NCLEX-PN
End of Life Care NCLEX Questions
Question 1 of 5
The client diagnosed with end-stage congestive heart failure and type 2 diabetes is receiving hospice care. Which action by the nurse demonstrates an understanding of the client's condition?
Correct Answer: D
Rationale: In hospice, comfort is prioritized; a small piece of cake aligns with the client’s enjoyment, given end-stage status. Glucose monitoring, fluid restriction, and visitor limits are less relevant.
Question 2 of 5
The nurse is teaching a class on ethical principles in nursing. Which statement supports the definition of beneficence?
Correct Answer: B
Rationale: Beneficence is the duty to actively promote client well-being, per ethical principles. Nonmalfeasance, fidelity, and veracity are distinct principles.
Question 3 of 5
In which client situation would the AD be consulted and used in decision making?
Correct Answer: C
Rationale: ADs are consulted when a client cannot make decisions, such as in a comatose state (end-stage renal disease). Ventilated, rehab, or Down syndrome clients may still have decision-making capacity.
Question 4 of 5
The primary nurse caring for the client who died is crying with the family at the bedside. Which action should the charge nurse implement?
Correct Answer: C
Rationale: Allowing the nurse to grieve with the family supports emotional bonding, unless it impairs care. Removing, referring, or replacing the nurse may disrupt this moment.
Question 5 of 5
Which action should the nurse implement for the Chinese client's family who are requesting to light incense around the dying client?
Correct Answer: D
Rationale: Fire codes prohibit burning incense in hospitals, a safety-based explanation. Potpourri, door closure, or nausea claims are less accurate or dismissive.