NCLEX-PN
End of Life NCLEX Questions Questions
Extract:
Question 1 of 5
The client had a mastectomy and lymph node dissection three (3) years ago and has experienced postmastectomy pain (PMP) since. Which intervention should the nurse implement?
Correct Answer: C
Rationale: PMP can lead to shoulder immobility; physical therapy prevents frozen shoulder, per evidence-based practice. Psychological dismissal, cancer assumptions, or narcotics are inappropriate.
Question 2 of 5
The nurse pronounced Dr. Smith's client to be clinically dead. Which should the nurse document on the client's chart?
Correct Answer: C
Rationale: Documentation should include objective findings (absent vital signs), time, and physician’s role, per legal standards. Brain scan or CPR details are specific, and cold body is insufficient.
Question 3 of 5
The nurse is orienting to a hospice organization. Which statement does not indicate a right of the terminal client? The right to:
Correct Answer: B
Rationale: Terminal clients have rights to dignity, pain management, and holistic care, per hospice principles. Withholding death particulars is not a recognized right and may violate transparency.
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?
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 family is dealing with the imminent death of the client. Which information is most important for the nurse to discuss when planning interventions for the grieving process?
Correct Answer: C
Rationale: Previous coping skills inform tailored grief interventions, per nursing process. Anger, decision-makers, or funeral plans are less critical initially.