Hospice and Palliative Registered Nurse
Certification Ultimate Exam Study Guide –
Practice Questions & Verified Answers
Want to study smarter, save time, and boost your exam scores? This powerful study guide is
designed to help students review key concepts quickly while building the confidence needed
to succeed in exams.
Inside this resource, you’ll find carefully structured practice questions that closely reflect real
exam formats, combined with accurate answers and clear explanations that make complex
topics easier to understand.
Instead of spending hours rereading textbooks, this guide allows you to focus on the most
important topics that are commonly tested, helping you prepare more efficiently and
effectively.
What You’ll Find Inside
✔ High-quality exam-style practice questions
✔ Verified answers with detailed explanations
✔ Coverage of essential and frequently tested topics
✔ Clear and organized formatting for easy studying
✔ Up-to-date academic content for reliable preparation
Why This Study Guide Works
This resource is designed to help students learn faster, retain information better, and improve
test performance. By practicing with exam-style questions, you’ll strengthen your
understanding of key concepts and develop the critical thinking skills needed for success.
Perfect For Students Who Want To:
• Prepare effectively for final exams
• Review material before midterms
,• Practice questions similar to real exams
• Improve understanding of challenging topics
• Increase confidence and academic performance
A trusted study resource for students who want better results with less stress.
Prepare smarter, feel confident, and walk into your exam ready to succeed.
Which assessment findings would most strongly suggest an issue with morphine? - ANNSWER
: myoclonus is a symptom of the toxic effects of morphine metabolites
Which cancer is least likely to metastasize to the bone? - ANNSWER : Colorectal; it
mainly metastasizes to the liver, lung, and peritoneum.
What is the drug of choice to relieve a patient's feeling of "air hunger" in end stage pulmonary
disease? - ANNSWER : morphine; opioids provide palliative support for symptoms
of breathlessness or suffocation.
What is not an appropriate intervention for a bowel obstruction - ANNSWER
: Metoclopramide
The classic signs of superior vena cava syndrome (SVCS) - ANNSWER : facial edema,
dyspnea, edematous arms w/bluish color=this is oncologic emergency requiring immediate
attention.
anticipatory grief - ANNSWER : the proces of psychological, social, and somatic
reactions to a perceived future loss.
signs and symptoms of imminent death - ANNSWER : dysphagia
stage II skin breakdown - ANNSWER : skin is blistered, cracked or abraded
The state of having suffered a loss - ANNSWER : bereavement
Disseminated Intravascular Coagulation (DIC) - ANNSWER : focal ischemia,
widespread thrombosis or bleeding, superficial gangrene, jaundice, acrocyanosis, altered
sensation, ulceration of gastrointestinal system, decreased urinary output, and dyspnea.
, prognosis of days to weeks, intervention for dysphagia - ANNSWER : teach family
the importance of oral hygiene to prevent complications such as mouth soreness and infections.
safety is a priority w/persons w/dementia - ANNSWER : supervision, minimal
stimulation, and discouraging sleep during daytime hours maximize night safety.
xerostomia - ANNSWER : dry mouth, and can be a side effect of medications and a
long term effect of radiation.
spiritual care of the hospice patient and family - ANNSWER : identifies and strives
to relieve the spiritual suffering of the patient and family
Grief - ANNSWER : the feelings related to the perception of the loss and is a normal
reaction to loss.
mentoring - ANNSWER : a relationship between an experienced person and a less
experienced person
Justice - ANNSWER : to consider rules and actions that result in fair and equitable
use of available resources.
medicare hospice benefit periods - ANNSWER : 90-, 90-, and unlimited 60-day
periods
crossing of professional boundaries - ANNSWER : providing a personal cell phone
number to the family
syncopal episodes and falls - ANNSWER : consider discontinuing antihypertensive
medications if blood pressure is consistently low
When revoking the medicare hospice benefit - ANNSWER : The patient will lose the
remaining days of the current period if they revoke the medicare hospice benefit
The dose-limiting side effect of morphine - ANNSWER : Myoclonus=myoclonus is
the chronic spasm of a muscle; if moclonus is present, accepted practice is to rotate to another
opioid.
first priority when pt. unable to make own decisions and being cared for by family - ANNSWER
: knowing how the family makes decisions and who the decision makers are is
priority.
therapy for stage II wounds - ANNSWER : relieve pressure and apply
protective/occlusive dressings.
