CHPN Cheat Sheet 2026

The 30 highest-yield CHPN facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. Which hospice Medicare/Medicaid benefit service would be covered for the hospice patient? → Transportation and visits to the emergency room that are arranged by the hospice provider
2. Unilateral vesicular eruptions are observed by a nurse uWhich of the following describes the patient's back's dermatomal distribution ought to be doubted? → Herpes zoster
3. When educating a hospice patient about their right to revoke the hospice benefit, the nurse should explain that: → The patient may revoke at any time and return to curative treatment coverage
4. Which medication is most appropriate for managing terminal secretions (death rattle) in an actively dying hospice patient? → Glycopyrrolate
5. The daily maximum amount of acetaminophen is _ grams. → 2
6. Which of the following is an appropriate intervention for dyspnea in a hospice patient who is not responsive to supplemental oxygen? → Low-dose oral morphine
7. When discussing advance directives with a patient, the hospice nurse's PRIMARY role is to: → Ensure the patient understands their options and documents their wishes
8. What is terminal sedation (palliative sedation) primarily used for in hospice care? → To manage refractory symptoms that are unresponsive to other treatments
9. Which ethical principle is MOST directly supported when a hospice nurse honors a patient's decision to refuse artificial nutrition? → Autonomy
10. Renal failure's primary cause is → Diabetes
11. A hospice nurse is caring for a patient experiencing intractable hiccups lasting over 48 hours. Which medication may be prescribed to manage this symptom? → Chlorpromazine
12. A terminally ill patient exhibits Cheyne-Stokes respirations, mottled extremities, and decreased urine output. What phase of dying do these signs indicate? → Active dying phase
13. What is the primary goal of managing xerostomia (dry mouth) in a hospice patient who is no longer taking oral fluids? → Providing comfort and maintaining oral mucosa integrity
14. A hospice nurse is planning care for a patient with a PPS (Palliative Performance Scale) score of 30%. Which finding is most consistent with this score? → The patient is mainly bedbound with extensive assistance required for self-care
15. Which federal regulation requires hospice programs to conduct a comprehensive assessment of the patient's needs within a specific timeframe of admission? → Medicare Conditions of Participation
16. If the patient and family would like to engage in the IDT discussion in the hospice residential environment, what would be the appropriate course of action? → Hold the meeting at the patient's bedside.
17. Which assessment tool is specifically designed to evaluate pain in non-verbal or cognitively impaired hospice patients? → FLACC scale
18. During a family meeting, family members disagree about whether to continue tube feeding for an unresponsive hospice patient. The nurse's PRIMARY role is to: → Support the decision of the healthcare proxy or durable power of attorney for health care
19. Which researchers proposed the 'continuing bonds' theory of grief, challenging the idea that bereaved individuals must 'let go' of the deceased? → Klass, Silverman, and Nickman
20. Which assessment tool is most appropriate for evaluating delirium in a hospice patient? → Confusion Assessment Method (CAM)
21. Which of the following is a hallmark criterion for hospice eligibility under the Medicare benefit? → A prognosis of six months or less if the disease runs its normal course
22. In hospice care, what is the primary purpose of the interdisciplinary group (IDG) meeting? → To review and update each patient's plan of care collaboratively
23. Which factor is most associated with better bereavement outcomes for family caregivers following a hospice patient's death? → Strong social support and a sense of having provided good care during the illness
24. A hospice nurse is educating a family about the signs of imminent death. Which of the following is the MOST appropriate information to include? → Mottling of the skin and changes in breathing patterns are expected
25. A patient's sole experience with opioid use isnot grow accustomed to it. → Constipation
26. Patients receiving palliative care most frequently have the following types of pathological fractures: → Femur fracture
27. A patient with terminal cancer expresses that they feel their life has been meaningless. Which nursing intervention is most appropriate? → Offer a referral to the hospital chaplain or spiritual care provider
28. A hospice patient with a do-not-resuscitate order begins experiencing a seizure. What is the most appropriate nursing action? → Administer a prescribed benzodiazepine and protect the patient from injury
29. The needs of dying patients were disregarded in acute care settings, which gave rise to the modern hospice movement. Unlike acute care, hospice focuses on: → Comfort of the patient
30. Which situation best illustrates a boundary violation in the hospice nurse-patient relationship? → Accepting a large monetary gift from a patient's family during active care