Chpn: Quiz About Nurses

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Croman
C
Croman
Community Contributor
Quizzes Created: 1 | Total Attempts: 3,306
| Attempts: 3,306 | Questions: 75
Please wait...
Question 1 / 75
0 %
0/100
Score 0/100
1. Conflicts arise with any team of people who must work closely in intense situations. principles of conflict resolution include:

Explanation

Encouraging openness and creating a safe atmosphere for self-expression is a principle of conflict resolution because it allows team members to freely express their opinions and concerns without fear of judgment or reprisal. This fosters effective communication and promotes understanding among team members, leading to the identification and resolution of conflicts in a constructive manner. By creating a safe space for self-expression, team members are more likely to engage in open dialogue, listen to different perspectives, and work towards finding mutually beneficial solutions.

Submit
Please wait...
About This Quiz
Chpn: Quiz About Nurses - Quiz

The Certified Hospice and Palliative Nurse (CHPN®) examination was designed for experienced hospice and palliative registered nurses. To be eligible for the HPCC CHPN® Examination, an applicant... see moremust hold a current, unrestricted registered nurse license in the United States. Take this quiz to know your CHPN Aptitude. see less

2. In hospice, the patient and family are considered to be the unit of care. Which statement most accurately describes dying patients and their families.

Explanation

In hospice care, the patient and family are considered as a unit of care, indicating that their emotional, psychological, and spiritual needs are addressed. The statement "A search for meaning and purpose in life is a common experience for dying patients and their families" aligns with this approach, as patients and their families often reflect on their lives and seek to find meaning and purpose during the end-of-life journey. This statement acknowledges the holistic nature of hospice care and the importance of addressing existential concerns during this time.

Submit
3. The modern hospice movement came about because dying patients needs were neglected in acute care settings, As opposed to acute acare, hospice focuses on:

Explanation

The modern hospice movement was established in response to the neglect of dying patients' needs in acute care settings. Unlike acute care, hospice prioritizes the comfort of the patient rather than prolonging life or focusing on monitoring the disease process or improving abnormal blood work. Hospice aims to provide a supportive and compassionate environment for patients nearing the end of their lives, focusing on pain management, emotional support, and enhancing the quality of life during this difficult time.

Submit
4. The use of morphine in patients with lung cancer who suffer from exertional dyspnea:

Explanation

The use of morphine in patients with lung cancer who suffer from exertional dyspnea is not dangerous because it reduces respirations. Instead, it is a beneficial choice because it reduces tachypnea and overventilation, making breathing more efficient. This can help alleviate the symptoms of dyspnea and improve the patient's overall quality of life. Additionally, morphine is not totally inappropriate because it will lead to addiction, as it can be safely and effectively used under medical supervision. The statement that it will gradually need to be increased is not applicable in this context.

Submit
5. Spiritual need is one piece of a holisitc assessment that should

Explanation

The correct answer is "Include what is meaningful or frightening to the patient." This is because spiritual need is an important aspect of a holistic assessment, and understanding what is meaningful or frightening to the patient can help address their spiritual needs. It allows healthcare professionals to provide appropriate support and care that aligns with the patient's beliefs, values, and fears. This information can contribute to a patient-centered approach and improve their overall well-being.

Submit
6. When the patient is in denial for example, talking about future plans for recovery despite the fact that he or she has been clearly informed of the terminal stage of disease you know that:

Explanation

Denial is a common psychological defense mechanism that people use to cope with difficult or distressing situations. In the context of a terminal illness, it is not uncommon for patients to deny the severity or reality of their condition as a way to protect themselves from the emotional pain and fear associated with it. By denying the truth, they may be able to maintain a sense of hope and control. As a healthcare professional, it is important to understand and respect the patient's need for denial, while also providing support and information when appropriate.

Submit
7. A patient with a history of ovarian cancer presents to the palliative care clinic with lower extremity swelling that started 3 days ago. The patient reports that the limb feels heavy and aches constantly. Which of the following actions should the nurse take?

Explanation

The patient's history of ovarian cancer puts her at risk for developing deep vein thrombosis (DVT), which can cause lower extremity swelling, heaviness, and constant aching. Assessing for signs and symptoms of thrombosis is important to determine if the patient is experiencing a DVT. This would involve checking for warmth, redness, tenderness, and swelling in the affected limb, as well as assessing for any other signs or symptoms of a clot. This action is necessary to identify and potentially treat a serious complication in the patient's condition.

Submit
8. A hospice patient no longer meets medical criteria for the Medicare Hospice Benefit. The interdisciplinary team shoud FIRST

Explanation

The correct answer is to evaluate the patient for present care needs. Once a hospice patient no longer meets the medical criteria for the Medicare Hospice Benefit, it is important for the interdisciplinary team to assess the patient's current care needs. This evaluation will help determine the appropriate course of action for the patient, whether it involves continuing hospice care, transitioning to a nursing home, or seeking care from a home care agency. It is crucial to ensure that the patient receives the appropriate level of care based on their current condition.

Submit
9. Mr. Jones is receiving morphine through an epidural catheter. To assess for complications related to the epidural infusion the nurse should include which of the following?

Explanation

To assess for complications related to the epidural infusion, the nurse should include site assessment to check for any signs of infection or inflammation at the catheter insertion site. Muscle and sensory assessment is also important to monitor for any changes or abnormalities that may indicate nerve damage or complications related to the epidural infusion. This can help ensure the safety and effectiveness of the morphine administration.

