ACHPN EXAM UPDATED KEY Questions
And CORRECT Answers
PAINAD
1. what is it?
2. what are the 5 different components of this scale - CORRECT ANSWERS 1. assessing pain in
cognitively impaired or non verbal individuals;
-uses non-verbal behaviors to assess
for pain
2. resipirstions, vocalization, facial expression, body language, consolability
LANSS Pain scale
1. what is it
2. what are the two parts
3. interpreting the score - CORRECT ANSWERS 1. Pain scale to determine neuropathic pain
2. First part involves 5 questions
-does your pain including tingling,
pins/needles, or unpleasant
sensations
-does the skin where pain is
occurring appear different
(mottling, erythematous)
-is the skin sensitive to touch or
bothered with tight clothing
-does pain have sudden unexpected
onset
-does it make the skin feel like temp
has changed
,second part is sensory testing:
-allodynia: cotton ball testing
-pin-prick: take 23 gauge needle if it's
felt equally on altered sides
3. Total possible score is 24. Anything over 12 suggests neuropathic pain
1. CHEOPS
2. FACES
3. CRIES
4. 0-10 scale - CORRECT ANSWERS 1. CHEOPS: Used for children 1-7
a.based on 6 different characteristics
-Crying, facial expression,
verbalixarion, torso, upper
extremities, lower extremities
b. Any score >4 indicates pain
2. FACES: facial expression scale for children over 3 and nonverbal adults
3. CRIES: assessing pain in neonates and infants 6 months or younger
a. Crying, requirement of O2 or SaO2
<95%, increased VS, expression,
and sleep
4. 0-10 scale: used with adolescents and adults
Gait assessment includes 3 components what are they? - CORRECT ANSWERS 1. Gait speed in 5
meters with slow gait (<0.6 m/sec) predictive of limitstions
2. Timed up and go (TUG):
a. patient stands from chair with
armrests, walks 3 meters, and turns
and sits back down
, b. Those taking >14 sec are at
increased risk for falls
c. Normal is 7-10 sec
3. performance oriented mobility assessment (POMA)
a. Tests mobility and gait under
different conditions
Index of Independence in Activities of Daily Living (Katz Index of ADL) - CORRECT
ANSWERS This tool is a checklist that evaluates 6 areas to provide an assessment of the person's
need for assistance and progression of disease/disability
a. Bathing
b. dressing
c. toileting
d. transfer
e. continence
f. feeding
Palliative Performance Scale (PPS) - CORRECT ANSWERS 1. Assesses functional ability using
percentages of ability
2. Scores are used as a guide to determine probable life expectancy
a. 60-100%= 108 days
b. 30-50% = 41 days
c. 10-20% = 6 days
3. Categories include:
a. ability to ambulate
b. activity level and evidence of disease
c. self care
d. intake
e. level of consciousness
And CORRECT Answers
PAINAD
1. what is it?
2. what are the 5 different components of this scale - CORRECT ANSWERS 1. assessing pain in
cognitively impaired or non verbal individuals;
-uses non-verbal behaviors to assess
for pain
2. resipirstions, vocalization, facial expression, body language, consolability
LANSS Pain scale
1. what is it
2. what are the two parts
3. interpreting the score - CORRECT ANSWERS 1. Pain scale to determine neuropathic pain
2. First part involves 5 questions
-does your pain including tingling,
pins/needles, or unpleasant
sensations
-does the skin where pain is
occurring appear different
(mottling, erythematous)
-is the skin sensitive to touch or
bothered with tight clothing
-does pain have sudden unexpected
onset
-does it make the skin feel like temp
has changed
,second part is sensory testing:
-allodynia: cotton ball testing
-pin-prick: take 23 gauge needle if it's
felt equally on altered sides
3. Total possible score is 24. Anything over 12 suggests neuropathic pain
1. CHEOPS
2. FACES
3. CRIES
4. 0-10 scale - CORRECT ANSWERS 1. CHEOPS: Used for children 1-7
a.based on 6 different characteristics
-Crying, facial expression,
verbalixarion, torso, upper
extremities, lower extremities
b. Any score >4 indicates pain
2. FACES: facial expression scale for children over 3 and nonverbal adults
3. CRIES: assessing pain in neonates and infants 6 months or younger
a. Crying, requirement of O2 or SaO2
<95%, increased VS, expression,
and sleep
4. 0-10 scale: used with adolescents and adults
Gait assessment includes 3 components what are they? - CORRECT ANSWERS 1. Gait speed in 5
meters with slow gait (<0.6 m/sec) predictive of limitstions
2. Timed up and go (TUG):
a. patient stands from chair with
armrests, walks 3 meters, and turns
and sits back down
, b. Those taking >14 sec are at
increased risk for falls
c. Normal is 7-10 sec
3. performance oriented mobility assessment (POMA)
a. Tests mobility and gait under
different conditions
Index of Independence in Activities of Daily Living (Katz Index of ADL) - CORRECT
ANSWERS This tool is a checklist that evaluates 6 areas to provide an assessment of the person's
need for assistance and progression of disease/disability
a. Bathing
b. dressing
c. toileting
d. transfer
e. continence
f. feeding
Palliative Performance Scale (PPS) - CORRECT ANSWERS 1. Assesses functional ability using
percentages of ability
2. Scores are used as a guide to determine probable life expectancy
a. 60-100%= 108 days
b. 30-50% = 41 days
c. 10-20% = 6 days
3. Categories include:
a. ability to ambulate
b. activity level and evidence of disease
c. self care
d. intake
e. level of consciousness
