NCLEX-PN
End of Life NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is presenting an in-service discussing do not resuscitate (DNR) orders and advance directives. Which statement should the nurse discuss with the class?
Correct Answer: D
Rationale: A DNR order requires a physician's written order in the chart to be actionable, per hospital policy. Notarization and attorneys are not required, and DNRs are typically re-evaluated per admission.
Question 2 of 5
The client is being discharged from the hospital for intractable pain secondary to cancer and is prescribed morphine, a narcotic. Which statement indicates the client understands the discharge instructions?
Correct Answer: A
Rationale: Filling prescriptions before holidays ensures access to narcotics, reflecting understanding of controlled substance challenges. Other statements are inaccurate or unsafe.
Question 3 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 4 of 5
The 6-year-old client diagnosed with cystic fibrosis (CF) needs a lung transplant. Which individual would be the best donor for the client?
Correct Answer: A
Rationale: A healthy sibling (20-year-old brother) offers the best HLA match and living donor potential, minimizing rejection. Carrier status or partial matches are less optimal.
Question 5 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.