Submit
10. The successful hospice interdisciplinary team (IDT) views the role of each professional

Explanation

The correct answer is "As reflecting unique expertise that is integrated into a coordinated team approach." This answer suggests that each professional in the hospice interdisciplinary team has their own unique expertise, which is valuable and contributes to the overall team approach. It implies that the team members work together and coordinate their efforts, rather than working independently or without personal involvement. This approach ensures that the team can provide the best possible care and support to patients in a hospice setting.

Submit
11. Which of the following needs to be present for a group to be cohesive?

Explanation

For a group to be cohesive, it is important to have a shared focus. This means that all members of the group should have a common goal or objective that they are working towards. When there is a shared focus, it helps to create a sense of unity and purpose within the group. It allows the members to align their efforts and work together towards achieving the desired outcome. Without a shared focus, the group may lack direction and individuals may have conflicting priorities, which can hinder their ability to work together effectively.

Submit
12. A patient has metastatic ovarian cancer with partial small bowel obstruction. The husband is concerned about hsi wife's ongoing fatigue and lack of energy. The patient is sleeping for long hours with frequent naps. The nurse should explain to the husband that

Explanation

The correct answer is that the patient needs to conserve her energy for those activities that she feels are most important. This is because the patient has metastatic ovarian cancer with partial small bowel obstruction, which can cause fatigue and lack of energy. Sleeping for long hours and taking frequent naps is a common way for the body to conserve energy. By prioritizing and focusing on activities that are most important to her, the patient can better manage her energy levels and reduce fatigue.

Submit
13. A patient whose death is immeinent is experiencing periods of apnea in between deep and shallow breaths. This describes

Explanation

Cheyne-Stokes breathing is a pattern of breathing characterized by alternating periods of deep and shallow breaths, with periods of apnea in between. It is commonly seen in patients who are near death or have severe neurological damage. Ataxic breathing refers to an irregular and uncoordinated breathing pattern. Paradoxical breathing refers to abnormal chest movement during respiration. Kussmaul-Kien respirations are deep, rapid, and labored breaths seen in patients with metabolic acidosis.

Submit
14. A womans husband died 9 months ago after a painful illness. The womans daughter notifies the bereavement coordinator that her mother is still suffering. Which of the following statements would indicate that she is experiencing an abnormal grieving process?

Explanation

The statement "I'm just no good to anyone any more" indicates that the woman is experiencing an abnormal grieving process. This statement suggests that she has developed feelings of worthlessness and self-deprecation, which are not typical in the grieving process. It may indicate that she is struggling with feelings of guilt or a lack of self-worth, which could benefit from professional support and intervention.

Submit
15. The side effect of chemotherapy most frequently of concern to patients is:

Explanation

Chemotherapy is a treatment that uses powerful drugs to kill cancer cells. One of the most common side effects of chemotherapy that patients are concerned about is gastrointestinal symptoms. These symptoms include nausea, vomiting, and diarrhea. Chemotherapy drugs can irritate the lining of the stomach and intestines, leading to these symptoms. Managing these gastrointestinal symptoms is important for patients to maintain their quality of life during treatment.

Submit
16. Which of the following is usually the final physical debilitation exhibited by a patient with amyotrophic lateral sclerosis?

Explanation

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord. It leads to the gradual loss of muscle control and movement. As the disease progresses, the muscles responsible for breathing become weakened, leading to respiratory failure. This is usually the final physical debilitation exhibited by a patient with ALS, as the inability to breathe on their own ultimately leads to death. Sepsis, dysphagia, and cerebral hemorrhage are not typically associated with the final stages of ALS.

Submit
17. In order to maintain professional boundaries, a hospice nurse should

Explanation

To maintain professional boundaries, a hospice nurse should work within defined practice guidelines. This means that they should follow the established rules and protocols of their profession while providing care to patients. By adhering to these guidelines, the nurse ensures that they are practicing within their scope of practice and not overstepping any boundaries. This also helps to maintain consistency and standardization in the care provided, ensuring that all patients receive the same level of quality care.

Submit
18. When switching from an oxygen concertrator to a cylinder system, a patient and family should be instructed that

Explanation

When switching from an oxygen concentrator to a cylinder system, it is important to instruct the patient and family that the gauged cylinders should be stabilized in an upright position. This is because the cylinders contain compressed oxygen, and if they are not stored upright, there is a risk of the oxygen leaking or becoming unstable. Stabilizing the cylinders in an upright position ensures that they are secure and reduces the risk of accidents or oxygen leakage.

Submit
19. A nurse notices a group of unilateral vesicular eruptions with a dermatomal distribution on a patient's back. Which of the following should be suspected?

Explanation

A nurse should suspect herpes zoster when observing unilateral vesicular eruptions with a dermatomal distribution on a patient's back. Herpes zoster, also known as shingles, is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox. The characteristic distribution pattern along a specific nerve pathway distinguishes herpes zoster from other skin conditions such as hives, contact dermatitis, or herpes simplex.

Submit
20. A hospice patient in a nursing home has refused intravenous and tube feedings in the past and has indicated her wishes in an advance directive, The patients condition has deteriorated and intake is minimal. The nursing home staff is concerned the patient will starve to death and request nasogastric tueb feedings. Which of the following is the BEST action for the nurse?

