NCLEX-PN
End of Life Care NCLEX Questions Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
The mother of a 20-year-old African American male client receiving dialysis asks the nurse, 'My son has been on the transplant list longer than that white woman. Why did she get the kidney?' Which statement is the nurse's best response?
Correct Answer: D
Rationale: Tissue matching (HLA compatibility) determines transplant priority, preventing rejection, per UNOS guidelines. Fame, empathy, or fatalism are inappropriate responses.
Question 4 of 5
The hospice care nurse is conducting a spiritual care assessment. Which statement is the scientific rationale for this intervention?
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 5 of 5
The experienced medical-surgical nurse is being oriented to the transplant unit. Which client should the charge nurse assign to this nurse?
Correct Answer: A
Rationale: A stable kidney donor nearing discharge is suitable for an experienced but orienting nurse. Recent liver transplant, acute corneal transplant issues, or pancreas transplant complications require specialized care.