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RN exams end-of-life practice questions, set 9

RN exams · end-of-life

RN exams end-of-life practice questions set 9

You protect comfort, dignity, and the family conversation the exam expects you to start. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the RN exams exam guide or more RN exams practice questions.

Five end-of-life questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

A client asks the nurse why pain medication doesn't take all the pain away. What would be the basis of the nurse's response?

  1. A. Pain is too severe
  2. B. Medication has limits
  3. C. Client is too active
  4. D. Pain is not real
Show answer and rationale

Correct answer: B — Medication has limits

The basis of the nurse's response is that medication has limits, as pain relief depends on drug type, dose, and pain mechanismanalgesics reduce, not eliminate, pain, especially chronic or neuropathic types resistant to full blockade. Receptors may saturate, or pain pathways (e.g., inflammation) persist beyond medication reach. Choice A, pain is too severe, is partialseverity matters, but limits apply regardless; even mild pain may linger. Choice C, client is too active, might worsen pain but isn't why medication falls shortrested clients still report residual pain. Choice D, pain is not real, invalidates the clientpain's subjectivity doesn't negate its existence. Choice B is correct, enabling nurses to educate on realistic expectations, pairing drugs with adjuncts (e.g., heat) to maximize relief, addressing why total eradication isn't always achievable in pain management.

Question 2

A client asks the nurse why pain medication doesn't take all the pain away. What would be the basis of the nurse's response?

  1. A. Pain is too severe
  2. B. Medication has limits
  3. C. Client is too active
  4. D. Pain is not real
Show answer and rationale

Correct answer: B — Medication has limits

The basis of the nurse's response is that medication has limits, as pain relief depends on drug type, dose, and pain mechanismanalgesics reduce, not eliminate, pain, especially chronic or neuropathic types resistant to full blockade. Receptors may saturate, or pain pathways (e.g., inflammation) persist beyond medication reach. Choice A, pain is too severe, is partialseverity matters, but limits apply regardless; even mild pain may linger. Choice C, client is too active, might worsen pain but isn't why medication falls shortrested clients still report residual pain. Choice D, pain is not real, invalidates the clientpain's subjectivity doesn't negate its existence. Choice B is correct, enabling nurses to educate on realistic expectations, pairing drugs with adjuncts (e.g., heat) to maximize relief, addressing why total eradication isn't always achievable in pain management.

Question 3

Which document addresses the client's right to information, informed consent, and treatment refusal?

  1. A. Standard of Nursing Practice
  2. B. Patient's Bill of Rights
  3. C. Nurse Practice Act
  4. D. Code for Nurses
Show answer and rationale

Correct answer: B — Patient's Bill of Rights

The Patient's Bill of Rights (Choice B) is a legal and ethical document ensuring clients' rights to information about their care, informed consent before procedures, and refusal of treatment without coercion. Adopted by healthcare facilities, it empowers patientse.g., a client can refuse surgery after understanding risks. Standards of Nursing Practice (Choice A) outline professional expectations for nurses, not patient rights. The Nurse Practice Act (Choice C) defines nursing scope and licensure by state, focusing on practitioners, not patients. The Code for Nurses (Choice D), from the ANA, guides ethical nursing behavior but isn't a patient-facing rights document. For instance, if a client asks about chemotherapy risks, the Bill of Rights mandates full disclosure and consent, not the Code. Choice B directly addresses these autonomy rights, making it the correct answer.

Question 4

What is a common symptom of fibromyalgia?

