ACHPN Exam Questions And Answers With Complete
Solutions
"cancer diets" Correct Answers idea- some foods "feed"
cancer; basic concepts:
avoid refined carb and milk
avoid fatty, fast, processed
avoid etoh, caffeine, nicotine, chemicals
avoid meats
avoid overcooking
utilize organic when able
raw foods encouraged
15 yr old pt with leukemia tells APRN that she wants to fill out a
living will so her parents will not have to make EOL decisions
for her. A document appropriate for adolescent patients:
A. Five Wishes
B. Voicing My Choices
C. My Wishes
D. Willmaker Plus Correct Answers A. Voicing My Choices-
17 yr old with AIDS and pneumonia is medically unstable and
his parents have broached the topic of EOL decisions with him;
pt refusing to discuss the issue stating he is "not going to
commit suicide". APRN advises parents to:
A. remain supportive and wait for pt readiness to discuss EOL
B. explain difference between EOL decisions and suicide
C. urge the pt to participate in some decision making
D. tell the pt they will make the decisions for him Correct
Answers A. Remain supportive and wait for patient readiness to
discuss EOL.
,26 yr old male with no advance directive suffered a TBI and is
in a vegetative state on life support. Pts mother, sister, best
friend and fiancee are present. Which person can legally make
the decision to withdraw life support?
A. Friend
B. Sister
C. Mother
D. Fiancee Correct Answers C. Mother- If he was married,
spouse, adult children, parents, then siblings.
3 basic types of failures in an organization Correct Answers 1.
skill based- ex intended mistakenly using the wrong piece of
equipment
2. rules based- incorrectly applies a rule
3. knowledge based- inadequate knowledge
48 yr old with myasthenia gravis had been fairly stable but after
a recent bout of gastroenteritis, pt experienced marked
weakening of the muscles. Tachypnea, single breath count test
result of 14 (normal 50) , SpO2 95%. This likely indicates:
A. normal respiratory status for MG
B. atelectasis
C. pneumonia
D. impending respiratory failure Correct Answers D.
Impending respiratory failure- An illness like gastroenteritis can
trigger a myasthenia crisis which can severely impair respiratory
function. O2 sat can remain normal until situation is critical.
5 elements of pain assessment Correct Answers 1.
words/descriptions
, 2. intensity 0-10
3. location
4. duration
5. aggravating/alleviating
5 HT-3 receptor antagonists (ondansetron) Correct Answers
chemo, radiation, post op nausea
50 yr old pt receiving chemo complains her biggest problem is
managing her home and family while dealing with fatigue.
Which of the following referrals would most benefit the pt?
A. nutritionist
B. PT
C. psychologist
D. OT Correct Answers D. Occupational therapist may be able
to assist with strategies to manage fatigue while still being able
to care for her family.
76 year old female, generally good health, new pathologic
fracture of proximal femur. pt states it occurred while walking-
most likely cause:
A. abuse
B. multiple myeloma
C. osteoporosis
D. bone cyst Correct Answers C. osteoporosis- DEXA scan
gold standard; T-score -2 indicates osteoporosis
A 68 year old patient has appeared depressed so APRN assesses
using Geriatric Depression Scale which comprises 15 questions.
How many "yes" answers are needed to indicate depression?
A. 4
Solutions
"cancer diets" Correct Answers idea- some foods "feed"
cancer; basic concepts:
avoid refined carb and milk
avoid fatty, fast, processed
avoid etoh, caffeine, nicotine, chemicals
avoid meats
avoid overcooking
utilize organic when able
raw foods encouraged
15 yr old pt with leukemia tells APRN that she wants to fill out a
living will so her parents will not have to make EOL decisions
for her. A document appropriate for adolescent patients:
A. Five Wishes
B. Voicing My Choices
C. My Wishes
D. Willmaker Plus Correct Answers A. Voicing My Choices-
17 yr old with AIDS and pneumonia is medically unstable and
his parents have broached the topic of EOL decisions with him;
pt refusing to discuss the issue stating he is "not going to
commit suicide". APRN advises parents to:
A. remain supportive and wait for pt readiness to discuss EOL
B. explain difference between EOL decisions and suicide
C. urge the pt to participate in some decision making
D. tell the pt they will make the decisions for him Correct
Answers A. Remain supportive and wait for patient readiness to
discuss EOL.
,26 yr old male with no advance directive suffered a TBI and is
in a vegetative state on life support. Pts mother, sister, best
friend and fiancee are present. Which person can legally make
the decision to withdraw life support?
A. Friend
B. Sister
C. Mother
D. Fiancee Correct Answers C. Mother- If he was married,
spouse, adult children, parents, then siblings.
3 basic types of failures in an organization Correct Answers 1.
skill based- ex intended mistakenly using the wrong piece of
equipment
2. rules based- incorrectly applies a rule
3. knowledge based- inadequate knowledge
48 yr old with myasthenia gravis had been fairly stable but after
a recent bout of gastroenteritis, pt experienced marked
weakening of the muscles. Tachypnea, single breath count test
result of 14 (normal 50) , SpO2 95%. This likely indicates:
A. normal respiratory status for MG
B. atelectasis
C. pneumonia
D. impending respiratory failure Correct Answers D.
Impending respiratory failure- An illness like gastroenteritis can
trigger a myasthenia crisis which can severely impair respiratory
function. O2 sat can remain normal until situation is critical.
5 elements of pain assessment Correct Answers 1.
words/descriptions
, 2. intensity 0-10
3. location
4. duration
5. aggravating/alleviating
5 HT-3 receptor antagonists (ondansetron) Correct Answers
chemo, radiation, post op nausea
50 yr old pt receiving chemo complains her biggest problem is
managing her home and family while dealing with fatigue.
Which of the following referrals would most benefit the pt?
A. nutritionist
B. PT
C. psychologist
D. OT Correct Answers D. Occupational therapist may be able
to assist with strategies to manage fatigue while still being able
to care for her family.
76 year old female, generally good health, new pathologic
fracture of proximal femur. pt states it occurred while walking-
most likely cause:
A. abuse
B. multiple myeloma
C. osteoporosis
D. bone cyst Correct Answers C. osteoporosis- DEXA scan
gold standard; T-score -2 indicates osteoporosis
A 68 year old patient has appeared depressed so APRN assesses
using Geriatric Depression Scale which comprises 15 questions.
How many "yes" answers are needed to indicate depression?
A. 4
