NCLEX-PN
End of Life NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
Which situation would cause the nurse to question the validity of an AD when caring for the elderly client?
Correct Answer: B
Rationale: Coercion (wife forcing signature) invalidates an AD, as it must reflect the client’s voluntary wishes. Child insistence, nurse encouragement, or friend witnessing is acceptable.
Question 3 of 5
The nurse is caring for a dying client and the family. The male client is Muslim. Which intervention should the nurse implement at the time of death?
Correct Answer: D
Rationale: In Muslim tradition, family (often male) may perform postmortem care, respecting cultural practices. Wife’s presence, imam’s role, or incense are less specific.
Question 4 of 5
Which element is not necessary to prove nursing malpractice?
Correct Answer: B
Rationale: Malpractice requires duty, breach, injury, and causation. Identifying ethical issues is not a legal element, though relevant to ethics.
Question 5 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.