Explanation

The best action for the nurse is to plan a team meeting with the nursing home and hospice staff. This allows for collaboration and discussion among the healthcare professionals involved in the patient's care. It ensures that all perspectives are considered and a consensus can be reached regarding the best course of action for the patient. This approach respects the patient's wishes as expressed in the advance directive while also addressing the staff's concerns about the patient's deteriorating condition and minimal intake.

Submit
21. The following are true of signs and symptoms of infections except:  

Explanation

The signs and symptoms of infections are not always present in elderly patients. While fever, tachycardia, and the masking of symptoms by corticosteroids, chemotherapy, and disease processes are common characteristics of infections, it is not always the case that elderly patients will exhibit these signs and symptoms.

Submit
22. An example of an advance directive is the designation of which of the following?

Explanation

An advance directive is a legal document that allows an individual to specify their healthcare preferences and appoint a healthcare surrogate to make medical decisions on their behalf if they become unable to do so. Therefore, designating a healthcare surrogate is an example of an advance directive.

Submit
23. The leading cause of renal failure is

Explanation

The leading cause of renal failure is diabetes. Diabetes is a chronic condition that affects the body's ability to regulate blood sugar levels. Over time, high blood sugar levels can damage the blood vessels in the kidneys, leading to kidney disease and eventually renal failure. This is known as diabetic nephropathy. It is important for individuals with diabetes to manage their blood sugar levels and receive regular screenings to prevent or delay the onset of kidney disease.

Submit
24. Grief can BEST be described as changes in feeling and behaviors that occur in response to

Explanation

Grief can be described as the changes in feelings and behaviors that occur in response to a perceived loss. When someone experiences a loss, such as the death of a loved one or the end of a relationship, they may go through a grieving process. This process involves a range of emotions, including sadness, anger, and confusion. It can also lead to changes in behavior, such as withdrawal from social activities or difficulty concentrating. Overall, grief is a natural response to loss and can vary in intensity and duration for each individual.

Submit
25. A 79 year old man with a history of CVA and multiple TIA's has been able to live indepensently with assistance from his family. He is hospitalized after being found walking a mile from his home, frightened and crying. He is oriented only to person. Key factor is differentiating delirium from dementia in the patient would be

Explanation

The key factor in differentiating delirium from dementia in this patient would be the rapid onset of confusion. Delirium is characterized by a sudden and fluctuating change in mental status, whereas dementia typically has a slow and progressive decline in cognitive abilities. The fact that the patient was found frightened and crying, and is only oriented to person, suggests a sudden change in mental status, indicating delirium rather than dementia. Mood lability, diminished cognitive abilities, and short-term memory loss may be present in both delirium and dementia, but the rapid onset of confusion is the most distinguishing factor in this case.

Submit
26. Some cultural difference to remember when caring for people of Chinese decent are that:

Explanation

Chinese people believe that illness is caused by an imbalance or disharmony within oneself or in the interaction with the environment. They also value and respect traditional methods of restoring balance that have been practiced for centuries. This cultural belief influences their approach to healthcare and treatment, as they may seek traditional Chinese medicine or other holistic methods to restore balance and promote healing.

Submit
27. A patient with end stage congestive heart failure has been referred to hospice by his family practice physician. Which of the following is the MOST important information needed to evaluate medical appropriateness for the hospice program?

Explanation

The ejection fraction, recent hospitalizations, and performance status are the most important factors to evaluate the medical appropriateness for the hospice program in a patient with end-stage congestive heart failure. The ejection fraction indicates the pumping ability of the heart, recent hospitalizations reflect the severity of the condition and the need for intensive medical care, and the performance status assesses the patient's overall functional ability and quality of life. These factors help determine the prognosis and the level of medical support and care required for the patient in the hospice program.

Submit
28. A patient with AIDS is referred to the hospice program and is taking a combination of antiretroviral agents. Which of the following is MOST important to consider when proceeding with the evaluation for the hospice program?

Explanation

Hospice care focuses on providing comfort and support to patients with a terminal illness when curative treatment is no longer pursued. In the case of a patient with AIDS taking antiretroviral agents, it's crucial to have a discussion with the attending physician and the patient/family to determine the goals of continued treatment. If the goal is to manage symptoms and improve quality of life, antiretroviral therapy might be considered a palliative measure, and hospice care could be appropriate. However, if the goal is still to prolong life with curative intent, hospice might not be the suitable choice.

Submit
29. Which of the following treatments is MOST effective in managing discomfort related ascites?

Explanation

Paracentesis is the most effective treatment for managing discomfort related to ascites. Paracentesis involves the removal of excess fluid from the abdominal cavity using a needle or catheter. This procedure can provide immediate relief by reducing the pressure and discomfort caused by the accumulation of fluid. Furosemide and hydrochlorothiazide are diuretics that may be used to manage ascites, but they are not as effective as paracentesis in providing immediate relief. Nasogastric tube placement may be used to decompress the stomach in cases of gastric distension, but it is not specifically targeted at managing ascites discomfort.

Submit
30. How long does a Medicare-certified hospice generally provide bereavement services?

Explanation

A Medicare-certified hospice generally provides bereavement services for a period of 12 to 13 months. This duration allows the hospice to offer support and counseling to the family members and loved ones of the deceased during the grieving process. It gives them ample time to cope with their loss and receive the necessary emotional support.

Submit
31. A patient with liver cancer suddenly develops pain with nausea and vomiting. In the past 24 hours, the patients appetite has decreased. The patient cannot recall the last bowel movement. Which of the following should the nurse do FIRST?

