New Zealand Nursing State Finals
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1. The nurse observes that Josie's right eye does not d) Tape the eyelid down to
close totally. Based on this finding, which of the fol- keep it closed between cares
lowing nursing interventions would be most appro- ?
priate
a) Making sure josie wears dark glasses to avoid
photosensitivity
b) Irrigate her right eye with saline each duty to
avoid dryness
c) Instilling neomycin eye drops to prevent conjunc-
tivitis
d) Tape the eyelid down to keep it closed between
cares
2. • The nursing goal for performing passive range of d) Maintain joint mobility
motion exercises for an unconscious client such as
josie would be to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility
3. • When the nurse performs oral hygiene for josie, d) Wear sterile gloves?
whilst she is still unconscious, which of the following
actions would be most
a) Use manual instead of mechanical ventilation
b) Keep suction apparatus available
c) Place josie in a prone position
d) Wear sterile gloves
4. a) Cyanosis
, New Zealand Nursing State Finals
Study online at https://quizlet.com/_3ztvtt
• When assessing josies respiratory status, which of
the following symptoms may be an early indicator of
hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension
5. A 34 year old Japanese tourist, takayuki hamadi, is b) Discuss her behaviour with
admitted to the hospital after experiencing multiple her after you leave the room?
trauma as a result of an automobile accident. He has
three fractured ribs, a hairline fracture of the pelvis,
a compound fracture of his right tibia and fibula,
and soft tissue injuries. He is in severe pain when he
arrives on the unit after emergency surgery
• Takayuki reports severe pain and requests frequent
medication. A nursing assistant expresses her sur-
prise, saying, 'i thought asian people were very stoic
about pain. ' your initial course of action should be
a) Reprimand her immediately and apologise to
takayuk's family
b) Discuss her behaviour with her after you leave the
room
c) Do nothing as takayuk's understanding of English
is poor
d) Report her to the charge nurse
6. • Mental status assessment using the 'batomi' for- b) Details about an individ-
mation is a useful nursing assessment tool because ual's feeling state and cogni-
it tells you tive functioning?
, New Zealand Nursing State Finals
Study online at https://quizlet.com/_3ztvtt
(perhaps from old exam,
a) Whether or not a client has a mental illness don't think Batomi Function
b) Details about an individual's feeling state and cog- exists anymore)
nitive functioning
c) Whether a mental illness is organic or functional
in origin
d) The history of a clients symptoms and his re-
sponse to stress
7. Persons with an acute psychotic c) Distinguishing between re-
illness have most difficulty in ality and unreality
a) Meeting dependency needs
b) Maintaining grooming and personal hygiene
c) Distinguishing between reality and unreality
d) Displaying personal feelings
8. People who have a personality disorder d) Have ongoing difficulties in
relating to others
a) Frequently progress to a psychotic illness
b) Become psychotic under severe stress
c) Are known as borderline personalities
d) Have ongoing difficulties in relating to others
9. Neurotic disorders are associated with c) Inability to cope with de-
mands and perceived stress
a) Inadequacy and poor stress management
b) Maladaptive behaviour related to anxiety
c) Inability to cope with demands and perceived
stress
d) Family patterns of inappropriate behaviour
10. None of these are correct.
Study online at https://quizlet.com/_3ztvtt
1. The nurse observes that Josie's right eye does not d) Tape the eyelid down to
close totally. Based on this finding, which of the fol- keep it closed between cares
lowing nursing interventions would be most appro- ?
priate
a) Making sure josie wears dark glasses to avoid
photosensitivity
b) Irrigate her right eye with saline each duty to
avoid dryness
c) Instilling neomycin eye drops to prevent conjunc-
tivitis
d) Tape the eyelid down to keep it closed between
cares
2. • The nursing goal for performing passive range of d) Maintain joint mobility
motion exercises for an unconscious client such as
josie would be to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility
3. • When the nurse performs oral hygiene for josie, d) Wear sterile gloves?
whilst she is still unconscious, which of the following
actions would be most
a) Use manual instead of mechanical ventilation
b) Keep suction apparatus available
c) Place josie in a prone position
d) Wear sterile gloves
4. a) Cyanosis
, New Zealand Nursing State Finals
Study online at https://quizlet.com/_3ztvtt
• When assessing josies respiratory status, which of
the following symptoms may be an early indicator of
hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension
5. A 34 year old Japanese tourist, takayuki hamadi, is b) Discuss her behaviour with
admitted to the hospital after experiencing multiple her after you leave the room?
trauma as a result of an automobile accident. He has
three fractured ribs, a hairline fracture of the pelvis,
a compound fracture of his right tibia and fibula,
and soft tissue injuries. He is in severe pain when he
arrives on the unit after emergency surgery
• Takayuki reports severe pain and requests frequent
medication. A nursing assistant expresses her sur-
prise, saying, 'i thought asian people were very stoic
about pain. ' your initial course of action should be
a) Reprimand her immediately and apologise to
takayuk's family
b) Discuss her behaviour with her after you leave the
room
c) Do nothing as takayuk's understanding of English
is poor
d) Report her to the charge nurse
6. • Mental status assessment using the 'batomi' for- b) Details about an individ-
mation is a useful nursing assessment tool because ual's feeling state and cogni-
it tells you tive functioning?
, New Zealand Nursing State Finals
Study online at https://quizlet.com/_3ztvtt
(perhaps from old exam,
a) Whether or not a client has a mental illness don't think Batomi Function
b) Details about an individual's feeling state and cog- exists anymore)
nitive functioning
c) Whether a mental illness is organic or functional
in origin
d) The history of a clients symptoms and his re-
sponse to stress
7. Persons with an acute psychotic c) Distinguishing between re-
illness have most difficulty in ality and unreality
a) Meeting dependency needs
b) Maintaining grooming and personal hygiene
c) Distinguishing between reality and unreality
d) Displaying personal feelings
8. People who have a personality disorder d) Have ongoing difficulties in
relating to others
a) Frequently progress to a psychotic illness
b) Become psychotic under severe stress
c) Are known as borderline personalities
d) Have ongoing difficulties in relating to others
9. Neurotic disorders are associated with c) Inability to cope with de-
mands and perceived stress
a) Inadequacy and poor stress management
b) Maladaptive behaviour related to anxiety
c) Inability to cope with demands and perceived
stress
d) Family patterns of inappropriate behaviour
10. None of these are correct.
