ELNEC PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Which of the following family members is at greatest risk for complicated
grief?The wife of 60 years who has provided care for three years to her
husband with Alzheimer's diseaseThe son who lives out of town and has
only been able to see his dad once a week for the past six months.The
female partner of a woman whose family has embraced her as family.The
daughter who has a long history of substance use and has just recently
returned home to be at her dying mother's bedside..
Answer: The daughter who has a long history of substance use and has just
recently returned home to be at her dying mother's bedside.
◍ Mr. C, whose wife of 14 years died five months ago, returns to your unit to
thank you all for your great care. He states, "I still can't get through a week
without crying sometimes. I know I should be at least starting to move on a
bit." Your best response would be:"Most people find it takes six months
before things get back to normal.""It is still so soon after your wife's death; I
am sure you will be feeling better soon.""This is very hard; can you tell me
a bit about what moving on means to you?""Perhaps you would like to have
individual counseling for more intensive therapy.".
Answer: "This is very hard; can you tell me a bit about what moving on
means to you?"
◍ Naloxone (Narcan).
Answer: Respiratory depression can be reversed using __________.
Administer it SLOWLY so pain doesn't return!
◍ Mr. Jones is taking two oxycodone/acetaminophen 5/325 mg tablets every
four hours for bone pain related to metastatic cancer. His pain is a constant 6
on a 0 to 10 scale. Since the current regiment is not meeting his goals, and is
, keeping him from moving, you decide to call his physician. The doctor
suggests increasing the medication to two tablets every three hours
around-the-clock. What would your action be?-
A. question the safety of the total daily dose of acetaminophen that Mr.
Jones would be taking-
B. accept the orders and provide education to Mr. Jones on the charge-
C. accepts the orders but tell Mr. Jones to continue taking the medication
every four hours-
D. tell the physician that this medication is too severe for this type of pain.
Answer: A. question the safety of the total daily dose of acetaminophen that
Mr. Jones would be taking
◍ True.
Answer: T or F: Hospice is based on the idea that dying is a part of the
normal life cycle.
◍ You are caring for an older adult client with rectal cancer who is incontinent
of urine and stool. The client has had five liquid bowel movements today.
What interventions should you include in the plan of care?.
Answer: Provide diligent perineal care.
◍ model of quality of life.
Answer: Physical Well-Beingsymptom management ( how much are they
coughing, how fatigue are they, are we controlling pain)Psychological
Well-Beingare they depressed?, Social Well-Beingare they isolating
themselves or interacting with those around them. Spiritual Well-Beingwhat
is there believes and thoughts. patients who have a better understanding of
there spiritual well being have better understanding of there pain control/
symptom management
◍ Learning Objectives.
Answer: Discuss key concepts that are part of end-of-life care as nurses
guide patients and families in preparing for death.Describe nursing care
related to the holistic needs of patients and families in the final hours of
life.Describe the provision of care for the body after death.
, ◍ Mr. T is taking an NSAID for bone pain. Which of the following statements
suggest he may be experiencing a worrisome side effect from the NSAID?-
A. I am having muscle twitching-
B. I noticed that my skin has gotten very dry-
C. Yesterday I had an episode of black, tarry stools-
D. my eyes have been very itchy and irritated lately.
Answer: C. yesterday I had an episode of black, tarry stools
◍ True.
Answer: T or F: Quality of life is important, often even more important than
the length of life.
◍ Barriers to Communication:.
Answer: fears, lack of experience, ethical/moral conflict, and lack of cultural
humility from members of the healthcare team or structurally within an
organization
◍ A client who is dying has begun breathing irregularly, even going 10 to 15
seconds without a breath. The family asks the nurse to call respiratory
therapy to see what they can do to help the client's breathing. How should
the nurse respond?I can call them, but I don't think there is anything they
can do to make this better.We don't need to do that; I am sure their breathing
is not bothersome to them.Their breathing pattern is difficult to watch, but
the irregularity is an expected part of the dying process.I will call the
healthcare provider to ask if we can give more oxygen to help their
breathing..
Answer: Their breathing pattern is difficult to watch, but the irregularity is
an expected part of the dying process.
◍ During admission, the provider asked the client with end-stage renal disease
if they would like to have all available treatments, including CP
R. The client asks the nurse for help deciding. What is the nurse's BEST
response?CPR saves lives. You should want everything possible done.What
do you know about CPR? Have you ever heard about it before?That is really
your decision to make; I cannot help you.I have seen CPR done, and it is
QUESTIONS WITH ANSWERS GRADED A+
◍ Which of the following family members is at greatest risk for complicated
grief?The wife of 60 years who has provided care for three years to her
husband with Alzheimer's diseaseThe son who lives out of town and has
only been able to see his dad once a week for the past six months.The
female partner of a woman whose family has embraced her as family.The
daughter who has a long history of substance use and has just recently
returned home to be at her dying mother's bedside..
Answer: The daughter who has a long history of substance use and has just
recently returned home to be at her dying mother's bedside.
◍ Mr. C, whose wife of 14 years died five months ago, returns to your unit to
thank you all for your great care. He states, "I still can't get through a week
without crying sometimes. I know I should be at least starting to move on a
bit." Your best response would be:"Most people find it takes six months
before things get back to normal.""It is still so soon after your wife's death; I
am sure you will be feeling better soon.""This is very hard; can you tell me
a bit about what moving on means to you?""Perhaps you would like to have
individual counseling for more intensive therapy.".
Answer: "This is very hard; can you tell me a bit about what moving on
means to you?"
◍ Naloxone (Narcan).
Answer: Respiratory depression can be reversed using __________.
Administer it SLOWLY so pain doesn't return!
◍ Mr. Jones is taking two oxycodone/acetaminophen 5/325 mg tablets every
four hours for bone pain related to metastatic cancer. His pain is a constant 6
on a 0 to 10 scale. Since the current regiment is not meeting his goals, and is
, keeping him from moving, you decide to call his physician. The doctor
suggests increasing the medication to two tablets every three hours
around-the-clock. What would your action be?-
A. question the safety of the total daily dose of acetaminophen that Mr.
Jones would be taking-
B. accept the orders and provide education to Mr. Jones on the charge-
C. accepts the orders but tell Mr. Jones to continue taking the medication
every four hours-
D. tell the physician that this medication is too severe for this type of pain.
Answer: A. question the safety of the total daily dose of acetaminophen that
Mr. Jones would be taking
◍ True.
Answer: T or F: Hospice is based on the idea that dying is a part of the
normal life cycle.
◍ You are caring for an older adult client with rectal cancer who is incontinent
of urine and stool. The client has had five liquid bowel movements today.
What interventions should you include in the plan of care?.
Answer: Provide diligent perineal care.
◍ model of quality of life.
Answer: Physical Well-Beingsymptom management ( how much are they
coughing, how fatigue are they, are we controlling pain)Psychological
Well-Beingare they depressed?, Social Well-Beingare they isolating
themselves or interacting with those around them. Spiritual Well-Beingwhat
is there believes and thoughts. patients who have a better understanding of
there spiritual well being have better understanding of there pain control/
symptom management
◍ Learning Objectives.
Answer: Discuss key concepts that are part of end-of-life care as nurses
guide patients and families in preparing for death.Describe nursing care
related to the holistic needs of patients and families in the final hours of
life.Describe the provision of care for the body after death.
, ◍ Mr. T is taking an NSAID for bone pain. Which of the following statements
suggest he may be experiencing a worrisome side effect from the NSAID?-
A. I am having muscle twitching-
B. I noticed that my skin has gotten very dry-
C. Yesterday I had an episode of black, tarry stools-
D. my eyes have been very itchy and irritated lately.
Answer: C. yesterday I had an episode of black, tarry stools
◍ True.
Answer: T or F: Quality of life is important, often even more important than
the length of life.
◍ Barriers to Communication:.
Answer: fears, lack of experience, ethical/moral conflict, and lack of cultural
humility from members of the healthcare team or structurally within an
organization
◍ A client who is dying has begun breathing irregularly, even going 10 to 15
seconds without a breath. The family asks the nurse to call respiratory
therapy to see what they can do to help the client's breathing. How should
the nurse respond?I can call them, but I don't think there is anything they
can do to make this better.We don't need to do that; I am sure their breathing
is not bothersome to them.Their breathing pattern is difficult to watch, but
the irregularity is an expected part of the dying process.I will call the
healthcare provider to ask if we can give more oxygen to help their
breathing..
Answer: Their breathing pattern is difficult to watch, but the irregularity is
an expected part of the dying process.
◍ During admission, the provider asked the client with end-stage renal disease
if they would like to have all available treatments, including CP
R. The client asks the nurse for help deciding. What is the nurse's BEST
response?CPR saves lives. You should want everything possible done.What
do you know about CPR? Have you ever heard about it before?That is really
your decision to make; I cannot help you.I have seen CPR done, and it is
