End of Life Practice NCLEX Questions

End of Life Practice NCLEX Questions 4.7 (25 reviews) Students also studied Terms in this set (18) Western Governors UniversityD 236 Save Palliative Care NCLEX Questions - ...12 terms katherine_wilkins Preview Palliative Care and End-of-Life Care...Teacher 81 terms catsrock25Preview NCLEX questions End-of-Life Care 29 terms hschwarzmannPreview Cancer 26 terms Sar The nurse is providing palliative care to a patient who is in the last stage of cancer. What does the nurse monitor in the patient as part of neurologic assessment? Select all that apply.

• Urine output
• Pupil response
• Nutritional intake
• Presence of reflexes
• Level of consciousness

B,D,E The nurse finds that a terminally ill patient is experiencing nausea and vomiting. Which would be an appropriate nursing action?

• Encourage or provide three big meals rather than

small frequent meals.

• No action is required, as this issue is common during

the last days of life.

• Prevent family members from bringing home-cooked

food, which might overwhelm the patient.

• Administer antiemetic drugs before meals, as ordered.

D.

The caregiver of a patient with chronic illness experiences grief after the death of the patient. The caregiver recalls positive memories of the deceased patient, and the nurse notices that the caregiver is accepting the reality of the death of the patient. What type of grief does the nurse identify in the caregiver?

• Adaptive grief
• Anticipatory grief
• Complicated grief
• Prolonged grief disorder

A.A terminally ill patient has become confused, disoriented, and restless. The patient is incoherent and has clouding of consciousness. The nurse identifies that the patient has had constipation for 3 days. What action should the nurse take next?

• Obtain a prescription for a benzodiazepine.
• Administer laxatives to treat constipation.
• Do not take any measures as this is normal during the

terminal stage.

• Inform the family members that the patient is breathing

the last breaths.B.When going to the hospital, which forms should patients be encouraged to bring with them in case end-of-life care becomes an ethical or legal issue?

• Euthanasia
• Organ donor card
• Advance directives
• Do not resuscitate (DNR)

C.The nurse is caring for a patient whose spouse died two weeks ago. The nurse observes that the patient does not engage in active conversation and avoids eye contact.Which stage of grief is the patient in?

• Denial
• Anger
• Depression
• Acceptance

C.The nurse cares for a patient in the terminal stage of leukemia who has opted for hospice care. When is the patient considered to be eligible for hospice care?

• When two primary health care providers certify that

the patient has less than 6 months to live.

• When a primary health care provider certifies that the

patient has less than 6 months to live.

• When it is certain that the patient is going to die within
• months.
• When one primary health care provider guarantees

that the patient cannot recover further.A.

There has been improvement in the health of an elderly patient who has been in hospice care for 6 months. What should the nurse suggest to this patient?

• The patient can leave hospice care only when the

primary health care provider allows doing so.

• The patient must continue for another 6 months in

hospice care before leaving.

• The patient is in hospice care and is not eligible for

curative treatment.

• The patient can withdraw from hospice care and can

receive other health services.D.A nurse finds that a terminally ill patient has cold, clammy, and wax-like skin. What should the nurse infer from this assessment?

• The patient is improving.
• The patient is likely to die soon.
• The patient has edema and needs diuretics.
• The intravenous fluids have extravasated.

B.A patient is admitted to a hospital with Cheyne-Stokes respirations. What would the nurse expect the assessments findings to reveal?

• A respiratory rate of less than 5 breaths per minute
• A respiratory rate of more than 30 breaths per minute
• Alternating periods of apnea and deep, rapid

breathing

• Noisy and congested breathing

C.A patient with bronchial carcinoma reports anorexia and nausea. What measures should the nurse implement to help this patient?

• Provide large meals twice a day.
• Offer bland food with spices.
• Provide small portions of favorite foods.
• Immediately put the patient on intravenous fluids.

C.The nurse is providing physical care to the end-of-life patient who remains in a state of confusion, incoherence, and anxiety and often hallucinates. The nurse anticipates that the patient’s condition is caused by the administration of opioids and corticosteroids. What nursing management does the nurse implement for this patient? Select all that apply.

• Assess for spiritual distress.
• Encourage consumption of ice chips.
• Assess the patient’s tolerance for activities.
• Stay physically close to the frightened patient.
• Provide a room that is quiet, well-lit, and familiar.

D,E

The family attorney informed a patient's adult children and wife that the patient did not have an advance directive after he suffered a serious stroke. The nurse recognizes that the person who is responsible for making the decision about end of life measures when the patient cannot communicate his or her specific wishes is which of these?

• The patient's wife
• A notary and attorney
• The primary health care provider
• Such decisions cannot be made if the patient is unable

to communicate.D.A patient in the terminal stage of acute myeloid leukemia has become unconscious. On examination, a nurse finds that the patient's mouth is very dry. How would the nurse help the patient to restore the moisture? Select all that apply.

• Give ice chips.
• Give sips of fluids.
• Use moist cloths for the oral mucosa.
• Apply lubricant to the lips and oral mucus membrane

as needed.

• Provide complete and regular oral care.

C,D,E A nurse who does not believe in God is caring for a terminally ill patient. The patient asked the nurse to arrange for a pastoral visit. What action should the nurse take?

• Arrange for a chaplain.
• Refuse to arrange for a chaplain.
• Share views about God with the patient.
• Educate the patient about atheism.

A.The nurse provides care on an oncology unit and is discussing the difference between hospice care and palliative care with the patient's family. What is an appropriate explanation by the nurse?

• Hospice care involves only chemotherapy that is given

in a hospital.

• Hospice care involves radiation therapy and

chemotherapy that are given in a hospital.

• Hospice care is provided after a person decides to

forgo curative treatment.

• Hospice care allows a person to undergo both

curative and palliative treatment together.C.