CHPN® PRACTICE EXAMINATION (CERTIFIED
HOSPICE AND PALLIATIVE NURSE (CHPN®)
EXAM) NEWEST UPDATED COMPLETE
APPROVED CHPN FINAL EXAM | 200 TEST
PRACTICE QUESTIONS | 100% VERIFIED
CORRECT ANSWERS | DETAILED RATIONALES
| KEY RELIABLE SOLUTIONS | GUARANTEED
PASS
Question 1
A patient with advanced cancer asks, "What is the difference between hospice and palliative
care?" Which response by the nurse is most accurate?
A) "Hospice care is for patients who have a prognosis of 6 months or less, while palliative care can be
provided at any stage of illness."
B) "Palliative care is only for patients in the hospital, while hospice is for patients at home."
C) "Hospice care is provided by physicians only, while palliative care is provided by nurses."
D) "There is no difference; the terms are used interchangeably."
Answer
Answer: A
Rationale
Hospice care is specifically for patients with a prognosis of 6 months or less if the disease follows its
normal course, while palliative care can be provided at any stage of illness alongside curative
treatment.
Question 2
Which of the following best describes the philosophy of hospice care?
A) Extending life at all costs
B) Providing comfort and quality of life for patients and families facing terminal illness
C) Focusing solely on physical symptoms
,D) Limiting care to the last 24 hours of life
Answer
Answer: B
Rationale
Hospice philosophy emphasizes comfort, quality of life, and support for patients and families when
curative treatment is no longer the goal.
Question 3
The nurse is admitting a patient to hospice. Which patient meets the general eligibility criteria
for hospice care?
A) A patient with a life expectancy of 6 months or less if the disease runs its normal course
B) A patient requiring long-term rehabilitation
C) A patient seeking curative treatment for cancer
D) A patient with an acute, reversible illness
Answer
Answer: A
Rationale
Hospice eligibility requires a prognosis of 6 months or less if the terminal illness runs its normal
course.
Question 4
Which interdisciplinary team member is responsible for addressing spiritual needs in hospice?
A) Social worker
B) Chaplain
C) Nurse
D) Physician
Answer
Answer: B
2
,Rationale
The chaplain is the interdisciplinary team member specifically trained to address spiritual and
existential concerns.
Question 5
A hospice patient's family is experiencing anticipatory grief. Which intervention is most
appropriate?
A) Encourage the family to suppress their emotions
B) Provide education about the grieving process and offer emotional support
C) Limit family involvement in care
D) Focus solely on the patient's physical needs
Answer
Answer: B
Rationale
Anticipatory grief is common before death; education and emotional support help families cope.
Question 6
Which of the following is a core ethical principle in hospice and palliative care?
A) Autonomy
B) Paternalism
C) Beneficence
D) Both A and C
Answer
Answer: D
Rationale
Autonomy (respecting patient choices) and beneficence (acting in the patient's best interest) are core
ethical principles in hospice and palliative care.
3
, Question 7
A patient with end-stage COPD is experiencing acute dyspnea and anxiety. Which is the first-
line pharmacological intervention for breathlessness in palliative care?
A) Albuterol nebulizer
B) Lorazepam
C) Morphine sulfate
D) Oxygen via high-flow nasal cannula
Answer
Answer: C
Rationale
Low-dose opioids, particularly morphine, are the gold standard for treating the sensation of
breathlessness in advanced disease by altering the perception of dyspnea.
Question 8
During a nursing visit, a patient reports severe abdominal pain rated 8/10 despite taking
scheduled extended-release morphine. The family has been withholding breakthrough
medication due to addiction concerns. What is the priority nursing intervention?
A) Discontinue the extended-release morphine
B) Explain the difference between addiction, physical dependence, and tolerance and reinforce
appropriate use of breakthrough analgesia
C) Tell the family that opioids should never be withheld
D) Encourage the patient to tolerate the pain
Answer
Answer: B
Rationale
Untreated pain should be addressed promptly, and misconceptions about opioids can result in
unnecessary suffering. Education about addiction versus dependence and tolerance is essential.
