NCLEX-PN
End of Life Care NCLEX Questions
Question 1 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 2 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 3 of 5
The nurse writes a client problem of 'spiritual distress' for the client who is dying. Which statement is an appropriate goal?
Correct Answer: A
Rationale: Spiritual distress goals focus on reconciling with beliefs or higher power, addressing the distress. Anger expression, family reconciliation, or pain-free death are separate issues.
Question 4 of 5
The female client in the oncology clinic tells the nurse she has a great deal of pain but does not like to take pain medication. Which action should the nurse implement first?
Correct Answer: B
Rationale: Assessing coping strategies informs a tailored pain management plan, respecting client preferences. Forcing medication, HCP involvement, or dismissing pain is premature.
Question 5 of 5
The nurse is aware the Patient Self-Determination Act of 1991 requires the health-care facility to implement which action?
Correct Answer: A
Rationale: The Patient Self-Determination Act mandates offering AD information on admission for Medicare/Medicaid facilities. Wills, ethical care, and consent forms are unrelated.