Certification for Hospice and Palliative
Nursing- Ultimate Exam Study Guide –
Practice Questions & Verified Answers
Want to study smarter, save time, and boost your exam scores? This powerful study guide is
designed to help students review key concepts quickly while building the confidence needed
to succeed in exams.
Inside this resource, you’ll find carefully structured practice questions that closely reflect real
exam formats, combined with accurate answers and clear explanations that make complex
topics easier to understand.
Instead of spending hours rereading textbooks, this guide allows you to focus on the most
important topics that are commonly tested, helping you prepare more efficiently and
effectively.
What You’ll Find Inside
✔ High-quality exam-style practice questions
✔ Verified answers with detailed explanations
✔ Coverage of essential and frequently tested topics
✔ Clear and organized formatting for easy studying
✔ Up-to-date academic content for reliable preparation
Why This Study Guide Works
This resource is designed to help students learn faster, retain information better, and improve
test performance. By practicing with exam-style questions, you’ll strengthen your
understanding of key concepts and develop the critical thinking skills needed for success.
Perfect For Students Who Want To:
• Prepare effectively for final exams
• Review material before midterms
,• Practice questions similar to real exams
• Improve understanding of challenging topics
• Increase confidence and academic performance
A trusted study resource for students who want better results with less stress.
Prepare smarter, feel confident, and walk into your exam ready to succeed.
xerostomia -ANSWER Dry mouth syndrome, leads to decreased swallowing ability,
increased dental caries, gum, tongue and oral lesions, infections, bad breath, changes in taste
and alterations in speech and voice functions. Social decline pyschosocial complication.
xerostomia non-pharmacological treatments -ANSWER oral swabs, peppermint water,
vitamin c, chewing gum/mints, acupuncture, diet modification, humidity
Percentage of HIV infection related pain -ANSWER 50% directly related to infection of 30-
97% of AIDS patient experiencing pain
Post stroke pain -ANSWER 32-42% experienced at 4-6 months post cva
11-21% experienced at 12-16 months post cva
Types of common post CVA pain -ANSWER Mechanical shoulder pain-common
Allodynia= Painful response to normally innocuous stimuli
Hyperalgesia =Decreased temperature sensation deep, superficial, and or severe
-coxib drugs -ANSWER withdrawn from market due to adverse effects associated with
cardiovascular system
,Conversion method from oral dose long acting to oral dose short acting -ANSWER 24 h
total of long acting divided by q4h administration plus breakthrough dose of 10-15% of 24 hour
total given q2h prn
Medication dosage alteration based on increased use of PRN dosage -ANSWER Add total
dosage for PRN use by patient and divide by 2 for amount of increase needed to long acting
med
Primary factors for subcutaneous infusion -ANSWER 1. Circulatory status
2. Patient monitoring
3. Infusion site- amount of subcutaneous tissue
Calculating breakthrough dose of short acting medication -ANSWER 10-20% of daily total
q2h prn
Treatment for neuropathic pain -ANSWER Tricyclic antidepressants
Anticonvulsants
SSRI
Serotonin-norepinephrine reuptake inhibitors
Anti-convulsants
Starting dose nortryptiline and desipramine -ANSWER 10-25 mg at hs titrated up by 10-
25 mg every few days to max of 75-150 mg qd. May take 3-7 days to see effects.
To prevent double effect -ANSWER When changing opioid decrease dose of new drug by
25% to account for incomplete cross tolerance.
Duloxetine -ANSWER SSRI for treating neuropathic pain and depression
, Side effects of Tricyclic antidepressants -ANSWER Sedation, orthostatic hypotension,
urinary retention, cardiovascular impairment
Gabapentin- normal dosing range for effectiveness -ANSWER 900-1800 mg/d in 3 divided
doses
Side effects of anticonvulsants -ANSWER Ataxia, dizziness, sedation. Gabapentin
specifically has increased incident of dependent edema.
Conversion of morphine oral to morphine IV -ANSWER 30 mg oral = 10 mg parenteral.
Conversion for hourly iv rate = 24h oral total divided by 3 then divide by 24.
Morphine to hydromorphone conversion -ANSWER 10 mg of morphine to 1.5 mg
hydromorphone
5 domains of alternative medical systems -ANSWER 1. mind-body interventions
2 energy therapies
3. biologically based therapies
4. manipulative and body based therapies
5. electromagnetic therapies
Classifications of Pruritis according to Bernhard -ANSWER 1. Systemic
2. Dermatological
3. Neuropathic/neurogenic
Nursing- Ultimate Exam Study Guide –
Practice Questions & Verified Answers
Want to study smarter, save time, and boost your exam scores? This powerful study guide is
designed to help students review key concepts quickly while building the confidence needed
to succeed in exams.
