End of Life NCLEX Questions

Extract:

Question 1 of 5

The client is dying and wants to talk to the nurse about heaven. Which is the nurse's best nursing action?

Correct Answer: D

Rationale: Allowing discussion of heaven respects client spirituality, per holistic care. Chaplain referral, prohibiting discussion, or prompting hell discussion is less supportive.

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

The client is in the psychiatric unit in a medical center. Which action by the psychiatric nurse is a violation of the client's legal and civil rights?

A. The nurse tells the client civilian clothes can be worn on the unit. B. The nurse allows the client to have family visits during visiting hours. C. The nurse delivers unopened mail and packages to the client. D. The nurse listens to the client talking on the telephone to a friend.

Correct Answer: D

Rationale: Eavesdropping on a client’s phone call violates privacy rights, per civil liberties. Allowing clothes, visits, or mail respects client autonomy.

Question 4 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?

A. Have the client see a psychologist because the pain is not real. B. Tell the client the pain is the cancer coming back. C. Refer the client to a physical therapist to prevent a frozen shoulder. D. Discuss changing the client to a more potent narcotic medication.

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 5 of 5

The 6-year-old client diagnosed with cystic fibrosis (CF) needs a lung transplant. Which individual would be the best donor for the client?

A. The 20-year-old brother who does not have cystic fibrosis. B. The 45-year-old father who carries the cystic fibrosis gene. C. The 18-year-old who died in an MVA who matches on four (4) points. D. The 18-year-old drowning victim who is a three (3)-point match.

Correct Answer: A

Rationale: A healthy sibling (20-year-old brother) offers the best HLA match and living donor potential, minimizing rejection. Carrier status or partial matches are less optimal.

End of Life NCLEX Questions | Nurselytic

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NCLEX-PN

NCLEX-PN