NCLEX-PN
End of Life Care NCLEX Questions
Extract:
Question 1 of 5
The Hispanic client who has terminal cancer is requesting a curandero to come to the bedside. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Facilitating a curandero visit respects Hispanic cultural beliefs, per patient-centered care. Denying, referring, or questioning the need is less culturally sensitive.
Question 2 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients in a pain clinic. Which intervention would be inappropriate to delegate to the UAP?
Correct Answer: D
Rationale: Monitoring potassium levels requires nursing judgment, outside UAP scope. Assisting to bathroom, elevating bed, and range of motion are within UAP capabilities.
Question 3 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.
Question 4 of 5
The nurse is discussing malpractice issues in an in-service class. Which situation is an example of malpractice?
Correct Answer: B
Rationale: Malpractice involves breaching the standard of care causing harm, like ignoring hypotension and tachycardia. Child abuse reporting, narcotic theft, or falsification are ethical/legal issues, not malpractice.
Question 5 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.