CHPN CHPN - Certified Hospice and Palliative Nurse Non-Pain Symptom Management Questions and Answers 3

Question 1

A hospice patient with a malignant bowel obstruction is experiencing nausea and vomiting. Which combination of medications is most appropriate for management?

Accepted Answer

Octreotide and haloperidol

Answer

Metoclopramide and bulk-forming laxatives

Answer

Docusate sodium and bisacodyl

Answer

Ondansetron and lactulose

Question 2

Which assessment tool is most appropriate for evaluating delirium in a hospice patient?

Accepted Answer

Confusion Assessment Method (CAM)

Answer

Braden Scale

Answer

Palliative Performance Scale

Answer

Edmonton Symptom Assessment System

Question 3

A patient with terminal cancer develops malignant hypercalcemia presenting with confusion, constipation, and polyuria. What is the first-line treatment in the hospice setting if the patient and family desire intervention?

Accepted Answer

IV normal saline hydration and bisphosphonates

Answer

Oral calcium supplements

Answer

High-dose corticosteroids

Answer

Immediate dialysis

Question 4

A hospice nurse notices a patient with end-stage dementia is grimacing and resistive to care. The patient is nonverbal. Which validated tool should the nurse use to assess for distress?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

Visual Analog Scale (VAS)

Answer

Numeric Rating Scale (NRS)

Answer

Brief Pain Inventory

Question 5

What is the most common cause of pruritus in patients with end-stage renal disease receiving hospice care?

Accepted Answer

Uremic toxin accumulation in the skin

Answer

Allergic dermatitis

Answer

Medication side effects from opioids

Answer

Fungal skin infections

Question 6

A hospice patient with lung cancer develops superior vena cava syndrome with facial swelling and dyspnea. What is the most appropriate initial palliative intervention?

Accepted Answer

High-dose corticosteroids and elevation of the head of bed

Answer

Immediate surgical bypass of the SVC

Answer

Administration of IV antibiotics

Answer

Therapeutic thoracentesis