Certification for Hospice and Palliative Nursing Questions & Answer Updated 2026

Certification for Hospice and
Palliative Nursing Questions &
Answer Updated 2026
xerostomiaB-
BAnswerDryBmouthBsyndrome,BleadsBtoBdecreasedBswallowingBability,BincreasedBdentalBcaries,
Bgum,BtongueBandBoralBlesions,Binfections,BbadBbreath,BchangesBinBtasteBandBalterationsBinBs
peechBandBvoiceBfunctions.BSocialBdeclineBpyschosocialBcomplication.



xerostomiaBnon-pharmacologicalBtreatmentsB-
BAnsweroralBswabs,BpeppermintBwater,BvitaminBc,BchewingBgum/mints,Bacupuncture,BdietBmo
dification,Bhumidity



PercentageBofBHIVBinfectionBrelatedBpainB-BAnswer50%BdirectlyBrelatedBtoBinfectionBofB30-
97%BofBAIDSBpatientBexperiencingBpain



PostBstrokeBpainB-BAnswer32-42%BexperiencedBatB4-6BmonthsBpostBcvaB

11-21%BexperiencedBatB12-16BmonthsBpostBcva



TypesBofBcommonBpostBCVABpainB-BAnswerMechanicalBshoulderBpain-common

Allodynia=BPainfulBresponseBtoBnormallyBinnocuousBstimuli

HyperalgesiaB=DecreasedBtemperatureBsensationBdeep,Bsuperficial,BandBorBsevere



-coxibBdrugsB-
BAnswerwithdrawnBfromBmarketBdueBtoBadverseBeffectsBassociatedBwithBcardiovascularBsyste
m



ConversionBmethodBfromBoralBdoseBlongBactingBtoBoralBdoseBshortBactingB-
BAnswer24BhBtotalBofBlongBactingBdividedBbyBq4hBadministrationBplusBbreakthroughBdoseBof
B10-15%BofB24BhourBtotalBgivenBq2hBprn



MedicationBdosageBalterationBbasedBonBincreasedBuseBofBPRNBdosageB-
BAnswerAddBtotalBdosageBforBPRNBuseBbyBpatientBandBdivideBbyB2BforBamountBofBincreaseB
neededBtoBlongBactingBmed

,PrimaryBfactorsBforBsubcutaneousBinfusionB-BAnswer1.BCirculatoryBstatus

2.BPatientBmonitoring

3.BInfusionBsite-BamountBofBsubcutaneousBtissue



CalculatingBbreakthroughBdoseBofBshortBactingBmedicationB-BAnswer10-
20%BofBdailyBtotalBq2hBprn



TreatmentBforBneuropathicBpainB-BAnswerTricyclicBantidepressants

Anticonvulsants

SSRI

Serotonin-norepinephrineBreuptakeBinhibitors

Anti-convulsants



StartingBdoseBnortryptilineBandBdesipramineB-BAnswer10-25BmgBatBhsBtitratedBupBbyB10-
25BmgBeveryBfewBdaysBtoBmaxBofB75-150BmgBqd.BMayBtakeB3-7BdaysBtoBseeBeffects.



ToBpreventBdoubleBeffectB-
BAnswerWhenBchangingBopioidBdecreaseBdoseBofBnewBdrugBbyB25%BtoBaccountBforBincomple
teBcrossBtolerance.



DuloxetineB-BAnswerSSRIBforBtreatingBneuropathicBpainBandBdepression



SideBeffectsBofBTricyclicBantidepressantsB-
BAnswerSedation,BorthostaticBhypotension,BurinaryBretention,BcardiovascularBimpairment



Gabapentin-BnormalBdosingBrangeBforBeffectivenessB-BAnswer900-
1800Bmg/dBinB3BdividedBdoses



SideBeffectsBofBanticonvulsantsB-
BAnswerAtaxia,Bdizziness,Bsedation.BGabapentinBspecificallyBhasBincreasedBincidentBofBdepende
ntBedema.

,ConversionBofBmorphineBoralBtoBmorphineBIVB-
BAnswer30BmgBoralB=B10BmgBparenteral.BConversionBforBhourlyBivBrateB=B24hBoralBtotalBdivi
dedBbyB3BthenBdivideBbyB24.



