ELNEC CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Roland was just told that his therapy for advanced prostate cancer is not
working. He asks you why this is happening to him. What is the most
appropriate response?-
A. I don't know. I wish you did not have to go through this-
B. perhaps you are being tested and this will make you a stronger person-
C. I'll ask the doctor to more fully explain the disease process-
D. If i were you, I'd explore additional therapies and treatment options.
Answer: A.. I don't know. i wish you did not have to go through this
◍ Equianalgesia.
Answer: dosing that produces the same analgesic effect using different
opioids and/or routes of administration
◍ 6. The nurse is caring for a client who has just died. What is the FIRST goal
of care for the body after death?.
Answer: Provide a clean, peaceful impression of the deceased client for the
family.
◍ For which of the following patients should the nurse advocate for a
palliative care referral?.
Answer: A 72-year-old female, newly diagnosed with Parkinson's disease,
who is being seen in the neurology clinic for frequent falls
◍ Mr. Tate tells you that he is very worried about dying. He knows his disease
is terminal and he only has a few months to live. He tells you he has done
"some bad things" in his younger days and thinks God is going to make him
suffer with pain now because of his past. After listening to his story, what is
your best response?
A. "Oh don't worry Mr. Tate, that was a long time ago."
, B. "Some people have pain at the end of life, but we can help you manage
the pain."
C. "Would you like me to contact our chaplain? He's very good at helping
people who have concerns like yours?"
D. "I know that God doesn't make people suffer and I am sure that you will
not suffer at end of life for your past.".
Answer: C. "Would you like me to contact our chaplain? He's very good at
helping people who have concerns like yours?"
◍ Breakthrough Pain.
Answer: this pain is a temporary increase in the severity of pain above a
baseline level
◍ You are providing education about interventions to manage anorexia to the
adult child of a client with cancer who is near end of life. Which statement
by this family member demonstrates understanding?1.We can offer Dad
small, frequent feedings rather than a few, large meals.2.We need to limit
Dad to a high fat diet so he gets good calories in.3.I need to insist that Dad
eat at least half of every meal we give him.4.It's probably time to put in a
feeding tube, whether Dad agrees or not..
Answer: We can offer Dad small, frequent feedings rather than a few, large
meals.
◍ SBAR.
Answer: situation, background, assessment, & recommendation
◍ Hospice.
Answer: a specific type of palliative care that provides patients and families
with expert care for physical, psychological, social and spiritual needs,
focusing on improving patient and family quality of life
◍ Two of the best questions to ask to screen for depression include:.
Answer: Over the past two weeks have you been bothered by 1) little
interest or pleasure in doing things? and 2) feeling down, depressed, or
hopeless?
, ◍ 3. Which of the following statements reflects the importance of learning
about palliative care as a student or new nurse?.
Answer: Many patients with serious illnesses can benefit from palliative
care and understanding disease trajectory and palliative care services will
help to advocate for patients. Future employers expect nurses to have
education and training in palliative care services.
◍ Which client is MOST likely to be experiencing undiagnosed
depression?1.An adult client with metastatic prostate cancer who now plays
only nine holes of golf rather than 18 every week2.An older adult client with
early-stage dementia who participates in the craft activities at the nursing
facility3.An adult client with end stage liver disease who has fatigue and
does not feel like eating much when he attends his weekly men's group4.An
older adult with pancreatic cancer who reports trouble sleeping, fatigue, and
does not care to see her grandchildren on the weekends anymore.
Answer: An older adult with pancreatic cancer who reports trouble sleeping,
fatigue, and does not care to see her grandchildren on the weekends
anymore
◍ You and your colleagues in ICU have been talking about how hard it is to
readmit patients who have stated that they do not want aggressive
treatments. Today, you find one of your colleagues crying in the bathroom.
The state that they just admitted another patient to ICU who told them last
week, at discharge, they never wanted to come back to IC
U. What is your BEST response?-
A. Comfort her and tell her you all feel that way but it will be okay-
B. Suggest you both talk with the ICU manager about the unit needing the
chaplain or psychiatric nurse liaison for emotional support-
C. Tell her you are here for her and the two of you will get through this a
day at a time-
D. Suggest that if she really cannot stand it anymore, maybe she should
consider changing jobs.
