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Exam (elaborations)

N349 Exam 1 Questions & Answers Updated|latest 2026

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N349 Exam 1 Questions & Answers Updated|latest 2026 This document contains comprehensive CHPN (Certified Hospice and Palliative Nurse) exam questions and verified answers, designed to help nursing professionals prepare confidently for the CHPN certification exam. The material covers key concepts commonly tested on the exam, including hospice philosophy, pain and symptom management, psychosocial and spiritual care, ethical and legal considerations, interdisciplinary team roles, and end-of-life nursing care. What’s included: Carefully selected CHPN-style exam questions Clear, accurate answers for effective review Covers both clinical and theoretical concepts Ideal for exam revision, practice, and self-assessment Suitable for nurses preparing for initial certification or recertification

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N349 Exam 1 Questions & Answers
Updated|latest 2026
TheBmajorityBofBhospiceBcareBisBprovidedBinBwhichBsetting?B

A.BHospitals

B.BPrivateBresidencesB

C.BJails

D.BPCBclinicsB-BAnswerAnswer:BB

Rationale:BWhileBhospiceBoccursBinBmanyBdifferentBsettingsBsuchBasBacuteBcareBhospitalBunits
,BPCBclinicsBorBambulatoryBsettings,BprivateBpractices,BandBprisons,BmostBhospiceBcareBisBpro
videdBinBprivateBresidencesBsuchBasBnursingBhomes,Bhomes,BandBresidentialBfacilities.



WhichBentityBisBtheBfirstBprofessionalBorganizationBforBexcellenceBinBtheBpracticeBofBhospiceB
nursing?

A.NationalBBoardBforBCertificationBofBHospiceBandBPalliativeBNursesB(NBCHPN)

B.BHospiceBandBPalliativeBNursesBFoundationB(HPNF)

C.BAdvancingExpertCare(AEC)

D.BHospiceBandBPalliativeBCareBNursesBAssociationB(HPNA)B-BAnswerAnswer:BD

Rationale:BIncorporatedBinB1987,BtheBHospiceBNursesBAssociationB(HNA)BbecameBtheBfirstBpro
fessionalBnursingBorganizationBdedicatedBtoBpromotingBexcellenceBinBtheBpracticeBofBhospiceB
nursing.BNBCHNBisBtheBNationalBBoardBforBCertificationBofBHospiceBandBPalliativeBNurses.BHP
NFBisBtheBHospiceBandBPalliativeBNursesBFoundation.BInB2014,BtheBHPNABcameBtogetherBwith
BtheBHospiceBandBPalliativeBNursesBFoundationB(HPNF)BandBtheBHospiceBandBPalliativeBCrede
ntialingBCenterB(HPCC)BtoBformBaBpartnershipBwithBaBsynergizedBmission.BTheBthreeBdistinctB
organizationsBformBAdvancingBExpertBCareB(AEC).



InB1995,BSUPPORTBinvestigatorsBcameBtoBwhichBconclusion?

A.BPatientsBwithBend-of-
lifeBcareBfeltBtheyBhadBadequateBcommunicationBwithBtheirBhealthcare

providers.

B.BPatientsBwithBendBofBlifeBcareBwereBrequestingBless-aggressiveBmedicalBtreatments.

C.BDyingBpatientsBrequireBanBindividualBandBcollectiveBcommitmentBfromBhealthcare

providers.

D.BDyingBpatientsBwereBreportingBmoderateBlevelsBofBpainBandBneededBlittleBincreaseBinBme
dication.B-BAnswerAnswer:BC

, Rationale:BTheB"StudyBtoBUnderstandBPrognosesBandBPreferencesBforBOutcomesBandBRisksBof
BTreatment"B(SUPPORT;BSUPPORTBStudyBInvestigators,B1995)BinvestigatorsBbelievedBthatBimpro
vingBtheBend-of-
lifeBcareBforBpatientsBrequiredBanBindividualBandBcollectiveBcommitmentBofBhealthcareBprovid
ersBandBthatBtheBcaregivingBprocessesBneededBtoBbeBreshaped.BSUPPORTBfindingsBindicatedB
aBlackBofBcommunicationBbetweenBpatientsBandBtheirBproviders,BparticularlyBrelatedBtoBEOLB
preferences,BaggressivenessBofBmedicalBtreatments,BandBaBhighBlevelBofBreportedBpainBbyBser
iouslyBillBandBdyingBpatients.



WhichBtypeBofBdiseaseBisBaBleadingBcauseBofBdeathBtoday?

A.BInfectious

B.BAutoimmuneB

C.BChronic

D.BAcuteB-BAnswerAnswer:BC

Rationale:BPeopleBtodayBareBlivingBmuchBlongerBthanBthoseBofBpreviousBeras.BTheBleadingBca
usesBofBdeathBhaveBchangedBfromBprimarilyBinfectiousBdiseasesBtoBchronicBillnesses.BInB2014,
BtheB10BleadingBcausesBofBdeathBwereBheartBdisease,Bcancer,BchronicBlowerBrespiratoryBdisea
ses,BunintentionalBinjuries,Bstroke,BAlzheimer'sBdisease,Bdiabetes,BinfluenzaBandBpneumonia,Bki
dneyBdisease,BandBsuicide.BTheseB10BcausesBofBdeathBaccountedBforB74%BofBtheB2.6Bmillion
BdeathsBinB2014.



WhatBisBtheBpurposeBofBtheBeightBdomainsBofBpalliativeBcare?

A.BToBreflectBnationalBguidelinesBforBqualityBpalliativeBcare

B.BToBcorrelateBpalliativeBcareBwithBhospiceBparameters

C.BToBdetermineBnursingBschoolBpalliativeBcareBlearningBobjectives

D.BToBeducateBphysiciansBonBtheBbenefitsBofBaBpalliativeBcareB-BAnswerAnswer:BA

Rationale:BTheBdomainsBofBqualityBpalliativeBcareBareBdesignedBtoBcomplementBtheBprocessB
ofBimprovingBPCBquality.BTheBqualificationsBofBcaregiversBareBdeterminedBbyBtheBorganization
sBthatBgrantBprofessionalBcredentialsBandBprogrammaticBaccreditation.BAsBaBspecialtyBorganiza
tion,BtheBHospiceBandBPalliativeBCareBNursesBAssociationBhasBidentifiedBtheBscopeBandBstand
ardsBofBhospiceBandBpalliativeBcareBnursingBandBtheBcompetenciesBatBallBlevelsBofBnursingBpr
actice,BspecificallyBnursingBassistants,BlicensedBvocationalBnurses,BprofessionalBregisteredBnurse
s,BandBadvancedBpracticeBnurses.



InBadditionBtoBtheBnurse,BwhichBprofessionalsBareBcoreBmembersBofBtheBpalliativeBcareBteam
?

A.BDieticianBandBphysicalBtherapist

B.BPhysicianBandBpharmacist

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