Practice Test GeeksCHPN - Certified Hospice and Palliative Nurse Practice Test
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Basic Questions Flashcards

7 cards from real CHPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Basic Questions flashcards as text

  1. A patient on hospice develops new-onset seizures. Which medication is most appropriate for sublingual or buccal administration at home?

    Answer: Lorazepam buccal or midazolam intranasal

    Buccal lorazepam or intranasal midazolam allows rapid seizure management at home when IV access is unavailable.

  2. Which is the MOST common complication of long-term opioid therapy requiring prophylactic treatment in hospice patients?

    Answer: Constipation

    Unlike most opioid side effects, constipation does not diminish with time and requires scheduled laxative prophylaxis.

  3. A patient with end-stage COPD reports air hunger rated 8/10. Their respiratory rate is 28 and O2 sat is 78%. The MOST appropriate intervention is:

    Answer: Administer a low-dose opioid as ordered for dyspnea

    Low-dose opioids are the most effective pharmacologic treatment for refractory dyspnea in end-stage disease and are a hospice standard.

  4. In the Kübler-Ross model, which stage involves the patient making deals with God or fate in hopes of prolonging life?

    Answer: Bargaining

    Bargaining is characterized by 'if only' statements and attempts to negotiate more time, often with a higher power.

  5. A hospice nurse notices a caregiver has not left the home in two weeks and appears exhausted. The PRIORITY intervention is:

    Answer: Arrange inpatient respite care to relieve the caregiver

    Inpatient respite care, covered by Medicare Hospice Benefit for up to 5 consecutive days, directly addresses caregiver burnout.

  6. Which scale is MOST commonly used in hospice settings to assess functional decline and estimate prognosis?

    Answer: Palliative Performance Scale (PPS)

    The Palliative Performance Scale measures ambulation, activity, self-care, intake, and consciousness to guide prognosis discussions.

  7. According to NHPCO standards, bereavement services for family members must be provided for at least how long after the patient's death?

    Answer: 12 months

    Medicare Conditions of Participation require hospices to provide bereavement follow-up for at least 13 months (commonly rounded to 12-13 months) post-death.