End of Life NCLEX Questions

Extract:

Question 1 of 5

Which act protects the nurse against a malpractice claim when the nurse stops at a motor-vehicle accident and renders emergency care?

Correct Answer: D

Rationale: The Good Samaritan Act protects nurses providing emergency care voluntarily, limiting malpractice liability. HIPAA, Nurse Practice Act, or fictional acts don’t apply.

Question 2 of 5

The client is three (3) hours post-heart transplantation. Which data would support a complication of this procedure?

A. The client has nausea after taking the oral antirejection medication. B. The client has difficulty coming off the heart-lung bypass machine. C. The client has saturated three (3) ABD dressing pads in one (1) hour. D. The client complains of pain at a '6' on a 1-to-10 scale.

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 is orienting to a hospice organization. Which statement does not indicate a right of the terminal client? The right to:

A. Be treated with respect and dignity. B. Have particulars of the death withheld. C. Receive optimal and effective pain management. D. Receive holistic and compassionate care.

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 4 of 5

Which action by the primary nurse would require the unit manager to intervene?

A. The nurse uses a correction fluid to correct a charting mistake. B. The nurse is shredding the worksheet at the end of the shift. C. The nurse circles an omitted medication time on the MAR. D. The nurse documents narcotic wastage with another nurse.

Correct Answer: A

Rationale: Using correction fluid obscures records, violating charting standards, requiring intervention. Shredding worksheets, circling omissions, or documenting wastage is appropriate.

Question 5 of 5

The wife of a client receiving hospice care being cared for at home calls the nurse to report the client is restless and agitated. Which interventions should the nurse implement? List in order of priority.

Order the Items

Source Container

Request an order from the health-care provider for antianxiety medications.

Call the medical equipment company and request oxygen for the client.

Go to the home and assess the client and address the wife's concerns.

Reassure and calm the wife over the telephone.

Notify the chaplain about the client's change in status.

Correct Answer: C,D,A,B,E

Rationale: 1) Assess client at home (determine cause of agitation); 2) Reassure wife (immediate support); 3) Request antianxiety medication (if indicated); 4) Request oxygen (if hypoxia present); 5) Notify chaplain (spiritual support).

End of Life NCLEX Questions | Nurselytic

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NCLEX-PN

NCLEX-PN