Free CHPLN Practice Test Questions

A patient's cancer is classified as Stage IV based on the TNM staging system. This indicates that the malignant condition has:

A terminally ill patient presents with significant hepatic impairment. To minimize the risk of adverse effects resulting from delayed metabolic clearance, which adjustment to the analgesic regimen is most appropriate?

A patient receiving palliative care reports a persistent inability to find joy in previously enjoyed hobbies and expresses a consistent low mood. Which assessment instrument is most appropriate for evaluating this patient's emotional status?

An elderly patient with advanced neurocognitive disorder exhibits a sudden onset of aggression and disorganized thinking. In the context of evaluating acute mental status changes, which finding points to a potentially correctable etiology?

A clinician is establishing a maintenance schedule for a patient requiring long-term urinary drainage via an indwelling catheter. To ensure continued device patency and minimize the risk of complications such as obstruction or bladder spasms, at what interval should the catheter routinely be replaced?

A nurse is counseling the family of a patient with end-stage malignancy who is distressed by the patient's refusal to eat. Which explanation accurately describes a physiological factor contributing to the patient's anorexia?

A nurse is establishing a plan of care for a patient requiring contact precautions. Which action is essential to include in the implementation of these safety measures?

A patient with a life expectancy exceeding one month is utilizing a tunneled indwelling catheter (e.g., PleurX®) for the home management of malignant ascites. Which specific observation of the drainage warrants immediate evaluation for peritonitis?

When facilitating the resolution of unfinished business for a terminally ill patient, the nurse should anticipate the patient's desire to

During a home visit, a family caregiver states they feel fully prepared to manage the patient's pain medication schedule. However, the nurse notices the caregiver is pacing the room and avoiding eye contact. What is the most appropriate communication strategy for the nurse to employ?

During a scheduled home visit, the LPVN notes that the patient's spouse, who serves as the primary caregiver, exhibits signs of severe fatigue and states they need a temporary break from their duties to recover. The patient's condition is stable with controlled symptoms. Which Medicare hospice benefit level is most appropriate for the LPVN to recommend to the Registered Nurse (RN)?

A patient approaching the end of life begins speaking clearly to a spouse who passed away several years ago. The patient’s adult child is concerned that this indicates a medication side effect or mental decline. How should the nurse explain this behavior to the family member?

Which legal document designates a healthcare proxy to make healthcare decisions if a patient becomes incapacitated?

During a diabetic education session, a patient states, "I will not remember how to do this unless I can hold the syringe and practice injecting the orange myself." This request identifies the patient as having which type of learning preference?

A hospice nurse observes a terminally ill patient engaging in a quiet conversation with a spouse who passed away years prior. The patient seems relaxed and comforted by the interaction. The nurse should identify this behavior as: