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Palliative Care & Hospice Nursing – ELNEC Exam 2025/2026 | 70+ Practice Questions & Answers | Pain, Grief, Dyspnea, Spiritual Care – RN, BSN, MSN

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This document contains 70+ expertly crafted ELNEC (End-of-Life Nursing Education Consortium) exam questions with 100% verified answers, designed for nursing students and professionals preparing for the 2025/2026 certification cycle. It offers deep insights into core palliative care principles through realistic case-based scenarios and NCLEX-style multiple choice questions, each with clear rationales. Topics thoroughly covered include: Pain management and opioid use in serious illness Symptom management (e.g., fatigue, anorexia, constipation, dyspnea) Pediatric and geriatric end-of-life care Communication and emotional support for patients and families Grief, bereavement, and complicated mourning processes Psychosocial and spiritual assessment Cultural sensitivity in end-of-life decision-making Compassion fatigue and nursing resilience This document is suitable for: RN (Registered Nurse) students BSN (Bachelor of Science in Nursing) candidates MSN (Master of Science in Nursing) programs CHPN (Certified Hospice and Palliative Nurse) exam preparation Nursing educators and continuing professional development Highly applicable for university-level nursing education, this material can be used as a study aid, teaching support, or clinical simulation prep. It reflects current best practices in end-of-life care and emphasizes the nurse’s role in advocacy, communication, symptom control, and family-centered care. Keywords: palliative care, hospice nursing, ELNEC exam, pain management, dyspnea, symptom control, grief and bereavement, end-of-life care, spiritual assessment, nursing communication, ethical nursing practice, compassion fatigue, RN exam prep, BSN study guide, MSN review, CHPN certification, nursing student resource, serious illness care

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Uploaded on
October 11, 2025
Number of pages
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Written in
2025/2026
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ELNEC 2025/2026 Exam Questions and
Corresponding Answers with Surety of
100% Pass Mark



Symptom management in older adults with serious illness is complicated

because:




A. They never take their medications correctly.

B. Many have multiple comorbidities.

C. They tend to ignore their symptoms.

D. They like to over-report the severity of their symptoms. - 🧠 ANSWER

✔✔B. Many have multiple comorbidities.


Mrs. Smith has end-stage COPD and is admitted with severe dyspnea and

is started on morphine sulfate. Which of the following statements by her

,husband demonstrates he understands the use of morphine in patients with

COPD?




A. "Morphine is addictive and I am worried that she will become an addict."

B. "We have to be really careful with this drug because I have heard it

could make her stop breathing."

C. "My wife has a lung condition and morphine prevents her lungs from

causing her pain."

D. "The morphine is being used to treat her shortness of breath." - 🧠

ANSWER ✔✔D. "The morphine is being used to treat her shortness of

breath."

Geraldine is an 80-year-old woman with Parkinson's disease. She is still

functioning at home and is able to safely care for herself. Ever since her

diagnosis she has been extremely anxious about her disease and how

debilitated she might get as it progresses. Which of the following

interventions is most appropriate to help treat her anxiety?




A. A benzodiazepine like valium

, B. Active listening and presence as she talks about her fears and concerns

C. Activities to distract her from her anxiety so she won't dwell on the future

D. Suggest she go to an exercise class to preserve her balance and

strength - 🧠 ANSWER ✔✔B. Active listening and presence as she talks

about her fears and concerns

You have been assigned to care for a woman who was recently admitted

for advanced cancer, and who reports ongoing fatigue. Her husband offers

observations about his wife's fatigue. Which statement by the husband

indicates the most correct understanding of his wife's fatigue?




A. "She sleeps quite a bit, so she shouldn't be as tired as she is."

B. "She's lost some weight. I know she'll feel better if she eats more."

C. "She's been in pain. If we control that maybe, she'll have more energy."

D. "She seems moody, so we need to cheer her up and make her laugh." -

🧠 ANSWER ✔✔C. "She's been in pain. If we control that maybe, she'll have

more energy."




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