NCLEX-PN
End of Life Care NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client who has active tuberculosis of the lungs. The client does not have a DNR order. The client experiences a cardiac arrest, and there is no resuscitation mask at the bedside. The nurse waits for the crash cart before beginning resuscitation. According to the ANA Code of Ethics for Nurses, which disciplinary action should be taken against the nurse?
Correct Answer: C
Rationale: Waiting for a mask during TB resuscitation prioritizes nurse safety, aligning with ANA Code ethics (self-protection). Reporting, termination, or ANA referral is unwarranted.
Question 2 of 5
Which intervention should the nurse implement to provide culturally sensitive health care to the European-American Caucasian elderly client who is terminal?
Correct Answer: D
Rationale: Encouraging autonomy and honesty respects individual preferences, common in European-American culture, per patient-centered care. Family roles, burial plans, or avoiding death talk are less universal.
Question 3 of 5
Which client would the nurse exclude from being a potential organ/tissue donor?
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 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 5 of 5
The nurse is caring for the family of the client who has just died. Which is the nurse's priority action?
Correct Answer: A
Rationale: Being with the family provides immediate emotional support, a nursing priority post-death. Funeral, minister, or certificate tasks are secondary.