NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 2026/2027 | Page 1 | Passing Score: 80%
NURSING COUNCIL OF NEW ZEALAND
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100%
CORRECT SOLUTIONS!! 2026/2027
NURSING STATE EXAM · Official Exam 2026/2027
100 80% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Professional, Legal and Ethical Practice Q1-Q20
Section 2 Clinical Assessment and Nursing Process Q21-Q40
Section 3 Pharmacology and Medication Management Q41-Q60
Section 4 Chronic Condition and Acute Care Management Q61-Q80
Section 5 Mental Health and Population Health Q81-Q100
Instructions: Select the single best answer for each question. This exam is designed for New Zealand Nursing State Exam
preparation. Passing score: 80% (80 questions correct).
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 1 of 52
, SECTION 1 | Professional, Legal and Ethical Practice | Q1-Q20 | NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100%
CORRECT SOLUTIONS!! 2026/2027 2026/2027
Q1 Question 1 of 100
A registered nurse in New Zealand is caring for a patient who refuses a blood transfusion based on
religious beliefs. The patient is clinically stable and has decision-making capacity. The nurse's most
appropriate action is to respect the patient's autonomous decision, document the refusal and the
education provided, and notify the healthcare team of the patient's informed choice.
A. Administer the transfusion under the principle of beneficence since it is medically necessary
B. Respect the patient's autonomous decision, document the refusal and education provided, and
notify the healthcare team
C. Contact the hospital's legal department to obtain a court order overriding the patient's refusal
D. Discharge the patient immediately for non-compliance with the prescribed treatment plan
Correct Answer: B
Rationale:
A competent adult patient has the right to refuse treatment under the Code of Health and Disability Services
Consumers' Rights in New Zealand. Respecting autonomy is fundamental, and documentation protects both the
patient and the nurse. Option B violates informed consent and patient autonomy, C is inappropriate when the patient
has decision-making capacity, and D is punitive and unethical.
Q2 Question 2 of 100
A nurse working in a New Zealand hospital discovers that a colleague has been accessing patient
records for patients not in their care out of personal curiosity. Under the Privacy Act 2020 and the
Health Information Privacy Code, the nurse's obligation is to report this breach of patient
confidentiality through the appropriate organisational channels.
A. Confront the colleague privately and ask them to stop without informing anyone else
B. Report the breach of patient confidentiality through the appropriate organisational channels
C. Ignore the behaviour because accessing records is a minor violation that does not harm patients
D. Post about the incident on a professional nursing forum to seek advice from other nurses
Correct Answer: B
Rationale:
The Privacy Act 2020 and Health Information Privacy Code require that health information be accessed only for
legitimate purposes. Reporting through proper channels ensures the breach is investigated and managed
appropriately. Option B does not address the systemic privacy violation, C minimizes a serious legal breach, and D
violates patient confidentiality further by discussing cases publicly.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 2 of 52
, Q3 Question 3 of 100
A new graduate nurse in New Zealand is unsure about the scope of practice for a particular clinical
procedure. According to the Nursing Council of New Zealand, the most appropriate action is to
consult the NCNZ scope of practice guidelines, assess personal competence, and seek supervision
or decline to perform the procedure if competence has not been established.
A. Attempt the procedure independently to gain clinical experience and build confidence over time
B. Consult the NCNZ scope of practice guidelines, assess personal competence, and seek
supervision or decline if competence is not established
C. Ask a more experienced colleague to perform the procedure without reporting the knowledge gap
D. Perform the procedure as instructed since the employer has assigned the task to the nurse
Correct Answer: B
Rationale:
The NCNZ requires nurses to practise within their scope and competence. Consulting guidelines, self-assessing, and
seeking supervision ensures safe, competent care. Option B creates patient safety risks through unsupervised practice
beyond competence, C avoids developing the nurse's own competency, and D ignores the professional obligation to
practise only within established competence.
Q4 Question 4 of 100
A nurse is caring for a patient who discloses that they are experiencing domestic violence but asks
the nurse not to tell anyone. The nurse's primary legal and ethical obligation under New Zealand law
is to maintain confidentiality while explaining that certain disclosures may be required by law if there
is imminent risk of serious harm to the patient or others.
A. Break confidentiality immediately and report the disclosure to the police without the patient's knowledge
B. Maintain confidentiality while explaining that certain disclosures may be required by law if there
is imminent risk of serious harm
C. Promise absolute confidentiality regardless of the circumstances to maintain the therapeutic
relationship
D. Tell the patient that domestic violence is a criminal matter and they must report it themselves
Correct Answer: B
Rationale:
New Zealand law recognises limited circumstances where confidentiality may be breached, such as imminent danger.
