End of Life Care NCLEX

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Review

Practice

Exam

Question 1 of 5.

In which client situation would the AD be consulted and used in decision making?

A. The client diagnosed with Guillain-BarrÃ© who is on a ventilator.

B. The client with a C6 spinal cord injury in the rehabilitation unit.

C. The client in end-stage renal disease who is in a comatose state.

D. The client diagnosed with cancer who has Down syndrome.

Explanation: ADs are consulted when a client cannot make decisions, such as in a comatose state (end-stage renal disease). Ventilated, rehab, or Down syndrome clients may still have decision-making capacity.

Question 2 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.

Explanation: Clients can revoke ADs at any time, per legal rights. Notifying health information, shredding without process, or claiming unchangeability is incorrect.

Question 3 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.

Explanation: A durable power of attorney for health care activates when the client is incapacitated, per legal standards. Financial decisions, anesthesia, or client permission are incorrect triggers.

Question 4 of 5.

The nurse is aware the Patient Self-Determination Act of 1991 requires the health-care facility to implement which action?

A. Make available an AD on admission to the facility.

B. Assist the client with legally completing a will.

C. Provide ethically and morally competent care to the client.

D. Discuss the importance of understanding consent forms.

Explanation: The Patient Self-Determination Act mandates offering AD information on admission for Medicare/Medicaid facilities. Wills, ethical care, and consent forms are unrelated.

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.

Explanation: In hospice, comfort is prioritized; a small piece of cake aligns with the client's enjoyment, given end-stage status. Glucose monitoring, fluid restriction, and visitor limits are less relevant.

Question 1 of 5.

In which client situation would the AD be consulted and used in decision making?

A. The client diagnosed with Guillain-BarrÃ© who is on a ventilator.

B. The client with a C6 spinal cord injury in the rehabilitation unit.

C. The client in end-stage renal disease who is in a comatose state.

D. The client diagnosed with cancer who has Down syndrome.

Question 2 of 5.

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.

Question 3 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.

Question 4 of 5.

The nurse is aware the Patient Self-Determination Act of 1991 requires the health-care facility to implement which action?

A. Make available an AD on admission to the facility.

B. Assist the client with legally completing a will.

C. Provide ethically and morally competent care to the client.

D. Discuss the importance of understanding consent forms.

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.

Question 1 of 5.

In which client situation would the AD be consulted and used in decision making?

B. The client with a C6 spinal cord injury in the rehabilitation unit.

C. The client in end-stage renal disease who is in a comatose state.

D. The client diagnosed with cancer who has Down syndrome.

Question 2 of 5.

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.

Question 3 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.

Question 4 of 5.

The nurse is aware the Patient Self-Determination Act of 1991 requires the health-care facility to implement which action?

A. Make available an AD on admission to the facility.

B. Assist the client with legally completing a will.

C. Provide ethically and morally competent care to the client.

D. Discuss the importance of understanding consent forms.

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.

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