CHPN FREE Certified Hospice and Palliative Nurse Questions and Answers 2

Question 1

A hospice patient with end-stage COPD develops increasing dyspnea despite maximum bronchodilator therapy. Which intervention is most appropriate to manage refractory dyspnea?

Accepted Answer

Low-dose oral morphine

Answer

Nebulized albuterol every 2 hours

Answer

Intubation and mechanical ventilation

Answer

Intravenous aminophylline

Question 2

Which statement best describes the role of the hospice nurse in facilitating a family meeting about goals of care?

Accepted Answer

The nurse ensures all family members understand the patient's prognosis and helps clarify the patient's wishes

Answer

The nurse tells the family what medical decisions to make

Answer

The nurse defers entirely to the physician for all communication

Answer

The nurse only documents the meeting and does not participate

Question 3

A terminally ill patient exhibits Cheyne-Stokes respirations, mottled extremities, and decreased urine output. What phase of dying do these signs indicate?

Accepted Answer

Active dying phase

Answer

Stable chronic illness phase

Answer

Acute exacerbation requiring hospitalization

Answer

Remission phase

Question 4

Which ethical principle is most directly involved when a hospice nurse respects a competent patient's decision to discontinue artificial nutrition?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Fidelity

Question 5

A hospice patient with bone metastases reports breakthrough pain rated 8/10 despite scheduled long-acting opioids. What is the most appropriate nursing intervention?

Accepted Answer

Administer the prescribed immediate-release opioid for breakthrough pain

Answer

Increase the long-acting opioid dose without physician consultation

Answer

Apply ice packs to the affected area only

Answer

Reassess pain in 4 hours before intervening

Question 6

In palliative care, what is the PRIMARY purpose of palliative sedation?

Accepted Answer

To relieve intractable suffering when all other interventions have failed

Answer

To hasten the patient's death

Answer

To reduce nursing workload during the night shift

Answer

To eliminate the need for family presence at the bedside