NCLEX-PN
End of Life NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is orienting to a hospice organization. Which statement does not indicate a right of the terminal client? The right to:
Correct Answer: B
Rationale: Terminal clients have rights to dignity, pain management, and holistic care, per hospice principles. Withholding death particulars is not a recognized right and may violate transparency.
Question 2 of 5
The client is three (3) hours post-heart transplantation. Which data would support a complication of this procedure?
Correct Answer: C
Rationale: Excessive bleeding (saturated dressings) indicates a surgical complication, requiring urgent intervention. Nausea, bypass difficulty, or moderate pain are less immediate.
Question 3 of 5
The nurse pronounced Dr. Smith's client to be clinically dead. Which should the nurse document on the client's chart?
Correct Answer: C
Rationale: Documentation should include objective findings (absent vital signs), time, and physician’s role, per legal standards. Brain scan or CPR details are specific, and cold body is insufficient.
Question 4 of 5
The client received a liver transplant and is preparing for discharge. Which discharge instruction should the nurse teach?
Correct Answer: C
Rationale: Cough or fever may indicate infection, critical post-transplant due to immunosuppression. Tapering drugs, foul drainage, or jaundice are incorrect or misleading.
Question 5 of 5
The nurse is teaching a class on chronic pain to new graduates. Which information is most important for the nurse to discuss?
Correct Answer: A
Rationale: Believing the client’s pain report is critical, as pain is subjective, per pain management guidelines. Objective signs, therapies, or referrals are secondary.