NCLEX-PN
End of Life Care NCLEX Questions Questions
Extract:
Question 1 of 5
The hospice nurse is admitting a client. Which question concerning end-of-life care is most important for the nurse to discuss with the client and family?
Correct Answer: C
Rationale: Determining AD or living will status guides end-of-life care decisions, a hospice priority. Funeral plans, pain regimens, or equipment are secondary.
Question 2 of 5
The client has been in a persistent vegetative state for several years. The family, who have decided to withhold tube feedings because there is no hope of recovery, asks the nurse, 'Will the death be painful?' Which intervention should the nurse implement?
Correct Answer: B
Rationale: Dehydration in end-of-life care often leads to a natural euphoria, reducing pain perception, per hospice evidence. Painful death, case comparisons, or questioning motives is unhelpful.
Question 3 of 5
Which intervention should the nurse implement to provide culturally sensitive health care to the European-American Caucasian elderly client who is terminal?
Correct Answer: D
Rationale: Encouraging autonomy and honesty respects individual preferences, common in European-American culture, per patient-centered care. Family roles, burial plans, or avoiding death talk are less universal.
Question 4 of 5
The client has just signed an AD at the bedside. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Placing a copy in the chart ensures the AD is accessible for care decisions, the first priority. Notifying HCP, discussing with others, or giving the original follows.
Question 5 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?
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.