NCLEX-PN
End of Life Care NCLEX Questions
Extract:
Question 1 of 5
The client is on the ventilator and has been declared brain dead. The spouse refuses to allow the ventilator to be discontinued. Which collaborative action by the nurse is most appropriate?
Correct Answer: A
Rationale: Ethics committee referral addresses conflicts over futile care, respecting family wishes and legal standards. Unilateral action, HCP discussion, or calling it cruel is inappropriate.
Question 2 of 5
Which action should the nurse implement for the Chinese client's family who are requesting to light incense around the dying client?
Correct Answer: D
Rationale: Fire codes prohibit burning incense in hospitals, a safety-based explanation. Potpourri, door closure, or nausea claims are less accurate or dismissive.
Question 3 of 5
The primary nurse caring for the client who died is crying with the family at the bedside. Which action should the charge nurse implement?
Correct Answer: C
Rationale: Allowing the nurse to grieve with the family supports emotional bonding, unless it impairs care. Removing, referring, or replacing the nurse may disrupt this moment.
Question 4 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 5 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.