CERTIFIED HOSPICE PALLIATIVE NURSE CHPN EXAM| 2026 LATEST
UPLOAD |GRADED A+
AIDS infection - correct answer-Bacterial, Viral, Fungal, Parasitic
AIDS dementia - correct answer-causes Encephalopathy, 15% effected
ALS (amyotrophic lateral sclerosis) 1st symptom - correct answer-swallowing difficulty
followed by distal weakness
Cerebral Metastases - correct answer-Brain mets account for 40% of all Cancer patients.
Cerebral Metastases symptoms - correct answer-HA initial complaint, N/V, confusion,
lethargy
Leukemia 2 types - correct answer-chronic and acute
Leukemia Clinical Manifestations - correct answer-Infection, fever, enlarged liver, spleen,
kidneys, bleeding/bruising not explained, & hemorrhage
pale, petechia, purpura
liver failure symptoms - correct answer-fatigue, jaundice, ascites
Dark urine, gray stool, bruising
symptoms of bleeding internally - correct answer-sudden fever > 101°, dyspnea,
abdominal paik, dehydration
Lymphoma types - correct answer-Hodgkins and Non-Hodgkins
Hodgkin's disease - correct answer-painless lymph node swelling, generally in upper body,
general fatigue, weight loss, fever, nifht sweats, back pain
Non-Hodgkin's Lymphoma - correct answer-same symptoms except itching & night sweats
Parkinson's disease - correct answer-Slow progression of motor skills, resting tremors,
slowness, rigidity. typically in people >65
,Parkinson Signs/Symptoms - correct answer-pill rolling movements in bands, loss of facial
expression, difficulty initiating movement, gait changes
Renal Cancer/symptoms - correct answer-asymptomatic early. Gross hematuria, dull,
aching pain, palpable abdomen mass.
polycythemia- HA, dizzy, vein inflammation, itchy. hypercalcemia- tired, poor appetite,
freq. urine, thirst, n/v, confusion, constipation, poor concentration
sickle cell disease - correct answer-pallor, jaundice, weakness, fatigue common symptoms
sickle cell crisis - correct answer-multiple pain events, pale lips, tongje, palms, nail beds,
lethargy, difficulty arousing, high fever 2 days
sickle cell risk - correct answer-high r/o bacterial infections
palliative sedation - correct answer-midazolam, propofol
terminal weaning - correct answer-gradual withdrawal of mechanical ventilation
terminal Extubation - correct answer-abrupt Removal of endotracheal tube
Death Rattle Meds - correct answer-anticholinergic should be given @ 1st site of moisture.
they cannot dry up secretions already present
poverty barriers at EOL - correct answer-additional challenges to EOL care. lack of support.
BIPAP (non-invasive ventilation) - correct answer-may be utilized at EOL for dyspnea in
some pts who do not want to be intubated for RF but want something more than
supplemental o2.
ALS has been shown to improve quality of life.
unhealthy coping in caregiver @ EOL - correct answer-signs: negative feelings (anger),
withholding info to other family, refusing assistance, focusing on their needs only, refusing
to acknowledge or accommodate differences in opinion among caregivers.
intervene with assistance/resources
tricyclic antidepressants - correct answer-tx neuropathic pain. High A/E
, tricyclic antidepressants A/E - correct answer-Anticholinergic common: dry mouth, urinary
retention, tachycardia, delirium, constipation
additional: arrhythmias, sedation, weight gain, sweating, sexual dysfunction.
*pt may refuse to continue r/t A/E
myoclonus - correct answer-jerks, sudden, brief, and uncontrollable movement. mostly
upper extremity. most common cause is opiod. sign of opiod toxicity- need to change
meds. Narcan for acute tx.
benzos & antispasmodics can be tx in *some* pts
Hypercalcemia - correct answer-urgent & serious late stage malignancy (unrelated to bone
mets). no tx results in death
hypercalcemia occurrence - correct answer-most common breast CA & multiple myeloma
but can occur with others.
Hypercalcemia symptoms - correct answer-n/v, constipation, anorexia
weakness, mental change, fatigue
bradycardia, EKG changes
Hypercalcemia treatment - correct answer-palliative care pt: IV hydration, calcitonin
(inhibits bone resorption) & biophonates (inhibits bone resorption & reduces Calcium
levels)- but this is delayed to 48 hrs after administration.
federal law & organ donation - correct answer-family must be asked about donation when
pts die in the hospital if there is no advanced directive outlining pts wishes
Xerostomia- what is is/test - correct answer-pasty, thick saliva
cracker test: give pt cracker to eat. if pt is unable to chew & swallow w/out liquid, then test
is +
tongue blade: place on pt tongue & if it sticks- +
measurement of saliva- sawb or pt spits into container for period of time
lack of radial pulse - correct answer-death likely to occur in a few hrs
Byrock & Merrimans EOL construct - correct answer-6 dimensions- apply to pt & caregiver
UPLOAD |GRADED A+
AIDS infection - correct answer-Bacterial, Viral, Fungal, Parasitic
AIDS dementia - correct answer-causes Encephalopathy, 15% effected
ALS (amyotrophic lateral sclerosis) 1st symptom - correct answer-swallowing difficulty
followed by distal weakness
Cerebral Metastases - correct answer-Brain mets account for 40% of all Cancer patients.