Answer: B. Suggest you both talk with the ICU manager about the unit
needing the chaplain or psychiatric nurse liaison for emotional support
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Roland was just told that his therapy for advanced prostate cancer is not
working. He asks you why this is happening to him. What is the most
appropriate response?-
A. I don't know. I wish you did not have to go through this-
B. perhaps you are being tested and this will make you a stronger person-
C. I'll ask the doctor to more fully explain the disease process-
D. If i were you, I'd explore additional therapies and treatment options.
Answer: A.. I don't know. i wish you did not have to go through this
◍ Equianalgesia.
Answer: dosing that produces the same analgesic effect using different
opioids and/or routes of administration
◍ 6. The nurse is caring for a client who has just died. What is the FIRST goal
of care for the body after death?.
Answer: Provide a clean, peaceful impression of the deceased client for the
family.
◍ For which of the following patients should the nurse advocate for a
palliative care referral?.
Answer: A 72-year-old female, newly diagnosed with Parkinson's disease,
who is being seen in the neurology clinic for frequent falls
◍ Mr. Tate tells you that he is very worried about dying. He knows his disease
is terminal and he only has a few months to live. He tells you he has done
"some bad things" in his younger days and thinks God is going to make him
suffer with pain now because of his past. After listening to his story, what is
your best response?
A. "Oh don't worry Mr. Tate, that was a long time ago."
, B. "Some people have pain at the end of life, but we can help you manage
the pain."
C. "Would you like me to contact our chaplain? He's very good at helping
people who have concerns like yours?"
D. "I know that God doesn't make people suffer and I am sure that you will
not suffer at end of life for your past.".
Answer: C. "Would you like me to contact our chaplain? He's very good at
helping people who have concerns like yours?"
◍ Breakthrough Pain.
Answer: this pain is a temporary increase in the severity of pain above a
baseline level
◍ You are providing education about interventions to manage anorexia to the
adult child of a client with cancer who is near end of life. Which statement
by this family member demonstrates understanding?1.We can offer Dad
small, frequent feedings rather than a few, large meals.2.We need to limit
Dad to a high fat diet so he gets good calories in.3.I need to insist that Dad
eat at least half of every meal we give him.4.It's probably time to put in a
feeding tube, whether Dad agrees or not..
Answer: We can offer Dad small, frequent feedings rather than a few, large
meals.
◍ SBAR.
Answer: situation, background, assessment, & recommendation
◍ Hospice.
Answer: a specific type of palliative care that provides patients and families
with expert care for physical, psychological, social and spiritual needs,
focusing on improving patient and family quality of life
◍ Two of the best questions to ask to screen for depression include:.
Answer: Over the past two weeks have you been bothered by 1) little
interest or pleasure in doing things? and 2) feeling down, depressed, or
hopeless?
, ◍ 3. Which of the following statements reflects the importance of learning
about palliative care as a student or new nurse?.
Answer: Many patients with serious illnesses can benefit from palliative
care and understanding disease trajectory and palliative care services will
help to advocate for patients. Future employers expect nurses to have
education and training in palliative care services.
◍ Which client is MOST likely to be experiencing undiagnosed
depression?1.An adult client with metastatic prostate cancer who now plays
only nine holes of golf rather than 18 every week2.An older adult client with
early-stage dementia who participates in the craft activities at the nursing
facility3.An adult client with end stage liver disease who has fatigue and
does not feel like eating much when he attends his weekly men's group4.An
older adult with pancreatic cancer who reports trouble sleeping, fatigue, and
does not care to see her grandchildren on the weekends anymore.
Answer: An older adult with pancreatic cancer who reports trouble sleeping,
fatigue, and does not care to see her grandchildren on the weekends
anymore
◍ You and your colleagues in ICU have been talking about how hard it is to
readmit patients who have stated that they do not want aggressive
treatments. Today, you find one of your colleagues crying in the bathroom.
The state that they just admitted another patient to ICU who told them last
week, at discharge, they never wanted to come back to IC
U. What is your BEST response?-
A. Comfort her and tell her you all feel that way but it will be okay-
B. Suggest you both talk with the ICU manager about the unit needing the
chaplain or psychiatric nurse liaison for emotional support-
C. Tell her you are here for her and the two of you will get through this a
day at a time-
D. Suggest that if she really cannot stand it anymore, maybe she should
consider changing jobs.
Answer: B. Suggest you both talk with the ICU manager about the unit
needing the chaplain or psychiatric nurse liaison for emotional support
