NCLEX-PN
End of Life Care NCLEX Questions
Extract:
Question 1 of 5
The client diagnosed with septicemia expired, and the family tells the nurse the client is an organ donor. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Systemic infections like septicemia contraindicate organ donation due to infection risk, per UNOS guidelines. Notification, HCP calls, or morgue transfer are premature.
Question 2 of 5
The hospice nurse is making the final visit to the wife whose husband died a little more than a year ago. The nurse realizes the husband's clothes are still in the closet and chest of drawers. Which action should the nurse implement first?
Correct Answer: C
Rationale: Keeping clothes is a normal part of grieving, requiring no immediate action. Discussing plans, referring to support, or removing clothes may rush or distress the widow.
Question 3 of 5
The client with chronic low back pain is having trouble sleeping at night. Which nonpharmacological therapy should the nurse teach the client?
Correct Answer: D
Rationale: Progressive relaxation reduces muscle tension and promotes sleep, a safe nonpharmacological option. Acupuncture, massage, or herbs are less directly linked to sleep.
Question 4 of 5
The client has been declared brain dead and is an organ donor. The nurse is preparing the wife of the client to enter the room to say good-bye. Which information is most important for the nurse to discuss with the wife?
Correct Answer: A
Rationale: Informing the wife about the ventilator prepares her for the client’s appearance, reducing distress, a priority for organ donors. Time limits, talking, or companions are secondary.
Question 5 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.