CHPN Study Guide 2026
Everything you need to pass the CHPN exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 CHPN Exam Format at a Glance
📚 CHPN Topics to Study (37)
✍️ Sample CHPN Questions & Answers
1. A patient with end-stage COPD experiences refractory dyspnea despite optimized bronchodilators. Which pharmacologic intervention has the strongest evidence for relieving dyspnea in this setting?
Low-dose systemic opioids have the strongest evidence base for relieving refractory dyspnea in end-stage lung disease.
2. Which of the following is the most important nursing documentation required immediately following a hospice patient's death?
Documentation must include the exact time of death, clinical findings confirming death, all notifications made (physician, funeral home, supervisor), and the emotional status of those present.
3. Which symptom cluster is most characteristic of opioid toxicity in a hospice patient?
Opioid toxicity classically presents with myoclonus, delirium/confusion, and miosis (pinpoint pupils), often prompting opioid rotation.
4. A family member is crying intensely and saying 'I can't believe she's gone' immediately after the patient's death. The hospice nurse's best response is:
Acute grief immediately after death requires compassionate, non-judgmental presence; the nurse should sit with the family, allow emotional expression, and provide supportive silence or validation.
5. Which assessment tool is most appropriate to evaluate a hospice patient's spiritual distress?
The FICA Spiritual History Tool assesses Faith, Importance, Community, and Address, making it appropriate for spiritual distress evaluation in hospice.
6. When a CHPN professional identifies a potential regulatory violation, the CORRECT first step is to:
Proper documentation and reporting through established channels ensures accountability.