NCLEX-PN
End of Life NCLEX Questions Questions
Extract:
Question 1 of 5
Which client would be most likely to complete an advance directive?
Correct Answer: D
Rationale: Older adults (e.g., 65-year-old) are more likely to complete ADs due to increased awareness of mortality and health issues, regardless of ethnicity or profession.
Question 2 of 5
The HCP has notified the family of a client in a persistent vegetative state on a ventilator of the need to 'pull the plug.' The client does not have an AD or a durable power of attorney for health care, and the family does not want their loved one removed from the ventilator. Which action should the nurse implement?
Correct Answer: A
Rationale: Without an AD or proxy, disagreements between family and HCP require ethics committee review for resolution. Forcing compliance, following orders against family wishes, or investigating AD absence is inappropriate.
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:
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 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 5 of 5
The client is in the psychiatric unit in a medical center. Which action by the psychiatric nurse is a violation of the client's legal and civil rights?
Correct Answer: D
Rationale: Eavesdropping on a client’s phone call violates privacy rights, per civil liberties. Allowing clothes, visits, or mail respects client autonomy.