CHPN FREE Hospice and Palliative Nurse Guide Questions and Answers 3

Question 1

Which of the following is an appropriate intervention for dyspnea in a hospice patient who is not responsive to supplemental oxygen?

Accepted Answer

Low-dose oral morphine

Answer

Increasing oxygen flow to 15 liters per minute

Answer

Administering a bronchodilator nebulizer only

Answer

Initiating mechanical ventilation

Question 2

A hospice patient of Buddhist faith requests that the body remain undisturbed for several hours after death. How should the nurse respond?

Accepted Answer

Respect the request and coordinate with the care team to accommodate it

Answer

Explain that hospital policy requires immediate post-mortem care

Answer

Contact the chaplain to discourage the practice

Answer

Proceed with standard post-mortem procedures after a brief delay

Question 3

What is the most common reason hospice patients are discharged alive from hospice services?

Accepted Answer

The patient's condition stabilizes or improves beyond hospice eligibility

Answer

The patient requests transfer to a higher level of acute care

Answer

Insurance coverage is denied

Answer

The family relocates to another state

Question 4

Which electrolyte imbalance is most commonly associated with malignancy and can cause confusion, nausea, and cardiac arrhythmias in hospice patients?

Accepted Answer

Hypercalcemia

Answer

Hyponatremia

Answer

Hyperkalemia

Answer

Hypophosphatemia

Question 5

In the hospice interdisciplinary team model, which team member is primarily responsible for coordinating the overall plan of care?

Accepted Answer

Registered nurse case manager

Answer

Social worker

Answer

Chaplain

Answer

Hospice medical director

Question 6

A hospice patient with a do-not-resuscitate order begins experiencing a seizure. What is the most appropriate nursing action?

Accepted Answer

Administer a prescribed benzodiazepine and protect the patient from injury

Answer

Initiate CPR per standard protocol

Answer

Call 911 for emergency transport

Answer

Withhold all interventions because the patient has a DNR