End of Life Care NCLEX Questions

Extract:

Question 1 of 5

The hospice care nurse is planning the care of an elderly client diagnosed with end-stage renal disease. Which interventions should be included in the plan of care? Select all that apply.

Correct Answer: A,B,D

Rationale: Financial concerns, comorbidities, and spiritual distress are relevant for holistic hospice care in end-stage renal disease. Visual/auditory increases or euphoria are not typical interventions.

Question 2 of 5

The male client who has made himself a do not resuscitate (DNR) order is in pain. The client's vital signs are P 88, R 8, and BP 108/70. Which intervention should be the nurse's priority action?

A. Refuse to give the medication because it could kill the client. B. Administer the medication as ordered and assess for relief from pain. C. Wait until the client' respirations improve and then administer the medication. D. Notify the HCP the client is unstable and pain medication is being held.

Correct Answer: B

Rationale: Pain relief is a priority, even with DNR; administering medication as ordered with assessment is safe, despite low respirations. Refusing, delaying, or notifying HCP delays care.

Question 3 of 5

The nurse is teaching an in-service on legal issues in nursing. Which situation is an example of battery, an intentional tort?

A. The nurse threatens the client who is refusing to take a hypnotic medication. B. The nurse forcibly inserts a Foley catheter in a client who refused it. C. The nurse tells the client a nasogastric tube insertion is not painful. D. The nurse gives confidential information over the telephone.

Correct Answer: B

Rationale: Battery involves nonconsensual physical contact, like forcible catheter insertion. Threats (assault), misrepresentation (negligence), or confidentiality breaches are not battery.

Question 4 of 5

The client tells the nurse, 'Every time I come in the hospital you hand me one of these advance directives (AD). Why should I fill one of these out?' Which statement by the nurse is most appropriate?

A. You must fill out this form because Medicare laws require it. B. An AD lets you participate in decisions about your health care. C. This paper will ensure no one can override your decisions. D. It is part of the hospital admission packet and I have to give it to you.

Correct Answer: B

Rationale: Advance directives allow clients to specify their health care preferences, ensuring participation in decisions, per the Patient Self-Determination Act. Medicare requires offering, not completing, ADs; no document guarantees non-override; and packet inclusion is procedural, not the reason.

Question 5 of 5

The nurse is admitting a client to the medical surgical unit. Which is required to be offered to the client if the hospital accepts Medicare reimbursement?

A. The opportunity to make an advance directive. B. The client must be referred to a case manager. C. The client must apply for a Medicare supplement insurance. D. The opportunity to discuss end-of-life issues.

Correct Answer: A

Rationale: The Patient Self-Determination Act mandates offering ADs on admission for Medicare-funded hospitals. Case management, insurance, or end-of-life discussions are not required.

End of Life Care NCLEX Questions | Nurselytic

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