NCNZ IQN Theoretical Exam case studies
NCNZ IQN Theoretical Exam · Put your knowledge to work in context.
The Internationally Qualified Nurse (IQN) Theoretical Examination is the written, computer-based assessment used in the New Zealand registration pathway for nurses who trained or practised outside New Zealand. It is designed for nurses who have already had their qualification and experience assessed and who now need to show that their clinical knowledge and professional judgement align with the expectations of the registered nurse scope of practice in New Zealand. The NCNZ IQN Theoretical Exam case studies are 5 cases and about 4,640 words.
1The undated standing order on night shift
Leilani is an internationally qualified RN six months into practice at a 42-bed aged residential care facility 90 minutes from the nearest hospital. She is the only RN on the 2300–0700 shift, supported by two healthcare assistants.
930 words, about 5 min2Day two after laparotomy: the registrar says wait until morning
Daniel, 58, is day two after a laparotomy for perforated sigmoid colon. At 0340, Priya, his RN, is caring for seven patients on a surgical ward.
837 words, about 4 min3Consent through a family interpreter
Mrs Tupou, 71, Tongan, is admitted to a medical ward with a fractured neck of femur awaiting surgery. She speaks Tongan and limited English.
898 words, about 4 min4Four night falls and no more staff
Over eight weeks there have been four falls on a 30-bed inpatient rehabilitation ward, all between 2200 and 0600. Two caused injury, one a fractured wrist.
982 words, about 5 min5The photograph and the infusion pump
On a surgical ward, a newly registered nurse, Hemi, sees an experienced colleague, Sue, photograph the necrotic wound of a sleeping patient on her personal phone and send it to a WhatsApp group of about fifteen nurses 'to get a second opinion on the dressing'. The patient is alert and has capacity, and has not been asked.
993 words, about 5 min