End of Life NCLEX Questions

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Question 1 of 5.

The nurse is presenting an in-service discussing do not resuscitate (DNR) orders and advance directives. Which statement should the nurse discuss with the class?

A. Advance directives must be notarized by a notary public.

B. The client must use an attorney to complete the advanced directive.

C. Once the DNR is written, it can be used for every hospital admission.

D. The health-care provider must write the DNR order in the client's chart.

Explanation: A DNR order requires a physician's written order in the chart to be actionable, per hospital policy. Notarization and attorneys are not required, and DNRs are typically re-evaluated per admission.

Question 2 of 5.

Which client would be most likely to complete an advance directive?

A. A 55-year-old Caucasian person who is a bank president.

B. A 34-year-old Asian licensed practical nurse.

C. A 22-year-old Hispanic lawn care worker.

D. A 65-year-old African American retired cook.

Explanation: 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 3 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?

A. Refer the case to the hospital ethics committee.

B. Tell the family they must do what the HCP orders.

C. Follow the HCP's order and 'pull the plug.'

D. Determine why the client did not complete an AD.

Explanation: 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 4 of 5.

Which situation would cause the nurse to question the validity of an AD when caring for the elderly client?

A. The client's child insists the client make his or her own decisions.

B. The nurse observes the wife making the husband sign the AD.

C. A nurse encouraged the client to think about end-of-life decisions.

D. A friend witnesses the client's signature on the AD form.

Explanation: 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 nurse is discussing placing the client diagnosed with chronic obstructive pulmonary disease (COPD) in hospice care. Which prognosis must be determined to place the client in hospice care?

A. The client is doing well but could benefit from the added care by hospice.

B. The client has a life expectancy of six (6) months or less.

C. The client will live for about one (1) to two (2) more years.

D. The client has about eight (8) weeks to live and needs pain control.

Explanation: Hospice eligibility requires a prognosis of six months or less, per Medicare guidelines. Other options do not meet this criterion.

Question 1 of 5.

The nurse is presenting an in-service discussing do not resuscitate (DNR) orders and advance directives. Which statement should the nurse discuss with the class?

A. Advance directives must be notarized by a notary public.

B. The client must use an attorney to complete the advanced directive.

C. Once the DNR is written, it can be used for every hospital admission.

D. The health-care provider must write the DNR order in the client's chart.

Question 2 of 5.

Which client would be most likely to complete an advance directive?

A. A 55-year-old Caucasian person who is a bank president.

B. A 34-year-old Asian licensed practical nurse.

C. A 22-year-old Hispanic lawn care worker.

D. A 65-year-old African American retired cook.

Question 3 of 5.

A. Refer the case to the hospital ethics committee.

B. Tell the family they must do what the HCP orders.

C. Follow the HCP's order and 'pull the plug.'

D. Determine why the client did not complete an AD.

Question 4 of 5.

Which situation would cause the nurse to question the validity of an AD when caring for the elderly client?

A. The client's child insists the client make his or her own decisions.

B. The nurse observes the wife making the husband sign the AD.

C. A nurse encouraged the client to think about end-of-life decisions.

D. A friend witnesses the client's signature on the AD form.

Question 5 of 5.

The nurse is discussing placing the client diagnosed with chronic obstructive pulmonary disease (COPD) in hospice care. Which prognosis must be determined to place the client in hospice care?

A. The client is doing well but could benefit from the added care by hospice.

B. The client has a life expectancy of six (6) months or less.

C. The client will live for about one (1) to two (2) more years.

D. The client has about eight (8) weeks to live and needs pain control.

Question 1 of 5.

The nurse is presenting an in-service discussing do not resuscitate (DNR) orders and advance directives. Which statement should the nurse discuss with the class?

A. Advance directives must be notarized by a notary public.

B. The client must use an attorney to complete the advanced directive.

C. Once the DNR is written, it can be used for every hospital admission.

D. The health-care provider must write the DNR order in the client's chart.

Question 2 of 5.

Which client would be most likely to complete an advance directive?

A. A 55-year-old Caucasian person who is a bank president.

B. A 34-year-old Asian licensed practical nurse.

C. A 22-year-old Hispanic lawn care worker.

D. A 65-year-old African American retired cook.

Question 3 of 5.

A. Refer the case to the hospital ethics committee.

B. Tell the family they must do what the HCP orders.

C. Follow the HCP's order and 'pull the plug.'

D. Determine why the client did not complete an AD.

Question 4 of 5.

Which situation would cause the nurse to question the validity of an AD when caring for the elderly client?

A. The client's child insists the client make his or her own decisions.

B. The nurse observes the wife making the husband sign the AD.

C. A nurse encouraged the client to think about end-of-life decisions.

D. A friend witnesses the client's signature on the AD form.

Question 5 of 5.

The nurse is discussing placing the client diagnosed with chronic obstructive pulmonary disease (COPD) in hospice care. Which prognosis must be determined to place the client in hospice care?

A. The client is doing well but could benefit from the added care by hospice.

B. The client has a life expectancy of six (6) months or less.

C. The client will live for about one (1) to two (2) more years.

D. The client has about eight (8) weeks to live and needs pain control.

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