CHPN FREE Hospice and Palliative Nurse Questions and Answers 2

Question 1

A hospice patient with end-stage COPD develops increasingly severe dyspnea despite maximum bronchodilator therapy. Which pharmacologic intervention is most appropriate for refractory dyspnea?

Accepted Answer

Low-dose oral morphine

Answer

High-dose inhaled corticosteroids

Answer

Intravenous aminophylline

Answer

Nebulized epinephrine

Question 2

Which assessment tool is specifically validated for measuring pain in nonverbal or cognitively impaired hospice patients?

Accepted Answer

PAINAD scale

Answer

Wong-Baker FACES scale

Answer

Visual Analog Scale

Answer

McGill Pain Questionnaire

Question 3

A patient enrolled in hospice care wishes to pursue curative chemotherapy for a newly diagnosed secondary cancer. What is the nurse's most appropriate response?

Accepted Answer

Explain that the patient may revoke hospice to pursue curative treatment and can re-enroll later

Answer

Inform the patient that all curative treatments are permanently forfeited upon hospice enrollment

Answer

Administer the chemotherapy under the hospice benefit as palliative care

Answer

Discharge the patient from hospice without further discussion

Question 4

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

Accepted Answer

Hypercalcemia

Answer

Hyponatremia

Answer

Hyperkalemia

Answer

Hypophosphatemia

Question 5

During the active dying phase, a family member is distressed by the patient's loud, gurgling respirations. Which intervention should the hospice nurse implement first?

Accepted Answer

Reposition the patient and provide oral suctioning as needed

Answer

Administer intravenous fluids to thin secretions

Answer

Increase the oxygen flow rate to 6 liters per minute

Answer

Perform deep tracheal suctioning every 30 minutes

Question 6

A hospice nurse is providing bereavement support to a spouse who lost their partner 14 months ago. The spouse reports persistent yearning, difficulty accepting the death, and inability to engage in daily activities. Which condition should the nurse recognize?

Accepted Answer

Prolonged grief disorder

Answer

Normal grief response

Answer

Major depressive disorder

Answer

Post-traumatic stress disorder