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NCLEX PN· End of Life Care · End of Life Care NCLEX

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client with an AD tells the nurse, 'I have changed my mind about my AD. I really want everything possible done if I am near death since I have a grandchild.' Which action should the nurse implement?

A. Notify the health information systems department to talk to the client.

B. Remove the AD from the client's chart and shred the document.

C. Inform the client he or she has the right to revoke the AD at any time.

D. Explain this document cannot be changed once it is signed.

Expert Explanatory Rationale

Correct Answer: Inform the client he or she has the right to revoke the AD at any time.

Question 2 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?

A. Request the primary nurse to come out in the hall.

B. Refer the nurse to the employee assistance program.

C. Allow the nurse and family this time to grieve.

D. Ask the chaplain to relieve the nurse at the bedside.

Expert Explanatory Rationale

Correct Answer: Allow the nurse and family this time to grieve.

Question 3 of 5

The Hispanic client who has terminal cancer is requesting a curandero to come to the bedside. Which intervention should the nurse implement?

A. Tell the client it is against policy to allow faith healers.

B. Assist with planning the visit from the curandero.

C. Refer the client to the pastoral care department.

D. Determine the reason the client needs the curandero.

Expert Explanatory Rationale

Correct Answer: Assist with planning the visit from the curandero.

Question 4 of 5

The client asks the nurse, 'When will the durable power of attorney for health care take effect?' On which scientific rationale would the nurse base the response?

A. It goes into effect when the client needs someone to make financial decisions.

B. It will be effective when the client is under general anesthesia during surgery.

C. The client must say it is all right for it to become effective and enforced.

D. It becomes valid only when the clients cannot make their own decisions.

Expert Explanatory Rationale

Correct Answer: It becomes valid only when the clients cannot make their own decisions.

Question 5 of 5

The client diagnosed with end-stage congestive heart failure and type 2 diabetes is receiving hospice care. Which action by the nurse demonstrates an understanding of the client's condition?

A. The nurse monitors the blood glucose four (4) times a day.

B. The nurse keeps the client on a strict fluid restriction.

C. The nurse limits the visitors the client can receive.

D. The nurse brings the client a small piece of cake.

Expert Explanatory Rationale

Correct Answer: The nurse brings the client a small piece of cake.

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