HOSPICE AND PALLIATIVE
REGISTERED NURSE CERTIFICATION
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
Which assessment findings would most strongly suggest an issue with morphine? -
ANS myoclonus is a symptom of the toxic effects of morphine metabolites
Which cancer is least likely to metastasize to the bone? - ANS Colorectal; it mainly
metastasizes to the liver, lung, and peritoneum.
What is the drug of choice to relieve a patient's feeling of "air hunger" in end stage pulmonary
disease? - ANS morphine; opioids provide palliative support for symptoms of breathlessness
or suffocation.
What is not an appropriate intervention for a bowel obstruction - ANS Metoclopramide
The classic signs of superior vena cava syndrome (SVCS) - ANS facial edema, dyspnea,
edematous arms w/bluish color=this is oncologic emergency requiring immediate attention.
anticipatory grief - ANS the proces of psychological, social, and somatic reactions to a
perceived future loss.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,signs and symptoms of imminent death - ANS dysphagia
stage II skin breakdown - ANS skin is blistered, cracked or abraded
The state of having suffered a loss - ANS bereavement
Disseminated Intravascular Coagulation (DIC) - ANS focal ischemia, widespread thrombosis or
bleeding, superficial gangrene, jaundice, acrocyanosis, altered sensation, ulceration of
gastrointestinal system, decreased urinary output, and dyspnea.
prognosis of days to weeks, intervention for dysphagia - ANS teach family the importance of
oral hygiene to prevent complications such as mouth soreness and infections.
safety is a priority w/persons w/dementia - ANS supervision, minimal stimulation, and
discouraging sleep during daytime hours maximize night safety.
xerostomia - ANS dry mouth, and can be a side effect of medications and a long term effect
of radiation.
spiritual care of the hospice patient and family - ANS identifies and strives to relieve the
spiritual suffering of the patient and family
Grief - ANS the feelings related to the perception of the loss and is a normal reaction to loss.
mentoring - ANS a relationship between an experienced person and a less experienced
person
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Justice - ANS to consider rules and actions that result in fair and equitable use of available
resources.
medicare hospice benefit periods - ANS 90-, 90-, and unlimited 60-day periods
crossing of professional boundaries - ANS providing a personal cell phone number to the
family
syncopal episodes and falls - ANS consider discontinuing antihypertensive medications if
blood pressure is consistently low
When revoking the medicare hospice benefit - ANS The patient will lose the remaining days
of the current period if they revoke the medicare hospice benefit
The dose-limiting side effect of morphine - ANS Myoclonus=myoclonus is the chronic spasm
of a muscle; if moclonus is present, accepted practice is to rotate to another opioid.
first priority when pt. unable to make own decisions and being cared for by family -
ANS knowing how the family makes decisions and who the decision makers are is priority.
therapy for stage II wounds - ANS relieve pressure and apply protective/occlusive dressings.
starting oral dose for methadone - ANS 2.5-5 mg every 8 hours (half dose for elderly or
severe renal or liver disease)
side effect of methadone - ANS prolong QT interval
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
REGISTERED NURSE CERTIFICATION
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
Which assessment findings would most strongly suggest an issue with morphine? -
ANS myoclonus is a symptom of the toxic effects of morphine metabolites
Which cancer is least likely to metastasize to the bone? - ANS Colorectal; it mainly
metastasizes to the liver, lung, and peritoneum.
What is the drug of choice to relieve a patient's feeling of "air hunger" in end stage pulmonary
disease? - ANS morphine; opioids provide palliative support for symptoms of breathlessness
or suffocation.
What is not an appropriate intervention for a bowel obstruction - ANS Metoclopramide
The classic signs of superior vena cava syndrome (SVCS) - ANS facial edema, dyspnea,
edematous arms w/bluish color=this is oncologic emergency requiring immediate attention.
anticipatory grief - ANS the proces of psychological, social, and somatic reactions to a
perceived future loss.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,signs and symptoms of imminent death - ANS dysphagia
stage II skin breakdown - ANS skin is blistered, cracked or abraded
The state of having suffered a loss - ANS bereavement
Disseminated Intravascular Coagulation (DIC) - ANS focal ischemia, widespread thrombosis or
bleeding, superficial gangrene, jaundice, acrocyanosis, altered sensation, ulceration of
gastrointestinal system, decreased urinary output, and dyspnea.
prognosis of days to weeks, intervention for dysphagia - ANS teach family the importance of
oral hygiene to prevent complications such as mouth soreness and infections.
safety is a priority w/persons w/dementia - ANS supervision, minimal stimulation, and
discouraging sleep during daytime hours maximize night safety.
xerostomia - ANS dry mouth, and can be a side effect of medications and a long term effect
of radiation.
spiritual care of the hospice patient and family - ANS identifies and strives to relieve the
spiritual suffering of the patient and family
Grief - ANS the feelings related to the perception of the loss and is a normal reaction to loss.
mentoring - ANS a relationship between an experienced person and a less experienced
person
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Justice - ANS to consider rules and actions that result in fair and equitable use of available
resources.
medicare hospice benefit periods - ANS 90-, 90-, and unlimited 60-day periods
crossing of professional boundaries - ANS providing a personal cell phone number to the
family
syncopal episodes and falls - ANS consider discontinuing antihypertensive medications if
blood pressure is consistently low
When revoking the medicare hospice benefit - ANS The patient will lose the remaining days
of the current period if they revoke the medicare hospice benefit
The dose-limiting side effect of morphine - ANS Myoclonus=myoclonus is the chronic spasm
of a muscle; if moclonus is present, accepted practice is to rotate to another opioid.
first priority when pt. unable to make own decisions and being cared for by family -
ANS knowing how the family makes decisions and who the decision makers are is priority.
therapy for stage II wounds - ANS relieve pressure and apply protective/occlusive dressings.
starting oral dose for methadone - ANS 2.5-5 mg every 8 hours (half dose for elderly or
severe renal or liver disease)
side effect of methadone - ANS prolong QT interval
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
