A) Administer GTN as ordered
B) Hold GTN and reassess BP
C) Give 2 puffs 5 minutes apart
D) Lie patient flat before giving
Answer: B
GTN contraindicated if SBP <90; hold and inform prescriber.
5. You find a fire in a waste bin. What is your first action?
A) Pull the fire alarm
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B) Use the nearest extinguisher
C) Remove patients from the area
D) Close all doors
Answer: C
RACE: Rescue patients first, then alarm, contain, extinguish.
6. A postoperative day 1 patient has redness and warmth around the IV site. What is your
priority?
A) Apply a warm compress
B) Document findings and monitor
C) Remove the IV cannula
D) Start antibiotics
Answer: C
Remove the source of possible phlebitis/infection immediately; then reassess.
7. A patient with heart failure has 2+ pitting edema, weight gain 2kg in 3 days, and crackles.
Which diuretic is expected?
A) Spironolactone
B) Hydrochlorothiazide
4
SUCCESS!
