NCLEX-PN
End of Life Care NCLEX Questions
Extract:
Question 1 of 5
The nurse is aware the Patient Self-Determination Act of 1991 requires the health-care facility to implement which action?
Correct Answer: A
Rationale: The Patient Self-Determination Act mandates offering AD information on admission for Medicare/Medicaid facilities. Wills, ethical care, and consent forms are unrelated.
Question 2 of 5
The nurse writes a client problem of 'spiritual distress' for the client who is dying. Which statement is an appropriate goal?
Correct Answer: A
Rationale: Spiritual distress goals focus on reconciling with beliefs or higher power, addressing the distress. Anger expression, family reconciliation, or pain-free death are separate issues.
Question 3 of 5
The family has requested a client with terminal cancer not be told of the diagnosis. The client tells the nurse, 'I think something is really wrong with me, but the doctor says everything is all right. Do you know if there is something wrong with me?' Which response by the nurse would support the ethical principle of veracity?
Correct Answer: C
Rationale: Veracity (truth-telling) requires honesty; acknowledging the family’s request respects their wishes while addressing the client’s question, prompting further discussion. Other responses evade truth.
Question 4 of 5
Which action should the nurse implement for the Chinese client's family who are requesting to light incense around the dying client?
Correct Answer: D
Rationale: Fire codes prohibit burning incense in hospitals, a safety-based explanation. Potpourri, door closure, or nausea claims are less accurate or dismissive.
Question 5 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients in a pain clinic. Which intervention would be inappropriate to delegate to the UAP?
Correct Answer: D
Rationale: Monitoring potassium levels requires nursing judgment, outside UAP scope. Assisting to bathroom, elevating bed, and range of motion are within UAP capabilities.