CHPN EXAM 1 QUESTIONS AND ANSWERS
fight or flight response - CORRECT ANSWER✅✅Sympathetic
Rest and Digest - CORRECT ANSWER✅✅Parasympathetic
What regulates involuntary movement? - CORRECT ANSWER✅✅Autonomic
What system regulates voluntary movements? - CORRECT ANSWER✅✅Somatic
What is expected prognosis of ALS patient? - CORRECT ANSWER✅✅3-5 years
What is the priority need for late parkinson's patients? - CORRECT ANSWER✅✅Airway protection
What is the 1st sign of Myasthenia Gravis? - CORRECT ANSWER✅✅Eye Drooping
What type of diet should be given to seizure patients? - CORRECT ANSWER✅✅Ketogenic
Which type of pain is usually well localized? - CORRECT ANSWER✅✅Somatic
What hospice diagnosis requires forced vital capacity less than 40% and dyspnea at rest, anxiety? -
CORRECT ANSWER✅✅ALS
What is variant angina? - CORRECT ANSWER✅✅Spasms of Coronary Arteries, not caused by physical or
emotional stress, at rest or with minimal exertion, associated with nicotine, alcohol, or other
stimulants/drugs.
What is the initial objective when evaluating pain? - CORRECT ANSWER✅✅Treatable causes of pain
, Kussmaul respirations - CORRECT ANSWER✅✅Very deep, labored breathing (usually associated with
diabetic acidosis and renal failure), gasping breaths.
What platelet level is bleeding likely to occur? - CORRECT ANSWER✅✅Less than 50,000
What platelet level would hemorrhage occur? - CORRECT ANSWER✅✅Less than 5,000 (Normal
150,000-400,000)
What is the most common complication of portal hypertension? - CORRECT ANSWER✅✅Hemorrhage
of esophageal varices
What is the best treatment for bone mets? - CORRECT ANSWER✅✅Radiation, 1-2 weeks of treatment
before experience any reduction in pain.
Cheyne-Stokes respiration - CORRECT ANSWER✅✅Hypernea (deep breaths) alternating with apnea.
Seen at EOL.
What is terminal delirium? - CORRECT ANSWER✅✅Sudden onset of confusion, restless, and anxiety in
dying patient.
Indications of death - CORRECT ANSWER✅✅Pupils fixed and dilated, lack of HR/RR, doesn't respond to
stimuli, muscle relax (incontinence), pale, low temp. Rigor mortis sets in 4-6 hours.
What is normal adult urinary output? - CORRECT ANSWER✅✅30 mL/hr
What is normal child urinary output? - CORRECT ANSWER✅✅0.5 ml/kg/hr
What is clouded consciousness? - CORRECT ANSWER✅✅General drowsy or sleepy appearance and
inattention but patient can respond appropriately with persistence.
Which medication is removed in dialysis patients? - CORRECT ANSWER✅✅Hydromorphone
fight or flight response - CORRECT ANSWER✅✅Sympathetic
Rest and Digest - CORRECT ANSWER✅✅Parasympathetic
What regulates involuntary movement? - CORRECT ANSWER✅✅Autonomic
What system regulates voluntary movements? - CORRECT ANSWER✅✅Somatic
What is expected prognosis of ALS patient? - CORRECT ANSWER✅✅3-5 years
What is the priority need for late parkinson's patients? - CORRECT ANSWER✅✅Airway protection
What is the 1st sign of Myasthenia Gravis? - CORRECT ANSWER✅✅Eye Drooping
What type of diet should be given to seizure patients? - CORRECT ANSWER✅✅Ketogenic
Which type of pain is usually well localized? - CORRECT ANSWER✅✅Somatic
What hospice diagnosis requires forced vital capacity less than 40% and dyspnea at rest, anxiety? -
CORRECT ANSWER✅✅ALS
What is variant angina? - CORRECT ANSWER✅✅Spasms of Coronary Arteries, not caused by physical or
emotional stress, at rest or with minimal exertion, associated with nicotine, alcohol, or other
stimulants/drugs.
What is the initial objective when evaluating pain? - CORRECT ANSWER✅✅Treatable causes of pain
, Kussmaul respirations - CORRECT ANSWER✅✅Very deep, labored breathing (usually associated with
diabetic acidosis and renal failure), gasping breaths.
What platelet level is bleeding likely to occur? - CORRECT ANSWER✅✅Less than 50,000
What platelet level would hemorrhage occur? - CORRECT ANSWER✅✅Less than 5,000 (Normal
150,000-400,000)
What is the most common complication of portal hypertension? - CORRECT ANSWER✅✅Hemorrhage
of esophageal varices
What is the best treatment for bone mets? - CORRECT ANSWER✅✅Radiation, 1-2 weeks of treatment
before experience any reduction in pain.
Cheyne-Stokes respiration - CORRECT ANSWER✅✅Hypernea (deep breaths) alternating with apnea.
Seen at EOL.
What is terminal delirium? - CORRECT ANSWER✅✅Sudden onset of confusion, restless, and anxiety in
dying patient.
Indications of death - CORRECT ANSWER✅✅Pupils fixed and dilated, lack of HR/RR, doesn't respond to
stimuli, muscle relax (incontinence), pale, low temp. Rigor mortis sets in 4-6 hours.
What is normal adult urinary output? - CORRECT ANSWER✅✅30 mL/hr
What is normal child urinary output? - CORRECT ANSWER✅✅0.5 ml/kg/hr
What is clouded consciousness? - CORRECT ANSWER✅✅General drowsy or sleepy appearance and
inattention but patient can respond appropriately with persistence.
Which medication is removed in dialysis patients? - CORRECT ANSWER✅✅Hydromorphone
