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certified hospice palliative nurse CHPN exam questions and answers | latest & updated 2026

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certified hospice palliative nurse CHPN exam questions and answers | latest & updated 2026

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certified hospice palliative nurse
CHPN exam questions and answers |
latest & updated 2026
AIDSBinfectionB-BAnswerBacterial,BViral,BFungal,BParasitic



AIDSBdementiaB-BAnswercausesBEncephalopathy,B15%Beffected



ALSB(amyotrophicBlateralBsclerosis)B1stBsymptomB-
BAnswerswallowingBdifficultyBfollowedBbyBdistalBweakness



CerebralBMetastasesB-BAnswerBrainBmetsBaccountBforB40%BofBallBCancerBpatients.



CerebralBMetastasesBsymptomsB-BAnswerHABinitialBcomplaint,BN/V,Bconfusion,Blethargy



LeukemiaB2BtypesB-BAnswerchronicBandBacute



LeukemiaBClinicalBManifestationsB-
BAnswerInfection,Bfever,BenlargedBliver,Bspleen,Bkidneys,Bbleeding/bruisingBnotBexplained,B&Bh
emorrhageB

pale,Bpetechia,Bpurpura



liverBfailureBsymptomsB-BAnswerfatigue,Bjaundice,Bascites

DarkBurine,BgrayBstool,Bbruising



symptomsBofBbleedingBinternallyB-
BAnswersuddenBfeverB>B101°,Bdyspnea,BabdominalBpaik,Bdehydration



LymphomaBtypesB-BAnswerHodgkinsBandBNon-Hodgkins



Hodgkin'sBdiseaseB-
BAnswerpainlessBlymphBnodeBswelling,BgenerallyBinBupperBbody,BgeneralBfatigue,BweightBloss,
Bfever,BnifhtBsweats,BbackBpain

,Non-Hodgkin'sBLymphomaB-BAnswersameBsymptomsBexceptBitchingB&BnightBsweats



Parkinson'sBdiseaseB-
BAnswerSlowBprogressionBofBmotorBskills,BrestingBtremors,Bslowness,Brigidity.BtypicallyBinBpeo
pleB>65



ParkinsonBSigns/SymptomsB-
BAnswerpillBrollingBmovementsBinBbands,BlossBofBfacialBexpression,BdifficultyBinitiatingBmovem
ent,BgaitBchanges



RenalBCancer/symptomsB-
BAnswerasymptomaticBearly.BGrossBhematuria,Bdull,BachingBpain,BpalpableBabdomenBmass.

polycythemia-BHA,Bdizzy,BveinBinflammation,Bitchy.Bhypercalcemia-
Btired,BpoorBappetite,Bfreq.Burine,Bthirst,Bn/v,Bconfusion,Bconstipation,BpoorBconcentration



sickleBcellBdiseaseB-BAnswerpallor,Bjaundice,Bweakness,BfatigueBcommonBsymptoms



sickleBcellBcrisisB-
BAnswermultipleBpainBevents,BpaleBlips,Btongje,Bpalms,BnailBbeds,Blethargy,BdifficultyBarousing,
BhighBfeverB2Bdays



sickleBcellBriskB-BAnswerhighBr/oBbacterialBinfections



palliativeBsedationB-BAnswermidazolam,Bpropofol



terminalBweaningB-BAnswergradualBwithdrawalBofBmechanicalBventilation



terminalBExtubationB-BAnswerabruptBRemovalBofBendotrachealBtube



DeathBRattleBMedsB-

nsBalreadyBpresent

, povertyBbarriersBatBEOLB-BAnsweradditionalBchallengesBtoBEOLBcare.BlackBofBsupport.



BIPAPB(non-invasiveBventilation)B-
BAnswermayBbeButilizedBatBEOLBforBdyspneaBinBsomeBptsBwhoBdoBnotBwantBtoBbeBintubate
dBforBRFBbutBwantBsomethingBmoreBthanBsupplementalBo2.

ALSBhasBbeenBshownBtoBimproveBqualityBofBlife.



unhealthyBcopingBinBcaregiverB@BEOLB-
BAnswersigns:BnegativeBfeelingsB(anger),BwithholdingBinfoBtoBotherBfamily,BrefusingBassistance,
BfocusingBonBtheirBneedsBonly,BrefusingBtoBacknowledgeBorBaccommodateBdifferencesBinBopin
ionBamongBcaregivers.B

interveneBwithBassistance/resources



tricyclicBantidepressantsB-BAnswertxBneuropathicBpain.BHighBA/E



tricyclicBantidepressantsBA/EB-
BAnswerAnticholinergicBcommon:BdryBmouth,BurinaryBretention,Btachycardia,Bdelirium,Bconstipa
tionB

additional:Barrhythmias,Bsedation,BweightBgain,Bsweating,BsexualBdysfunction.B

*ptBmayBrefuseBtoBcontinueBr/tBA/E



myoclonusB-
BAnswerjerks,Bsudden,Bbrief,BandBuncontrollableBmovement.BmostlyBupperBextremity.BmostBco
mmonBcauseBisBopiod.BsignBofBopiodBtoxicity-BneedBtoBchangeBmeds.BNarcanBforBacuteBtx.B

benzosB&BantispasmodicsBcanBbeBtxBinB*some*Bpts



HypercalcemiaB-
BAnswerurgentB&BseriousBlateBstageBmalignancyB(unrelatedBtoBboneBmets).BnoBtxBresultsBinB
death



hypercalcemiaBoccurrenceB-
BAnswermostBcommonBbreastBCAB&BmultipleBmyelomaBbutBcanBoccurBwithBothers.



HypercalcemiaBsymptomsB-BAnswern/v,Bconstipation,BanorexiaB

weakness,BmentalBchange,Bfatigue

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