NCLEX-RN Practice Questions

Hundreds of practice questions mapped to all client needs categories on the NCLEX-RN exam. Questions include worked explanations with full solution steps.

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Sample Questions

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Question 1 of 3

A 68-year-old male with end-stage heart failure tells the nurse, "I don't want any heroic measures if my heart stops." The patient does not have an advance directive on file. Which action should the nurse take FIRST?

A Notify the healthcare provider and request a palliative care consultation
B Provide information about advance directives and offer to facilitate completion
C Document the statement in the medical record and continue with routine care
D Contact the patient's family to discuss the patient's end-of-life preferences
Question 2 of 3

A 72-year-old patient with terminal cancer says, "I want to make sure my family knows not to put me on machines if I can't breathe on my own." The patient is alert and oriented with no advance directive on record. What should the nurse do first?

A Document the statement in the nurse's notes and continue care
B Call the patient's family to tell them about this conversation
C Explain what a living will is and offer to help complete one
D Notify the physician to request a do-not-resuscitate order
Question 3 of 3

A 75-year-old female with advanced COPD states, "If my breathing gets worse and I can't breathe on my own, I don't want to be put on a ventilator." There is no advance directive documented. What is the nurse's priority action?

A Inform the healthcare provider and suggest a referral to hospice care
B Explain advance directives and offer assistance in completing the paperwork
C Record the patient's preferences in the medical record and proceed
D Call the patient's family to discuss the patient's expressed wishes

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