NCLEX-PN
End of Life Care NCLEX Questions Questions
Extract:
Question 1 of 5
Which interventions should the nurse implement at the time of a client's death? Select all that apply.
Correct Answer: A,B,E
Rationale: Allowing silence, avoiding prescriptive grief advice, and providing private time support family grieving. Claiming understanding or invoking God’s will may alienate or presume.
Question 2 of 5
The male client who has made himself a do not resuscitate (DNR) order is in pain. The client's vital signs are P 88, R 8, and BP 108/70. Which intervention should be the nurse's priority action?
Correct Answer: B
Rationale: Pain relief is a priority, even with DNR; administering medication as ordered with assessment is safe, despite low respirations. Refusing, delaying, or notifying HCP delays care.
Question 3 of 5
The experienced medical-surgical nurse is being oriented to the transplant unit. Which client should the charge nurse assign to this nurse?
Correct Answer: A
Rationale: A stable kidney donor nearing discharge is suitable for an experienced but orienting nurse. Recent liver transplant, acute corneal transplant issues, or pancreas transplant complications require specialized care.
Question 4 of 5
The client has just signed an AD at the bedside. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Placing a copy in the chart ensures the AD is accessible for care decisions, the first priority. Notifying HCP, discussing with others, or giving the original follows.
Question 5 of 5
Which intervention should the nurse implement to provide culturally sensitive health care to the European-American Caucasian elderly client who is terminal?
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.