Question 9
A patient with end-stage heart failure becomes increasingly somnolent with irregular
4
HOSPICE AND PALLIATIVE NURSE (CHPN®)
EXAM) NEWEST UPDATED COMPLETE
APPROVED CHPN FINAL EXAM | 200 TEST
PRACTICE QUESTIONS | 100% VERIFIED
CORRECT ANSWERS | DETAILED RATIONALES
| KEY RELIABLE SOLUTIONS | GUARANTEED
PASS
Question 1
A patient with advanced cancer asks, "What is the difference between hospice and palliative
care?" Which response by the nurse is most accurate?
A) "Hospice care is for patients who have a prognosis of 6 months or less, while palliative care can be
provided at any stage of illness."
B) "Palliative care is only for patients in the hospital, while hospice is for patients at home."
C) "Hospice care is provided by physicians only, while palliative care is provided by nurses."
D) "There is no difference; the terms are used interchangeably."
Answer
Answer: A
Rationale
Hospice care is specifically for patients with a prognosis of 6 months or less if the disease follows its
normal course, while palliative care can be provided at any stage of illness alongside curative
treatment.
Question 2
Which of the following best describes the philosophy of hospice care?
A) Extending life at all costs
B) Providing comfort and quality of life for patients and families facing terminal illness
C) Focusing solely on physical symptoms
,D) Limiting care to the last 24 hours of life
Answer
Answer: B
Rationale
Hospice philosophy emphasizes comfort, quality of life, and support for patients and families when
curative treatment is no longer the goal.
Question 3
The nurse is admitting a patient to hospice. Which patient meets the general eligibility criteria
for hospice care?
A) A patient with a life expectancy of 6 months or less if the disease runs its normal course
B) A patient requiring long-term rehabilitation
C) A patient seeking curative treatment for cancer
D) A patient with an acute, reversible illness
Answer
Answer: A
Rationale
Hospice eligibility requires a prognosis of 6 months or less if the terminal illness runs its normal
course.
Question 4
Which interdisciplinary team member is responsible for addressing spiritual needs in hospice?
A) Social worker
B) Chaplain
C) Nurse
D) Physician
Answer
Answer: B
2
,Rationale
The chaplain is the interdisciplinary team member specifically trained to address spiritual and
existential concerns.
Question 5
A hospice patient's family is experiencing anticipatory grief. Which intervention is most
appropriate?
A) Encourage the family to suppress their emotions
B) Provide education about the grieving process and offer emotional support
C) Limit family involvement in care
D) Focus solely on the patient's physical needs
Answer
Answer: B
Rationale
Anticipatory grief is common before death; education and emotional support help families cope.
Question 6
Which of the following is a core ethical principle in hospice and palliative care?
A) Autonomy
B) Paternalism
C) Beneficence
D) Both A and C
Answer
Answer: D
Rationale
Autonomy (respecting patient choices) and beneficence (acting in the patient's best interest) are core
ethical principles in hospice and palliative care.
3
, Question 7
A patient with end-stage COPD is experiencing acute dyspnea and anxiety. Which is the first-
line pharmacological intervention for breathlessness in palliative care?
A) Albuterol nebulizer
B) Lorazepam
C) Morphine sulfate
D) Oxygen via high-flow nasal cannula
Answer
Answer: C
Rationale
Low-dose opioids, particularly morphine, are the gold standard for treating the sensation of
breathlessness in advanced disease by altering the perception of dyspnea.
Question 8
During a nursing visit, a patient reports severe abdominal pain rated 8/10 despite taking
scheduled extended-release morphine. The family has been withholding breakthrough
medication due to addiction concerns. What is the priority nursing intervention?
A) Discontinue the extended-release morphine
B) Explain the difference between addiction, physical dependence, and tolerance and reinforce
appropriate use of breakthrough analgesia
C) Tell the family that opioids should never be withheld
D) Encourage the patient to tolerate the pain
Answer
Answer: B
Rationale
Untreated pain should be addressed promptly, and misconceptions about opioids can result in
unnecessary suffering. Education about addiction versus dependence and tolerance is essential.
Question 9
A patient with end-stage heart failure becomes increasingly somnolent with irregular
4