Certification Ultimate Exam Study Guide –
Practice Questions & Verified Answers
Want to study smarter, save time, and boost your exam scores? This powerful study guide is
designed to help students review key concepts quickly while building the confidence needed
to succeed in exams.
Inside this resource, you’ll find carefully structured practice questions that closely reflect real
exam formats, combined with accurate answers and clear explanations that make complex
topics easier to understand.
Instead of spending hours rereading textbooks, this guide allows you to focus on the most
important topics that are commonly tested, helping you prepare more efficiently and
effectively.
What You’ll Find Inside
✔ High-quality exam-style practice questions
✔ Verified answers with detailed explanations
✔ Coverage of essential and frequently tested topics
✔ Clear and organized formatting for easy studying
✔ Up-to-date academic content for reliable preparation
Why This Study Guide Works
This resource is designed to help students learn faster, retain information better, and improve
test performance. By practicing with exam-style questions, you’ll strengthen your
understanding of key concepts and develop the critical thinking skills needed for success.
Perfect For Students Who Want To:
• Prepare effectively for final exams
• Review material before midterms
,• Practice questions similar to real exams
• Improve understanding of challenging topics
• Increase confidence and academic performance
A trusted study resource for students who want better results with less stress.
Prepare smarter, feel confident, and walk into your exam ready to succeed.
Which assessment findings would most strongly suggest an issue with morphine? - ANNSWER
: myoclonus is a symptom of the toxic effects of morphine metabolites
Which cancer is least likely to metastasize to the bone? - ANNSWER : Colorectal; it
mainly metastasizes to the liver, lung, and peritoneum.
What is the drug of choice to relieve a patient's feeling of "air hunger" in end stage pulmonary
disease? - ANNSWER : morphine; opioids provide palliative support for symptoms
of breathlessness or suffocation.
What is not an appropriate intervention for a bowel obstruction - ANNSWER
: Metoclopramide
The classic signs of superior vena cava syndrome (SVCS) - ANNSWER : facial edema,
dyspnea, edematous arms w/bluish color=this is oncologic emergency requiring immediate
attention.
anticipatory grief - ANNSWER : the proces of psychological, social, and somatic
reactions to a perceived future loss.
signs and symptoms of imminent death - ANNSWER : dysphagia
stage II skin breakdown - ANNSWER : skin is blistered, cracked or abraded
The state of having suffered a loss - ANNSWER : bereavement
Disseminated Intravascular Coagulation (DIC) - ANNSWER : focal ischemia,
widespread thrombosis or bleeding, superficial gangrene, jaundice, acrocyanosis, altered
sensation, ulceration of gastrointestinal system, decreased urinary output, and dyspnea.
, prognosis of days to weeks, intervention for dysphagia - ANNSWER : teach family
the importance of oral hygiene to prevent complications such as mouth soreness and infections.
safety is a priority w/persons w/dementia - ANNSWER : supervision, minimal
stimulation, and discouraging sleep during daytime hours maximize night safety.
xerostomia - ANNSWER : dry mouth, and can be a side effect of medications and a
long term effect of radiation.
spiritual care of the hospice patient and family - ANNSWER : identifies and strives
to relieve the spiritual suffering of the patient and family
Grief - ANNSWER : the feelings related to the perception of the loss and is a normal
reaction to loss.
mentoring - ANNSWER : a relationship between an experienced person and a less
experienced person
Justice - ANNSWER : to consider rules and actions that result in fair and equitable
use of available resources.
medicare hospice benefit periods - ANNSWER : 90-, 90-, and unlimited 60-day
periods
crossing of professional boundaries - ANNSWER : providing a personal cell phone
number to the family
syncopal episodes and falls - ANNSWER : consider discontinuing antihypertensive
medications if blood pressure is consistently low
When revoking the medicare hospice benefit - ANNSWER : The patient will lose the
remaining days of the current period if they revoke the medicare hospice benefit
The dose-limiting side effect of morphine - ANNSWER : Myoclonus=myoclonus is
the chronic spasm of a muscle; if moclonus is present, accepted practice is to rotate to another
opioid.
first priority when pt. unable to make own decisions and being cared for by family - ANNSWER
: knowing how the family makes decisions and who the decision makers are is
priority.
therapy for stage II wounds - ANNSWER : relieve pressure and apply
protective/occlusive dressings.
