CHPN CHPN - Certified Hospice and Palliative Nurse Pain Management Strategies Questions and Answers 2

Question 1

A hospice patient with advanced pancreatic cancer reports deep, poorly localized abdominal pain that is constant and aching. Which type of pain does this most likely represent?

Accepted Answer

Visceral pain

Answer

Deep, poorly localized, constant aching pain originating from internal organs is characteristic of visceral pain.

Question 2

Which assessment tool is most appropriate for evaluating pain in a hospice patient with advanced dementia who is nonverbal?

Accepted Answer

PAINAD scale

Answer

The Pain Assessment in Advanced Dementia (PAINAD) scale uses behavioral observations to assess pain in nonverbal patients.

Question 3

A patient on long-term opioid therapy develops tolerance. Which clinical finding best indicates opioid tolerance rather than disease progression?

Accepted Answer

Decreased duration of analgesia with stable disease imaging

Answer

Shortened duration of analgesia despite stable disease on imaging suggests pharmacologic tolerance rather than worsening pathology.

Question 4

When rotating from oral morphine to transdermal fentanyl in a hospice patient, which principle is most important to apply?

Accepted Answer

Use equianalgesic conversion tables and reduce the calculated dose by 25-50% for incomplete cross-tolerance

Answer

Equianalgesic conversion with a 25-50% dose reduction accounts for incomplete cross-tolerance and reduces overdose risk during opioid rotation.

Question 5

A hospice nurse is managing a patient with severe neuropathic pain from chemotherapy-induced peripheral neuropathy. Which medication class is considered first-line adjuvant therapy for this type of pain?

Accepted Answer

Anticonvulsants such as gabapentin or pregabalin

Answer

Anticonvulsants like gabapentin and pregabalin are first-line adjuvant agents for neuropathic pain due to their action on calcium channels.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN CHPN - Certified Hospice and Palliative Nurse Pain Management Strategies Questions and Answers 2