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CERTIFIED HOSPICE AND PALLIATIVE NURSE (CHPN) COMPLETE EXAM STUDY GUIDE 2026/2027 WITH VERIFIED QUESTIONS AND ANSWERS || GUARANTEED PASS

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CERTIFIED HOSPICE AND PALLIATIVE NURSE (CHPN) COMPLETE EXAM STUDY GUIDE 2026/2027 WITH VERIFIED QUESTIONS AND ANSWERS || GUARANTEED PASS

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certified hospice palliative nurse CHPN
exam- Ultimate Exam Study Guide –
Practice Questions & Verified Answers
Want to study smarter, save time, and boost your exam scores? This powerful study guide is
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A

AIDS infection -Answer Bacterial, Viral, Fungal, Parasitic



AIDS dementia -Answer causes Encephalopathy, 15% effected



ALS (amyotrophic lateral sclerosis) 1st symptom -Answer swallowing difficulty followed
by distal weakness



Cerebral Metastases -Answer Brain mets account for 40% of all Cancer patients.



Cerebral Metastases symptoms -Answer HA initial complaint, N/V, confusion, lethargy



Leukemia 2 types -Answer chronic and acute



Leukemia Clinical Manifestations -Answer Infection, fever, enlarged liver, spleen, kidneys,
bleeding/bruising not explained, & hemorrhage

pale, petechia, purpura



liver failure symptoms -Answer fatigue, jaundice, ascites

Dark urine, gray stool, bruising

,symptoms of bleeding internally -Answer sudden fever > 101°, dyspnea, abdominal paik,
dehydration



Lymphoma types -Answer Hodgkins and Non-Hodgkins



Hodgkin's disease -Answer painless lymph node swelling, generally in upper body,
general fatigue, weight loss, fever, nifht sweats, back pain



Non-Hodgkin's Lymphoma -Answer same symptoms except itching & night sweats



Parkinson's disease -Answer Slow progression of motor skills, resting tremors, slowness,
rigidity. typically in people >65



Parkinson Signs/Symptoms -Answer pill rolling movements in bands, loss of facial
expression, difficulty initiating movement, gait changes



Renal Cancer/symptoms -Answer asymptomatic early. Gross hematuria, dull, aching pain,
palpable abdomen mass.

polycythemia- HA, dizzy, vein inflammation, itchy. hypercalcemia- tired, poor appetite, freq.
urine, thirst, n/v, confusion, constipation, poor concentration



sickle cell disease -Answer pallor, jaundice, weakness, fatigue common symptoms



sickle cell crisis -Answer multiple pain events, pale lips, tongje, palms, nail beds, lethargy,
difficulty arousing, high fever 2 days

, sickle cell risk -Answer high r/o bacterial infections



palliative sedation -Answer midazolam, propofol



terminal weaning -Answer gradual withdrawal of mechanical ventilation



terminal Extubation -Answer abrupt Removal of endotracheal tube



Death Rattle Meds -Answer anticholinergic should be given @ 1st site of moisture. they
cannot dry up secretions already present



poverty barriers at EOL -Answer additional challenges to EOL care. lack of support.



BIPAP (non-invasive ventilation) -Answer may be utilized at EOL for dyspnea in some pts
who do not want to be intubated for RF but want something more than supplemental o2.

ALS has been shown to improve quality of life.



unhealthy coping in caregiver @ EOL -Answer signs: negative feelings (anger),
withholding info to other family, refusing assistance, focusing on their needs only, refusing to
acknowledge or accommodate differences in opinion among caregivers.

intervene with assistance/resources



tricyclic antidepressants -Answer tx neuropathic pain. High A/E



tricyclic antidepressants A/E -Answer Anticholinergic common: dry mouth, urinary
retention, tachycardia, delirium, constipation

additional: arrhythmias, sedation, weight gain, sweating, sexual dysfunction.

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