Inside this resource, you’ll find carefully structured practice questions that closely reflect real
exam formats, combined with accurate answers and clear explanations that make complex
topics easier to understand.
Instead of spending hours rereading textbooks, this guide allows you to focus on the most
important topics that are commonly tested, helping you prepare more efficiently and
effectively.
What You’ll Find Inside
✔ High-quality exam-style practice questions
✔ Verified answers with detailed explanations
✔ Coverage of essential and frequently tested topics
✔ Clear and organized formatting for easy studying
✔ Up-to-date academic content for reliable preparation
Why This Study Guide Works
This resource is designed to help students learn faster, retain information better, and improve
test performance. By practicing with exam-style questions, you’ll strengthen your
understanding of key concepts and develop the critical thinking skills needed for success.
Perfect For Students Who Want To:
• Prepare effectively for final exams
• Review material before midterms
,• Practice questions similar to real exams
• Improve understanding of challenging topics
• Increase confidence and academic performance
A trusted study resource for students who want better results with less stress.
Prepare smarter, feel confident, and walk into your exam ready to succeed.
xerostomia -ANSWER Dry mouth syndrome, leads to decreased swallowing ability,
increased dental caries, gum, tongue and oral lesions, infections, bad breath, changes in taste
and alterations in speech and voice functions. Social decline pyschosocial complication.
xerostomia non-pharmacological treatments -ANSWER oral swabs, peppermint water,
vitamin c, chewing gum/mints, acupuncture, diet modification, humidity
Percentage of HIV infection related pain -ANSWER 50% directly related to infection of 30-
97% of AIDS patient experiencing pain
Post stroke pain -ANSWER 32-42% experienced at 4-6 months post cva
11-21% experienced at 12-16 months post cva
Types of common post CVA pain -ANSWER Mechanical shoulder pain-common
Allodynia= Painful response to normally innocuous stimuli
Hyperalgesia =Decreased temperature sensation deep, superficial, and or severe
-coxib drugs -ANSWER withdrawn from market due to adverse effects associated with
cardiovascular system
,Conversion method from oral dose long acting to oral dose short acting -ANSWER 24 h
total of long acting divided by q4h administration plus breakthrough dose of 10-15% of 24 hour
total given q2h prn
Medication dosage alteration based on increased use of PRN dosage -ANSWER Add total
dosage for PRN use by patient and divide by 2 for amount of increase needed to long acting
med
Primary factors for subcutaneous infusion -ANSWER 1. Circulatory status
2. Patient monitoring
3. Infusion site- amount of subcutaneous tissue
Calculating breakthrough dose of short acting medication -ANSWER 10-20% of daily total
q2h prn
Treatment for neuropathic pain -ANSWER Tricyclic antidepressants
Anticonvulsants
SSRI
Serotonin-norepinephrine reuptake inhibitors
Anti-convulsants
Starting dose nortryptiline and desipramine -ANSWER 10-25 mg at hs titrated up by 10-
25 mg every few days to max of 75-150 mg qd. May take 3-7 days to see effects.
To prevent double effect -ANSWER When changing opioid decrease dose of new drug by
25% to account for incomplete cross tolerance.
Duloxetine -ANSWER SSRI for treating neuropathic pain and depression
, Side effects of Tricyclic antidepressants -ANSWER Sedation, orthostatic hypotension,
urinary retention, cardiovascular impairment
Gabapentin- normal dosing range for effectiveness -ANSWER 900-1800 mg/d in 3 divided
doses
Side effects of anticonvulsants -ANSWER Ataxia, dizziness, sedation. Gabapentin
specifically has increased incident of dependent edema.
Conversion of morphine oral to morphine IV -ANSWER 30 mg oral = 10 mg parenteral.
Conversion for hourly iv rate = 24h oral total divided by 3 then divide by 24.
Morphine to hydromorphone conversion -ANSWER 10 mg of morphine to 1.5 mg
hydromorphone
5 domains of alternative medical systems -ANSWER 1. mind-body interventions
2 energy therapies
3. biologically based therapies
4. manipulative and body based therapies
5. electromagnetic therapies
Classifications of Pruritis according to Bernhard -ANSWER 1. Systemic
2. Dermatological
3. Neuropathic/neurogenic
