End of Life NCLEX Questions

Extract:

Question 1 of 5

The client diagnosed with diabetes mellitus type 2 wants to be an organ donor and asks the nurse, 'Which organs can I donate?' Which statement is the nurse's best response?

Correct Answer: D

Rationale: Type 2 diabetes may contraindicate organ donation (e.g., kidneys, pancreas) due to vascular damage, but tissues (e.g., corneas) are often viable. Other responses are inaccurate.

Question 2 of 5

The wife of a client receiving hospice care being cared for at home calls the nurse to report the client is restless and agitated. Which interventions should the nurse implement? List in order of priority.

Order the Items

Source Container

Request an order from the health-care provider for antianxiety medications.

Call the medical equipment company and request oxygen for the client.

Go to the home and assess the client and address the wife's concerns.

Reassure and calm the wife over the telephone.

Notify the chaplain about the client's change in status.

Correct Answer: C,D,A,B,E

Rationale: 1) Assess client at home (determine cause of agitation); 2) Reassure wife (immediate support); 3) Request antianxiety medication (if indicated); 4) Request oxygen (if hypoxia present); 5) Notify chaplain (spiritual support).

Question 3 of 5

Which action by the primary nurse would require the unit manager to intervene?

A. The nurse uses a correction fluid to correct a charting mistake. B. The nurse is shredding the worksheet at the end of the shift. C. The nurse circles an omitted medication time on the MAR. D. The nurse documents narcotic wastage with another nurse.

Correct Answer: A

Rationale: Using correction fluid obscures records, violating charting standards, requiring intervention. Shredding worksheets, circling omissions, or documenting wastage is appropriate.

Question 4 of 5

The nurse is presenting an in-service discussing do not resuscitate (DNR) orders and advance directives. Which statement should the nurse discuss with the class?

A. Advance directives must be notarized by a notary public. B. The client must use an attorney to complete the advanced directive. C. Once the DNR is written, it can be used for every hospital admission. D. The health-care provider must write the DNR order in the client's chart.

Correct Answer: D

Rationale: A DNR order requires a physician's written order in the chart to be actionable, per hospital policy. Notarization and attorneys are not required, and DNRs are typically re-evaluated per admission.

Question 5 of 5

The 78-year-old Catholic client is in end-stage congestive heart failure and has a DNR order. The client has AP 50, RR 10, and BP 80/50, and Cheyne-Stokes respirations. Which action should the nurse implement?

A. Bring the crash cart to the bedside. B. Apply oxygen via nasal cannula. C. Notify a priest for last rites. D. Turn the bed to face the sunset.

Correct Answer: C

Rationale: Notifying a priest for last rites respects Catholic end-of-life practices, a priority with imminent death. Crash cart violates DNR, oxygen is less critical, and bed orientation is irrelevant.

End of Life NCLEX Questions | Nurselytic

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