A newly admitted hospice patient with metastatic lung cancer has expressive aphasia from a previous CVA. Vital signs are: BP 160/96 mm Hg, HR 92/min, and RR 22/min. They are moaning, refusing to be turned, and fidgeting with their bedsheets. The patient is clutching their throat, and there are white patches on the pharynx. Which of the following medications should the nurse administer FIRST?

Which of the following is one of the nurse's primary responsibilities in end-of-life care?

Which of the following is the first-line treatment for bladder spasms with a negative urinalysis?

A patient is exhibiting agonal respirations and the family is concerned. Which of the following is the nurse's BEST response?

A patient with end-stage cardiac disease declined to create an advance directive. Oxygen needs have increased to 6 liters per minute at rest, and the next hospice certification is in 2 weeks. Which of the following is the BEST action for the hospice team to take?

An older adult patient taking sustained-release morphine 100 mg every 12 hours has become agitated and confused at night. The patient's partner called the physician, and risperidone 1 mg was ordered orally every hour until the patient falls asleep. The patient received 4 doses. The next morning, the partner is unable to arouse the patient and contacts the primary nurse. Which of the following is the MOST appropriate nursing response?

A caregiver finds it increasingly difficult to provide the care necessary to maintain their partner at home, where the patient wishes to remain. Which of the following is the nurse's BEST initial action?

Which of the following is considered a core service for a hospice Medicare provider?

When considering recertification for a hospice patient, which of the following should be taken into account?

A patient with Stage IV lymphoma reports shortness of breath and hoarseness. The nurse's assessment reveals periorbital edema, jugular vein distention, and trace edema of the right arm. These findings MOST likely indicate

A patient is bedbound and has a Stage II pressure ulcer on the coccyx. Which of the following is the MOST appropriate initial nursing intervention?

A patient with dementia has become increasingly agitated. Which of the following is the nurse's MOST appropriate initial action?

A hospice patient with ovarian cancer complains of a sudden-onset mid-abdominal cramping and severe nausea, which is relieved by vomiting. Which of the following is the MOST likely etiology?

Which of the following is the BEST method to assess dyspnea in a patient with end-stage COPD?

A dying veteran begins to insist that the enemy is hiding under his bed. Which of the following should be the nurse's INITIAL action?

A patient with terminal breast cancer is receiving 30 mg of sustained-release morphine every 12 hours. The patient reports sleeping poorly at night due to pain. Which of the following medications should be used?

A patient with advanced metastatic breast cancer is referred for palliative care. Upon initial contact, they express anger toward their physician. Which of the following is the nurse's MOST appropriate initial action?

Which of the following services is covered by Medicare Part A for a hospice patient with end stage renal disease?

For admission into a hospice program, it is necessary that the patient

A hospice patient with ovarian cancer complains of a sudden-onset mid-abdominal cramping and severe nausea, which is relieved by vomiting. Which of the following is the MOST likely etiology?

Which of the following is the BEST method to assess dyspnea in a patient with end-stage COPD?

The primary purpose of a symptom management algorithm is to

An interdisciplinary team meeting is scheduled for later in the week for a new hospice patient. The hospice nurse receives a phone call from the patient's family who is insistent upon being a participant in the scheduled meeting. Which response by the nurse indicates that understanding of the role of the patient's family on the interdisciplinary team?

An imminently dying patient has Cheyne-Stokes breathing without signs of distress. The family is requesting oxygen. Which of the following should be the nurse's INITIAL action?

Which of the following should be considered when using morphine in the treatment of a patient with end-stage COPD?

A patient's family is concerned because the patient is awake at night and constantly calls out for family members. The patient has no apparent need, but does not want to be left alone. The nurse should advise the family to

Over the course of two weeks, the hospice nurse and social worker receive separate calls from two adult children of a terminally ill resident on service who lives at a local skilled nursing facility (SNF). On the calls, the resident's children express frustration that the resident's and family's goals of care are not consistently being supported by various actions of the nursing home staff. The nurse's BEST initial course of action would be to

Guidelines for determining the prognosis for liver disease include

Despite a corticosteroid trial, a patient with stage IV melanoma complaining of headaches and confusion. The patient would MOST likely benefit from:

A patient with end-stage renal disease has elected to stop hemodialysis and is now admitted to hospice services. The family wants to know how long the patient has to live. Which of the following is the hospice nurse's BEST response?

A caregiver calls a nurse to ask if the prescribed lorazepam can be used to medicate the patient for pain. Which of the following is the nurse's BEST response?

What is the minimum number of hours of care in a 24-hour period that can be billed as hospice continuous home care?

A nurse is developing a plan of care for a newly admitted hospice patient with metastatic liver cancer. The patient has a long history of mental health disability and is intermittently unhoused. Which of the following is the MOST important factor to consider when developing a safe plan of care?

A hospice patient with a do not resuscitate (DNR) order in place has just died. The nurse is present. Which of the following is the nurse's BEST initial response?

A patient reports pain at 9 out of 10. When asked about their refusal to take analgesics, they consistently state, I deserve this. The hospice team is frustrated and feels helpless. Upon hearing this report, the nurse's MOST appropriate initial action is to:

A beloved nursing home resident has recently died. The staff blames the hospice agency for hastening the death by introducing morphine. The hospice nurse returns to care for another resident and the staff is antagonistic toward the nurse. Which of the following should be the nurse's INITIAL response?

When assessing a patient with bone metastases for anemia, which of the following sets of findings is MOST significant?

The Bereavement Risk Assessment is primarily used to

Which of the following is the MOST likely treatment for a palliative care patient with cardiac tamponade?

Team members have just dealt with the family of a patient who has died by suicide. Which of the following is the MOST appropriate next step?

A patient has a lumbosacral tumor with neuropathic pain. Which of the following is the BEST intervention?

A nurse is speaking to the partner of a deceased hospice patient. The partner reports fatigue and difficulty sleeping. They state, It has only been 2 weeks, and I find myself crying, and then smiling, remembering the good times. I feel so lonely. Which of the following is the nurse's BEST response?

Which of the following is a principle of chronic pain management?

Which of the following types of pain responds well to morphine?

A patient is trembling, fidgeting, and appears exhausted. The patient states, I wish you could tell me what I can expect in the future. I feel so helpless. The nurse's assessment reveals a heart rate of 110 bpm, respiratory rate of 24 breaths/min, and diaphoresis. Which of the following is the patient experiencing?

A hospice patient with metastatic esophageal cancer has intermittent bleeding from their tracheostomy site. The patient's wishes upon admission were to die at home. Current vital signs are: BP 92/64 mm Hg, HR 112/min, RR 16/min, and temperature 97°F (36.1°C). The patient appears anxious regarding the bleeding. Which of the following is the nurse's BEST response for re-evaluating the patient's goal of care?

The ongoing nursing assessment of a patient reveals unmet spiritual needs. Which of the following is the MOST appropriate next step?