Explanation

The patient's symptoms of pain, nausea, vomiting, decreased appetite, and inability to recall the last bowel movement suggest a possible bowel obstruction. Performing a digital rectal examination and an abdominal assessment would help the nurse assess for any signs of obstruction, such as abdominal distension, tenderness, or palpable masses. This assessment would provide important information to guide further interventions and treatment. Assessing hydration status and considering nutritional supplements, obtaining an order for an antiemetic and pain medication, and obtaining an order for serum electrolytes and a stimulant laxative may be necessary interventions, but they should be done after the initial assessment to determine the underlying cause of the symptoms.

Submit
32. Because the AIDS virus causes serious supression of the immune system, patients are high susceptible to opportunistic infections, the most common of which is:

Explanation

AIDS is a disease caused by the human immunodeficiency virus (HIV), which attacks and weakens the immune system. As a result, individuals with AIDS become highly susceptible to opportunistic infections. Pneumocystis carinii pneumonia (PCP) is one of the most common opportunistic infections seen in AIDS patients. PCP is a fungal infection that affects the lungs and can be life-threatening for individuals with a compromised immune system. Therefore, PCP is the correct answer in this case.

Submit
33. Spiritual care pf the hospice patient and family:

Explanation

The correct answer is "Identifies and strives to relieve the spiritual suffering of the patient and family." This means that spiritual care in hospice is focused on recognizing and addressing the spiritual distress or pain that the patient and their family may be experiencing. It goes beyond just providing religious care based on the chaplain's religion or being limited to only hospice staff members. The goal is to understand and alleviate the spiritual suffering that the patient and their family may be going through during their hospice care.

Submit
34. An important role of antinoeplastic drugs in palliative care is to

Explanation

Antineoplastic drugs are used in palliative care to reduce tumor mass, which helps relieve symptoms such as pain and discomfort. These drugs work by targeting and destroying cancer cells, thereby shrinking the tumor and alleviating the associated symptoms. While they may not necessarily lead to remission or improved immune responses, their primary goal is to provide relief and improve the quality of life for patients in palliative care.

Submit
35. Which of the following is MOST likely occurring when an activley dying patient begins to limit interpersonal involvement?

Explanation

When an actively dying patient begins to limit interpersonal involvement, it is most likely an attempt to conserve time and energy. This can be understood as the patient's way of prioritizing their physical and emotional resources as they near the end of their life. By reducing their interpersonal interactions, they can focus on preserving their energy for essential tasks and personal needs. This behavior is commonly observed in patients who are actively dying and is a natural response to the physical and emotional demands of their condition.

Submit
36. The home health nurse goes to visit Mr. Smith who has a diagnosis of end stage AIDS. During the assessment it is noted that Mr. Smith is complaining of abdominal pain which he describes as achy, and cramping. This desciptioni is indicative of what type of pain?

Explanation

The description of the pain as achy and cramping suggests that it is originating from the internal organs, specifically the abdomen. This type of pain is characteristic of visceral pain, which is caused by stimulation of pain receptors in the organs themselves. Neuropathic pain is caused by nerve damage, somatic pain originates from the skin or musculoskeletal system, and referred pain is felt in an area different from the actual source of the pain.

Submit
37. In the home setting, pain in elderly patients may be difficult to manage for which of the following reasons?

Explanation

Polypharmacy refers to the use of multiple medications by a patient, which can lead to medication adherence issues. Elderly patients often take multiple medications for various health conditions, and this can make it challenging to manage their pain effectively. With polypharmacy, there is a higher risk of drug interactions, side effects, and difficulties in following the medication regimen. This can result in poor pain management and decreased effectiveness of pain medications, making it difficult to manage pain in elderly patients at home.

Submit
38. Intractable hiccups may be best treated with:

Explanation

Chlorpromazine is the most appropriate treatment for intractable hiccups. Chlorpromazine is an antipsychotic medication that has been found to effectively relieve hiccups by acting on the central nervous system. It works by blocking dopamine receptors, which helps to relax the diaphragm muscle and reduce the frequency and intensity of hiccups. Ondansetron is primarily used to treat nausea and vomiting, while phenytoin is an anticonvulsant medication and megesterol is a progestin. Therefore, chlorpromazine is the most suitable option for treating intractable hiccups.

Submit
39. In Jewish custom, the body of the deceased is never left alone because:

Explanation

In Jewish custom, the body of the deceased is never left alone because it is considered disrespectful to do so. This practice is rooted in the belief that the deceased should be treated with utmost honor and dignity, even after death. Leaving the body alone may be seen as neglecting or abandoning the deceased, which goes against the values and traditions of Jewish culture. By staying with the body, family and community members show their respect and care for the deceased, ensuring that they are never left unattended.

Submit
40. If a hospice has decided to research the effect of nebulized morphine, which of the following is the FIRST step?

Explanation

Before conducting a research on the effect of nebulized morphine, the first step would be to review previous studies. This is important as it allows the hospice to gather existing knowledge and understanding about the subject. Reviewing previous studies helps in identifying any knowledge gaps, potential research questions, and also helps in designing the research methodology effectively. It also ensures that the hospice does not duplicate any previous research and can build upon the existing knowledge in the field.

Submit
41. A 39 year old father is dying and his wife is caring for him. His two young children are not allowed in his room. How should the interdisciplinary team proceed INITIALLY?  

