Number: _________________
NURSING COUNCIL OF
NEW ZEALAND
Example examination
for the
enrolled nurse scope of practice
3rd TUESDAY
MARCH
JULY
or NOVEMBER
9.50 AM – 11.30 AM
Total Time:
Ninety minutes plus ten minutes reading time
This document remains the property of the Nursing Council of New Zealand and
must not be copied or removed from the examination room.
Copyright 2013
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Instructions
1.
Answer all questions. This paper has 90 multiple choice questions.
2.
Answer all questions as if you were working in the capacity of a enrolled nurse.
3.
The multiple choice questions have four options. Choose one option for each
question.
4.
Enter your answer in pencil on the answer sheet.
5.
Do not tear pages from this examination paper.
6.
You may use blank areas of the examination paper for working out answers.
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Section One
Questions 1 to 8 are about Molly Peters, aged 45 years, who is an arranged
admission to the ward for a surgical investigation, where you are working as
an enrolled nurse.
1.
Molly’s blood pressure, pulse, respiration rate and temperature are recorded
on admission. The reason for this is
a)
b)
c)
d)
to give an indication of Molly’s usual baseline recordings.
to indicate whether Molly is a suitable for surgery.
to observe how anxious Molly is.
because it is routine for all admissions.
Before surgery Molly must sign an informed consent form for the operation.
2.
Which of the following conditions must be met, to ensure the validity of Molly’s
consent for the operation?
a)
b)
c)
d)
3.
You are working as part of a multidisciplinary/interdisciplinary team. Your role
in this team is
a)
b)
c)
d)
4.
Her relatives must have knowledge of the procedure to be performed.
The agreement must be witnessed by a registered medical practitioner.
The consent must be obtained at least an hour before surgery is begun.
She must have sufficient information to make an informed decision.
to rely on the registered nurse to give the team information about the
clients you are providing care to.
as an active participant in decision making around the delivery of care.
to ensure client documentation is complete.
to carry out orders given by team members.
Molly is to have nothing to eat or drink prior to surgery. This is necessary to
a)
b)
c)
d)
assist in the proper absorption of the anesthetic.
prevent nausea and vomiting immediately after surgery.
avoid the danger of her inhaling stomach contents.
avoid incontinence during surgery.
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5.
Molly says to you “I’m afraid of the surgery”. You should
a)
b)
c)
d)
call the hospital chaplain to come talk with her.
listen and use reflective communication skills.
change the subject to something positive.
call the family and report her concerns to them.
Molly complains of severe pain. She is prescribed morphine 8 mg 2-3 hourly PRN.
Ward stock of morphine is 10 mg in 1 ml.
6.
Which of the following quantities of morphine should be drawn up for Molly?
a)
b)
c)
d)
7.
Following surgery, Molly is turned frequently until she is able to turn herself.
The main reason for turning her frequently is to
a)
b)
c)
d)
8.
0.08 ml.
0.25 ml.
0.75 ml.
0.80 ml.
change the wound dressing
relieve pressure on her bony prominences
prevent deep vein thrombosis
prevent oedema of the lungs.
You find Molly lying on the floor of her room. What is the first action you
should take when you discover Molly?
a)
b)
c)
d)
Gently lift up Molly and put her to bed.
Stay with Molly and call for help.
Find out if Molly has pain when weight bearing.
Assess Molly injuries before sitting her in a chair.
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