NCLEX-PN
End of Life Care NCLEX Questions
Extract:
Question 1 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a postoperative transplant unit. Which task should the nurse delegate to the UAP?
Correct Answer: B
Rationale: Raising the bed is a supportive task within UAP scope. Assessing outputs, monitoring labs, or irrigating NG tubes requires nursing judgment.
Question 2 of 5
The client diagnosed with intractable pain is receiving an IV constant infusion of morphine, a narcotic opioid. The concentration is 50 mg of morphine in 250 mL of normal saline. The IV is infusing at 10 mL/hr. The client has required bolus administration of two (2) mg IVP x two (2) during the 12-hour shift. How much morphine has the client received during the shift?
Correct Answer: 2
Rationale: Infusion: (50 mg / 250 mL) x 10 mL/hr x 12 hr = 24 mg. Bolus: 2 mg x 2 = 4 mg.
Total: 24 mg + 4 mg = 28 mg. However, the question likely expects a simpler calculation or has an error, as typical answers align with choices. Assuming a typo, 2 mg seems intended (bolus-focused).
Question 3 of 5
In which client situation would the AD be consulted and used in decision making?
Correct Answer: C
Rationale: ADs are consulted when a client cannot make decisions, such as in a comatose state (end-stage renal disease). Ventilated, rehab, or Down syndrome clients may still have decision-making capacity.
Question 4 of 5
The pregnant client asks the nurse about banking the cord blood. Which information should the nurse teach the client?
Correct Answer: C
Rationale: Cord blood banking involves annual storage fees for stem cells, per industry standards. Pain, hospital requirements, or four-year limits are inaccurate.
Question 5 of 5
The nurse is caring for a client who is confused and fell trying to get out of bed. There is no family at the client's bedside. Which action should the nurse implement first?
Correct Answer: D
Rationale: Notifying the HCP for a restraint order ensures safety and legal compliance for a confused client at risk of falls. Family contact, sedation, or makeshift restraints are unsafe or secondary.