Free ACHPN Intervention and Management Questions and Answers

Question 1

A patient complains of inability to sleep because of persistent severe restless legs syndrome. Which of the following medications is most indicated?

Accepted Answer

Pramipexole

Answer

Levo-dopa

Answer

Cabergoline

Answer

Gabapentin

Question 2

The factor that most indicates a risk of drug abuse or misuse after beginning chronic opioid therapy is:

Accepted Answer

personal/family history of substance abuse.

Answer

severe pain.

Answer

older age

Answer

preexisting cognitive impairment.

Question 3

For which of the following diagnoses may a patient be eligible for hospice care on diagnosis if the patient chooses to forego treatment?

Accepted Answer

Small cell lung cancer

Answer

Leukemia

Answer

Amyotrophic lateral sclerosis

Answer

Multiple myeloma

Question 4

An 80-year-old non-diabetic patient with renal failure who has refused hemodialysis and is not a candidate for kidney transplantation has requested hospice services. Which of the following laboratory findings supports admission to hospice?

Accepted Answer

Creatinine clearance <10 mL/min and serum creatinine >8.0 mg/dL.

Answer

Creatinine clearance <15 mL/min and serum creatinine >7.0 mg/dL.

Answer

Creatinine clearance <15 mL/min and serum creatinine >6.0 mg/dL.

Answer

Creatinine clearance <10 mL/min and serum creatinine >4 mg/dL.

Question 5

A patient with AIDS has a CD4+ count of 24, a viral load of 110,000, and a 35% drop in lean body mass. The Karnofsky Performance Scale score needed to qualify the patient for hospice care is:

Accepted Answer

<50.

Answer

<70.

Answer

<60.

Answer

<40.

Question 6

A 46-year-old male with HIV/AIDS has anorexia and marked weight loss. Which of the following drugs may be indicated to relieve nausea and improve appetite?

Accepted Answer

Dronabinol

Answer

Haloperidol

Answer

Compazine

Answer

Metoclopramide

Question 7

Following a stroke, a patient had progressed well but has become increasingly unwilling to carry out exercises or participate in activities of daily living. The patient has not joined in any activities in the unit and increasingly stays in her room with the blinds drawn. These observations are probably an indication of:

Accepted Answer

depression.

Answer

small strokes.

Answer

dementia

Answer

boredom.

Question 8

A hospice patient has increasing episodes of dyspnea, especially after exertion. The position of comfort that is most likely to reduce the dyspnea is:

Accepted Answer

leaning slightly forward in a chair with arms supported.

Answer

lying in bed with the head of the bed elevated to 45°.

Answer

sitting upright in a chair with arms hanging loosely to the sides.

Answer

leaning back in a recliner chair.

Question 9

A patient with peripheral edema and venous ulcers may benefit from an Unna's boot. Which of the following is a contraindication for application of the Unna's boot?

Accepted Answer

Bedbound status

Answer

Diabetes mellitus

Answer

Peripheral arterial disease

Answer

Ambulatory status

Question 10

If a patient with chronic bowel disease has developed persistent diarrhea, the treatment most indicated to control the diarrhea is:

Accepted Answer

loperamide.

Answer

codeine.

Answer

diphenoxylate.

Answer

methylcellulose.