End of Life Care NCLEX

Extract:

Question 1 of 5

The primary nurse caring for the client who died is crying with the family at the bedside. Which action should the charge nurse implement?

Correct Answer: C

Rationale: Allowing the nurse to grieve with the family supports emotional bonding, unless it impairs care. Removing, referring, or replacing the nurse may disrupt this moment.

Question 2 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients in a pain clinic. Which intervention would be inappropriate to delegate to the UAP?

A. Assist the client diagnosed with intractable pain to the bathroom. B. Elevate the head of the bed for a client diagnosed with back pain. C. Perform passive range of motion for a client who is bedfast. D. Monitor the potassium levels on a client about to receive medication.

Correct Answer: D

Rationale: Monitoring potassium levels requires nursing judgment, outside UAP scope. Assisting to bathroom, elevating bed, and range of motion are within UAP capabilities.

Question 3 of 5

The pregnant client asks the nurse about banking the cord blood. Which information should the nurse teach the client?

A. The procedure involves a lot of pain with a very poor result. B. The client must deliver at a large public hospital to do this. C. The client will be charged a yearly storage fee on the cells. D. The stem cells can be stored for about four (4) years before they ruin.

Correct Answer: C

Rationale: Cord blood banking involves annual storage fees for stem cells, per industry standards. Pain, hospital requirements, or four-year limits are inaccurate.

Question 4 of 5

The nurse writes a client problem of 'spiritual distress' for the client who is dying. Which statement is an appropriate goal?

A. The client will reconcile self and the higher power of his or her beliefs. B. The client will be able to express anger at the terminal diagnosis. C. The client will reconcile self to estranged members of the family. D. The client will have a dignified and pain-free death.

Correct Answer: A

Rationale: Spiritual distress goals focus on reconciling with beliefs or higher power, addressing the distress. Anger expression, family reconciliation, or pain-free death are separate issues.

Question 5 of 5

The nurse is discussing malpractice issues in an in-service class. Which situation is an example of malpractice?

A. The nurse fails to report a neighbor who is abusing his two children. B. The nurse does not intervene in a client who has a BP of 80/50 and AP of 122. C. The nurse is suspected of taking narcotics prescribed for a client. D. The nurse falsifies vital signs in the client's medical records.

Correct Answer: B

Rationale: Malpractice involves breaching the standard of care causing harm, like ignoring hypotension and tachycardia. Child abuse reporting, narcotic theft, or falsification are ethical/legal issues, not malpractice.

End of Life Care NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN