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CERTIFIED HOSPICE PALLIATIVE NURSE CHPN EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CERTIFIED HOSPICE PALLIATIVE NURSE CHPN EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CERTIFIED HOSPICE PALLIATIVENURSE CHPN EXAM QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AIDSUinfectionU-UANSWERUBacterial,UViral,UFungal,UParasitic
AIDSUdementiaU-UANSWERUcausesUEncephalopathy,U15%Ueffected
ALSU(amyotrophicUlateralUsclerosis)U1stUsymptomU-
UANSWERUswallowingUdifficultyUfollowedUbyUdistalUweakness
CerebralUMetastasesU-UANSWERUBrainUmetsUaccountUforU40%UofUallUCancerUpatients.
CerebralUMetastasesUsymptomsU-UANSWERUHAUinitialUcomplaint,UN/V,Uconfusion,Ulethargy
LeukemiaU2UtypesU-UANSWERUchronicUandUacute
LeukemiaUClinicalUManifestationsU-
UANSWERUInfection,Ufever,UenlargedUliver,Uspleen,Ukidneys,Ubleeding/bruisingUnotUexplained,U&Uhemorrha
geU
pale,Upetechia,Upurpura
liverUfailureUsymptomsU-UANSWERUfatigue,Ujaundice,Uascites
DarkUurine,UgrayUstool,Ubruising
symptomsUofUbleedingUinternallyU-UANSWERUsuddenUfeverU>U101°,Udyspnea,UabdominalUpaik,Udehydration
LymphomaUtypesU-UANSWERUHodgkinsUandUNon-Hodgkins
,Hodgkin'sUdiseaseU-
UANSWERUpainlessUlymphUnodeUswelling,UgenerallyUinUupperUbody,UgeneralUfatigue,UweightUloss,Ufever,Unif
htUsweats,UbackUpain
Non-Hodgkin'sULymphomaU-UANSWERUsameUsymptomsUexceptUitchingU&UnightUsweats
Parkinson'sUdiseaseU-
UANSWERUSlowUprogressionUofUmotorUskills,UrestingUtremors,Uslowness,Urigidity.UtypicallyUinUpeopleU>65
ParkinsonUSigns/SymptomsU-
UANSWERUpillUrollingUmovementsUinUbands,UlossUofUfacialUexpression,UdifficultyUinitiatingUmovement,UgaitU
changes
RenalUCancer/symptomsU-
UANSWERUasymptomaticUearly.UGrossUhematuria,Udull,UachingUpain,UpalpableUabdomenUmass.
polycythemia-UHA,Udizzy,UveinUinflammation,Uitchy.Uhypercalcemia-
Utired,UpoorUappetite,Ufreq.Uurine,Uthirst,Un/v,Uconfusion,Uconstipation,UpoorUconcentration
sickleUcellUdiseaseU-UANSWERUpallor,Ujaundice,Uweakness,UfatigueUcommonUsymptoms
sickleUcellUcrisisU-
UANSWERUmultipleUpainUevents,UpaleUlips,Utongje,Upalms,UnailUbeds,Ulethargy,UdifficultyUarousing,UhighUfev
erU2Udays
sickleUcellUriskU-UANSWERUhighUr/oUbacterialUinfections
palliativeUsedationU-UANSWERUmidazolam,Upropofol
terminalUweaningU-UANSWERUgradualUwithdrawalUofUmechanicalUventilation
terminalUExtubationU-UANSWERUabruptURemovalUofUendotrachealUtube
, DeathURattleUMedsU-
UANSWERUanticholinergicUshouldUbeUgivenU@U1stUsiteUofUmoisture.UtheyUcannotUdryUupUsecretionsUalread
yUpresent
povertyUbarriersUatUEOLU-UANSWERUadditionalUchallengesUtoUEOLUcare.UlackUofUsupport.
BIPAPU(non-invasiveUventilation)U-
UANSWERUmayUbeUutilizedUatUEOLUforUdyspneaUinUsomeUptsUwhoUdoUnotUwantUtoUbeUintubatedUforURFUbutU
wantUsomethingUmoreUthanUsupplementalUo2.
ALSUhasUbeenUshownUtoUimproveUqualityUofUlife.
unhealthyUcopingUinUcaregiverU@UEOLU-
UANSWERUsigns:UnegativeUfeelingsU(anger),UwithholdingUinfoUtoUotherUfamily,UrefusingUassistance,Ufocusin
gUonUtheirUneedsUonly,UrefusingUtoUacknowledgeUorUaccommodateUdifferencesUinUopinionUamongUcaregive
rs.U
interveneUwithUassistance/resources
tricyclicUantidepressantsU-UANSWERUtxUneuropathicUpain.UHighUA/E
tricyclicUantidepressantsUA/EU-
UANSWERUAnticholinergicUcommon:UdryUmouth,UurinaryUretention,Utachycardia,Udelirium,UconstipationU
additional:Uarrhythmias,Usedation,UweightUgain,Usweating,UsexualUdysfunction.U
*ptUmayUrefuseUtoUcontinueUr/tUA/E
myoclonusU-
UANSWERUjerks,Usudden,Ubrief,UandUuncontrollableUmovement.UmostlyUupperUextremity.UmostUcommonUc
auseUisUopiod.UsignUofUopiodUtoxicity-UneedUtoUchangeUmeds.UNarcanUforUacuteUtx.U
benzosU&UantispasmodicsUcanUbeUtxUinU*some*Upts
HypercalcemiaU-
UANSWERUurgentU&UseriousUlateUstageUmalignancyU(unrelatedUtoUboneUmets).UnoUtxUresultsUinUdeath
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