CHPN FREE Hospice and Palliative Nurse MCQ Questions and Answers 2

Question 1

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

Accepted Answer

Low-dose oral morphine

Answer

Increasing the bronchodilator frequency

Answer

Initiating IV antibiotics

Answer

Performing a thoracentesis

Question 2

Which of the following best describes the concept of 'total pain' as defined by Dame Cicely Saunders?

Accepted Answer

Pain that encompasses physical, emotional, social, and spiritual dimensions

Answer

Pain that is rated 10 out of 10 on a numeric scale

Answer

Pain that requires multiple opioid medications simultaneously

Answer

Pain that cannot be managed with any available interventions

Question 3

A patient receiving around-the-clock morphine develops pinpoint pupils, excessive sedation, and a respiratory rate of 6 breaths per minute. What is the priority nursing intervention?

Accepted Answer

Administer naloxone as prescribed

Answer

Increase supplemental oxygen flow rate

Answer

Withhold the next scheduled dose and monitor

Answer

Reposition the patient to a side-lying position

Question 4

During a family meeting, the spouse of a terminally ill patient states, 'I don't want you to tell my husband he is dying.' What is the most appropriate nursing response?

Accepted Answer

Explore the spouse's concerns while reinforcing the patient's right to information

Answer

Agree to withhold the information to respect the family's wishes

Answer

Immediately inform the patient of the prognosis without the spouse present

Answer

Refer the situation to the ethics committee before taking any action

Question 5

Which scale is specifically designed to assess functional status and prognosis in palliative care patients?

Accepted Answer

Palliative Performance Scale (PPS)

Answer

Glasgow Coma Scale (GCS)

Answer

Braden Scale

Answer

Morse Fall Scale

Question 6

A hospice nurse is caring for a patient in the active dying phase who develops loud, gurgling respirations. The family is distressed. Which intervention should the nurse prioritize?

Accepted Answer

Reposition the patient and administer a prescribed anticholinergic medication

Answer

Perform deep oropharyngeal suctioning to clear secretions

Answer

Start IV fluids to thin the secretions

Answer

Instruct the family to leave the room until the sound stops