NCLEX-PN
End of Life NCLEX Questions Questions
Extract:
Question 1 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 2 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 3 of 5
Which client would be most likely to complete an advance directive?
Correct Answer: D
Rationale: Older adults (e.g., 65-year-old) are more likely to complete ADs due to increased awareness of mortality and health issues, regardless of ethnicity or profession.
Question 4 of 5
Which situation would cause the nurse to question the validity of an AD when caring for the elderly client?
Correct Answer: B
Rationale: Coercion (wife forcing signature) invalidates an AD, as it must reflect the client’s voluntary wishes. Child insistence, nurse encouragement, or friend witnessing is acceptable.
Question 5 of 5
The charge nurse is making assignments on an oncology floor. Which client should be assigned to the most experienced nurse?
Correct Answer: A
Rationale: Hemoglobin of 6 g/dL indicates severe anemia, requiring complex monitoring and transfusion, best handled by an experienced nurse. Hypoxia, colostomy care, or behavior are less acute.