MorphineBtoBhydromorphoneBconversionB-
BAnswer10BmgBofBmorphineBtoB1.5BmgBhydromorphone



5BdomainsBofBalternativeBmedicalBsystemsB-BAnswer1.Bmind-bodyBinterventions

2BenergyBtherapies

3.BbiologicallyBbasedBtherapies

4.BmanipulativeBandBbodyBbasedBtherapiesB

5.BelectromagneticBtherapies



ClassificationsBofBPruritisBaccordingBtoBBernhardB-BAnswer1.BSystemic

2.BDermatological

3.BNeuropathic/neurogenic



ElementsBofBSleepBHygeineB-
BAnswerLimitingBtimeBinBbed,BremovingBclocksBfromBroom,BavoidingBalcohol,Bnicotine,BandBca
ffeine,BtakingBaBhotBbath,BlimitingBliquidsBbeforeBbed,BregulatingBroomBtemperature,Bregulatin
gBbedtime,BlimitingBdaytimeBnapping



CategoriesBofBsleepBdisordersB-BAnswer1.BDisordersBofBexcessiveBsomnolence

2.BDysfunctionsBassociatedBwithBsleepBstagesBorBpartialBarousal

3.BDisordersBofBsleepBwakeBcycle

4.BDisordersBofBinitiatingBorBmaintainingBsleep.



ThemesBofBnearingBdeathBawarenessB-
BAnswerDescribingBaBplace,BneedingBreconciliation,BtalkingBtoBorBbeingBinBtheBpresenceBofBso
meoneBwhoBisBnotBalive,BknowledgeBorBstatementsBofBwhenBdeathBwillBoccur,BchoosingBtime
BofBdeath,BpreparingBforBtravelBorBchange,BbeingBheldBback,BandBsymbolicBdreams.



ANABCodeBofBEthicsBProvisionB1.B-
BAnswerTheBnurse,BinBallBprofessionalBrelationships,BpracticesBwithBcompassionBandBtheBreco
gnitionBofBhumanBdignityBandBworthBthatBisBpresentBinBeveryBindividual.

, ANABCodeBofBEthics-BProvisionB2.B-
BAnswerTheBprimaryBcommitmentBofBtheBnurseBisBtoBtheBpatient,BwhetherBtheBpatientBisBde
finedBasBanBindividual,Bgroup,BorBcommunity.



ANABCodeBofBEthics-BProvisionB3B-
BAnswerTheBnurseBseeksBtoBprotectBtheBhealth,Bsafety,Band

rightsBofBtheBpatient.



ANABCodeBofBEthicsBProvisionB4B-
BAnswerTheBnurseBhasBauthority,Baccountability,BandBresponsibilityBforBnursingBpractice;Bmake
sBdecisions;BandBtakesBactionBconsistentBwithBtheBobligationBtoBpromoteBhealthBandBtoBprovi
deBoptimalBcare.



ANABCodeBofBEthicsBProvisionB5B-
BAnswerTheBnurseBowesBtheBsameBdutiesBtoBselfBasBtoBothers,BincludingBtheBresponsibilityBt
oBpromoteBhealthBandBsafety,BpreserveBwholenessBofBcharacterBandBintegrity,BmaintainBcomp
etence,BandBcontinueBpersonalBandBprofessionalBgrowth.



ANABCodeBofBEthicsBProvisionB6B-
BAnswerTheBnurse,BthroughBindividualBandBcollectiveBeffort,Bestablishes,Bmaintains,BandBimpro
vesBtheBethicalBenvironmentBofBtheBworkBsettingBandBconditionsBofBemploymentBthatBareBco
nduciveBtoBsafe,BqualityBhealthBcare.



ANABCodeBofBEthicsBProvisionB7B-
BAnswerTheBnurse,BinBallBrolesBandBsettings,BadvancesBtheBprofessionBthroughBresearchBandB
scholarlyBinquiry,BprofessionalBstandardsBdevelopment,BandBtheBgenerationBofBbothBnursingBa
ndBhealthBpolicy.



ANABCodeBofBEthicsBProvisionB8B-
BAnswerTheBnurseBcollaboratesBwithBotherBhealthBprofessionalsBandBtheBpublicBtoBprotectBhu
manBrights,BpromoteBhealthBdiplomacy,BandBreduceBhealthBdisparities.



ANABCodeBofBEthicsBProvisionB9B-
BAnswerTheBprofessionBofBnursing,BcollectivelyBthroughBitsBprofessionalBorganizations,BmustBar
ticulateBnursingBvalues,BmaintainBtheBintegrityBofBtheBprofession,BandBintegrateBprincipleBofBs
ocialBjusticeBintoBnursingBandBhealthBpolicy.