Explanation

The interdisciplinary team should discuss with the parents their reasons for excluding the children from their father's room. This will help the team understand the parents' perspective and concerns. It will also allow the team to provide appropriate support and guidance to the parents in dealing with their children's emotions and needs during this difficult time.

Submit
42. A patient previously receiving an extended-release phenytoin 300mg capsule by mouth at bedtime is being changed to phenytoin suspension. Which of the following is necessary at this time?

Explanation

When switching from an extended-release capsule to a suspension, the dosing interval of phenytoin needs to be adjusted. The extended-release capsule is designed to release the medication slowly over a longer period of time, while the suspension is immediate release. Therefore, to maintain therapeutic drug levels, the dosing interval needs to be changed to ensure consistent drug absorption and effectiveness.

Submit
43. The spouse of a patient who is terminally ill calls to report that her husband has become very confused. He is going through his closet and packing a suitcase for a trip. The nurse should explain to the wife that  

Explanation

Similar behavior has been noted in patients approaching death. This explanation suggests that the confusion and packing behavior exhibited by the terminally ill patient is a common occurrence among patients who are nearing the end of their lives. It implies that this behavior is a result of the patient's deteriorating condition and is not something that can be easily controlled or eliminated.

Submit
44. Early assessment and diagnosis of spinal cord compression is important because

Explanation

Early assessment and diagnosis of spinal cord compression is important because if left untreated, it can lead to permanent neurological dysfunction, including paralysis. Timely treatment can help prevent such complications and preserve the patient's neurological function.

Submit
45. Six weeks after admission to hospice, an elderly wife is no longer able to care for her husband. They have no relatives. Neighbors are helpful, but also elderly. The couple wants to remain at home. Which of the following should the nurse recommend?  

Explanation

A social worker can assess the couple's needs and resources and help them find appropriate support services, such as home health aides, meal delivery, transportation, and financial assistance. This option aligns with the couple's desire to stay at home while ensuring they receive the necessary care and support.

Option b) contradicts the couple's wish to remain at home. Option c) might be part of the solution but requires a social worker's assessment to determine the appropriate level of care. Option d) is unlikely to provide the level of support the couple needs.

Submit
46. Which of the following nonpharmacologic interventions is MOST appropriate for management of diffuse bone pain?

Explanation

Relaxation techniques are the most appropriate nonpharmacologic intervention for managing diffuse bone pain. Relaxation techniques such as deep breathing, meditation, and guided imagery can help reduce stress and promote a sense of calm, which can in turn help alleviate pain. These techniques are noninvasive and have minimal side effects, making them a safe and effective option for managing diffuse bone pain. Deep muscle massage, compression stockings, and passive range of motion may be helpful for other types of pain or conditions, but they may not specifically target diffuse bone pain.

Submit
47. A family has been told that a patients comatose condition will probably persist until death. The patient is still unarousable, but is now agitated and extremely restless. The family is uncertain of what to do. Which of the following is the MOST appropriate question to ask the family FIRST?  

Explanation

The question "When did he last urinate?" is the most appropriate question to ask the family first because it can provide important information about the patient's overall health and hydration status. Changes in urinary patterns can indicate potential issues such as dehydration or kidney dysfunction, which could be contributing to the patient's agitation and restlessness. This information can help guide the family in making decisions about the patient's care and treatment.

Submit
48. Bone metastasis should be suspected when a patient describes leg pain as  

Explanation

Bone metastasis should be suspected when a patient describes leg pain as aching, throbbing, and worsening upon movement. Bone metastasis refers to the spread of cancer cells from their original site to the bones. This can cause pain in the affected bones, which is often described as aching and throbbing. The pain may worsen with movement as the bones are put under stress. This is in contrast to other types of leg pain, such as sharp, stabbing pain, which may be indicative of other conditions.

Submit
49. According to the NHPCO standards for hospice program of care, every hospice team member should address work-related grief and loss issues by

Explanation

According to the NHPCO standards for hospice program of care, every hospice team member should have access to emotional support. This means that they should have resources available to them to help them cope with work-related grief and loss issues. This could include having access to counseling services, support groups, or debriefing sessions. Having emotional support is essential for hospice team members to process their emotions and prevent burnout in their challenging work environment.

Submit
50. A 54 year-old Hmong woman with end stage multiple myeloma complains of severe pain in her spine and hips. The nuse is titrating extended-release morphine to achieve better pain control, but the patients husband does not consistently follow instructions. At the last visit, the nurse notices multiple round ecchymotic spots on the patients back and recognizes this as

Explanation

The correct answer is "the practice of applying suction to release evil spirits from the body." This is indicated by the mention of "multiple round ecchymotic spots" on the patient's back, which is a characteristic sign of cupping therapy. Cupping therapy is a traditional practice in some cultures where suction cups are applied to the skin to draw out toxins and evil spirits. In this case, it suggests that the patient may be experiencing physical abuse by her husband using this method.

Submit
51. Which of the following is the primary purpose of the Word Health Organization Analgesic Ladder for Cancer Pain Management?

Explanation

The primary purpose of the World Health Organization Analgesic Ladder for Cancer Pain Management is to identify categories of drugs to be used progressively. The ladder provides a step-by-step approach to pain management, starting with non-opioid analgesics and progressing to opioids as necessary. This approach ensures that patients receive appropriate pain relief while minimizing the risk of side effects and addiction. By categorizing drugs and recommending their progressive use, the ladder helps healthcare professionals make informed decisions about pain management for cancer patients.

