ACHPN exam ACTUAL UPDATED Exam
Questions and CORRECT Answers
scale of performance status based on 5 grades - CORRECT ANSWER - ECOG aka
Eastern Cooperative Oncology Group
fully active, able to carry on all pre-disease performance without restriction - CORRECT
ANSWER - ECOG score=0
Restricted in physically strenuous activity, but ambulatory and able to carry out work of a light
or sedentary nature; office or house work - CORRECT ANSWER - ECOG Score=1
Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about
more than 50% of waking hours - CORRECT ANSWER - ECOG Score= 2
Capable of only limited self care, confined to bed or chair more than 50% of waking hours. -
CORRECT ANSWER - ECOG Score= 3
completely disabled; cannot carry on any selfcare; totally confined to bed or chair - CORRECT
ANSWER - ECOG Score=4
dead-last stage - CORRECT ANSWER - ECOG Score=5
used a determinant for chemotherapy eligibility in patients with primary lung cancer based on
functional dimensions that measure ambulation, evidence of disease, and ability to provide self
care - CORRECT ANSWER - Karnofsky Performance Status -KPS
correlates with survival times for ambulatory cancer patients; measurements are based on 5
criteria: ambulation, activity level, self-care, nutritional intake, and level of consciousness -
CORRECT ANSWER - Palliative Performance Scale- PPS
, 2 part evaluation of both the patient and healthcare provider of the most common symptoms
associated with lung cancer and the overall effect on quality of life and functional status -
CORRECT ANSWER - Lung Cancer Symptom Scale - LCSS
a nine item visual correspondent scale that looks at common patient symptoms, including pain,
fatigue, nausea, depression, anxiety, drowsiness, appetite, well-being, and shortness of breath -
CORRECT ANSWER - Edmonton Symptom Assessment System= ESAS
non-disease specific tool used to predict 30-day survival probability - CORRECT
ANSWER - Palliative Prognostic Score = PaP
What are the 7 domains of PaP? - CORRECT ANSWER - 1. dyspnea
2. anorexia
3. KPS
4. clincial prediction of survival (weeks)
5. Total WBC
6. lymphocyte Percentage
7. Risk Group (A,B,C).
disease specific prognostic tool which utilizes PPS, performance status, oral intake, edema,
dyspnea at rest and delirium for predicting survival between < 1 week to up to less than 6 weeks
- CORRECT ANSWER - Palliative Prognostic Index PPI
which of the following scales most accurately assesses functional capacity and performance? -
CORRECT ANSWER - Eastern Cooperative Oncology Group Performance Status
The clinical frailty scale helps provider measure what? - CORRECT ANSWER -
functional status
which quality of life scale best captures a patient's experience and well-being during serious
illness? - CORRECT ANSWER - Quality of life at End of Life Instrument QUAL-E
Questions and CORRECT Answers
scale of performance status based on 5 grades - CORRECT ANSWER - ECOG aka
Eastern Cooperative Oncology Group
fully active, able to carry on all pre-disease performance without restriction - CORRECT
ANSWER - ECOG score=0
Restricted in physically strenuous activity, but ambulatory and able to carry out work of a light
or sedentary nature; office or house work - CORRECT ANSWER - ECOG Score=1
Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about
more than 50% of waking hours - CORRECT ANSWER - ECOG Score= 2
Capable of only limited self care, confined to bed or chair more than 50% of waking hours. -
CORRECT ANSWER - ECOG Score= 3
completely disabled; cannot carry on any selfcare; totally confined to bed or chair - CORRECT
ANSWER - ECOG Score=4
dead-last stage - CORRECT ANSWER - ECOG Score=5
used a determinant for chemotherapy eligibility in patients with primary lung cancer based on
functional dimensions that measure ambulation, evidence of disease, and ability to provide self
care - CORRECT ANSWER - Karnofsky Performance Status -KPS
correlates with survival times for ambulatory cancer patients; measurements are based on 5
criteria: ambulation, activity level, self-care, nutritional intake, and level of consciousness -
CORRECT ANSWER - Palliative Performance Scale- PPS
, 2 part evaluation of both the patient and healthcare provider of the most common symptoms
associated with lung cancer and the overall effect on quality of life and functional status -
CORRECT ANSWER - Lung Cancer Symptom Scale - LCSS
a nine item visual correspondent scale that looks at common patient symptoms, including pain,
fatigue, nausea, depression, anxiety, drowsiness, appetite, well-being, and shortness of breath -
CORRECT ANSWER - Edmonton Symptom Assessment System= ESAS
non-disease specific tool used to predict 30-day survival probability - CORRECT
ANSWER - Palliative Prognostic Score = PaP
What are the 7 domains of PaP? - CORRECT ANSWER - 1. dyspnea
2. anorexia
3. KPS
4. clincial prediction of survival (weeks)
5. Total WBC
6. lymphocyte Percentage
7. Risk Group (A,B,C).
disease specific prognostic tool which utilizes PPS, performance status, oral intake, edema,
dyspnea at rest and delirium for predicting survival between < 1 week to up to less than 6 weeks
- CORRECT ANSWER - Palliative Prognostic Index PPI
which of the following scales most accurately assesses functional capacity and performance? -
CORRECT ANSWER - Eastern Cooperative Oncology Group Performance Status
The clinical frailty scale helps provider measure what? - CORRECT ANSWER -
functional status
which quality of life scale best captures a patient's experience and well-being during serious
illness? - CORRECT ANSWER - Quality of life at End of Life Instrument QUAL-E
