Page 1 of 57
2026 CHPN (CERTIFIED HOSPICE AND
PALLIATIVE NURSE) EXAM COMPLETE
CURRENT TESTING QUESTION AND
DETAILED CORRECT ANSWER (VERIFIED)
TOP-RATED A+.
CHPN
Ace your CHPN (Certified Hospice and Palliative Nurse) exam by
mastering pain and symptom management, ethical end-of-life
care, and interdisciplinary support for patients and families. This
exam evaluates your clinical judgment in providing
compassionate, holistic care during serious illness and the dying
process. It is specifically designed to validate your expertise and
certify your competency in this specialized nursing field.
Calculations for dose conversion ✓ ✓...... ANSWER .......
current 24 hr dose multiplied by:
new drug 24 hr equiv dose
÷------------------------------ ÷
current drug 25 hr equiv dose = new 24 hr dose
new 24 hr dose
, Page 2 of 57
÷---------------÷ = new dosage
doses per day
tx neuropathic pain ✓ ✓...... ANSWER ....... 3 drug
classes: anticonvulsant, anesthetics, antidepressants
some are PRN but most scheduled
meds: amitriptyline, nortriptyline, duloxetine, gabapentin,
topical lidocaine, opiods, & pregabalin
bone pain ✓ ✓...... ANSWER ....... opiods &
NSAIds/COX-2 inhibitors used. morphine + ibuprofen
common
others surgery removal tumor, targeted chemo/radiation
hormone therapy estrogen/androgen CA
HIV/AIDS pain sources ✓ ✓...... ANSWER ....... 1)
Apthous: Canker sore, ulcer & oral candidiasis
2) Arthalgia: joint pain w/ heat, redness, loss motion
3) Hepatoxicity: liver damage (N/V/D, jaundice
4) Herpes
, Page 3 of 57
5) Isoporiasis: diarrhea, fever, HA
6) Myalgia: muscle pain/general
7) neuralgia/neuropathy: chronic
8) Pancreatitis
9) Shingles: Varicella zoster (VZV)
10) SJS (steven Johnson syndrome): severe-fatal skin rash w/
red blistered and painful spots
Acetaminophen (Tylenol) ✓ ✓...... ANSWER ....... safest
long term use
tx mild pain or as an adjuvant
good for arthritis, musculoskeletal pain
limited anti inflammatory nature
caution w/ renal/liver, ETOH abuse
dose separately from opiod
agitation ✓ ✓...... ANSWER ....... calm environment
most effective
re-orient
, Page 4 of 57
Anxiety roots ✓ ✓...... ANSWER ....... 1) Cardo: MI,
angina, CHF, etc.
2) Endo: Blood sugar, thyroid
3) Metabolic: Potassium, anemia
4) Neoplasm: Adenomas, carcinoma
5) Neuro: Seizure, vertigo, lesions, encephalopathy
6) Resp: Hypoxia, asthma, COPD
ascites ✓ ✓...... ANSWER ....... abnormal accumulation
of fluid in the abdomen.
tx: restrict sodium & fluid
Ascites Treatment ✓ ✓...... ANSWER .......
Spironolactone and furosemide (100:40) or (400:80)
dehydration can occur from lasix & encephalopathy,
prerenal Failure
mixed ascites ✓ ✓...... ANSWER ....... dietary changes
are needed in addition to
dec. fat intake, increase triglycerides.
2026 CHPN (CERTIFIED HOSPICE AND
PALLIATIVE NURSE) EXAM COMPLETE
CURRENT TESTING QUESTION AND
DETAILED CORRECT ANSWER (VERIFIED)
TOP-RATED A+.
CHPN
Ace your CHPN (Certified Hospice and Palliative Nurse) exam by
mastering pain and symptom management, ethical end-of-life
care, and interdisciplinary support for patients and families. This
exam evaluates your clinical judgment in providing
compassionate, holistic care during serious illness and the dying
process. It is specifically designed to validate your expertise and
certify your competency in this specialized nursing field.
Calculations for dose conversion ✓ ✓...... ANSWER .......
current 24 hr dose multiplied by:
new drug 24 hr equiv dose
÷------------------------------ ÷
current drug 25 hr equiv dose = new 24 hr dose
new 24 hr dose
, Page 2 of 57
÷---------------÷ = new dosage
doses per day
tx neuropathic pain ✓ ✓...... ANSWER ....... 3 drug
classes: anticonvulsant, anesthetics, antidepressants
some are PRN but most scheduled
meds: amitriptyline, nortriptyline, duloxetine, gabapentin,
topical lidocaine, opiods, & pregabalin
bone pain ✓ ✓...... ANSWER ....... opiods &
NSAIds/COX-2 inhibitors used. morphine + ibuprofen
common
others surgery removal tumor, targeted chemo/radiation
hormone therapy estrogen/androgen CA
HIV/AIDS pain sources ✓ ✓...... ANSWER ....... 1)
Apthous: Canker sore, ulcer & oral candidiasis
2) Arthalgia: joint pain w/ heat, redness, loss motion
3) Hepatoxicity: liver damage (N/V/D, jaundice
4) Herpes
, Page 3 of 57
5) Isoporiasis: diarrhea, fever, HA
6) Myalgia: muscle pain/general
7) neuralgia/neuropathy: chronic
8) Pancreatitis
9) Shingles: Varicella zoster (VZV)
10) SJS (steven Johnson syndrome): severe-fatal skin rash w/
red blistered and painful spots
Acetaminophen (Tylenol) ✓ ✓...... ANSWER ....... safest
long term use
tx mild pain or as an adjuvant
good for arthritis, musculoskeletal pain
limited anti inflammatory nature
caution w/ renal/liver, ETOH abuse
dose separately from opiod
agitation ✓ ✓...... ANSWER ....... calm environment
most effective
re-orient
, Page 4 of 57
Anxiety roots ✓ ✓...... ANSWER ....... 1) Cardo: MI,
angina, CHF, etc.
2) Endo: Blood sugar, thyroid
3) Metabolic: Potassium, anemia
4) Neoplasm: Adenomas, carcinoma
5) Neuro: Seizure, vertigo, lesions, encephalopathy
6) Resp: Hypoxia, asthma, COPD
ascites ✓ ✓...... ANSWER ....... abnormal accumulation
of fluid in the abdomen.
tx: restrict sodium & fluid
Ascites Treatment ✓ ✓...... ANSWER .......
Spironolactone and furosemide (100:40) or (400:80)
dehydration can occur from lasix & encephalopathy,
prerenal Failure
mixed ascites ✓ ✓...... ANSWER ....... dietary changes
are needed in addition to
dec. fat intake, increase triglycerides.
