NEW ZEALAND IQN EXAM QUESTION – DECISION MAKING
Theoretical Exam Preparation: This video helps to prepare and improve your confidence with solved question papers, IQN related MCQs. Examination structure The examination questions are designed to assess knowledge which is required to practise safely as a nurse in Aotearoa New Zealand. The scope of the questions in each part of the examination are:
Part A: Medication Safety – medication and fluid safety questions including medicine calculations.
Part B: Nursing Knowledge – questions are closely linked to the Council’s registered nurse competency domains: • professional responsibility – questions include but are not limited to: ethical/legal safety, culturally safe care, delegation/supervision, and safe and effective environments and practice. • management of nursing care – questions include but are not limited to: assessment, prioritising, decision making, planning, delivery and evaluation of nursing care, infection prevention and control, medication/fluid safety, vaccination/immunisation, long term condition management, deteriorating patient, consumer rights and advocacy, patient and whānau/family education, and health promotion. Interpersonal relationships and interprofessional healthcare – questions include but are not limited to: therapeutic relationships/partnership, health team relationships, and records management/information exchange.
A nurse notices that a medication order seems unusually high. What should the nurse do first? a) Administer the medication as ordered
b) Call the pharmacist
c) Check the patient’s chart for previous dosages
d) Contact the prescribing physician
ANSWER – d) Contact the prescribing physician
A patient refuses to take their prescribed medication. What is the nurse’s best course of action? a) Coerce the patient to take the medication
b) Document the refusal and notify the physician
c) Leave the medication at the bedside
d) Discontinue the medication
ANSWER – b) Document the refusal and notify the physician
A nurse needs to decide on the best way to manage a patient’s pain. What should the nurse consider first? a) The nurse’s personal experience with pain management
b) The physician’s order for pain medication
c) The patient’s reported pain level and pain history
d) The availability of pain medications
ANSWER – c) The patient’s reported pain level and pain history
When should a nurse prioritize a non-urgent task over an urgent one? a) When the non-urgent task can prevent future complications
b) When the urgent task can be delegated
c) When the non-urgent task is quicker to complete
d) When the urgent task is unpleasant
ANSWER – a) When the non-urgent task can prevent future complications
A nurse is assigned to a patient who needs immediate care but is also responsible for other patients. What should the nurse do first? a) Inform the charge nurse and request assistance
b) Attend to the immediate care of the patient
c) Delegate all other tasks to the nursing assistant
d) Prioritize the needs of the other patients first
ANSWER – b) Attend to the immediate care of the patient
A nurse is faced with an ethical dilemma regarding patient care. What is the nurse’s best initial action? a) Consult the hospital’s ethics committee
b) Make a decision based on personal beliefs
c) Discuss the dilemma with the patient’s family
d) Document the dilemma and proceed with care
ANSWER – a) Consult the hospital’s ethics committee
A patient is experiencing severe anxiety before a surgical procedure. What should the nurse do first? a) Administer a prescribed anxiolytic
b) Call the physician for advice
c) Provide reassurance and emotional support
d) Document the patient’s anxiety level
ANSWER – c) Provide reassurance and emotional support
NEW ZEALAND IQN NURSE THEORY EXAM PRACTICE BOOK
A patient is found to have an abnormal lab result. What should the nurse do first? a) Repeat the lab test
b) Notify the physician
c) Document the result in the patient’s chart
d) Inform the patient of the result
ANSWER – b) Notify the physician
Which of the following is the best example of evidence-based practice in nursing? a) Using personal experience to guide patient care
b) Following physician orders without question
c) Implementing interventions based on the latest research
d) Relying on peer opinions for care decisions
ANSWER – c) Implementing interventions based on the latest research
What is the first step in the nursing process when making clinical decisions? a) Diagnosis
b) Planning
c) Implementation
d) Assessment
ANSWER – d) Assessment
A nurse is deciding whether to delegate a task to a nursing assistant. What is the most important factor to consider? a) The nurse’s workload
b) The nursing assistant’s competence
c) The complexity of the task
d) The patient’s preference
ANSWER – b) The nursing assistant’s competence
When prioritizing patient care, what should the nurse consider first? a) The patient’s overall treatment plan
b) The availability of resources
c) The urgency of patient needs
d) The nurse’s personal schedule
ANSWER – c) The urgency of patient needs
Which action by the nurse best demonstrates clinical reasoning? a) Following all physician orders exactly
b) Consulting with colleagues on difficult cases
c) Reflecting on past clinical experiences to make decisions
d) Using standardized care plans for all patients
ANSWER – c) Reflecting on past clinical experiences to make decisions
A nurse must decide how to allocate time between multiple patients. What is the primary consideration? a) The nurse’s efficiency
b) The severity of each patient’s condition
c) The patients’ preferences
d) The complexity of care required
ANSWER – b) The severity of each patient’s condition
What is the best approach for a nurse to take when a patient’s condition suddenly deteriorates? a) Call for emergency assistance
b) Try to manage the situation alone first
c) Inform the patient’s family immediately
d) Document the changes in the patient’s chart
ANSWER – a) Call for emergency assistance
A nurse needs to decide on the best educational approach for a patient with low health literacy. What should the nurse consider first? a) The patient’s learning preferences
b) The complexity of the medical condition
c) The availability of educational materials
d) The nurse’s personal teaching style
ANSWER – a) The patient’s learning preferences
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