NCLEX-PN
End of Life Care NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is moving to another state which is part of the multistate licensure compact. Which information regarding ADs should the nurse be aware of when practicing nursing in other states?
Correct Answer: D
Rationale: ADs are governed by state laws, varying in requirements and execution, not federal regulation. Laws differ, transferability depends on state reciprocity, and significant others cannot sign unless designated.
Question 2 of 5
The client has received a kidney transplant. Which assessment would warrant immediate intervention by the nurse?
Correct Answer: A
Rationale: Fever and decreased urine output suggest infection or rejection, requiring immediate action post-transplant. Decreased labs are expected, and vital signs are less specific.
Question 3 of 5
The hospice nurse is admitting a client. Which question concerning end-of-life care is most important for the nurse to discuss with the client and family?
Correct Answer: C
Rationale: Determining AD or living will status guides end-of-life care decisions, a hospice priority. Funeral plans, pain regimens, or equipment are secondary.
Question 4 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 5 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.