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Advanced Certified Hospice and Palliative Nurse (ACHPN®) Examination

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About this Exam

Prepare with the Advanced Certified Hospice and Palliative Nurse (ACHPN®) Examination practice quiz. This question bank includes 120 questions covering patient, achpn, pain, year-old, and advanced. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

Sample Questions

Question 1
A 72-year-old male with metastatic prostate cancer to the bone is being transitioned from oral morphine SR 60 mg every 12 hours to a continuous subcutaneous infusion of hydromorphone due to dysphagia. His pain is currently well-controlled. Using a standard equianalgesic table (e.g., 30mg oral morphine = 10mg parenteral morphine; 10mg parenteral morphine = 1.5mg parenteral hydromorphone), what is the most appropriate starting dose for the hydromorphone infusion over 24 hours?
24 mg/24 hours
12 mg/24 hours
6 mg/24 hours
18 mg/24 hours
Question 2
A patient with advanced pancreatic cancer is experiencing severe, burning, and shooting pain in his lower back and legs, which is poorly responsive to high doses of opioids. Which of the following adjuvant medications would be most appropriate to add to his regimen to specifically target this type of pain?
Ibuprofen
Ondansetron
Dexamethasone
Gabapentin
Question 3
An ACHPN is caring for a patient receiving high doses of parenteral hydromorphone who develops new-onset myoclonus, allodynia, and delirium. These symptoms worsen despite an increase in the opioid dose for what was perceived as worsening pain. Which of the following is the most likely diagnosis?
Opioid tolerance
Disease progression
Opioid-induced neurotoxicity (OIN)
Serotonin syndrome
Question 4
Which of the following interventional techniques is most appropriate for managing intractable abdominal pain secondary to a celiac plexus tumor in a patient with a life-limiting illness?
Vertebroplasty
Spinal cord stimulator
Celiac plexus block
Trigger point injections
Question 5
When assessing pain in a non-verbal patient with advanced dementia, the ACHPN observes intermittent grimacing, tense body posture, and increased restlessness, especially during repositioning. Which pain assessment tool is specifically designed for this patient population?
Numeric Rating Scale (NRS)
Pain Assessment in Advanced Dementia (PAINAD) scale
Critical-Care Pain Observation Tool (CPOT)
McGill Pain Questionnaire (MPQ)

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Additional Information

Advanced Certified Hospice and Palliative Nurse (ACHPN®) Examination

This practice set contains 120 questions from the matching question bank and focuses on patient, achpn, pain, year-old, and advanced. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Frequently Asked Questions

This quiz contains a total of 120 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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