New Zealand Nursing State Final
Examination and Correct Answers
2025-2026 Updated.
The nurse observes that Josie's right eye does not close totally. Based on this finding, which of
the following nursing interventions would be most appropriate
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 conjunctivitis
d) Tape the eyelid down to keep it closed between cares - Answer d) Tape the eyelid down to
keep it closed between cares
?
• The nursing goal for performing passive range of 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 - Answer d) Maintain joint mobility
• When the nurse performs oral hygiene for josie, 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 - Answer d) Wear sterile gloves?
• When assessing josies respiratory status, which of the following symptoms may be an early
indicator of hypoxia
, d) Hypotension - Answer a) Cyanosis
A 34 year old Japanese tourist, takayuki hamadi, is admitted to the hospital after experiencing
multiple 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 surprise, 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 - Answer b) Discuss her behaviour with her after you leave
the room?
• Mental status assessment using the 'batomi' formation is a useful nursing assessment tool
because it tells you
a) Whether or not a client has a mental illness
b) Details about an individual's feeling state and cognitive functioning
c) Whether a mental illness is organic or functional in origin
d) The history of a clients symptoms and his response to stress - Answer b) Details about an
individual's feeling state and cognitive functioning?
(perhaps from old exam, don't think Batomi Function exists anymore)
Persons with an acute psychotic
illness have most difficulty in
a) Meeting dependency needs
b) Maintaining grooming and personal hygiene
c) Distinguishing between reality and unreality
d) Displaying personal feelings - Answer c) Distinguishing between reality and unreality
Examination and Correct Answers
2025-2026 Updated.
The nurse observes that Josie's right eye does not close totally. Based on this finding, which of
the following nursing interventions would be most appropriate
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 conjunctivitis
d) Tape the eyelid down to keep it closed between cares - Answer d) Tape the eyelid down to
keep it closed between cares
?
• The nursing goal for performing passive range of 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 - Answer d) Maintain joint mobility
• When the nurse performs oral hygiene for josie, 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 - Answer d) Wear sterile gloves?
• When assessing josies respiratory status, which of the following symptoms may be an early
indicator of hypoxia
, d) Hypotension - Answer a) Cyanosis
A 34 year old Japanese tourist, takayuki hamadi, is admitted to the hospital after experiencing
multiple 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 surprise, 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 - Answer b) Discuss her behaviour with her after you leave
the room?
• Mental status assessment using the 'batomi' formation is a useful nursing assessment tool
because it tells you
a) Whether or not a client has a mental illness
b) Details about an individual's feeling state and cognitive functioning
c) Whether a mental illness is organic or functional in origin
d) The history of a clients symptoms and his response to stress - Answer b) Details about an
individual's feeling state and cognitive functioning?
(perhaps from old exam, don't think Batomi Function exists anymore)
Persons with an acute psychotic
illness have most difficulty in
a) Meeting dependency needs
b) Maintaining grooming and personal hygiene
c) Distinguishing between reality and unreality
d) Displaying personal feelings - Answer c) Distinguishing between reality and unreality
