ACHPN Exam | UPDATED Questions with 100% Verified Answers
Question:
APRN begins to overly identify with pain and suffering of
patients; skips lunch, trouble concentrating, nightmares
A. depression
B. compassion fatigue
C. anxiety
D. empathy
Answer:
B. compassion fatigue
Question:
Patient with chronic bowel disease has developed persistent
diarrhea, treatment most indicated to treat is:
A. loperamide
B. codeine
C. diphenoxylate
D. methylcellulose
Answer:
A. loperamide- indicated for nonspecific diarrhea but should be avoided if gross bloody
stool or temp above 101 degrees or if C. diff expected. 4mg initially, then 2mg after each
loose stool, NTE 16mg/day.
Question:
When utilizing the SPIRIT pneumonic, as a spiritual assessment
tool for a hospice patient, the first question to ask for "S" part
is:
A. does spirituality play a part in your personal life?
B. restrictions that affect healthcare decisions?
C. how does faith affect how you feel about death?
D. do you have a normal religious affiliation?
Answer:
,D. Spiritual: formal religious affiliation?
Personal: practices/beliefs, daily life?
Integration: spiritual community
Ritual: specific practices that affect healthcare
Implication: aspects of care to keep in mind
Terminal events: does faith affect feelings about death?
Question:
Obese patient, diabetes; underwent surgery for bowel
obstruction 6 days ago and has persistent N/V. Feels
"popping" sensation at incision site-->intestinal evisceration.
Initial response:
A. administer opioid, no intervention
B. semi-fowler's knees up, notify surgeon
C. explain what is happening, ask for guidance
D. supinate patient, cover with dry sterile gauze
Answer:
B. INITIAL RESPONSE: notify surgeon
Next- cover sterile soaked gauze, IV site, O2
Question:
76 year old female, generally good health, new pathologic
fracture of proximal femur. pt states it occurred while walking-
most likely cause:
A. abuse
B. multiple myeloma
C. osteoporosis
D. bone cyst
Answer:
C. osteoporosis- DEXA scan gold standard; T-score -2 indicates osteoporosis
Question:
When collaborating with patient and family on POC, it's
important for them to understand:
, A. rights and responsibilities
B. limitations
C. organizations philosophy
D. difference between goals and objectives
Answer:
A. rights and responsibilities- ask them what goals and expectations are, what is
important to them
Question:
Native American patient, stage IV multiple myeloma, on
hospice in extended care facility. Reportedly little pain AEB
does not request medicine but does lay in fetal position and
refuses food and fluids. APRN should advise nursing staff:
A. pt probably comfortable without pain medication
B. pt may avoid outward expressions of pain
C. staff nurse should be more aware of pt needs
D. pt probably prefers to suffer than take medications
Answer:
B. pt may avoid outward expressions of pain, but his body language indicates otherwise
Question:
Middle Eastern hospice pt, cared for at home by sisters and
daughters. On exam, rows of circular slightly reddened areas
up and down back. Most appropriate response:
A. notify APS of abuse
B. tell family hospice pts cannot receive cupping
C. acknowledge use of cupping
D. provide supportive care for pressure sores
Answer:
C. acknowledge cupping- ancient form of healing that releases toxins
Question:
Question:
APRN begins to overly identify with pain and suffering of
patients; skips lunch, trouble concentrating, nightmares
A. depression
B. compassion fatigue
C. anxiety
D. empathy
Answer:
B. compassion fatigue
Question:
Patient with chronic bowel disease has developed persistent
diarrhea, treatment most indicated to treat is:
A. loperamide
B. codeine
C. diphenoxylate
D. methylcellulose
Answer:
A. loperamide- indicated for nonspecific diarrhea but should be avoided if gross bloody
stool or temp above 101 degrees or if C. diff expected. 4mg initially, then 2mg after each
loose stool, NTE 16mg/day.
Question:
When utilizing the SPIRIT pneumonic, as a spiritual assessment
tool for a hospice patient, the first question to ask for "S" part
is:
A. does spirituality play a part in your personal life?
B. restrictions that affect healthcare decisions?
C. how does faith affect how you feel about death?
D. do you have a normal religious affiliation?
Answer:
,D. Spiritual: formal religious affiliation?
Personal: practices/beliefs, daily life?
Integration: spiritual community
Ritual: specific practices that affect healthcare
Implication: aspects of care to keep in mind
Terminal events: does faith affect feelings about death?
Question:
Obese patient, diabetes; underwent surgery for bowel
obstruction 6 days ago and has persistent N/V. Feels
"popping" sensation at incision site-->intestinal evisceration.
Initial response:
A. administer opioid, no intervention
B. semi-fowler's knees up, notify surgeon
C. explain what is happening, ask for guidance
D. supinate patient, cover with dry sterile gauze
Answer:
B. INITIAL RESPONSE: notify surgeon
Next- cover sterile soaked gauze, IV site, O2
Question:
76 year old female, generally good health, new pathologic
fracture of proximal femur. pt states it occurred while walking-
most likely cause:
A. abuse
B. multiple myeloma
C. osteoporosis
D. bone cyst
Answer:
C. osteoporosis- DEXA scan gold standard; T-score -2 indicates osteoporosis
Question:
When collaborating with patient and family on POC, it's
important for them to understand:
, A. rights and responsibilities
B. limitations
C. organizations philosophy
D. difference between goals and objectives
Answer:
A. rights and responsibilities- ask them what goals and expectations are, what is
important to them
Question:
Native American patient, stage IV multiple myeloma, on
hospice in extended care facility. Reportedly little pain AEB
does not request medicine but does lay in fetal position and
refuses food and fluids. APRN should advise nursing staff:
A. pt probably comfortable without pain medication
B. pt may avoid outward expressions of pain
C. staff nurse should be more aware of pt needs
D. pt probably prefers to suffer than take medications
Answer:
B. pt may avoid outward expressions of pain, but his body language indicates otherwise
Question:
Middle Eastern hospice pt, cared for at home by sisters and
daughters. On exam, rows of circular slightly reddened areas
up and down back. Most appropriate response:
A. notify APS of abuse
B. tell family hospice pts cannot receive cupping
C. acknowledge use of cupping
D. provide supportive care for pressure sores
Answer:
C. acknowledge cupping- ancient form of healing that releases toxins
Question:
