End of Life Care NCLEX Questions

Question 1 of 5

Which action by the unlicensed assistive personnel (UAP) would warrant immediate intervention by the nurse?

A. The UAP is holding the phone to the ear of a client who is a quadriplegic.B. The UAP refuses to discuss the client's condition with the visitor in the room.C. The UAP put a vest restraint on an elderly client found wandering in the hall.D. The UAP is assisting the client with arthritis to open up personal mail.

Correct Answer: C

Rationale: Applying restraints without a physician’s order violates safety and legal standards, requiring intervention. Other actions are appropriate UAP tasks.

Question 2 of 5

The nurse is caring for a client who received a kidney transplant from an unrelated cadaver donor. Which interventions should be included in the plan of care? Select all that apply.

A. Collect a urine culture every other day.B. Prepare the client for dialysis three (3) times a week.C. Monitor urine osmolality studies.D. Monitor intake and output every shift.E. Check abdominal dressing every four (4) hours.

Correct Answer: C,D,E

Rationale: Monitoring urine osmolality, intake/output, and dressings detects rejection or complications post-kidney transplant. Routine urine cultures or dialysis are unnecessary unless indicated.

Question 3 of 5

The nurse is teaching an in-service on legal issues in nursing. Which situation is an example of battery, an intentional tort?

A. The nurse threatens the client who is refusing to take a hypnotic medication.B. The nurse forcibly inserts a Foley catheter in a client who refused it.C. The nurse tells the client a nasogastric tube insertion is not painful.D. The nurse gives confidential information over the telephone.

Correct Answer: B

Rationale: Battery involves nonconsensual physical contact, like forcible catheter insertion. Threats (assault), misrepresentation (negligence), or confidentiality breaches are not battery.

Question 4 of 5

The experienced medical-surgical nurse is being oriented to the transplant unit. Which client should the charge nurse assign to this nurse?

A. The client who donated a kidney to a relative three (3) days ago and will be discharged in the morning.B. The client who had a liver transplantation three (3) days ago and was transferred from the intensive care unit two (2) hours ago.C. The client who received a corneal transplant four (4) hours ago and has developed a cough and is vomiting.D. The client who had a pancreas transplantation and has a fever, chills, and a blood glucose monitor reading of 342.

Correct Answer: A

Rationale: A stable kidney donor nearing discharge is suitable for an experienced but orienting nurse. Recent liver transplant, acute corneal transplant issues, or pancreas transplant complications require specialized care.

Question 5 of 5

The male client requested a DNR per the AD, and the HCP wrote the order. The client's death is imminent and the client's wife tells the nurse, 'Help him please. Do something. I am not ready to let him go.' Which action should the nurse take?

A. Ask the wife if she would like to revoke her husband's AD.B. Leave the wife at the bedside and notify the hospital chaplain.C. Sit with the wife at the bedside and encourage her to say good-bye.D. Request the client to tell the wife he is ready to die, and don't do anything.

Correct Answer: C

Rationale: Sitting with the wife and encouraging closure supports her emotionally while respecting the DNR. Revoking AD, notifying chaplain, or requesting client communication is inappropriate.

End of Life Care NCLEX Questions | Nurselytic

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NCLEX-PN

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