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National Council Licensure Examination(NCLEX-PN) Questions 241–245 (page: 50)

Updated On: 9-Feb-2026

In the United States, several definitions of death are currently being used.

The definition that uses apnea testing and pupillary responses to light is termed ______________.

  1. whole brain death
  2. heart-lung death
  3. circulatory death
  4. higher brain death

Answer(s): A

Explanation:

Most protocols require two separate clinical examinations, including induction of painful stimuli, papillary responses to light, oculovestibular testing, and apnea testing.
Choices “heart-lung death” and “higher brain death” have no specific test required. Choice “circulatory death” is not a current definition of death in the United States.



The nurse is caring for a dying client who has persistently requested that the nurse “help her to die and be in peace.”

According to the Code of Ethics for Nurses, the nurse should ______________.

  1. Ask the client whether she has signed the advance directives document.
  2. Tell the client that he or she will ask another nurse to care for her.
  3. Instruct the client that only a physician can legally assist a suicide.
  4. Try to make the client as comfortable as possible, but refuse to assist in death.

Answer(s): D

Explanation:

Try to make the client as comfortable as possible but refuse to assist in death.
One of the competencies necessary for nurses to have in giving high quality care to clients/families during the end of life care is: apply legal and ethical principles in the analysis of complex issues and end-of-life care, recognizing the influence of personal values, profession codes, and client preferences.



When caring for a Native-American family, which of the following the nurse needs to consider?

  1. The family consists solely of the parents and children.
  2. Native Americans tend to be future oriented.
  3. Some Native Americans use herbs and psychologic treatment of illnesses.
  4. Health care is usually prescribed by a medicine man (shaman).

Answer(s): C

Explanation:

Symbols of health or traditions might include certain ritualistic items that are used to maintain, protect, or restore physical, mental, or spiritual health.



The three universal spiritual needs include all of the following except ______________.

  1. meaning and purpose
  2. love and relatedness
  3. forgiveness
  4. God’s permission

Answer(s): D

Explanation:

Religious teachings help to present a meaningful philosophy and system of practices within a system of social controls having specific values, norms, and ethics.
God is the center of many religions (major), but not all.



The three major sequential maturational crises for females include ______________.

  1. puberty, pregnancy, and menopause
  2. death of a spouse, menopause, and childbirth
  3. rape, divorce, and menarche
  4. dating, engagement, and separation

Answer(s): A

Explanation:

The three major sequential maturational crises affecting females are puberty, pregnancy, and menopause. These are life events that have been studied by many researchers and are considered the major events in a woman’s life.
Puberty is the onset menarche.
Pregnancy is a turning point in one’s life from which there is no return. Menopause is the cessation of menses.
The nurse has the responsibility to assess, plan, implement appropriate concepts to facilitate effective functioning, and enhance growth and development.
Choices “death of a spouse, menopause, and childbirth.”, “rape, divorce, and menarche.” and “dating, engagement, and separation.” are not sequential maturational crises.



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