NCLEX Questions

A nurse is visiting a male patient with pancreatic cancer who is dying at home. During the visit, he breaks down and cries and tells the nurse that it is unfair that he should have to die now when he's finally made peace with his family and wants to live. Which response by the nurse would be most appropriate?

A. "You can't be feeling this way. You know you are going to die."

B. "It does seem unfair. Tell me more about how you are feeling."

C. "You'll be all right; who knows how much time any of us has"

D. "Tell me about your pain. Did it keep you awake last night?

3.A family member asks the nurse to explain the purpose of hospice care. Which of the following is the best response? Hospice care:

1) Is appropriate when the patient desires to intentionally end his life

2) Focuses on minimizing the disease process as rapidly as possible

3) Focuses on symptom management for patients not responding to treatment

4) Is holistic care for patients dying or debilitated and not expected to improve

You are caring for a hospice client who is at the end of life. Based on this client’s signs and symptoms, the client is comatose, dehydrated, free of pain, constipated, without distress and expected to die in a day or two. Which of the following is an appropriate client outcome or an appropriate intervention for this client?

The client will remain free of pain and distress

The client will be free of constipation

The administration of an antiemetic to prevent vomiting and further dehydration

The administration of an enema to correct the constipation

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