CHPNA Personal Care and Activities of Daily Living 2

Question 1

A hospice patient with dysphagia is being assisted with a meal. What position is safest to reduce aspiration risk?

Accepted Answer

Sitting upright at 90 degrees or as close as tolerated

Answer

An upright position of 90 degrees uses gravity to direct food and liquid down the esophagus rather than into the airway, reducing aspiration risk.

Question 2

When assisting a patient with a weak left arm to get dressed, which arm should be dressed first?

Accepted Answer

The left (weaker) arm first

Answer

Dressing the weaker arm first reduces the amount of manipulation needed and makes it easier to get the garment on without overstretching the affected limb.

Question 3

Which skin care measure is most effective in preventing pressure injuries in a bedridden hospice patient?

Accepted Answer

Keeping the skin clean and dry and using a moisture barrier as needed

Answer

Keeping skin clean and dry while using moisture barriers prevents maceration and skin breakdown that leads to pressure injuries.

Question 4

When performing a back massage for a hospice patient, which area should be avoided?

Accepted Answer

Directly over the spine and bony prominences

Answer

Massaging directly over the spine or bony prominences can cause tissue damage, especially in patients with fragile skin or compromised circulation.

Question 5

What is the recommended water temperature when bathing a hospice patient?

Accepted Answer

Warm water around 105 to 110°F tested with a thermometer or the wrist

Answer

Warm water around 105 to 110°F is comfortable and safe; testing with a thermometer or wrist prevents burns, especially for patients with decreased sensation.

CHPNA - Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA - Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA Personal Care and Activities of Daily Living 2