AOCNP Palliative Care and Symptom Management 2

Question 1

Which scale is most widely validated for assessing pain intensity in cognitively intact cancer patients?

Accepted Answer

Numeric Rating Scale (NRS 0–10)

Answer

The 0–10 Numeric Rating Scale is the most widely validated and recommended self-report pain intensity tool for cognitively intact adults.

Question 2

Palliative sedation is ethically appropriate when:

Accepted Answer

Refractory symptoms cannot be controlled by other means near end of life

Answer

Palliative sedation is ethically justified only for refractory, intractable symptoms at the end of life when all other interventions have failed.

Question 3

The Edmonton Symptom Assessment System (ESAS) measures which of the following?

Accepted Answer

Nine common symptoms including pain, fatigue, and anxiety on a 0–10 scale

Answer

The ESAS assesses nine symptoms (pain, fatigue, nausea, depression, anxiety, drowsiness, appetite, wellbeing, dyspnea) each on a 0–10 scale.

Question 4

Which medication is first-line for neuropathic pain in cancer patients?

Accepted Answer

Gabapentin or pregabalin

Answer

Gabapentinoids (gabapentin or pregabalin) are first-line adjuvant analgesics for neuropathic pain in cancer patients.

Question 5

Opioid rotation is indicated when a patient experiences:

Accepted Answer

Inadequate analgesia or intolerable side effects despite dose optimization

Answer

Opioid rotation is indicated for inadequate pain control or unmanageable adverse effects, exploiting incomplete cross-tolerance to achieve a better balance.

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP Palliative Care and Symptom Management 2