CHPPN Question Bank
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Andrew Wagner
MD
Dr. Andrew Wagner, a distinguished graduate of UC Irvine Medical School, has been a Board Certified Family Physician since 1985. With a notable career in medical education and patient care, he has held esteemed positions such as Chief of Education and served on the Ethics Committee. He is recognized as a pioneer in AIDS/HIV patient care in California. In 2012, he became Board Certified in Hospice and Palliative Medicine, marking a significant shift towards end-of-life care. As a faculty member for the Healer’s Art Course at UCSF, Dr. Wagner focuses on end-of-life and palliative care, sharing his extensive knowledge with medical students. For the past 15 years, he has been a physician facilitator for Schwartz Rounds, promoting discussions about the emotional challenges of patient care. Currently, he provides inpatient palliative care consults at Sutter Health and continues to teach residents. His work is complemented by his training in guided imagery and integrative medicine. In his spare time, Dr. Wagner, a black belt in Aikido, has trained in martial arts for thirty years.

Zachary Wagner
MSN, APRN, FNP-C
Zachary Wagner is a nurse practitioner with extensive experience in palliative care. He has held pivotal roles within a palliative care organization, including Nurse Practitioner, Associate Director, and Director. He received his education and training in palliative medicine and primary care from San Francisco State University and Indiana State University, and he holds certification as a Family Nurse Practitioner.
Exam Sections Covered in BoardCerts CHPPN Question Bank
Comprehensive coverage of all exam domains with detailed topic breakdowns to ensure your success.
Pain Management
Key topics and concepts covered in this module
Pediatric Diagnoses & Symptom Management
Key topics and concepts covered in this module
Family-Centered Support, Education, and Advocacy
Key topics and concepts covered in this module
Professional Practice
Key topics and concepts covered in this module
Assessment and Planning
Key topics and concepts covered in this module
Exam Sections Covered in BoardCerts CHPPN Question Bank
Comprehensive coverage of all exam domains with detailed topic breakdowns to ensure your success.
Pain Management
- Etiology of pain, types of pain, and pain syndromes
- Verbal and nonverbal indicators of pain and use of developmentally appropriate pain scales
- Factors that may influence the patient's experience of pain
- Medications appropriate to severity and specific type of pain
- Pediatric dosing and titration of medication
- Dosage equivalents when changing analgesics or route of administration
- Non-pharmacologic interventions
- Complementary/integrative and alternative therapies
Pediatric Diagnoses & Symptom Management
- Complications of prematurity and birth
- Neurological conditions and symptoms
- Neuromuscular conditions and symptoms
- Cardiac conditions and symptoms
- Pulmonary conditions and symptoms
- Congenital anomalies and symptoms
- Musculoskeletal conditions and symptoms
- Skin and mucous membrane symptoms
- Nutritional and metabolic conditions and symptoms
- Immune/Lymphatic/Hematologic conditions and symptoms
- Gastrointestinal, renal, and hepatic conditions and symptoms
- Psychosocial, emotional, and spiritual distress
- Mental health conditions and symptoms
Family-Centered Support, Education, and Advocacy
- Advance care planning
- Hospice, palliative, and concurrent care benefits under Medicaid/Medicare, and private insurance
- Patient safety: environmental, physical, socioemotional
- Communication: techniques, barriers, and cultural humility
- Community resources and referrals
- Signs and symptoms of abuse and neglect
- Medication management and disposal, controlled substances, and diversion
- Self-care activities for family/caregivers
- Support for patient's community
- Illness trajectory
- Care at time of death and post-mortem care
- Ethical issues related to end of life
- Grief and loss support / bereavement services
Professional Practice
- Hospice and palliative care compliance under Medicaid/Medicare and concurrent care eligibility
- National hospice and palliative care standards and practice guidelines
- Legal regulations
- Professional boundaries
- Practitioner self-care and stress management
- Implicit bias and healthcare disparities
Assessment and Planning
- Goals of care and shared decision making
- Anticipatory planning
- Interdisciplinary care planning and ongoing evaluation
- Collaboration with external care teams
- Psychosocial, spiritual, and cultural needs
- Identity and personal relationships
- Life-limiting disease progression, complications, and treatment
- Indicators of imminent death
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