NCLEX-PN
End of Life Care NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is obtaining the client’s signature on a surgical permit form. The nurse determines the client does not understand the surgical procedure and possible risks. Which action should the nurse take first?
Correct Answer: A
Rationale: Notifying the surgeon ensures informed consent, as the surgeon must clarify risks and procedures. Documentation, OR contact, or nurse explanation is secondary.
Question 2 of 5
Which entity mandates the registered nurse's behavior when practicing professional nursing?
Correct Answer: A
Rationale: The state’s Nurse Practice Act defines legal scope and behavior for nurses, enforceable by law. Other entities provide guidelines, not mandates.
Question 3 of 5
Which interventions should the nurse implement at the time of a client's death? Select all that apply.
Correct Answer: A,B,E
Rationale: Allowing silence, avoiding prescriptive grief advice, and providing private time support family grieving. Claiming understanding or invoking God’s will may alienate or presume.
Question 4 of 5
The nurse is giving an in-service on end-of-life issues. Which activity should the nurse encourage the participants to perform?
Correct Answer: D
Rationale: Writing personal beliefs fosters self-awareness, enhancing end-of-life care competence. Client death discussions, policy review, or shroud justification are less introspective.
Question 5 of 5
The client tells the nurse, 'Every time I come in the hospital you hand me one of these advance directives (AD). Why should I fill one of these out?' Which statement by the nurse is most appropriate?
Correct Answer: B
Rationale: Advance directives allow clients to specify their health care preferences, ensuring participation in decisions, per the Patient Self-Determination Act. Medicare requires offering, not completing, ADs; no document guarantees non-override; and packet inclusion is procedural, not the reason.