NUR3119 Palliative Care CA Exam
questions and answers best assured
success updated 2025/2026 rated A+
After receiving the news of his terminal illness, Mr A has loss the sense of purpose in his life. He is
experiencing which type of pain?
a) Social
b) Spiritual
c) Psychological
d) Psychometric - CORRECT ANSWERS b) Spiritual
- Psychological: Emotion, sadness, anxiety
Morphine belongs to which type of analgesia?
a) Adjuvant
b) Non-opioid
c) Weak opioid
d) Strong opioid - CORRECT ANSWERS d) Strong opioid
Identify the pharmacotherapeutic intervention in pain management.
a) Adjuvant
b) Acupuncture
c) Radiotherapy
d) Hydrotherapy - CORRECT ANSWERS a) Adjuvant
- Eg: Dexamethasone
In the context of palliative and end-of-life care, identify the MOST VALUED behaviour of a nurse in
communicating with patient and family members.
a) Providing medical information
b) Providing serenity and silence
c) Gathering information on patient's condition
d) Checking understanding of patient's condition - CORRECT ANSWERS b) Providing serenity
and silence
Which of the following is one of the elements of "SPIKES" protocol in communication with patient and
family members?
a) Emphasis
b) Integrate
c) Knowledge
d) Persuasion - CORRECT ANSWERS c) Knowledge
, Madam C, has multiple co-morbidities and End Stage Kidney Failure. She is concerned about her medical
condition and worried about ever being put on life-saving machines to prolong her life. What would be
your MOST APPROPRIATE IMMEDIATE response?
a) Explore Madam C's fears and concerns
b) Inform doctor and check Madam C's mental capacity
c) Inform Madam C's family to sign Advanced Care Planning (ACP) document
d) Encourage Madam C to sign Advanced Medical Directive (AMD) document - CORRECT ANSWERS
a) Explore Madam C's fears and concerns
Which of the following is NOT a legal document?
a) Living Will
b) Advanced Care Planning
c) Lasting Power of Attorney
d) Advanced Medical Directive - CORRECT ANSWERS b) Advanced Care Planning
Madam L, is diagnosed with Colon Cancer and on Mist Morphine 30mg 4hourly. Her condition
deteriorated and doctor changed the Mist Morphine to Fentanyl patch. Calculate the CORRECT dose of
Fentanyl patch to be given to Madam L.
a) 20 mcg/hr
b) 25 mcg/hr
c) 50 mcg/hr
d) 75 mcg/hr - CORRECT ANSWERS d) 75 mcg/hr
30mg x 6 = 180mg oral morphine/day
Fentanyl requirement: 180mg / 2.4 = 75 mcg/hr
Identify the dimensions of "Total Pain".
a) Physical, Psychological and Social
b) Physical, Psychometric and Spiritual
c) Physical, Psychometric, Social and Spiritual
d) Physical, Psychological, Social and Spiritual - CORRECT ANSWERS d) Physical, Psychological,
Social and Spiritual
Madam J, with Terminal Liver Cancer is on end-of-life care. She is taking Mist Morphine for her severe
pain. Recently, she is very drowsy and not able to tolerate oral intake. Which of the following is the
MOST APPROPRIATE management for her?
a) Change Mist Morphine to Fentanyl patch
b) Put patient on Nil By Mouth except medications
c) Administer anti-emetics and continue oral feeding
d) Insert a nasogastric tube to maintain her hydration status - CORRECT ANSWERS a) Change
Mist Morphine to Fentanyl patch
- Best answer in cases of palliative care
questions and answers best assured
success updated 2025/2026 rated A+
After receiving the news of his terminal illness, Mr A has loss the sense of purpose in his life. He is
experiencing which type of pain?
a) Social
b) Spiritual
c) Psychological
d) Psychometric - CORRECT ANSWERS b) Spiritual
- Psychological: Emotion, sadness, anxiety
Morphine belongs to which type of analgesia?
a) Adjuvant
b) Non-opioid
c) Weak opioid
d) Strong opioid - CORRECT ANSWERS d) Strong opioid
Identify the pharmacotherapeutic intervention in pain management.
a) Adjuvant
b) Acupuncture
c) Radiotherapy
d) Hydrotherapy - CORRECT ANSWERS a) Adjuvant
- Eg: Dexamethasone
In the context of palliative and end-of-life care, identify the MOST VALUED behaviour of a nurse in
communicating with patient and family members.
a) Providing medical information
b) Providing serenity and silence
c) Gathering information on patient's condition
d) Checking understanding of patient's condition - CORRECT ANSWERS b) Providing serenity
and silence
Which of the following is one of the elements of "SPIKES" protocol in communication with patient and
family members?
a) Emphasis
b) Integrate
c) Knowledge
d) Persuasion - CORRECT ANSWERS c) Knowledge
, Madam C, has multiple co-morbidities and End Stage Kidney Failure. She is concerned about her medical
condition and worried about ever being put on life-saving machines to prolong her life. What would be
your MOST APPROPRIATE IMMEDIATE response?
a) Explore Madam C's fears and concerns
b) Inform doctor and check Madam C's mental capacity
c) Inform Madam C's family to sign Advanced Care Planning (ACP) document
d) Encourage Madam C to sign Advanced Medical Directive (AMD) document - CORRECT ANSWERS
a) Explore Madam C's fears and concerns
Which of the following is NOT a legal document?
a) Living Will
b) Advanced Care Planning
c) Lasting Power of Attorney
d) Advanced Medical Directive - CORRECT ANSWERS b) Advanced Care Planning
Madam L, is diagnosed with Colon Cancer and on Mist Morphine 30mg 4hourly. Her condition
deteriorated and doctor changed the Mist Morphine to Fentanyl patch. Calculate the CORRECT dose of
Fentanyl patch to be given to Madam L.
a) 20 mcg/hr
b) 25 mcg/hr
c) 50 mcg/hr
d) 75 mcg/hr - CORRECT ANSWERS d) 75 mcg/hr
30mg x 6 = 180mg oral morphine/day
Fentanyl requirement: 180mg / 2.4 = 75 mcg/hr
Identify the dimensions of "Total Pain".
a) Physical, Psychological and Social
b) Physical, Psychometric and Spiritual
c) Physical, Psychometric, Social and Spiritual
d) Physical, Psychological, Social and Spiritual - CORRECT ANSWERS d) Physical, Psychological,
Social and Spiritual
Madam J, with Terminal Liver Cancer is on end-of-life care. She is taking Mist Morphine for her severe
pain. Recently, she is very drowsy and not able to tolerate oral intake. Which of the following is the
MOST APPROPRIATE management for her?
a) Change Mist Morphine to Fentanyl patch
b) Put patient on Nil By Mouth except medications
c) Administer anti-emetics and continue oral feeding
d) Insert a nasogastric tube to maintain her hydration status - CORRECT ANSWERS a) Change
Mist Morphine to Fentanyl patch
- Best answer in cases of palliative care