Submit
52. A 51 year old home care patient has end stage alcoholic cirrhosis. He has a history of physical and emotional abuse towards his wife and daughters. He is receving 360 mg of sustained release morphine every 12 hours with 100 mg of immediate-release morphine every hr prn. He consistently rates his pain as an 8/10. After adjusting the pain medications, which of the following would be the most appropriate action?

Explanation

The most appropriate action would be to consider a plan to address unresolved relationship issues. The patient's consistent rating of pain as 8/10 despite receiving high doses of pain medication suggests that there may be underlying psychological factors contributing to his perception of pain. Given his history of physical and emotional abuse towards his wife and daughters, it is important to address these unresolved relationship issues as they may be impacting his overall well-being and pain perception. This could involve counseling or therapy to address the dynamics within the family and work towards resolving any conflicts or issues.

Submit
53. Chronic disseminated intravascular coagulopathy may be exhibited in

Explanation

Chronic disseminated intravascular coagulopathy is a condition characterized by abnormal blood clotting throughout the body's blood vessels. It can be caused by various underlying conditions, including metastatic malignancy. Metastatic malignancy refers to the spread of cancer from one part of the body to another. In some cases, cancer cells can release substances that activate the body's clotting system, leading to chronic disseminated intravascular coagulopathy. This condition is not typically associated with renal failure, cardiomyopathy, or Huntington's disease.

Submit
54. Which of the following is essential in responding to a patients spiritual needs? 

Explanation

In responding to a patient's spiritual needs, it is essential to discern when physical symptoms are indicative of spiritual concerns. This means being able to recognize when a patient's physical symptoms may have underlying spiritual causes or implications. This allows healthcare providers to provide appropriate support and care that addresses both the physical and spiritual aspects of the patient's well-being. By understanding the connection between physical symptoms and spiritual concerns, healthcare providers can offer holistic care that promotes the patient's overall healing and well-being.

Submit
55. Which of the following is an effective nursing measure for a patient with end stage lung cancer who has a hacking, productive cough?

Explanation

Humidification is an effective nursing measure for a patient with end stage lung cancer who has a hacking, productive cough. Humidification helps to add moisture to the air, which can help to soothe the airways and reduce irritation caused by coughing. It can also help to thin out mucus, making it easier to expectorate. This can provide relief for the patient and improve their comfort.

Submit
56. When initiating around the clock opioids, the nurse should instruct the patient and family that the sedative effect usually last

Explanation

When initiating around the clock opioids, the nurse should instruct the patient and family that the sedative effect usually lasts a few days. This means that the sedative effect of the opioids will likely continue for a few days after starting the treatment. It is important for the patient and family to be aware of this duration so that they can be prepared for any potential side effects or changes in the patient's behavior during this time.

Submit
57. Pseudobulbar affect in ALS is characterized by:

Explanation

Pseudobulbar affect in ALS is characterized by uncontrollable laughter and/or tearfulness. This condition is caused by damage to the brain's emotional control center, leading to inappropriate and exaggerated emotional responses. Patients may experience episodes of uncontrollable laughter or crying that are unrelated to their actual emotions. This symptom can significantly impact their social interactions and quality of life. It is important to differentiate pseudobulbar affect from other mood disorders to provide appropriate management and support for ALS patients.

Submit
58. Mrs. Adams is a 70 year old woman who has been diagnosed with mild to moderate dementia, What is the best way to assess her pain?

Explanation

The best way to assess Mrs. Adams' pain is to directly ask her about it. This is because she is the one experiencing the pain and can provide the most accurate information about its intensity and location. Asking her family about her pain may not be as reliable, as they may not have a clear understanding of her experience. Evaluating her ability to sleep and assessing changes in mood can provide some insight into her pain, but directly asking her is the most direct and reliable method.

Submit
59. The person who is recognized as the coordinator of the IDT is the

Explanation

The person who is recognized as the coordinator of the IDT is a physician because they are typically responsible for leading and coordinating the interdisciplinary team in an Integrated Delivery System (IDT). Physicians have the medical expertise and knowledge to oversee the care provided by other healthcare professionals, such as social workers, registered nurses, and chaplains, ensuring that the patient's medical needs are met effectively. They play a crucial role in coordinating and managing the overall care plan, making them the most suitable candidate for the position of IDT coordinator.

Submit
60. What ethical principle is involved when the family members of a recently diagnosed patient with pancreatic cancer request the patient not be told of the diagnosis or prognosis?

Explanation

In this scenario, the ethical principle involved is veracity. Veracity refers to the obligation of healthcare professionals to be truthful and honest with their patients. By not informing the patient about their diagnosis or prognosis, the family members are withholding important information that could significantly impact the patient's decision-making and autonomy. It is crucial to respect the patient's right to know about their condition and to make informed choices about their healthcare.

Submit
61. You are caring for a patient with metastatic cancer of the bone. Which of the following adjuvant medications would you expect to see ordered?

Explanation

Pamidronate is the correct answer because it is commonly used as an adjuvant medication for patients with metastatic cancer of the bone. It belongs to a class of drugs called bisphosphonates, which work by inhibiting bone resorption and reducing the risk of skeletal-related events such as fractures and spinal cord compression. Pamidronate can help relieve bone pain and improve quality of life for patients with bone metastases. Clonzapam, Trazodone, and Baclofen are not typically used as adjuvant medications for this condition.

