NCLEX-PN
End of Life NCLEX Questions Questions
Extract:
Question 1 of 5
The intensive care nurse is caring for a deceased client who is an organ donor, and the organ donation team is en route to the hospital. Which statement would be an appropriate goal of treatment for the client?
Correct Answer: B
Rationale: Maintaining systolic BP >90 mm Hg ensures organ perfusion, a key goal for donation. Urine output, oximetry, or tachycardia are less critical post-death.
Question 2 of 5
The nurse must be knowledgeable of ethical principles. Which is an example of the ethical principle of justice?
Correct Answer: D
Rationale: Justice ensures equitable care, like providing safe care to an indigent client. Placebos (deception), incompetence, or confidentiality are unrelated to justice.
Question 3 of 5
The client received a liver transplant and is preparing for discharge. Which discharge instruction should the nurse teach?
Correct Answer: C
Rationale: Cough or fever may indicate infection, critical post-transplant due to immunosuppression. Tapering drugs, foul drainage, or jaundice are incorrect or misleading.
Question 4 of 5
The client is dying and wants to talk to the nurse about heaven. Which is the nurse's best nursing action?
Correct Answer: D
Rationale: Allowing discussion of heaven respects client spirituality, per holistic care. Chaplain referral, prohibiting discussion, or prompting hell discussion is less supportive.
Question 5 of 5
The HCP has notified the family of a client in a persistent vegetative state on a ventilator of the need to 'pull the plug.' The client does not have an AD or a durable power of attorney for health care, and the family does not want their loved one removed from the ventilator. Which action should the nurse implement?
Correct Answer: A
Rationale: Without an AD or proxy, disagreements between family and HCP require ethics committee review for resolution. Forcing compliance, following orders against family wishes, or investigating AD absence is inappropriate.