Free Certified Hospice and Palliative Nurse Quiz

A palliative care patient who has end-stage pancreatic cancer reports a progressively decreased ability to perform activities of daily living and significant weight loss. The hospice nurse knows that:

A patient who has end-stage chronic obstructive pulmonary disease (COPD) calls the hospice nurse to report increased dyspnea and increasing anxiety. The patient used nebulized albuterol about 30 minutes ago. After the reviewing the patient’s medications, the nurse recommends that the patient take which of the following now?

The nurse is visiting a bedbound home care patient who has end-stage chronic obstructive pulmonary disease (COPD) and uses supplemental oxygen. Upon learning that the patient smokes cigarettes, the nurse should FIRST:

A patient who has advanced non-Hodgkin lymphoma reports increasing fatigue, night sweats, and significant weight loss. Which of the following additional symptoms reported by the patient would MOST likely suggest transformation to a more aggressive form of lymphoma?

At the end of life, a diagnosis of anorexia/cachexia syndrome (ACS) is confirmed by the presence of:

A patient who has stage 4 chronic obstructive pulmonary disease as well as hypertension, hypercholesteremia, and type 2 diabetes mellitus is seen today in the palliative care clinic for a follow-up visit. Through a translator, the patient conveys recent-onset chest pain that is a 6 out of 10 that radiates through the right shoulder. The nurse knows that the type of pain being described is:

A patient has begun opioid therapy and reports constipation to the nurse. The nurse should:

Advance directives become effective when a patient:

A 4-year-old child asks when her recently deceased grandmother will return. Her mother explains that she cannot come back. The child nods but asks the same question later. This is an example of:

A nurse receives a call from a family member asking about a patient’s condition. The nurse explains that the patient is doing well but has required an increase in pain medications. The nurse assures the family member of the availability of staff and offers emotional support. What has the nurse done incorrectly?