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Question 1
A palliative nurse is assessing a patient with advanced COPD who is experiencing dyspnea. Using the Edmonton Symptom Assessment System (ESAS-r), the patient rates their shortness of breath as 7/10. What is the most appropriate first-line pharmacological intervention for this patient?
Correct Answer:
Administering a dose of subcutaneous or oral morphine
Question 2
A patient with advanced heart failure has refractory dyspnea at rest. In addition to low-dose opioids, which non-pharmacological intervention has the strongest clinical evidence for reducing the sensation of breathlessness?
Correct Answer:
Directing a cool draft of air from a handheld fan toward the patient's face
Question 3
A patient with advanced pancreatic cancer is experiencing persistent chemical-induced nausea due to chemotherapy. Which receptor pathway and corresponding antiemetic are most appropriate to target first-line for chemical-induced nausea?
Correct Answer:
Dopamine receptors in the Chemoreceptor Trigger Zone (CTZ) using haloperidol
Question 4
A palliative patient with advanced ovarian cancer reports early satiety, postprandial fullness, and chronic bloating. The nurse suspects 'squashed stomach syndrome' (gastric compression). Which antiemetic is the drug of choice to address this condition?
Correct Answer:
Metoclopramide
Question 5
A patient with brain metastases presents with nausea accompanied by projectile vomiting and a severe headache that worsens when lying down. What is the most likely cause of this nausea, and what is the appropriate first-line treatment?
Correct Answer:
Increased intracranial pressure; treat with dexamethasone
Question 1
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About this Exam

Prepare with the CHPCN(C) Practice Questions - CNA Certification in Hospice Palliative Care Nursing [CHPCN(C)] Exam practice quiz. This question bank includes 100 questions covering patient, nurse, advanced, pain, and palliative. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CHPCN(C) Practice Questions - CNA Certification in Hospice Palliative Care Nursing [CHPCN(C)] Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, nurse, advanced, pain, and palliative. 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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