CHPN EXAM / CERTIFIED HOSPICE AND PALLIATIVE NURSE
(CHPN) CERTIFICATION EXAM 2026/2027 COMPLETE ACCURATE
TEST EXAM AND A LATEST UPDATED STUDY GUIDE APPROVED
QUESTIONS AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) NEWEST UPDATED VERSION |GUARANTEED SUCCESS
A+ (BRAND NEW!) | FULL REVISED CHPN ACTUAL EXAM
A hospice and palliative care nurse volunteers to lead group meditation for his
coworkers. This is an example of:
A. collaboration
B. professional development
C. self-care
D. team work
Answer- B
When evaluating a new hospice nurse during orientation, it is important to correct
which of the following statements?
A. "terminal secretions don’t indicate pain"
B. 'I will need to perform deep suctioning for a patient with terminal secretions"
C. "when a patient has terminal secretions, I can reposition them to diminish the
sound."
D. "families should know that terminal secretions are part of the normal dying
process"
Answer- B
Martin is a 79 yr. old patient who has end stage lung cancer. Over the past few
weeks he has grown increasingly weak, become incontinent, become bedbound. He
has had no oral intake in the past 48 hours and is increasingly somnolent. On
,today's visit, he only responds to tactile stimulation by muttering and turning his
head. His respirations are also labored and secretions have increased. The most
appropriate intervention is:
A. suction the patient now and PRN
B. administer Haldol
C. discuss IV fluid replacement with the family
D. teach the family about the dying process
Answer- D
A patient whose death is imminent exhibits deep respirations that are rapid and
labored. The hospice nurse should:
A. start supplemental oxygen
B. reposition the patient
C. administer an anticholinergic medication
D. suction the patient's oropharynx
Answer- B
An 86 yr. old home care hospice patient with end stage breast cancer is actively
dying and is no longer able to take fluids orally d/t dysphagia. The patient appears
comfortable. Her family is worried about dehydration. Which of the following
should the nurse do?
A. assure the family that she appears to be comfortable at present
B. start IV access
C. encourage family to provide ice chips to patient
D. discuss transfer to an inpatient hospice setting
,Answer- A
Which of the following medications should not be discontinued for an actively
dying hospice patient who can no longer swallow?
A. oral ER morphine
B. oral calcium supplement
C. lactulose
D. scopolamine
Answer-- D
An assessment of a home care hospice patient who is actively dying reveals a
quarter size blister in the sacral area. The nurse should:
A. cleanse the area vigorously with warm water
B. apply a barrier cream every 2 hours
C. teach the family that the blister can deteriorate into a full thickness ulcer very
quickly
D. contact the hospice social worker to discuss possible neglect
Answer- C
A patient in an inpatient hospice setting has terminal secretions. Which
intervention should the nurse implement first?
A. assess the patient for distress
B. administer glycopyrrolate
C. auscultate the patient's lungs
, D. provide supplemental oxygen
Answer- A
A patient who has esophageal varices is admitted to the hospice inpatient unit.
Which of the following should the nurse have at the bedside?
A. ice chips
B. an obturator
C. suction equipment
D. dark towels
Answer- D
A 79 yr. old patient has been diagnosed with breast cancer, stage T2, N0, M0. This
means that:
A. the cancer has metastasized
B. there is evidence of cancer in nearby lymph nodes
C. the primary tumor cannot be measured
D. there is no evidence that the cancer has metastasized
Answer- D
A 64 yr. old palliative care patient who has end stage COPD was recently
diagnosed with lung cancer, T1, N0, M1. This means that:
A. There is no evidence of a tumor
B. there is no evidence that the lymph nodes contain cancer cells
(CHPN) CERTIFICATION EXAM 2026/2027 COMPLETE ACCURATE
TEST EXAM AND A LATEST UPDATED STUDY GUIDE APPROVED
QUESTIONS AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) NEWEST UPDATED VERSION |GUARANTEED SUCCESS
A+ (BRAND NEW!) | FULL REVISED CHPN ACTUAL EXAM
A hospice and palliative care nurse volunteers to lead group meditation for his
coworkers. This is an example of:
A. collaboration
B. professional development
C. self-care
D. team work
Answer- B
When evaluating a new hospice nurse during orientation, it is important to correct
which of the following statements?
A. "terminal secretions don’t indicate pain"
B. 'I will need to perform deep suctioning for a patient with terminal secretions"
C. "when a patient has terminal secretions, I can reposition them to diminish the
sound."
D. "families should know that terminal secretions are part of the normal dying
process"
Answer- B
Martin is a 79 yr. old patient who has end stage lung cancer. Over the past few
weeks he has grown increasingly weak, become incontinent, become bedbound. He
has had no oral intake in the past 48 hours and is increasingly somnolent. On
,today's visit, he only responds to tactile stimulation by muttering and turning his
head. His respirations are also labored and secretions have increased. The most
appropriate intervention is:
A. suction the patient now and PRN
B. administer Haldol
C. discuss IV fluid replacement with the family
D. teach the family about the dying process
Answer- D
A patient whose death is imminent exhibits deep respirations that are rapid and
labored. The hospice nurse should:
A. start supplemental oxygen
B. reposition the patient
C. administer an anticholinergic medication
D. suction the patient's oropharynx
Answer- B
An 86 yr. old home care hospice patient with end stage breast cancer is actively
dying and is no longer able to take fluids orally d/t dysphagia. The patient appears
comfortable. Her family is worried about dehydration. Which of the following
should the nurse do?
A. assure the family that she appears to be comfortable at present
B. start IV access
C. encourage family to provide ice chips to patient
D. discuss transfer to an inpatient hospice setting
,Answer- A
Which of the following medications should not be discontinued for an actively
dying hospice patient who can no longer swallow?
A. oral ER morphine
B. oral calcium supplement
C. lactulose
D. scopolamine
Answer-- D
An assessment of a home care hospice patient who is actively dying reveals a
quarter size blister in the sacral area. The nurse should:
A. cleanse the area vigorously with warm water
B. apply a barrier cream every 2 hours
C. teach the family that the blister can deteriorate into a full thickness ulcer very
quickly
D. contact the hospice social worker to discuss possible neglect
Answer- C
A patient in an inpatient hospice setting has terminal secretions. Which
intervention should the nurse implement first?
A. assess the patient for distress
B. administer glycopyrrolate
C. auscultate the patient's lungs
, D. provide supplemental oxygen
Answer- A
A patient who has esophageal varices is admitted to the hospice inpatient unit.
Which of the following should the nurse have at the bedside?
A. ice chips
B. an obturator
C. suction equipment
D. dark towels
Answer- D
A 79 yr. old patient has been diagnosed with breast cancer, stage T2, N0, M0. This
means that:
A. the cancer has metastasized
B. there is evidence of cancer in nearby lymph nodes
C. the primary tumor cannot be measured
D. there is no evidence that the cancer has metastasized
Answer- D
A 64 yr. old palliative care patient who has end stage COPD was recently
diagnosed with lung cancer, T1, N0, M1. This means that:
A. There is no evidence of a tumor
B. there is no evidence that the lymph nodes contain cancer cells
