ACHPN 2025 EXAM 100% VERIFIED
Hiv/aids hospice criteria Answer - CD4 count < 25
Viral load > 100,000
Weight loss more than 10% in 3 months
Pps 50or less
Treatment of OIH Answer - Stop opioids and start ketamine
Hospice criteria COPD Answer - Fev1 after bronchodilator less than 30%
O2 sat less than 88% on RA
Dyspnea at rest
No response to bronchodilator
What bronchodilator to treat mild to severe copd Answer - SABA albuterol or levalbuterol
What is FEV1 Answer - forced expiratory volume in one second
Beck Depression Inventory (BDI) Answer - a questionnaire useful for determining the level of depressive
symptoms that a person is reporting
Cancer Diagnosis most related to patient depression Answer - Pancreatic
To treat hiccups patient with ESRD Answer - Baclofen 5-10 mg po tid
Which of the following diagnosis is has a typical trajectory of overall decline with repeated acute episode
of illness and functional decline Answer - Congestive heart failure
CervicalCancer patient 24 yrs old , md thinks depressed but she is hopeful, in a support group and
educating her self about dx. What is this? Answer - Adjustment
,What drug has been useful in the treatment of depression in medically ill patients? Answer -
Methylphenidate
Methylphenidate (Ritalin) Answer - Treatment of nausea and to increase appetite. Initial dosage is 2.5
mg before lunch and dinner or just a evening dose at 2.5mg up to 20 mg daily
Maslow's Hierarchy of Needs Answer - physiological basic life system needs
safety and security
tlove and belonging
self-esteem
Painad Answer - assessment tool for pain; assesses 5 common behaviors: breathing, vocalization, facial
expression, body language, and consolability. A score of 4 or above indicates a need for pain
management.
What is the most challenging to assess in a patient with progressive cva with dysarthria and impaired
executive fuction? Answer - Pain
Name three drugs to treat dementia Answer - Mild to moderate
Donepezil (aricept)
Galaantamin ( razadyne)
Severe/ moderate nameda
What test and score can support a diagnosis of dementia Answer - MMSE ( mini mental state exam)
Score below 25
Score below 15 can not adequately state pain
Stage C of heart failure
ACCF/AHA
, Meds for Managment Answer - Increased shortness of breath
Edema
Chest pain with most activity
Loop diuretic and
ACEI
Describe opiate withdrawal symptoms Answer - Goose flesh, irritability, insomnia, diarrhea, tremors
Tylenol withdrawal symptoms Answer - Nausea, abdominal pain, anorexia
Evaluate drug dosing
Which medication catagory most often precipitates depressive symptoms Answer - Steriods
Copd first line medical management Answer - Bronchodialators
O2
Ant inflammatory drugs
AHA/ACC Stage B Answer - Structural heart disease who have never had signs or symptoms of HR
Comparable to
NYHA 1 mild
Ask-Tell-Ask method Answer - What do you already know and what do you want to know
Treatment for diarrhea Answer - Lopermide inital dose 4 mg then 2.5 mg after every stool up to 16 mg
per day
PPS of 50 or below Answer - Extensive disease and condition is deteriorating
Hiv/aids hospice criteria Answer - CD4 count < 25
Viral load > 100,000
Weight loss more than 10% in 3 months
Pps 50or less
Treatment of OIH Answer - Stop opioids and start ketamine
Hospice criteria COPD Answer - Fev1 after bronchodilator less than 30%
O2 sat less than 88% on RA
Dyspnea at rest
No response to bronchodilator
What bronchodilator to treat mild to severe copd Answer - SABA albuterol or levalbuterol
What is FEV1 Answer - forced expiratory volume in one second
Beck Depression Inventory (BDI) Answer - a questionnaire useful for determining the level of depressive
symptoms that a person is reporting
Cancer Diagnosis most related to patient depression Answer - Pancreatic
To treat hiccups patient with ESRD Answer - Baclofen 5-10 mg po tid
Which of the following diagnosis is has a typical trajectory of overall decline with repeated acute episode
of illness and functional decline Answer - Congestive heart failure
CervicalCancer patient 24 yrs old , md thinks depressed but she is hopeful, in a support group and
educating her self about dx. What is this? Answer - Adjustment
,What drug has been useful in the treatment of depression in medically ill patients? Answer -
Methylphenidate
Methylphenidate (Ritalin) Answer - Treatment of nausea and to increase appetite. Initial dosage is 2.5
mg before lunch and dinner or just a evening dose at 2.5mg up to 20 mg daily
Maslow's Hierarchy of Needs Answer - physiological basic life system needs
safety and security
tlove and belonging
self-esteem
Painad Answer - assessment tool for pain; assesses 5 common behaviors: breathing, vocalization, facial
expression, body language, and consolability. A score of 4 or above indicates a need for pain
management.
What is the most challenging to assess in a patient with progressive cva with dysarthria and impaired
executive fuction? Answer - Pain
Name three drugs to treat dementia Answer - Mild to moderate
Donepezil (aricept)
Galaantamin ( razadyne)
Severe/ moderate nameda
What test and score can support a diagnosis of dementia Answer - MMSE ( mini mental state exam)
Score below 25
Score below 15 can not adequately state pain
Stage C of heart failure
ACCF/AHA
, Meds for Managment Answer - Increased shortness of breath
Edema
Chest pain with most activity
Loop diuretic and
ACEI
Describe opiate withdrawal symptoms Answer - Goose flesh, irritability, insomnia, diarrhea, tremors
Tylenol withdrawal symptoms Answer - Nausea, abdominal pain, anorexia
Evaluate drug dosing
Which medication catagory most often precipitates depressive symptoms Answer - Steriods
Copd first line medical management Answer - Bronchodialators
O2
Ant inflammatory drugs
AHA/ACC Stage B Answer - Structural heart disease who have never had signs or symptoms of HR
Comparable to
NYHA 1 mild
Ask-Tell-Ask method Answer - What do you already know and what do you want to know
Treatment for diarrhea Answer - Lopermide inital dose 4 mg then 2.5 mg after every stool up to 16 mg
per day
PPS of 50 or below Answer - Extensive disease and condition is deteriorating
