NEW ZEALAND IQN EXAM QUESTION – Prioritising MCQ
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 is caring for four patients. Which patient should the nurse see first?
- A patient with a headache
b) A patient with a fever of 100.4°F
c) A patient with chest pain
d) A patient with a skin rash
ANSWER – c) A patient with chest pain
Which of the following nursing diagnoses should be given the highest priority?
- Risk for impaired skin integrity
b) Ineffective airway clearance
c) Disturbed body image
d) Deficient knowledge
ANSWER – b) Ineffective airway clearance
A nurse is assessing a patient who suddenly becomes short of breath. What should the nurse do first?
- Call the physician
b) Check the patient’s oxygen saturation
c) Administer oxygen
d) Elevate the head of the bed
ANSWER – d) Elevate the head of the bed
When receiving a new patient from the emergency department, which is the first action the nurse should take?
- Administer prescribed medications
b) Complete a full assessment
c) Review the patient’s medical history
d) Establish a plan of care
ANSWER – b) Complete a full assessment
NEW ZEALAND IQN NURSE THEORY EXAM PRACTICE BOOK
A nurse finds a patient lying on the floor. What is the nurse’s first action?
- Call for help
b) Check for injuries
c) Assist the patient back to bed
d) Document the incident
ANSWER – b) Check for injuries
Which of the following tasks can be delegated to a nursing assistant?
- Administering medications
b) Assessing vital signs
c) Developing a care plan
d) Performing wound care
ANSWER – b) Assessing vital signs
A nurse is caring for a post-operative patient with a sudden drop in blood pressure. What is the nurse’s first priority?
- Notify the surgeon
b) Reassess the blood pressure
c) Increase IV fluid rate
d) Check the surgical site for bleeding
ANSWER – d) Check the surgical site for bleeding
Which patient should the nurse assess first after receiving change-of-shift report?
- A patient scheduled for discharge later in the day
b) A patient who is 2 days post-operative and needs pain medication
c) A patient with difficulty breathing
d) A patient needing assistance with feeding
ANSWER – c) A patient with difficulty breathing
A nurse is preparing to administer medication to a patient who is complaining of nausea. What should the nurse do first?
- Administer an antiemetic
b) Hold the medication
c) Notify the physician
d) Assess the patient’s nausea
ANSWER – d) Assess the patient’s nausea
Which intervention should be prioritized for a patient with a suspected myocardial infarction (heart attack)?
- Measure blood pressure
b) Obtain an electrocardiogram (ECG)
c) Administer pain medication
d) Start an IV line
ANSWER – b) Obtain an electrocardiogram (ECG)
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