NCLEX-PN
End of Life Care NCLEX Questions Questions
Extract:
Question 1 of 5
The client has been in a persistent vegetative state for several years. The family, who have decided to withhold tube feedings because there is no hope of recovery, asks the nurse, 'Will the death be painful?' Which intervention should the nurse implement?
Correct Answer: B
Rationale: Dehydration in end-of-life care often leads to a natural euphoria, reducing pain perception, per hospice evidence. Painful death, case comparisons, or questioning motives is unhelpful.
Question 2 of 5
The spouse of a client dying from lung cancer states, 'I don't understand this death rattle. She has not had anything to drink in days. Where is the fluid coming from?' Which is the hospice care nurse's best response?
Correct Answer: C
Rationale: The death rattle results from accumulated secretions in the throat, a normal end-of-life phenomenon, not fluid intake. Teaspoon estimates, ice chips, or patches are inaccurate or premature.
Question 3 of 5
The hospice nurse is admitting a client. Which question concerning end-of-life care is most important for the nurse to discuss with the client and family?
Correct Answer: C
Rationale: Determining AD or living will status guides end-of-life care decisions, a hospice priority. Funeral plans, pain regimens, or equipment are secondary.
Question 4 of 5
Which document is the best professional source to provide direction for a nurse when addressing ethical issues and behavior?
Correct Answer: D
Rationale: The ANA Code of Ethics guides nurses on ethical behavior and decision-making, specific to nursing practice. Other documents are less relevant or outdated.
Question 5 of 5
The hospice care nurse is conducting a spiritual care assessment. Which statement is the scientific rationale for this intervention?
Correct Answer: C
Rationale: Spirituality offers meaning and purpose, supporting holistic hospice care. Clients may not ask all questions, nurses aren’t spiritual experts, and death’s spiritual impact is subjective.