  1. A. Improved energy levels
  2. B. Widespread musculoskeletal pain
  3. C. Temporary muscle stiffness
  4. D. Increased cognitive clarity
Show answer and rationale

Correct answer: B — Widespread musculoskeletal pain

Fibromyalgia is a chronic condition marked by widespread musculoskeletal pain, often accompanied by fatigue, sleep disturbances, and cognitive difficulties known as 'fibro fog.' This pain is typically diffuse, affecting multiple body areas, and is a hallmark symptom distinguishing it from other disorders. Choice A, improved energy levels, is incorrect because fibromyalgia commonly causes debilitating fatigue, not vitality. Choice C, temporary muscle stiffness, doesn't capture the persistent, widespread nature of fibromyalgia painstiffness may occur, but it's not the defining feature. Choice D, increased cognitive clarity, is the opposite of the memory and concentration issues patients experience. Choice B correctly identifies widespread musculoskeletal pain as a common, central symptom, making it a key focus for nursing assessment and management in affected individuals.

Question 5

Which document addresses the client's right to information, informed consent, and treatment refusal?

  1. A. Standard of Nursing Practice
  2. B. Patient's Bill of Rights
  3. C. Nurse Practice Act
  4. D. Code for Nurses
Show answer and rationale

Correct answer: B — Patient's Bill of Rights

The Patient's Bill of Rights (Choice B) is a legal and ethical document ensuring clients' rights to information about their care, informed consent before procedures, and refusal of treatment without coercion. Adopted by healthcare facilities, it empowers patientse.g., a client can refuse surgery after understanding risks. Standards of Nursing Practice (Choice A) outline professional expectations for nurses, not patient rights. The Nurse Practice Act (Choice C) defines nursing scope and licensure by state, focusing on practitioners, not patients. The Code for Nurses (Choice D), from the ANA, guides ethical nursing behavior but isn't a patient-facing rights document. For instance, if a client asks about chemotherapy risks, the Bill of Rights mandates full disclosure and consent, not the Code. Choice B directly addresses these autonomy rights, making it the correct answer.

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Question 6

What is a common symptom of fibromyalgia?

  1. A. Improved energy levels
  2. B. Widespread musculoskeletal pain
  3. C. Temporary muscle stiffness
  4. D. Increased cognitive clarity
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

Which medication is commonly used for chronic pain management?

  1. A. Aspirin
  2. B. Morphine
  3. C. Antibiotics
  4. D. Antidepressants
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Question 8

Which medication is commonly used for chronic pain management?

  1. A. Aspirin
  2. B. Morphine
  3. C. Antibiotics
  4. D. Antidepressants
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

Which of the following would the nurse most expect to find when assessing a client with acute pain?

  1. A. Cool, clammy skin
  2. B. Euphoria
  3. C. Increased appetite
  4. D. Lethargy
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

Which of the following would the nurse most expect to find when assessing a client with acute pain?

  1. A. Cool, clammy skin
  2. B. Euphoria
  3. C. Increased appetite
  4. D. Lethargy
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

Which of the following best promotes rest in patients?

  1. A. Bright lighting
  2. B. A quiet, dark environment
  3. C. Frequent interruptions
  4. D. High noise levels
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

Which of the following best promotes rest in patients?

  1. A. Bright lighting
  2. B. A quiet, dark environment
  3. C. Frequent interruptions
  4. D. High noise levels
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

A female client is admitted to the emergency department with complaints of chest pain shortness of breath. The nurse's assessment reveals jugular vein distention. The nurse knows that when a client has jugular vein distension, it's typically due to:

  1. A. A neck tumor
  2. B. An electrolyte imbalance
  3. C. Dehydration
  4. D. Fluid overload
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Question 14

The nurse in charge is caring for an Italian client. He's complaining of pain, but he falls asleep right after his complaint and before the nurse can assess his pain. The nurse concludes that:

  1. A. He may have a low threshold for pain
  2. B. He was faking pain
  3. C. Someone else gave him medication
  4. D. The pain went away
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Question 15

The nurse in charge is caring for an Italian client. He's complaining of pain, but he falls asleep right after his complaint and before the nurse can assess his pain. The nurse concludes that:

  1. A. He may have a low threshold for pain
  2. B. He was faking pain
  3. C. Someone else gave him medication
  4. D. The pain went away
Answer and rationale unlock in the Nursier study hub. Unlock answers

About these RN exams end-of-life questions

RN exams end-of-life practice questions, set 9 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

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