NCNZ Management of Nursing Care

Question 1

Under NCNZ competencies, what is the nursing process that guides clinical decision-making in NZ?

Accepted Answer

Assessment, planning, implementation, and evaluation (APIE)

Answer

Diagnose, treat, and discharge

Answer

Observe, report, and document

Answer

Admit, medicate, and monitor

Question 2

What is the NZ nurse's responsibility regarding medication administration?

Accepted Answer

Adhere to the 'five rights': right patient, right drug, right dose, right route, right time

Answer

Only doctors are responsible for medication safety

Answer

Nurses only need to check the patient's name, not the medication details

Answer

Medication errors are acceptable as long as no harm occurs

Question 3

What is the NZ requirement for nurses regarding informed consent?

Accepted Answer

Nurses must ensure patients have received adequate information to make informed decisions about their care and that consent is voluntary

Answer

Consent is only required for surgical procedures

Answer

Verbal consent is never acceptable — all consent must be written

Answer

Only doctors are responsible for obtaining consent

Question 4

Under NZ nursing competencies, what is the nurse's role in infection prevention and control?

Accepted Answer

Apply standard precautions consistently, follow hand hygiene protocols, and manage transmission-based precautions as needed

Answer

Infection control is solely the responsibility of infection control nurses

Answer

Standard precautions are only needed in surgical wards

Answer

Hand hygiene is recommended but not mandatory in NZ

Question 5

What is the NZ nurse's obligation regarding patient deterioration and escalation?

Accepted Answer

Recognise signs of clinical deterioration early, respond appropriately, and escalate using established systems like the NZ Early Warning Score

Answer

Wait for the doctor to notice deterioration during their next round

Answer

Only escalate if the patient requests it

Answer

Documentation of deterioration is sufficient — no further action is needed

Question 6

What does the NCNZ require regarding delegation of nursing care in New Zealand?

Accepted Answer

The nurse retains accountability for delegated care and must ensure the person is competent to perform the delegated task

Answer

Once a task is delegated, responsibility transfers entirely to the person performing it

Answer

Delegation is not permitted under NZ nursing law

Answer

Only nurse practitioners can delegate nursing tasks