The nurse should explain these limits while supporting the patient. Option B violates trust and may deter the patient
from seeking future help, C creates a promise that cannot legally be kept, and D abandons the nurse's professional
responsibility to assist.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 3 of 52
, Q5 Question 5 of 100
A charge nurse in a New Zealand hospital is making patient assignments for the upcoming shift.
One of the registered nurses has expressed concern about being assigned to a specialty area
where they lack recent clinical experience. The charge nurse's best response is to reassign the
nurse to a more appropriate area or ensure adequate supervision and support is available for the
nurse in the specialty area.
A. Assign the nurse to the specialty area anyway to help them develop new clinical competencies
B. Reassign the nurse to a more appropriate area or ensure adequate supervision and support is
available in the specialty area
C. Tell the nurse that all staff must be flexible and work wherever they are assigned without question
D. Ask the nurse to study the specialty area policies and procedures before the shift begins
Correct Answer: B
Rationale:
Patient safety requires that nurses work within their scope of competence. Reassigning or providing supervision
addresses both safety and the nurse's professional development. Option B prioritises workforce flexibility over patient
safety, C dismisses legitimate competence concerns, and D does not adequately prepare a nurse for unfamiliar clinical
responsibilities.
Q6 Question 6 of 100
A nurse in New Zealand receives a friend request on social media from a patient recently
discharged from the ward. The most appropriate action is to decline the friend request because
maintaining professional boundaries is essential to the therapeutic relationship and protects both the
patient and the nurse from potential conflicts of interest.
A. Accept the friend request to maintain a supportive relationship with the patient after discharge
B. Decline the friend request because maintaining professional boundaries protects both the
patient and the nurse
C. Accept the request but restrict the patient's access to the nurse's personal information on the platform
D. Discuss the friend request with colleagues to decide collectively whether to accept it
Correct Answer: B
Rationale:
The NCNZ Code of Conduct requires nurses to maintain professional boundaries with patients, including on social
media. Accepting friend requests blurs the professional relationship and may compromise objectivity. Option B violates
professional boundary standards, C still breaches the professional-patient boundary, and D inappropriately involves
colleagues in a personal decision.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 4 of 52
NURSING COUNCIL OF NEW ZEALAND
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100%
CORRECT SOLUTIONS!! 2026/2027
NURSING STATE EXAM · Official Exam 2026/2027
100 80% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Professional, Legal and Ethical Practice Q1-Q20
Section 2 Clinical Assessment and Nursing Process Q21-Q40
Section 3 Pharmacology and Medication Management Q41-Q60
Section 4 Chronic Condition and Acute Care Management Q61-Q80
Section 5 Mental Health and Population Health Q81-Q100
Instructions: Select the single best answer for each question. This exam is designed for New Zealand Nursing State Exam
preparation. Passing score: 80% (80 questions correct).
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 1 of 52
, SECTION 1 | Professional, Legal and Ethical Practice | Q1-Q20 | NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100%
CORRECT SOLUTIONS!! 2026/2027 2026/2027
Q1 Question 1 of 100
A registered nurse in New Zealand is caring for a patient who refuses a blood transfusion based on
religious beliefs. The patient is clinically stable and has decision-making capacity. The nurse's most
appropriate action is to respect the patient's autonomous decision, document the refusal and the
education provided, and notify the healthcare team of the patient's informed choice.
A. Administer the transfusion under the principle of beneficence since it is medically necessary
B. Respect the patient's autonomous decision, document the refusal and education provided, and
notify the healthcare team
C. Contact the hospital's legal department to obtain a court order overriding the patient's refusal
D. Discharge the patient immediately for non-compliance with the prescribed treatment plan
Correct Answer: B
Rationale:
A competent adult patient has the right to refuse treatment under the Code of Health and Disability Services
Consumers' Rights in New Zealand. Respecting autonomy is fundamental, and documentation protects both the
patient and the nurse. Option B violates informed consent and patient autonomy, C is inappropriate when the patient
has decision-making capacity, and D is punitive and unethical.
Q2 Question 2 of 100
A nurse working in a New Zealand hospital discovers that a colleague has been accessing patient
records for patients not in their care out of personal curiosity. Under the Privacy Act 2020 and the
Health Information Privacy Code, the nurse's obligation is to report this breach of patient
confidentiality through the appropriate organisational channels.
