NCLEX-PN
End of Life Care NCLEX Questions Questions
Extract:
Question 1 of 5
The experienced medical-surgical nurse is being oriented to the transplant unit. Which client should the charge nurse assign to this nurse?
Correct Answer: A
Rationale: A stable kidney donor nearing discharge is suitable for an experienced but orienting nurse. Recent liver transplant, acute corneal transplant issues, or pancreas transplant complications require specialized care.
Question 2 of 5
Which action by the unlicensed assistive personnel (UAP) would warrant immediate intervention by the nurse?
Correct Answer: C
Rationale: Applying restraints without a physician’s order violates safety and legal standards, requiring intervention. Other actions are appropriate UAP tasks.
Question 3 of 5
The nurse is caring for the family of the client who has just died. Which is the nurse's priority action?
Correct Answer: A
Rationale: Being with the family provides immediate emotional support, a nursing priority post-death. Funeral, minister, or certificate tasks are secondary.
Question 4 of 5
The mother of a 20-year-old African American male client receiving dialysis asks the nurse, 'My son has been on the transplant list longer than that white woman. Why did she get the kidney?' Which statement is the nurse's best response?
Correct Answer: D
Rationale: Tissue matching (HLA compatibility) determines transplant priority, preventing rejection, per UNOS guidelines. Fame, empathy, or fatalism are inappropriate responses.
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.