CHPNA Personal Care and Activities of Daily Living

Question 1

When providing oral care to an unconscious hospice patient, what is the most important safety precaution?

Accepted Answer

Position the patient's head to the side to prevent aspiration

Answer

Turning the head to the side allows fluids to drain out and prevents aspiration into the airway in a patient who cannot protect their own airway.

Question 2

How often should a bedridden hospice patient typically be repositioned to prevent pressure injuries?

Accepted Answer

Every 2 hours

Answer

Repositioning every 2 hours relieves prolonged pressure on bony prominences and reduces the risk of pressure injuries in immobile patients.

Question 3

When assisting a hospice patient with a bed bath, which approach best supports patient dignity?

Accepted Answer

Expose only the body part being washed while keeping the rest covered

Answer

Exposing only one body part at a time preserves privacy, maintains warmth, and respects the patient's dignity during personal care.

Question 4

When performing passive range-of-motion exercises on a hospice patient, what is the key principle to follow?

Accepted Answer

Support the joint above and below and move slowly within the pain-free range

Answer

Supporting the joint above and below while moving slowly within the pain-free range prevents injury and discomfort during passive range-of-motion exercises.

Question 5

When providing perineal care to a female hospice patient, in which direction should the nursing assistant cleanse?

Accepted Answer

From front to back

Answer

Cleansing from front to back (urethra toward rectum) prevents the introduction of fecal bacteria into the urinary tract, reducing infection risk.

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