End of Life Care NCLEX Questions

Extract:

Question 1 of 5

Which action by the unlicensed assistive personnel (UAP) would warrant immediate intervention by the nurse?

Correct Answer: C

Rationale: Applying restraints without a physician’s order violates safety and legal standards, requiring intervention. Other actions are appropriate UAP tasks.

Question 2 of 5

Which client would the nurse exclude from being a potential organ/tissue donor?

A. The 60-year-old female client with an inoperable primary brain tumor. B. The 45-year-old female client with a subarachnoid hemorrhage. C. The 22-year-old male client who has been in a motor-vehicle accident. D. The 36-year-male client recently released from prison.

Correct Answer: A

Rationale: Primary brain tumors contraindicate organ donation due to malignancy risk, per UNOS guidelines. Hemorrhage, trauma, or prison status do not exclude donation.

Question 3 of 5

The client tells the nurse, 'Every time I come in the hospital you hand me one of these advance directives (AD). Why should I fill one of these out?' Which statement by the nurse is most appropriate?

A. You must fill out this form because Medicare laws require it. B. An AD lets you participate in decisions about your health care. C. This paper will ensure no one can override your decisions. D. It is part of the hospital admission packet and I have to give it to you.

Correct Answer: B

Rationale: Advance directives allow clients to specify their health care preferences, ensuring participation in decisions, per the Patient Self-Determination Act. Medicare requires offering, not completing, ADs; no document guarantees non-override; and packet inclusion is procedural, not the reason.

Question 4 of 5

Which intervention should the nurse implement to provide culturally sensitive health care to the European-American Caucasian elderly client who is terminal?

A. Discuss health-care issues with the oldest male child. B. Determine if the client will be cremated or have an earth burial. C. Do not talk about death and dying in front of the client. D. Encourage the client's autonomy and answer questions truthfully.

Correct Answer: D

Rationale: Encouraging autonomy and honesty respects individual preferences, common in European-American culture, per patient-centered care. Family roles, burial plans, or avoiding death talk are less universal.

Question 5 of 5

The client has been in a persistent vegetative state for several years. The family, who have decided to withhold tube feedings because there is no hope of recovery, asks the nurse, 'Will the death be painful?' Which intervention should the nurse implement?

A. Tell the family the death will be painful but the HCP can order medications. B. Inform the family dehydration provides a type of natural euphoria. C. Relate other cases where the clients have died in excruciating pain. D. Ask the family why they are concerned because they want the client to die anyway.

Correct Answer: B

Rationale: Dehydration in end-of-life care often leads to a natural euphoria, reducing pain perception, per hospice evidence. Painful death, case comparisons, or questioning motives is unhelpful.

End of Life Care NCLEX Questions | Nurselytic

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