Submit
62. Which of the following is the MOST important role of the staff nurse for a patient considering participation in an investagional treatment study?

Explanation

The most important role of the staff nurse for a patient considering participation in an investigational treatment study is to ensure the protection of the patient's rights. This includes ensuring that the patient is fully informed about the study, its potential risks and benefits, and their rights as a participant. The nurse must also advocate for the patient's autonomy and ensure that they are able to make an informed decision about participation. Additionally, the nurse must ensure that the patient's privacy and confidentiality are protected throughout the study.

Submit
63. A patient has metastatic lung cancer, cord compression, and a venous access device. The patient experiences tachycardia, mental status changes, rigors, and warm dry skin. These are early signs of

Explanation

The given symptoms of tachycardia, mental status changes, rigors, and warm dry skin are indicative of septic shock. Septic shock occurs when an infection spreads throughout the body, leading to a systemic inflammatory response. The infection in this case may be related to the venous access device, which can introduce bacteria into the bloodstream. This can cause a severe drop in blood pressure, leading to organ dysfunction and potentially death. Therefore, septic shock is the most appropriate explanation for the given symptoms.

Submit
64. A patient receiving sustained-release morphine has required 6 doses of immediate release morphine in 24 hours for breakthrough pain. If the physician questions the need to increase the baseline sustained-relase morphine, the nurses BEST response would be to discuss

Explanation

The nurse's best response would be to discuss the ease of therapy delivery. This is because the patient has required multiple doses of immediate release morphine for breakthrough pain while receiving sustained-release morphine. By discussing the ease of therapy delivery, the nurse can explore alternative options that may provide better pain management and minimize the need for additional doses.

Submit
65. A patient has decided to stop dialysis and enter a hospice program. Which of the following symptoms should the nurse be prepared to manage in this patient?

Explanation

When a patient decides to stop dialysis and enter a hospice program, they are typically in the end stages of a terminal illness. Nausea, dry mouth, and pruritus (itching) are common symptoms that can occur in these patients due to multiple factors such as medication side effects, metabolic imbalances, and the progression of the underlying disease. Managing these symptoms is important to ensure the patient's comfort and quality of life during this stage.

Submit
66. Which of the following is NOT a primary function of the nursing process?

Explanation

While the nursing process does incorporate some standardized elements, its primary focus is on providing individualized care. It's a dynamic, patient-centered framework that guides nurses in assessing, diagnosing, planning, implementing, and evaluating care based on each patient's unique needs and circumstances. The nursing process encourages critical thinking and collaboration among healthcare providers to ensure the best possible outcomes for each individual.

Submit
67. All are ture of DIC expect:

Explanation

not-available-via-ai

Submit
68. A patients physcian has ordered a placebo by injection on a routine basis. The nurse should

Explanation

The nurse should decline to administer a placebo because it goes against ethical principles. A placebo is a substance or treatment that has no therapeutic effect, and administering it without the patient's knowledge or consent is considered deceptive and dishonest. It is important for healthcare professionals to prioritize the well-being and trust of their patients, and administering a placebo without their knowledge or consent would violate that trust.

Submit
69. A steriod can be prescribed for an anorexic patient who complains of weakness and lack of energy in order to

Explanation

Steroids are known to have anabolic effects, which means they can increase muscle strength and mass. An anorexic patient who complains of weakness and lack of energy may benefit from a steroid prescription to help improve their strength and overall physical condition. Steroids can help stimulate protein synthesis and promote muscle growth, leading to increased strength and energy levels.

Submit
70. Mrs. Crayola has tachycardia, orthopnea, difficulty sleeping at night, fatigue and anxiety. She is exhibiting signs of

Explanation

Mrs. Crayola is exhibiting symptoms such as tachycardia, orthopnea, difficulty sleeping at night, fatigue, and anxiety, which are all indicative of left-sided heart failure. Left-sided heart failure occurs when the left ventricle of the heart is unable to pump blood effectively, leading to a buildup of fluid in the lungs. This can cause symptoms such as shortness of breath, fatigue, and difficulty sleeping. The other options, such as superior vena cava syndrome, right-sided heart failure, and cardiac tamponade, do not align with the symptoms described.

Submit
71. Bladder spasms secodary to bladder cancer are MOST effectively relieved by

Explanation

Bladder spasms secondary to bladder cancer are most effectively relieved by belladonna. Belladonna, also known as deadly nightshade, contains alkaloids that have antispasmodic properties. These alkaloids help to relax the smooth muscles of the bladder, relieving the spasms. Morphine is a potent analgesic that can help with pain relief, but it may not be as effective in relieving bladder spasms. Baclofen is a muscle relaxant that is commonly used for conditions such as multiple sclerosis, but it may not specifically target bladder spasms caused by bladder cancer. Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can help with pain and inflammation, but it may not directly address the spasms. Therefore, belladonna is the most effective option for relieving bladder spasms in this scenario.

Submit
72. Pain due to stimulants which does not normally provoke pain is:

Explanation

Allodynia refers to the experience of pain in response to a stimulus that is not normally painful. This means that even a light touch or gentle pressure can cause pain in individuals with allodynia. It is a condition often associated with nerve damage or sensitization, where the nerves become hypersensitive and overreact to stimuli. Unlike hyperalgesia, which refers to an increased sensitivity to painful stimuli, allodynia specifically refers to pain caused by non-painful stimuli.

