NZ State Exams!!! :-S - page 2

Hello!! i'm currently getting ready to sit the NZ Nursing COuncil state exams to be a registered nurse in three weeks...i'm just wondering if anyone can help give me a few tips on how to study and... Read More

  1. by   kiwinarz
    Bumping for those newly qualified NZRNs. You may like to give some useful tips please aside from the usual study regimen. thanks
  2. by   purityplus
    Got States in a a few days. Could someone please confirm if these are all scenarios.. ie) i have been sent some practice questions but they are mainly A&P no scenario, like the kind of questions u would expect in a straight A & P exam . It is mind boggling and looking at these i dont stand a chance. However scenarios are worded better so i kinda know those answers. Judging by these questions i have been sent i dont know the answers and really dont have time to study. So could someone please confirm that they are written similar to the NCLEX (but not as comprehensive) please and thankyou. Everyone says they are easy and to know safety safety safety .
  3. by   purityplus
    Did state yesterday:
    1.5 hours for first exam with 90 questions
    1.5 hours for 2nd exam with 90 questions
    All multiple choice with A-D answers.
    About 5-6 drug calcs which related to drop factors with no trick questions
    VERY EASY

    However, its not something u can study for, for example:
    Scenarios (all scenarios) with the following topics... and NO cardiac questions (wot the hey!!!)
    CORD
    DIABETES TYPE 1
    MULTIPLE SCELROSIS (these ones blew my brain cause i couldnt rememeber a single thing)
    ASTHMA
    HEAPS N HEAPS ON MENTAL HEALTH (i think the majority were MH): psychosis, general therapeutic questions
    TOTAL HIP REPLACEMENT
    PALLIATIVE CARE
    TONSILLITIS
    FEW ON ETHICS BUT RELATING TO.. "WHAT WOULD U DO?"

    There was only about 2 medications mentioned in all 180 questions. No lab values (thank goodness)

    So for those sitting in upcoming months, years: read the questions they were easily written. I just read the Lippincotts NCLEX and a yellow book from Bennetts bookstore that christchurch polytech publish. It cost about $25 including postage and was a variety of questions n answers (some of these were in the exam). But in all honesty the yellow book was more useful (its for state finals) and the NCLEX didnt really help as the questions in state are almost general knowledge. Like u cant really study-study for them cause its so random.

    Good luck to all in the future
    Happy studying n happy nursing
  4. by   purityplus
    oh yeah n 2 questions on early stages and late stages of shock. both questions had the exact same answers like high Bp or low BP, what are resp and pulse doing
  5. by   sunshine81
    thanks purityplusI had my state final on 15th Nov as well. just couple of things to add on.
    pregnancy and child birth Qs, such as a 16 weeks pregnant woman contact someone who has measle, what should she do?? - answer like, it's safe, do nothing; contact doctor etc
    a new born baby lost weight in the first week, the answer like: it is normal; malnutrition etc

    TB - what kind of meds should use??( isoniazid, rifampicin, & ethambutol)
    side effects of those drugs (the answer has - urine colour is orange, etc)
    and in nz, what test is first used to diagnose TB, I chose Mantoux test

    STD Qs - only one?? chlamydial

    blood transfusion - why important to administer blood at the correct rate. the answer is - to prevent fluid overload
    if pt has raised temp of 39 when having blood transfusion, what should you do?? - stop the blood

    mental health Qs were very straight forward, the area they tested us, such as bipolar, lithium side effects, how do you know the pt is toxic - signs of toxicity (such as blurred vision, drowsiness, confusion)

    respiridone (resperdal) side effects

    palliative care, quite a lot Qs here, about communicating with family, delegate enrolled nurse, what kind of food they eat? - i choose let them to eat whatever they like (terminal care, comfort care)
  6. by   sunshine81
    hypovolaemia shock - signs and symptoms (early stage and late stage) - I remember that my lecturer told us that BP can be normal until final stage, that's what I chose for my answer, hope I got right. quite confused about these 2 Qs
    and hypovolaemia shock pathophysiology?? decreased stroke volume, venous return, cardiac output

    I found the test 1 had lots of pathophysiology Qs and much harder than test 2, just my personal opinion.

    Type 1 diabetes - why they easily get UTIs?? signs and symptoms. heaps Qs

    Mental Health Act - pt rights under the MHA

    Hope it helps
  7. by   sunshine81
    nursing in the community (could not remember anything here )

    tonsillectomy and adenoidectomy - during the first 24 hours following pt's adenotonsillectomy, which of the following would you report immediately?? _ increasing pulse rate - may indicate shock
    when pt is dischated from hospital, recommendations given to parents??

    wrong drug administration, what should you do?? - report the incident to the Dr etc

    acute asthma attack - S & S's; aminophylline, what type of drug is this?? bronchodilator ( my friend chose it wrong, because the following Q was asking you about aminophylline infusion?? he thought how can this med work on the IV way?? )

    confidential and privacy - eg. neighbour rings the ward inquiring about pt's condition, what should you do?? - not give information

    pt c/o heart burn as her pregnancy progresses, what kind of meals you should suggest?

    a pregnant woman told you that body image changed during the pregnancy, and worried about it?? - one of the answer is encouraging her to talk her feelings, the other one is ask her to talk more, and reassure the pregnancy period is over soon ( I got confused, I thought they are quite similar answers)

    cultural safety Qs
    young Maori male admitted to hospital for the 1st time, he is anxious ( what should you do first??) His whole family want to stay in the room ( what should you do?) he thinks he has a curse on him, because he stood up on tapu land (what should you do?)

    suicidal, risk assessment

    your colleague told you that she had sexual relationship with the client, what should you do??

    care following total hip joint replacement - post-op care
    do not turn on affected side unless specifically ordered; place pillow between legs when turning on unaffected side; use pillow to maintain abduction after hip replacement, to prevent dislodging the prosthesis and to prevent contracture; avoid flexing the hip of a client with a total hip replacement; assist to high, straignt backed chair when permitted to sit. the above information were asked in exam, and you may find more information in this area.

    medication error - an IV medication is unlabelled ( who can relabel it ??)

    recovery principle
    Last edit by sunshine81 on Nov 22, '11
  8. by   Silverdragon102
    Are we discussing actual questions on your state final? Are you allowed to actually discuss these questions?
  9. by   purityplus
    The exams change between sittings. This is a general guide to what kinda questions to expect and that they are random so no point in crazy studying on cardio or resp etc. And if nz'ers buy teh yellow book i previously mentioned it shows exactly how the questions will be.... like short scenarios so they dont need to panic too much its a very straight forward exam. But we were told every exam changes between sittings.
  10. by   sunshine81
    can anybody show me how to edit the information?? Many thanks
  11. by   Silverdragon102
    Quote from sunshine81
    can anybody show me how to edit the information?? Many thanks
    If you need to edit any posts and more than 1 hour has passed you need to post your request in the Admin Help Desk
  12. by   sunshine81
    Key categories

    The questions in the examinations are allocated to one of four key categories, of which 60% is the required pass rate:

    safe / effective environment
    physiological integrity
    psychosocial integrity
    health promotion / maintenance

    and / or to one of six subcategories, of which 50% is the required pass rate:



    Subcategories

    ethical / legal safety
    community health nursing
    maternal and child health nursing
    medical nursing
    surgical nursing
    mental health / psychiatric nursing
  13. by   kiwinarz
    Found it a wee bit easy Results will be out on 9th December. Woohoo!!!

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