End of Life Care NCLEX Questions

Extract:

Question 1 of 5

The male client requested a DNR per the AD, and the HCP wrote the order. The client's death is imminent and the client's wife tells the nurse, 'Help him please. Do something. I am not ready to let him go.' Which action should the nurse take?

Correct Answer: C

Rationale: Sitting with the wife and encouraging closure supports her emotionally while respecting the DNR. Revoking AD, notifying chaplain, or requesting client communication is inappropriate.

Question 2 of 5

The hospice care nurse is conducting a spiritual care assessment. Which statement is the scientific rationale for this intervention?

A. The client will ask all of his or her spiritual questions and get answers. B. The nurse is able to explain to the client how death will affect the spirit. C. Spirituality provides a sense of meaning and purpose for many clients. D. The nurse is the expert when assisting the client with spiritual matters.

Correct Answer: C

Rationale: Spirituality offers meaning and purpose, supporting holistic hospice care. Clients may not ask all questions, nurses aren’t spiritual experts, and death’s spiritual impact is subjective.

Question 3 of 5

Which client would the nurse exclude from being a potential organ/tissue donor?

A. The 60-year-old female client with an inoperable primary brain tumor. B. The 45-year-old female client with a subarachnoid hemorrhage. C. The 22-year-old male client who has been in a motor-vehicle accident. D. The 36-year-male client recently released from prison.

Correct Answer: A

Rationale: Primary brain tumors contraindicate organ donation due to malignancy risk, per UNOS guidelines. Hemorrhage, trauma, or prison status do not exclude donation.

Question 4 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 5 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.

End of Life Care NCLEX Questions | Nurselytic

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