CHPN FREE Certified Hospice and Palliative Nurse Questions and Answers 3

Question 1

A hospice nurse is caring for a patient whose family insists on continuing aggressive IV fluid resuscitation despite the patient's advance directive declining such measures. What should the nurse do FIRST?

Accepted Answer

Review the advance directive with the family and explain the patient's documented wishes

Answer

The nurse should first educate the family about the patient's advance directive and facilitate understanding before escalating to other team members.

Question 2

Which medication is most commonly used to manage terminal secretions (death rattle) in a hospice patient?

Accepted Answer

Glycopyrrolate

Answer

Glycopyrrolate is an anticholinergic agent that effectively reduces terminal secretions by decreasing saliva and mucus production.

Question 3

A hospice patient with a history of opioid use is experiencing nausea and sedation on their current morphine regimen but has inadequate pain relief. Which strategy is most appropriate?

Accepted Answer

Opioid rotation to a different opioid at an equianalgesic dose

Answer

Opioid rotation involves switching to a different opioid to achieve better pain control with fewer side effects due to incomplete cross-tolerance.

Question 4

According to the Medicare Hospice Benefit, which criterion must be met for a patient to be eligible for hospice services?

Accepted Answer

Two physicians certify a life expectancy of six months or less if the disease runs its normal course

Answer

Medicare hospice eligibility requires certification by two physicians that the patient's life expectancy is six months or less if the terminal illness follows its expected trajectory.

Question 5

Which assessment tool is specifically designed to evaluate pain in non-verbal or cognitively impaired hospice patients?

Accepted Answer

FLACC scale

Answer

The FLACC scale assesses pain through behavioral indicators such as facial expression, leg movement, activity, cry, and consolability in patients who cannot self-report.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN FREE Certified Hospice and Palliative Nurse Questions and Answers 3