NCLEX-PN
End of Life Care NCLEX Questions
Extract:
Question 1 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 2 of 5
The client who is terminally ill called the significant others to the room and said goodbye, then dismissed them and now lies quietly and refuses to eat. The nurse understands the client is in what stage of the grieving process?
Correct Answer: D
Rationale: Saying goodbye and withdrawing quietly reflect acceptance in Kübler-Ross’s grief stages, common in terminal illness.
Question 3 of 5
The male client diagnosed with chronic pain since a construction accident which broke several vertebrae tells the nurse he has been referred to a pain clinic and asks, 'What good will it do? I will never be free of this pain.' Which statement is the nurse's best response?
Correct Answer: C
Rationale: Pain clinics offer multimodal relief (e.g., therapy, medications), addressing chronic pain holistically. Fear exploration, cure promises, or deferring to HCP is less supportive.
Question 4 of 5
The nurse is caring for an 82-year-old female client who is crying and asking for her mother to come to see her. Which statement represents the ethical principle of nonmalfeasance?
Correct Answer: A
Rationale: Nonmalfeasance (do no harm) involves empathetic engagement, like discussing the mother, avoiding emotional harm. Blunt truth, questioning needs, or false promises may distress.
Question 5 of 5
The pregnant client asks the nurse about banking the cord blood. Which information should the nurse teach the client?
Correct Answer: C
Rationale: Cord blood banking involves annual storage fees for stem cells, per industry standards. Pain, hospital requirements, or four-year limits are inaccurate.