NCLEX-PN
End of Life Care NCLEX Questions
Extract:
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 and an unlicensed assistive personnel (UAP) are caring for a group of clients in a pain clinic. Which intervention would be inappropriate to delegate to the UAP?
Correct Answer: D
Rationale: Monitoring potassium levels requires nursing judgment, outside UAP scope. Assisting to bathroom, elevating bed, and range of motion are within UAP capabilities.
Question 3 of 5
The family has requested a client with terminal cancer not be told of the diagnosis. The client tells the nurse, 'I think something is really wrong with me, but the doctor says everything is all right. Do you know if there is something wrong with me?' Which response by the nurse would support the ethical principle of veracity?
Correct Answer: C
Rationale: Veracity (truth-telling) requires honesty; acknowledging the family’s request respects their wishes while addressing the client’s question, prompting further discussion. Other responses evade truth.
Question 4 of 5
The nurse is caring for an 82-year-old female client who is crying and asking for her mother to come to see her. Which statement represents the ethical principle of nonmalfeasance?
Correct Answer: A
Rationale: Nonmalfeasance (do no harm) involves empathetic engagement, like discussing the mother, avoiding emotional harm. Blunt truth, questioning needs, or false promises may distress.
Question 5 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.