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Question 1
A 72-year-old male with metastatic prostate cancer to the bone is being transitioned from oral morphine SR 60 mg every 12 hours to a continuous subcutaneous infusion of hydromorphone due to dysphagia. His pain is currently well-controlled. Using a standard equianalgesic table (e.g., 30mg oral morphine = 10mg parenteral morphine; 10mg parenteral morphine = 1.5mg parenteral hydromorphone), what is the most appropriate starting dose for the hydromorphone infusion over 24 hours?
Correct Answer:
6 mg/24 hours
Question 2
A patient with advanced pancreatic cancer is experiencing severe, burning, and shooting pain in his lower back and legs, which is poorly responsive to high doses of opioids. Which of the following adjuvant medications would be most appropriate to add to his regimen to specifically target this type of pain?
Correct Answer:
Gabapentin
Question 3
An ACHPN is caring for a patient receiving high doses of parenteral hydromorphone who develops new-onset myoclonus, allodynia, and delirium. These symptoms worsen despite an increase in the opioid dose for what was perceived as worsening pain. Which of the following is the most likely diagnosis?
Correct Answer:
Opioid-induced neurotoxicity (OIN)
Question 4
Which of the following interventional techniques is most appropriate for managing intractable abdominal pain secondary to a celiac plexus tumor in a patient with a life-limiting illness?
Correct Answer:
Celiac plexus block
Question 5
When assessing pain in a non-verbal patient with advanced dementia, the ACHPN observes intermittent grimacing, tense body posture, and increased restlessness, especially during repositioning. Which pain assessment tool is specifically designed for this patient population?
Correct Answer:
Pain Assessment in Advanced Dementia (PAINAD) scale
Question 1
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About this Exam

Prepare with the Advanced Certified Hospice and Palliative Nurse (ACHPN®) Examination practice quiz. This question bank includes 120 questions covering patient, achpn, pain, year-old, and advanced. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Advanced Certified Hospice and Palliative Nurse (ACHPN®) Examination

This practice set contains 120 questions from the matching question bank and focuses on patient, achpn, pain, year-old, and advanced. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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