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CHPN Exam – Questions & Correct Answers (Rated A+)
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CHPN Exam – Questions & Correct Answers (Rated A+)
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CHPN Exam – Questions & Correct Answers (Rated A+)A 67 yr old patient who has end-stage pancreatic cancer reports a
progressively decreased ability to perform ADLs and significant weight loss.
The hospice nurse knows that:
A. the patient's symptoms are consistent with the beginning of a predictable
period of decline commonly associated with cancer diagnoses
B. the patient will recover from this exacerbation but will not return to the
previous level of functioning
C. the symptoms that the patient has reported are not related to the cancer
diagnosis
D. the IDT should discuss appetite-enhancing medications and the use of a
stimulant to combat fatigue Right Ans - A
A patient who has recently been diagnosed with early-onset Alzheimer's-type
dementia asks, "How long do I have before things get really bad?" The nurse's
best response is:
A. patients who have dementia often live for many years and experience a
gradual decline in functioning over time
B. you will most likely notice severe cognitive and phsyical changes within the
next few months
C. in early-onset dementia, there is a lengthy period of relative wellness
followed by rapid decline
D. over the next few years, you will experience periods of wellness with acute
exacerbations from time to time Right Ans - A
A 76 yr old palliative care patient who has end-stage COPD lives alone and is
concerned that emergency responders will perofmr CPR if they are called to
her home. At this time, the nurse should discuss:
A. legal guardianship
B. MPOA
C. a living will
D. a physician order for life-sustaining treatment (POLST) Right Ans - D
A living will ensures that:
A. a designated person can make decisions can make decisions for the patient
when the patient is no longer abble to speak for him/herself
B. a patient's wishes will be known when the patient can no longer speak for
him/herself
,C. a healthcare provider can order end of life care
D. emergency responders can forego life-saving treatments Right Ans - B
A patient is very distraught and tells the nurse that she has just been
diagnosed with breast cancer and her doctor recommended palliative care.
She asks, "Does this mean it's terminal?" The nurse's best responses is:
A. palliative care is the same as end of life care; the goal is to keep you
comfortable
B. palliative care is aimed at managing symptoms and can be incorporated
into your other treatments
C. a recommendation for palliative care means that your cancer is very
advanced
D. there is no way to determine how advanced the cancer is right now
Right Ans - B
Patients who have end stage dementia usually have a FAST score of:
A. 1
B. 3
C. 7
D. 10 Right Ans - C
To be eligible for hospice, a patient who has cancer must:
A. have another end stage disease
B. choose to forego curative treatments
C. have an eastern cooperative oncology group (ECOG) score of 0
D. have a PPS score of > 80 Right Ans - B
a 70 yr old patient who has end stage renal disease stopped dialysis yesterday
and has been referred to hospice. During the admission intake, he tells the
nurse that he would like to purse renal transplantation. The most appropriate
intervention is to:
A. request a referral for evaluation for transplantation
B. tell the patient he is not eligible for hospice
C. call the hospice MD for advice
D. arrange a meeting for the patient and IDT Right Ans - D
The wife of a critically ill patient in the ICU asks the nurse about palliative
care. The nurse's best response is:
,A. "I'll request a referral and arrange a meeting for you with the palliative care
team"
B. "Do you think your spouse might die soon?"
C. "palliative care is not appropriate in the ICU"
D. "tell me more about why you would request palliative care" Right Ans -
A
Which of the following is not a common sign of imminent death?
A. irregular breathing pattern
B. seizures
C. confusion
D. cyanosis Right Ans - B
When evaluating a new hospice nurse during orientation, it is important to
correct which of the following statements?
A. "terminal secretions dont indicate pain"
B. 'I will need to perform deep suctioning for a patient with terminal
secretions"
C. "when a patient has terminal secretions, I can reposition them to diminish
the sound."
D. "families should know that terminal secretions are part of the normal dying
process" Right Ans - B
Martin is a 79 yr old patient who has end stage lung cancer. Over the past few
weaks he has grown increasingly weak, become incontinent, become
bedbound. He has had no oral intake in the past 48 hours and is increasingly
somnolent. On today's visit, he only responds to tactile stimulatioon by
muttering and turning his head. His respirations are also labored and
secretions have increased. The most appropriate intervention is:
A. suction the patient now and PRN
B. administer haldol
C. discuss IV fluid replacement with the family
D. teach the family about the dying process Right Ans - D
A patient whose death is imminent exhibits deep respirations that are rapid
and labored. The hospice nurse should:
A. start supplemental oxygen
B. reposition the patient
C. administer an anticholinergic medication
, D. suction the patient's oropharynx Right Ans - B
An 86 yr old home care hospice patient with end stage breast cancer is
actively dying and is no longer able to take fluids orraly d/t dysphagia. The
patient appears comfortable. Her family is worried about dehydration. Which
of the following should the nurse do?
A. assure the family that she appears to be comfortable at present
B. start IV access
C.. encourage family to provide ice chips to patient
D. discuss transfer to an inpatient hospice setting Right Ans - A
Which of the following medicatoins should not be discontinued for an actively
dying hospice patient who can no longer swallow?
A. oral ER morphine
B. oral calcium supplement
C. lactulose
D. scopalomine Right Ans - D
An assessment of a home care hospice patient who is actively dying reveals a
quarter size blister in the sacral area. The nurse should:
A. cleanse the area vigorously with warm water
B. apply a barrier cream every 2 hours
C. teach the family that the blister can deteriorate into a full thickiness ulcer
very quickly
D.. contact the hospice social worker to discuss possible neglect Right Ans -
C
A patient in an inpatient hospice setting has terminal secretions. Which
intervention should the nurse implement first?
A. assess the patient for distress
B. administer glycopyrrolate
C. ausculatate the patient's lungs
D. provide supplemental oxygen Right Ans - A
A patient who has esophageal varices is admitted to the hospice inpatient unit.
Which of the following should the nurse have at the bedside?
A. ice chips
B. an obturator
C. suction equipment
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