CHPN FREE Hospice and Palliative Nurse MCQ Questions and Answers 3

Question 1

A palliative care patient with a bowel obstruction and a life expectancy of days is experiencing nausea and vomiting. Which pharmacologic approach is most appropriate?

Accepted Answer

Octreotide to reduce intestinal secretions

Answer

Metoclopramide to promote gastric motility

Answer

Oral polyethylene glycol for bowel preparation

Answer

Bisacodyl suppository to stimulate peristalsis

Question 2

According to Medicare hospice benefit guidelines, which criterion must be met for a patient to be eligible for hospice services?

Accepted Answer

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

Answer

The patient must have a do-not-resuscitate order in place

Answer

The patient must be bedbound and unable to perform any self-care

Answer

All curative treatments must have been attempted and failed

Question 3

Which of the following is a hallmark sign that distinguishes terminal restlessness from undertreated pain in a dying patient?

Accepted Answer

Purposeless, repetitive movements with fluctuating consciousness

Answer

Guarding and grimacing localized to a specific body region

Answer

Vital sign changes including tachycardia and hypertension

Answer

Verbal reports of pain rated greater than 7 on a numeric scale

Question 4

A hospice patient with advanced cancer develops hypercalcemia. Which symptom cluster should the nurse most expect to assess?

Accepted Answer

Confusion, constipation, polyuria, and nausea

Answer

Peripheral edema, orthopnea, and jugular vein distension

Answer

Petechiae, epistaxis, and prolonged bleeding

Answer

Stridor, facial swelling, and upper extremity edema

Question 5

Which ethical principle is the hospice nurse primarily applying when administering increasing doses of morphine to relieve intractable pain, knowing it may hasten death?

Accepted Answer

The principle of double effect

Answer

The principle of justice

Answer

The principle of veracity

Answer

The principle of fidelity

Question 6

A hospice interdisciplinary team is developing a bereavement plan. How long after a patient's death does Medicare require hospice programs to offer bereavement services to the family?

Accepted Answer

Up to 13 months

Answer

Up to 6 months

Answer

Up to 24 months

Answer

Up to 3 months