NCLEX-PN
End of Life Care NCLEX Questions
Extract:
Question 1 of 5
The client with multiple sclerosis who is becoming very debilitated tells the home health nurse the Hemlock Society sent information on euthanasia. Which question should the nurse ask the client?
Correct Answer: A
Rationale: Asking why the client contacted the Hemlock Society explores their intent, guiding supportive care. Legality, suicide contacts, or religion are judgmental or irrelevant.
Question 2 of 5
The client diagnosed with end-stage congestive heart failure and type 2 diabetes is receiving hospice care. Which action by the nurse demonstrates an understanding of the client's condition?
Correct Answer: D
Rationale: In hospice, comfort is prioritized; a small piece of cake aligns with the client’s enjoyment, given end-stage status. Glucose monitoring, fluid restriction, and visitor limits are less relevant.
Question 3 of 5
The family has requested a client with terminal cancer not be told of the diagnosis. The client tells the nurse, 'I think something is really wrong with me, but the doctor says everything is all right. Do you know if there is something wrong with me?' Which response by the nurse would support the ethical principle of veracity?
Correct Answer: C
Rationale: Veracity (truth-telling) requires honesty; acknowledging the family’s request respects their wishes while addressing the client’s question, prompting further discussion. Other responses evade truth.
Question 4 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 5 of 5
In which client situation would the AD be consulted and used in decision making?
Correct Answer: C
Rationale: ADs are consulted when a client cannot make decisions, such as in a comatose state (end-stage renal disease). Ventilated, rehab, or Down syndrome clients may still have decision-making capacity.