Cerebral Metastases symptoms - correct answer-HA initial complaint, N/V, confusion,
lethargy
Leukemia 2 types - correct answer-chronic and acute
Leukemia Clinical Manifestations - correct answer-Infection, fever, enlarged liver, spleen,
kidneys, bleeding/bruising not explained, & hemorrhage
pale, petechia, purpura
liver failure symptoms - correct answer-fatigue, jaundice, ascites
Dark urine, gray stool, bruising
symptoms of bleeding internally - correct answer-sudden fever > 101°, dyspnea,
abdominal paik, dehydration
Lymphoma types - correct answer-Hodgkins and Non-Hodgkins
Hodgkin's disease - correct answer-painless lymph node swelling, generally in upper body,
general fatigue, weight loss, fever, nifht sweats, back pain
Non-Hodgkin's Lymphoma - correct answer-same symptoms except itching & night sweats
Parkinson's disease - correct answer-Slow progression of motor skills, resting tremors,
slowness, rigidity. typically in people >65
,Parkinson Signs/Symptoms - correct answer-pill rolling movements in bands, loss of facial
expression, difficulty initiating movement, gait changes
Renal Cancer/symptoms - correct answer-asymptomatic early. Gross hematuria, dull,
aching pain, palpable abdomen mass.
polycythemia- HA, dizzy, vein inflammation, itchy. hypercalcemia- tired, poor appetite,
freq. urine, thirst, n/v, confusion, constipation, poor concentration
sickle cell disease - correct answer-pallor, jaundice, weakness, fatigue common symptoms
sickle cell crisis - correct answer-multiple pain events, pale lips, tongje, palms, nail beds,
lethargy, difficulty arousing, high fever 2 days
sickle cell risk - correct answer-high r/o bacterial infections
palliative sedation - correct answer-midazolam, propofol
terminal weaning - correct answer-gradual withdrawal of mechanical ventilation
terminal Extubation - correct answer-abrupt Removal of endotracheal tube
Death Rattle Meds - correct answer-anticholinergic should be given @ 1st site of moisture.
they cannot dry up secretions already present
poverty barriers at EOL - correct answer-additional challenges to EOL care. lack of support.
BIPAP (non-invasive ventilation) - correct answer-may be utilized at EOL for dyspnea in
some pts who do not want to be intubated for RF but want something more than
supplemental o2.
ALS has been shown to improve quality of life.
unhealthy coping in caregiver @ EOL - correct answer-signs: negative feelings (anger),
withholding info to other family, refusing assistance, focusing on their needs only, refusing
to acknowledge or accommodate differences in opinion among caregivers.
intervene with assistance/resources
tricyclic antidepressants - correct answer-tx neuropathic pain. High A/E
, tricyclic antidepressants A/E - correct answer-Anticholinergic common: dry mouth, urinary
retention, tachycardia, delirium, constipation
additional: arrhythmias, sedation, weight gain, sweating, sexual dysfunction.
*pt may refuse to continue r/t A/E
myoclonus - correct answer-jerks, sudden, brief, and uncontrollable movement. mostly
upper extremity. most common cause is opiod. sign of opiod toxicity- need to change
meds. Narcan for acute tx.
benzos & antispasmodics can be tx in *some* pts
Hypercalcemia - correct answer-urgent & serious late stage malignancy (unrelated to bone
mets). no tx results in death
hypercalcemia occurrence - correct answer-most common breast CA & multiple myeloma
but can occur with others.
Hypercalcemia symptoms - correct answer-n/v, constipation, anorexia
weakness, mental change, fatigue
bradycardia, EKG changes
Hypercalcemia treatment - correct answer-palliative care pt: IV hydration, calcitonin
(inhibits bone resorption) & biophonates (inhibits bone resorption & reduces Calcium
levels)- but this is delayed to 48 hrs after administration.
federal law & organ donation - correct answer-family must be asked about donation when
pts die in the hospital if there is no advanced directive outlining pts wishes
Xerostomia- what is is/test - correct answer-pasty, thick saliva
cracker test: give pt cracker to eat. if pt is unable to chew & swallow w/out liquid, then test
is +
tongue blade: place on pt tongue & if it sticks- +
measurement of saliva- sawb or pt spits into container for period of time
lack of radial pulse - correct answer-death likely to occur in a few hrs
Byrock & Merrimans EOL construct - correct answer-6 dimensions- apply to pt & caregiver
