CHPN Domain 3: Patient Care – Symptom Management Welcome to your CHPN Domain 3: Patient Care – Symptom Management 1. CHPN: Patient Care - Symptom Management A patient with advanced cancer is experiencing severe bone pain. Which medication is most appropriate for managing his pain based on the WHO pain ladder? Ibuprofen Paracetamol Morphine Aspirin None 2. CHPN: Patient Care - Symptom Management In palliative care, which intervention is most effective for the symptomatic management of xerostomia in a patient receiving radiation therapy? Oral pilocarpine Increased fluid intake Non-sugar-based chewing gums Systemic corticosteroids None 3. CHPN: Patient Care - Symptom Management For a hospice patient complaining of dyspnea and anxiety, which of the following pharmacological treatments is most appropriate? Furosemide Lorazepam Albuterol Acetaminophen None 4. CHPN: Patient Care - Symptom Management Which medication is considered first-line treatment for neuropathic pain in a palliative care setting? Oxycodone Gabapentin Ibuprofen Acetaminophen None 5. CHPN: Patient Care - Symptom Management A palliative care patient is experiencing hiccups that are causing significant discomfort. Which medication should be considered first for treatment? Metoclopramide Dexamethasone Chlorpromazine Haloperidol None 6. CHPN: Patient Care - Symptom Management In managing terminal restlessness, which non-pharmacological intervention is effective? Scheduled repositioning Therapeutic massage Light therapy Music therapy None 7. CHPN: Patient Care - Symptom Management Which symptom is directly targeted by the use of scopolamine patches in palliative care patients? Constipation Nausea Excessive salivation Urinary retention None 8. CHPN: Patient Care - Symptom Management For a patient with terminal cancer experiencing malignant bowel obstruction, which medication is most appropriate to alleviate abdominal pain and vomiting? Ondansetron Octreotide Hydromorphone Bisacodyl None 9. CHPN: Patient Care - Symptom Management What is the primary benefit of using low-dose ketamine in the management of hospice patients with refractory pain? Anti-inflammatory effect NMDA receptor antagonism Serotonin reuptake inhibition Dopamine modulation None 10. CHPN: Patient Care - Symptom Management In managing cachexia in a patient with end-stage heart failure, which pharmacological treatment is recommended to improve appetite and weight gain? Spironolactone Megestrol acetate Erythropoietin Amiodarone None 11. CHPN: Patient Care - Symptom Management Which of the following is an effective first-line treatment for nausea in a palliative care patient? Omeprazole Metoclopramide Calcium supplements Sucralfate None 12. CHPN: Patient Care - Symptom Management A palliative patient experiences severe itching due to cholestasis. Which medication would be most appropriate to manage this symptom? Hydroxyzine Furosemide Acetaminophen Senna None 13. CHPN: Patient Care - Symptom Management For palliative patients with dysphagia, which intervention is recommended to manage their condition effectively? Nasogastric tube feeding Intravenous fluids Blenderized diet Therapeutic fasting None 14. CHPN: Patient Care - Symptom Management Which drug is most appropriate for the management of terminal delirium that includes agitation and hallucinations? Gabapentin Haloperidol Esomeprazole Insulin None 15. CHPN: Patient Care - Symptom Management In the context of palliative care, which medication is indicated for the management of severe, persistent hiccups that have not responded to first-line treatments? Lorazepam Dexamethasone Baclofen Amoxicillin None 16. CHPN: Patient Care - Symptom Management Which intervention is considered most effective for managing pruritus in end-stage renal disease patients under palliative care? Topical steroids Oral antihistamines Phototherapy Topical capsaicin None 17. CHPN: Patient Care - Symptom Management For a patient with end-stage ALS experiencing significant sialorrhea, which of the following treatments is most appropriate? Amitriptyline Atropine drops sublingually Glycerin swabs Nifedipine None 18. CHPN: Patient Care - Symptom Management In palliative care, which approach is recommended for the management of myoclonus in a patient with opioid-induced hyperalgesia? Increase opioid dosage Administer benzodiazepines Switch to a non-opioid analgesic Physical therapy None 19. CHPN: Patient Care - Symptom Management Which of the following is an appropriate treatment for managing ascites in a patient with terminal liver cancer? Beta-blockers Spironolactone Calcium channel blockers Antidepressants None 20. CHPN: Patient Care - Symptom Management A palliative care patient with COPD is experiencing severe shortness of breath at rest. Which pharmacological treatment should be prioritized? Oral corticosteroids Short-acting beta agonists Long-acting anticholinergics NSAIDs None 21. CHPN: Patient Care - Symptom Management In managing bone pain in palliative care, which combination of treatments is considered most effective? NSAIDs and opioids Antidepressants and antiepileptics Corticosteroids and bisphosphonates Muscle relaxants and anti-anxiety medication None 22. CHPN: Patient Care - Symptom Management Which intervention is best for managing constipation in a palliative care patient who is bed-bound? Increased dietary fiber Stimulant laxatives Suppository use Manual evacuation None 23. CHPN: Patient Care - Symptom Management What is the primary pharmacological strategy for managing fever in a palliative care setting? Antibiotics Antipyretics Antivirals Antifungals None 24. CHPN: Patient Care - Symptom Management For a patient experiencing severe anxiety and panic attacks in a hospice setting, which medication is preferred? Selective serotonin reuptake inhibitors (SSRIs) Beta-blockers Benzodiazepines Antipsychotics None 25. CHPN: Patient Care - Symptom Management In the management of malignant skin lesions causing significant pain and discomfort in palliative care, which topical treatment is most effective? Topical NSAIDs Topical lidocaine Topical antibiotics Topical corticosteroids None 26. CHPN: Patient Care - Symptom Management What is the best approach for managing insomnia in a patient receiving palliative care? Stimulant medications Cognitive behavioral therapy (CBT) Benzodiazepines Antipsychotic medications None 27. CHPN: Patient Care - Symptom Management Which of the following is recommended for managing anorexia in a palliative care patient? High-calorie supplements Intravenous fluids Appetite stimulants Enteral feeding None 28. CHPN: Patient Care - Symptom Management What is the recommended treatment for managing severe dehydration in a palliative care patient who is unable to swallow? Subcutaneous hydration Oral rehydration solutions Intravenous hydration High fluid diet None 29. CHPN: Patient Care - Symptom Management Which pharmacological agent is preferred for managing depressive symptoms in the context of palliative care? Atypical antipsychotics Conventional antipsychotics Selective serotonin reuptake inhibitors (SSRIs) Mood stabilizers None 30. CHPN: Patient Care - Symptom Management Which medication is most appropriate for the symptomatic relief of severe abdominal pain due to pancreatic cancer in palliative care? Acetaminophen Nonsteroidal anti-inflammatory drugs (NSAIDs) Opioids Antispasmodics None 1 out of 30 Time is Up! Time's up