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Certified Hospice Palliative Nurse CHPN Exam – Questions And Detailed Answers
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Certified Hospice Palliative Nurse CHPN Exam – Questions And Detailed Answers
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Certified Hospice Palliative Nurse CHPN Exam –Questions And Detailed Answers
AIDS infection Right Ans - Bacterial, Viral, Fungal, Parasitic
AIDS dementia Right Ans - causes Encephalopathy, 15% effected
ALS (amyotrophic lateral sclerosis) 1st symptom Right Ans - swallowing
difficulty followed by distal weakness
Cerebral Metastases Right Ans - Brain mets account for 40% of all Cancer
patients.
Cerebral Metastases symptoms Right Ans - HA initial complaint, N/V,
confusion, lethargy
Leukemia 2 types Right Ans - chronic and acute
Leukemia Clinical Manifestations Right Ans - Infection, fever, enlarged
liver, spleen, kidneys, bleeding/bruising not explained, & hemorrhage
pale, petechia, purpura
liver failure symptoms Right Ans - fatigue, jaundice, ascites
Dark urine, gray stool, bruising
symptoms of bleeding internally Right Ans - sudden fever > 101°, dyspnea,
abdominal paik, dehydration
Lymphoma types Right Ans - Hodgkins and Non-Hodgkins
Hodgkin's disease Right Ans - painless lymph node swelling, generally in
upper body, general fatigue, weight loss, fever, nifht sweats, back pain
Non-Hodgkin's Lymphoma Right Ans - same symptoms except itching &
night sweats
Parkinson's disease Right Ans - Slow progression of motor skills, resting
tremors, slowness, rigidity. typically in people >65
,Parkinson Signs/Symptoms Right Ans - pill rolling movements in bands,
loss of facial expression, difficulty initiating movement, gait changes
Renal Cancer/symptoms Right Ans - 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 Right Ans - pallor, jaundice, weakness, fatigue common
symptoms
sickle cell crisis Right Ans - multiple pain events, pale lips, tongje, palms,
nail beds, lethargy, difficulty arousing, high fever 2 days
sickle cell risk Right Ans - high r/o bacterial infections
palliative sedation Right Ans - midazolam, propofol
terminal weaning Right Ans - gradual withdrawal of mechanical ventilation
terminal Extubation Right Ans - abrupt Removal of endotracheal tube
Death Rattle Meds Right Ans - anticholinergic should be given @ 1st site of
moisture. they cannot dry up secretions already present
poverty barriers at EOL Right Ans - additional challenges to EOL care. lack
of support.
BIPAP (non-invasive ventilation) Right Ans - 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 Right Ans - 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 Right Ans - tx neuropathic pain. High A/E
tricyclic antidepressants A/E Right Ans - 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 Right Ans - 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 Right Ans - urgent & serious late stage malignancy
(unrelated to bone mets). no tx results in death
hypercalcemia occurrence Right Ans - most common breast CA & multiple
myeloma but can occur with others.
Hypercalcemia symptoms Right Ans - n/v, constipation, anorexia
weakness, mental change, fatigue
bradycardia, EKG changes
Hypercalcemia treatment Right Ans - 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 Right Ans - 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 Right Ans - 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 Right Ans - death likely to occur in a few hrs
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