CHPN Exam – Questions & Answers (100% Accurate)
How many nursing level hospice care hours is required by Medicare Hospice
Benefit for it to be classified as continuous home care? Right Ans - 8
Hypercalcemia is associated with several cancers, most commonly: (4
ANSWERS) Right Ans - breast, lung, lymphoma, and multiple myeloma.
_________________________ in cancer patients is indicative of widespread disease
and is associated with a poor prognosis for long-term survival.
(ELECTROLYTE IMBALANCE) Right Ans - Hypercalcemia
_____________pain is caused by nerve infiltration or injury and is usually
described as burning, shooting, tingling, or shock-like. Right Ans -
Neuropathic
______________pain is caused by stimulation of skin, muscle, or bone, is well-
localized, and is described as achy, throbbing, or dull. Right Ans - Somatic
___________pain is caused by stimulation of abdominal or thoracic organs, is
poorly localized, and is described as squeezing, cramping, or pressure.
Right Ans - Visceral
Which electrolyte imbalance can cause n/v, anorexia, constipation, fatigue,
weakness, confusion and increased thirst. Right Ans - Hypercalcemia
____________ causes diaphoresis, agitation and seizures? Right Ans -
Hypoglycemia
The most common cause of wound odor is? Right Ans - anaerobic bacterial
colonization
Which medication can be used to help treat odor from anaerobic bacterial
colonization? Right Ans - topical metronidazole
SVC obstruction comes on rapidly or is complete, the patient deteriorates
rapidly because of? Right Ans - increased intracranial pressure.
, Common symptoms of carcinoid syndrome include: Right Ans - diarrhea,
flushing, abdominal cramping, wheezing, right heart failure, and cyanosis.
The most common presenting symptom of spinal cord compression is back
pain, which is worse when ________ _______or straining (e.g., coughing, stooling)
and improves upon _________. Right Ans - Laying flat. Standing.
What is Beck's triad? Right Ans - Hypotension, Muffled Heart Sounds, JVD
(increased venous pressure)
**Caracteristic for Cardiac Tamponade**
Sudden acute unilateral pleuritic pain, dyspnea, tachypnea, tachycardia, and
slight cough along with unilateral decreased breath sounds are consistent
with? Right Ans - Pneumothorax
Pneumothorax Right Ans - collapsed lung, air in the pleural cavity
tension pneumothorax Right Ans - A life-threatening collection of air
within the pleural space; the volume and pressure have both collasped the
involved lung and caused a shift of the mediastinal structures to the opposite
side. (Chest tube needed ASAP)
S3 heart sound Right Ans - May indicate heart failure or left ventricular
failure in older adults
An opening snap on auscultation of the heart should make you think of what
diagnosis? Right Ans - mitral valve stenosis (can be caused from rheumatic
heart disease)
Rheumatic heart disease Right Ans - damage to the heart muscle or heart
valves caused by one or more episodes of rheumatic fever
An *ejection click* soon after S1 occurs in ______ Right Ans - Aortic Stenosis;
Pulmonic Stenosis (septal defects)
septal defects Right Ans - small holes in the wall between the atria (atrial
septal defects) or the ventricles (ventricular septal defects)
How many nursing level hospice care hours is required by Medicare Hospice
Benefit for it to be classified as continuous home care? Right Ans - 8
Hypercalcemia is associated with several cancers, most commonly: (4
ANSWERS) Right Ans - breast, lung, lymphoma, and multiple myeloma.
_________________________ in cancer patients is indicative of widespread disease
and is associated with a poor prognosis for long-term survival.
(ELECTROLYTE IMBALANCE) Right Ans - Hypercalcemia
_____________pain is caused by nerve infiltration or injury and is usually
described as burning, shooting, tingling, or shock-like. Right Ans -
Neuropathic
______________pain is caused by stimulation of skin, muscle, or bone, is well-
localized, and is described as achy, throbbing, or dull. Right Ans - Somatic
___________pain is caused by stimulation of abdominal or thoracic organs, is
poorly localized, and is described as squeezing, cramping, or pressure.
Right Ans - Visceral
Which electrolyte imbalance can cause n/v, anorexia, constipation, fatigue,
weakness, confusion and increased thirst. Right Ans - Hypercalcemia
____________ causes diaphoresis, agitation and seizures? Right Ans -
Hypoglycemia
The most common cause of wound odor is? Right Ans - anaerobic bacterial
colonization
Which medication can be used to help treat odor from anaerobic bacterial
colonization? Right Ans - topical metronidazole
SVC obstruction comes on rapidly or is complete, the patient deteriorates
rapidly because of? Right Ans - increased intracranial pressure.
, Common symptoms of carcinoid syndrome include: Right Ans - diarrhea,
flushing, abdominal cramping, wheezing, right heart failure, and cyanosis.
The most common presenting symptom of spinal cord compression is back
pain, which is worse when ________ _______or straining (e.g., coughing, stooling)
and improves upon _________. Right Ans - Laying flat. Standing.
What is Beck's triad? Right Ans - Hypotension, Muffled Heart Sounds, JVD
(increased venous pressure)
**Caracteristic for Cardiac Tamponade**
Sudden acute unilateral pleuritic pain, dyspnea, tachypnea, tachycardia, and
slight cough along with unilateral decreased breath sounds are consistent
with? Right Ans - Pneumothorax
Pneumothorax Right Ans - collapsed lung, air in the pleural cavity
tension pneumothorax Right Ans - A life-threatening collection of air
within the pleural space; the volume and pressure have both collasped the
involved lung and caused a shift of the mediastinal structures to the opposite
side. (Chest tube needed ASAP)
S3 heart sound Right Ans - May indicate heart failure or left ventricular
failure in older adults
An opening snap on auscultation of the heart should make you think of what
diagnosis? Right Ans - mitral valve stenosis (can be caused from rheumatic
heart disease)
Rheumatic heart disease Right Ans - damage to the heart muscle or heart
valves caused by one or more episodes of rheumatic fever
An *ejection click* soon after S1 occurs in ______ Right Ans - Aortic Stenosis;
Pulmonic Stenosis (septal defects)
septal defects Right Ans - small holes in the wall between the atria (atrial
septal defects) or the ventricles (ventricular septal defects)