Submit
73. A nurse is making an inital home visit with a patient and the family. The family recently moved to the US from Asia. Which of the following MOST likely characterizes the use of social touch in the care of this patient and family?

Explanation

not-available-via-ai

Submit
74. Which of the following is MOST commonly associated with uncontrolled pain

Explanation

Uncontrolled pain is often associated with depression. When an individual is experiencing chronic pain that is not adequately managed, it can have a significant impact on their mental and emotional well-being. The constant discomfort and inability to find relief can lead to feelings of hopelessness, sadness, and frustration, which are common symptoms of depression. Additionally, the physical limitations caused by uncontrolled pain can result in social isolation and a decrease in overall quality of life, further contributing to depressive symptoms.

Submit
75. The ceiling dose of acetaminophen is ___ grams/day

Explanation

The correct answer is 2 because the maximum daily dose of acetaminophen is typically recommended to be 4 grams.

Submit
View My Results

Quiz Review Timeline (Updated): Oct 27, 2024 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Oct 27, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • May 06, 2014
    Quiz Created by
    Croman
Cancel
  • All
    All (75)
  • Unanswered
    Unanswered ()
  • Answered
    Answered ()
Conflicts arise with any team of people who must work closely in...
In hospice, the patient and family are considered to be the unit of...
The modern hospice movement came about because dying patients needs...
The use of morphine in patients with lung cancer who suffer from...
Spiritual need is one piece of a holisitc assessment that should
When the patient is in denial for example, talking about future plans...
A patient with a history of ovarian cancer presents to the palliative...
A hospice patient no longer meets medical criteria for the Medicare...
Mr. Jones is receiving morphine through an epidural catheter. To...
The successful hospice interdisciplinary team (IDT) views the role of...
Which of the following needs to be present for a group to be cohesive?
A patient has metastatic ovarian cancer with partial small bowel...
A patient whose death is immeinent is experiencing periods of apnea in...
A womans husband died 9 months ago after a painful illness. The womans...
The side effect of chemotherapy most frequently of concern to patients...
Which of the following is usually the final physical debilitation...
In order to maintain professional boundaries, a hospice nurse should
When switching from an oxygen concertrator to a cylinder system, a...
A nurse notices a group of unilateral vesicular eruptions with a...
A hospice patient in a nursing home has refused intravenous and tube...
The following are true of signs and symptoms of infections except:...
An example of an advance directive is the designation of which of the...
The leading cause of renal failure is
Grief can BEST be described as changes in feeling and behaviors that...
A 79 year old man with a history of CVA and multiple TIA's has...
Some cultural difference to remember when caring for people of Chinese...
A patient with end stage congestive heart failure has been referred to...
A patient with AIDS is referred to the hospice program and is taking a...
Which of the following treatments is MOST effective in managing...
How long does a Medicare-certified hospice generally provide...
A patient with liver cancer suddenly develops pain with nausea and...
Because the AIDS virus causes serious supression of the immune system,...
Spiritual care pf the hospice patient and family:
An important role of antinoeplastic drugs in palliative care is to
Which of the following is MOST likely occurring when an activley dying...
The home health nurse goes to visit Mr. Smith who has a diagnosis of...
In the home setting, pain in elderly patients may be difficult to...
Intractable hiccups may be best treated with:
In Jewish custom, the body of the deceased is never left alone...
If a hospice has decided to research the effect of nebulized morphine,...
A 39 year old father is dying and his wife is caring for him. His two...
A patient previously receiving an extended-release phenytoin 300mg...
The spouse of a patient who is terminally ill calls to report that her...
Early assessment and diagnosis of spinal cord compression is important...
Six weeks after admission to hospice, an elderly wife is no longer...
Which of the following nonpharmacologic interventions is MOST...
A family has been told that a patients comatose condition will...
Bone metastasis should be suspected when a patient describes leg pain...
According to the NHPCO standards for hospice program of care, every...
A 54 year-old Hmong woman with end stage multiple myeloma complains of...
Which of the following is the primary purpose of the Word Health...
A 51 year old home care patient has end stage alcoholic cirrhosis. He...
Chronic disseminated intravascular coagulopathy may be exhibited in
Which of the following is essential in responding to a patients...
Which of the following is an effective nursing measure for a patient...
When initiating around the clock opioids, the nurse should instruct...
Pseudobulbar affect in ALS is characterized by:
Mrs. Adams is a 70 year old woman who has been diagnosed with mild to...
The person who is recognized as the coordinator of the IDT is the
What ethical principle is involved when the family members of a...
You are caring for a patient with metastatic cancer of the bone. Which...
Which of the following is the MOST important role of the staff nurse...
A patient has metastatic lung cancer, cord compression, and a venous...
A patient receiving sustained-release morphine has required 6 doses of...
A patient has decided to stop dialysis and enter a hospice program....
Which of the following is NOT a primary function of the nursing...
All are ture of DIC expect:
A patients physcian has ordered a placebo by injection on a routine...
A steriod can be prescribed for an anorexic patient who complains of...
Mrs. Crayola has tachycardia, orthopnea, difficulty sleeping at night,...
Bladder spasms secodary to bladder cancer are MOST effectively...
Pain due to stimulants which does not normally provoke pain is:
A nurse is making an inital home visit with a patient and the family....
Which of the following is MOST commonly associated with uncontrolled...
The ceiling dose of acetaminophen is ___ grams/day
Alert!

Advertisement