CHPNA Pain and Symptom Management 3

Question 1

Which of the following best describes 'terminal restlessness'?

Accepted Answer

Agitation, confusion, and purposeless movements occurring near the end of life

Answer

A side effect of antibiotics

Answer

A sign of improving condition

Answer

Restlessness caused by caffeine

Question 2

Mouth care in hospice is important primarily because:

Accepted Answer

It reduces xerostomia (dry mouth) and improves comfort

Answer

It prevents tooth decay for future dental visits

Answer

It is required by insurance companies

Answer

It prevents pneumonia in all cases

Question 3

Which assessment tool is used to evaluate pain in non-verbal or cognitively impaired patients?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia) Scale

Answer

Numeric Rating Scale (0–10)

Answer

Glasgow Coma Scale

Answer

APGAR Score

Question 4

When performing skin care for a hospice patient with edema, the nursing assistant should:

Accepted Answer

Handle the skin gently, keep it clean and dry, and report any skin breakdown

Answer

Apply firm pressure to reduce swelling

Answer

Massage edematous areas vigorously

Answer

Ignore minor skin changes

Question 5

What is 'Cheyne-Stokes' breathing?

Accepted Answer

A pattern of breathing with cycles of increasing and decreasing depth followed by periods of apnea

Answer

Rapid, shallow breaths indicating pain

Answer

Normal breathing at rest

Answer

Breathing that requires supplemental oxygen

Question 6

Which of the following is the nursing assistant's role in pain management?

Accepted Answer

Observing and reporting pain, providing comfort measures, and assisting with positioning

Answer

Prescribing PRN pain medications

Answer

Adjusting opioid dosages

Answer

Ordering pain consultations