NCLEX-PN
End of Life NCLEX Questions Questions
Extract:
Question 1 of 5
The male client asks the nurse, 'Should I designate my wife as durable power of attorney for health care?' Which statement would be the nurse's best response?
Correct Answer: C
Rationale: Choosing a proxy involves ensuring they’ll honor the client’s wishes, a key consideration. Kinship, rarity, or children are less relevant without this focus.
Question 2 of 5
The wife of a client receiving hospice care being cared for at home calls the nurse to report the client is restless and agitated. Which interventions should the nurse implement? List in order of priority.
Order the Items
Source Container
Correct Answer: C,D,A,B,E
Rationale: 1) Assess client at home (determine cause of agitation); 2) Reassure wife (immediate support); 3) Request antianxiety medication (if indicated); 4) Request oxygen (if hypoxia present); 5) Notify chaplain (spiritual support).
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 nurse is caring for clients on a medical floor. Which client should the nurse assess first after the shift report?
Correct Answer: C
Rationale: Severe pain (10/10), especially nonlocalizable, may indicate a serious condition (e.g., ischemia), requiring immediate assessment. Normal ABGs, mild vital sign changes, or mild post-op pain are less urgent.
Question 5 of 5
The nurse is teaching a class on chronic pain to new graduates. Which information is most important for the nurse to discuss?
Correct Answer: A
Rationale: Believing the client’s pain report is critical, as pain is subjective, per pain management guidelines. Objective signs, therapies, or referrals are secondary.