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Palliative & End-of-Life Nursing – ELNEC Exam 2025/2026 | 100+ Practice Questions & Answers | Dyspnea, Cultural Care, Spirituality, Grief – RN, BSN, MSN

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This document provides a comprehensive set of 100+ exam-style ELNEC (End-of-Life Nursing Education Consortium) questions and fully verified answers for the 2025/2026 academic year, tailored for nursing students and professionals studying or reviewing palliative and end-of-life care. The content reflects current standards and best practices in hospice and palliative nursing, with scenario-based multiple-choice questions ideal for certification and course preparation. Core topics covered include: Cultural considerations and humility in chronic illness and end-of-life communication Symptom management, including pain, dyspnea, cough, constipation, nausea, and anorexia/cachexia Psychosocial and spiritual care, including depression, grief, bereavement, and the role of religion Delirium and imminent death, including terminal secretions and comfort-focused sedation Nursing responsibilities at the end of life, including communication, support, advocacy, and post-death care This exam preparation resource is highly relevant for: Registered Nurse (RN) students preparing for palliative care modules BSN (Bachelor of Science in Nursing) students studying hospice or end-of-life topics MSN (Master of Science in Nursing) students specializing in advanced practice, educator, or palliative roles CHPN (Certified Hospice and Palliative Nurse) exam candidates Nursing educators and clinical instructors integrating ELNEC content in university settings Continuing education for experienced nurses and interprofessional hospice teams Developed as a university-level academic tool, this material provides rich insight into real-world palliative care scenarios and supports learners in building critical clinical judgment, ethical reasoning, and holistic nursing practices. The document emphasizes the nurse’s central role in symptom management, cultural sensitivity, family support, and creating dignified end-of-life experiences for patients across settings. Keywords: palliative care, ELNEC exam, hospice nursing, end-of-life communication, dyspnea management, grief and loss, cultural humility, spiritual care, symptom control, pain management, RN exam prep, BSN nursing study, MSN palliative care, nursing questions, CHPN certification, end-of-life support, bereavement care, delirium, terminal care, compassionate nursing

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Uploaded on
October 11, 2025
Number of pages
22
Written in
2025/2026
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ELNEC 2025/2026 Exam Questions and
Correct Answers | New Update



What does culture provide to a person? - 🧠 ANSWER ✔✔safety, security,

integrity, belonging; culture provides strong beliefs about illness, influences

reactions to chronic illness, and provides a foundation for all life

experiences

_________ defines how people making meaning of illness, suffering, and

death. - 🧠 ANSWER ✔✔culture


How does cultural influence chronic illness? - 🧠 ANSWER ✔✔influences

view of death, social customs, relationships, decision making, personal

cultural meaning, ability to plan for future

What social customs are influenced by chronic illness? - 🧠 ANSWER

✔✔how will body be managed after death, may be taboo to discuss death

in advanced

,What are elements of cultural humility? - 🧠 ANSWER ✔✔openness, self-

awareness, egoless, supportive interactions, self-reflection and critique


What is cultural openness? - 🧠 ANSWER ✔✔having attitude willing to

explore new ideas


What is cultural self-awareness? - 🧠 ANSWER ✔✔being aware of one's

values, beliefs, and behaviorss


What is egoless? - 🧠 ANSWER ✔✔being down to earth and humble


What is supportive interactions? - 🧠 ANSWER ✔✔positive human

relationships


What is self-reflection and critique? - 🧠 ANSWER ✔✔reflecting on one's

thoughts, feelings, and actions

What are cultural considerations to be aware of when communicating with

patient and family? - 🧠 ANSWER ✔✔conversation style, personal space,

eye contact, touch, view on HCP, learning styles, use of interpreters

What should HCP be aware with conversation style? - 🧠 ANSWER

✔✔assess whether the client wants to speak for himself or does another

, family member serve as the spokesperson; ask client how they would like

to be greeted

What should HCP be aware of with personal space? - 🧠 ANSWER

✔✔observe reaction to space


What should HCP be aware with eye contact? - 🧠 ANSWER ✔✔avoiding

eye contact is respectful in some cultures


What should HCP be aware of with touch? - 🧠 ANSWER ✔✔acceptance of

touches varies through cultures

What should HCP be aware with cultures view on HCP? - 🧠 ANSWER

✔✔some are afraid to ask questions


What should HCP be aware with interpreters? - 🧠 ANSWER ✔✔avoid using

family

What populations are vulnerable to chronic illness? - 🧠 ANSWER

✔✔minorities, homeless, prisoners, children, older adults, LGBT


Minorities have _______ death rates. Why? - 🧠 ANSWER ✔✔higher; d/t

unmanaged chronic illness i.e. HIV




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