A. Confront the colleague privately and ask them to stop without informing anyone else
B. Report the breach of patient confidentiality through the appropriate organisational channels
C. Ignore the behaviour because accessing records is a minor violation that does not harm patients
D. Post about the incident on a professional nursing forum to seek advice from other nurses
Correct Answer: B
Rationale:
The Privacy Act 2020 and Health Information Privacy Code require that health information be accessed only for
legitimate purposes. Reporting through proper channels ensures the breach is investigated and managed
appropriately. Option B does not address the systemic privacy violation, C minimizes a serious legal breach, and D
violates patient confidentiality further by discussing cases publicly.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 2 of 52
, Q3 Question 3 of 100
A new graduate nurse in New Zealand is unsure about the scope of practice for a particular clinical
procedure. According to the Nursing Council of New Zealand, the most appropriate action is to
consult the NCNZ scope of practice guidelines, assess personal competence, and seek supervision
or decline to perform the procedure if competence has not been established.
A. Attempt the procedure independently to gain clinical experience and build confidence over time
B. Consult the NCNZ scope of practice guidelines, assess personal competence, and seek
supervision or decline if competence is not established
C. Ask a more experienced colleague to perform the procedure without reporting the knowledge gap
D. Perform the procedure as instructed since the employer has assigned the task to the nurse
Correct Answer: B
Rationale:
The NCNZ requires nurses to practise within their scope and competence. Consulting guidelines, self-assessing, and
seeking supervision ensures safe, competent care. Option B creates patient safety risks through unsupervised practice
beyond competence, C avoids developing the nurse's own competency, and D ignores the professional obligation to
practise only within established competence.
Q4 Question 4 of 100
A nurse is caring for a patient who discloses that they are experiencing domestic violence but asks
the nurse not to tell anyone. The nurse's primary legal and ethical obligation under New Zealand law
is to maintain confidentiality while explaining that certain disclosures may be required by law if there
is imminent risk of serious harm to the patient or others.
A. Break confidentiality immediately and report the disclosure to the police without the patient's knowledge
B. Maintain confidentiality while explaining that certain disclosures may be required by law if there
is imminent risk of serious harm
C. Promise absolute confidentiality regardless of the circumstances to maintain the therapeutic
relationship
D. Tell the patient that domestic violence is a criminal matter and they must report it themselves
Correct Answer: B
Rationale:
New Zealand law recognises limited circumstances where confidentiality may be breached, such as imminent danger.
The nurse should explain these limits while supporting the patient. Option B violates trust and may deter the patient
from seeking future help, C creates a promise that cannot legally be kept, and D abandons the nurse's professional
responsibility to assist.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 3 of 52
, Q5 Question 5 of 100
A charge nurse in a New Zealand hospital is making patient assignments for the upcoming shift.
One of the registered nurses has expressed concern about being assigned to a specialty area
where they lack recent clinical experience. The charge nurse's best response is to reassign the
nurse to a more appropriate area or ensure adequate supervision and support is available for the
nurse in the specialty area.
A. Assign the nurse to the specialty area anyway to help them develop new clinical competencies
B. Reassign the nurse to a more appropriate area or ensure adequate supervision and support is
available in the specialty area
C. Tell the nurse that all staff must be flexible and work wherever they are assigned without question
D. Ask the nurse to study the specialty area policies and procedures before the shift begins
Correct Answer: B
Rationale:
Patient safety requires that nurses work within their scope of competence. Reassigning or providing supervision
addresses both safety and the nurse's professional development. Option B prioritises workforce flexibility over patient
safety, C dismisses legitimate competence concerns, and D does not adequately prepare a nurse for unfamiliar clinical
responsibilities.
Q6 Question 6 of 100
A nurse in New Zealand receives a friend request on social media from a patient recently
discharged from the ward. The most appropriate action is to decline the friend request because
maintaining professional boundaries is essential to the therapeutic relationship and protects both the
patient and the nurse from potential conflicts of interest.
A. Accept the friend request to maintain a supportive relationship with the patient after discharge
B. Decline the friend request because maintaining professional boundaries protects both the
patient and the nurse
C. Accept the request but restrict the patient's access to the nurse's personal information on the platform
D. Discuss the friend request with colleagues to decide collectively whether to accept it
Correct Answer: B
Rationale:
The NCNZ Code of Conduct requires nurses to maintain professional boundaries with patients, including on social
media. Accepting friend requests blurs the professional relationship and may compromise objectivity. Option B violates
professional boundary standards, C still breaches the professional-patient boundary, and D inappropriately involves
colleagues in a personal decision.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! 2026/2027 -- 2026/2027 | Passing Score: 80% | Page 4 of 52
