Certified nursing assistant providing compassionate hospice and palliative care to a patient as part of CHPNA certification exam preparation

CHPNA Certification Prep

CHPNA® Practice Test Question Bank

Preparing for the Certified Hospice and Palliative Nursing Assistant (CHPNA) Certification Exam can be challenging, but with the right resources, success is within reach. Our expert-designed CHPNA Practice Test Question Bank offers the tools you need to feel confident and ready for exam day.

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CHPNA Question Bank

What's included

500+ blueprint aligned practice questions (QBank)

300+ retention focused flashcards

4 timed simulation exams

Personalized study planner to manage your schedule

Ask AI for hints, explanations, and detailed solutions for every question

Detailed analytics highlighting strengths and weaknesses

Risk-free trial - Cancel within 7 days for a full refund for any reason

CHPNA Question Bank

What's included

500+ blueprint aligned practice questions (QBank)

300+ retention focused flashcards

4 timed simulation exams

Personalized study planner to manage your schedule

Ask AI for hints, explanations, and detailed solutions for every question

Detailed analytics highlighting strengths and weaknesses

Risk-free trial - Cancel within 7 days for a full refund for any reason

Recommended

180-Day CHPNA Q-Bank Access$257.00

Total$257.00

No risk. Cancel within 7 days for a full refund.

Question Bank

Get Details for the CHPNA Practice Test Question Bank

Expert-Guided Learning

Study with questions developed and reviewed by experienced hospice and palliative care professionals, including CHPNA-informed clinicians, to ensure accurate, practical, and exam-relevant content.

Questions that Reflect the Real Exam

Practice with questions designed to mirror the format, difficulty, and focus areas of the actual CHPNA exam, helping you feel confident and prepared on test day.

Topics Covered:

The CHPNA exam assesses essential knowledge and skills required for nursing assistants in hospice and palliative care. Our CHPNA Question Bank includes 750+ carefully crafted questions (including 4 timed simulation exams) aligned with the official exam blueprint, covering Patient Care: Activities of Daily Living, Patient Status and Environment, Psychosocial/Spiritual Care of the Patient and Family/Caregivers, and Professional Skills.

Exam Blueprint

Practice Questions Aligned with the Exam Blueprint & Reviewed by CHPNA Certified Faculty

Prepare confidently with practice test questions that cover the exam blueprint, ensuring a comprehensive understanding of the material.

Patient Care: Activities of Daily Living

Assist with Hygiene
Assist with Grooming
Assist with Ambulation/Mobility
Assist with Toileting
Nutrition/Hydration

Patient Status and Environment

Observe and Report on Patient Condition
Patient status in relation to the documented diagnosis
Level of pain (e.g., on a 0-10 scale)
Changes in level, type, and location of pain
Nonverbal cues
Effectiveness and side effects of medications
Facilitate Non-Drug Treatment for Symptoms
Therapeutic support (e.g., meditation, music, massage)
Deep breathing
Diversional/recreational activities
Hot/cold compresses
Repositioning
Maintain Infection Control
Universal/standard precautions
Biohazardous waste disposal (e.g., sharps, fluids)
Isolation techniques
Provide and Maintain the Best Possible Environment to Support Patient
Personal environment (e.g., familiar objects, pictures, homelike)
Death in the patient's place of choice
Care according to the patient's preferred schedule
Safety (e.g., fall precautions, prevention of hazards, storage and use of oxygen)
Privacy
Identify Changes in Physical Status
Activity level
Vital signs and weight changes
Skin impairment (e.g., breakdown, rash, itching)
Injury
Elimination habits
Swallowing ability
Nausea/vomiting
Edema and ascites
Signs of impending death
Seizure activity
Identify Changes in Mental Status
Confusion
Responsiveness
Emotional change (e.g., anxiety, fear, depression)
Agitation
Terminal restlessness
Identify Changes in Functional Status
Mobility
Weakness
Sleepiness
Fatigue
Appetite
Identify Changes in Respiratory Status
Effectiveness of interventions (e.g., nebulizers, inhalers, oxygen therapy, air circulation)
Change in breathing patterns (e.g., cough, apnea)
Increased secretions

Psychosocial/Spiritual Care of the Patient and Family/Caregivers

Spiritual Care
Identify spiritual issues (e.g., guilt, estrangement, meaning of life)
Honor and support individual spiritual beliefs
Enable spiritual practices (e.g., sacraments, prayer, arrange transport services)
Provide patient and family/caregivers support with letting go
Respect Differences and Maintain Neutral Attitude Regarding
Race, ethnicity, and cultural background
Religious/spiritual preference
Sexual preference
Age
Social and economic circumstances
Treatment choices (e.g., advance directives, holistic approach)
Veterans
Gender identity
Criminal background
Identify and Assist Patient and Family/Caregiver Needs
Education
Signs and symptoms of end of life
Agency/community services
Grief and loss
Infection control practices
Nutrition/hydration (including unique needs as the patient declines)
Personal care techniques and comfort measures
Patient and Family/Caregiver Support
Respite (including volunteer support)
Companionship and compassion
Advocacy for patient and family/caregivers
Reframing hope (patient's expectations)
End of life concerns
Assure Dignity and Honor Patient and Family/Caregiver Choices at the Time of Death
Allow closure time for loved ones
Bereavement resources (e.g., support groups, literature)
Post-mortem care (e.g., care of body, care of room)
Allow for cultural or spiritual practices at time of death
Assist with Communication Between Patient, Family/Caregivers, and Care Providers
Barriers to communication
Active listening
Adaptive communication devices (e.g., word boards)
Use of interpreters
Provide Support for Changes in Body Image
Physical appearance (e.g., weight change, hair loss, amputation)
Elimination changes (e.g., ostomies, incontinence, catheters)
Loss of independence
Provide Support for Changes in Mental Status
Memory
Medication-related altered mental status
Depression
Anxiety
Post-traumatic stress disorder
Observe and Report Threats to Patient and Family/Caregiver Safety
Physical abuse
Neglect
Substance abuse
Caregiver's inability to provide care
Suicidal ideation

Professional Skills

Interdisciplinary Collaboration
Encourage patient and family/caregiver involvement in the plan of care
Provide input to team members in carrying out the plan of care
Provide support and communication during changes in levels of care and across care settings (e.g., assisted living, hospitalization, respite)
Recognize and report change in family/caregiver dynamics
Review death with the team
Ethics, Roles, and Responsibilities
Identify and respond to ethical issues (e.g., confidentiality, honest communication)
Maintain boundaries (e.g., within job description, with patient/family/caregivers)
Assist in resolving work-related conflicts
Maintain accurate and timely documentation according to the patient's plan of care
Identify risks to personal safety (e.g., firearms in the home)
Serve as a mentor/trainer for new staff
Participate on committees, professional organizations, and performance-improvement projects
Maintain continuing education
Promote hospice and palliative care in the community
Practice self-care (e.g., stress management)

Aligned with 2027 Blueprint Updates

Free CHPNA Practice Test Questions - Sample Questions

Explore these free sample practice questions from the CHPNA Practice Question Bank, aligned with the 2027 HPCC Detailed Content Outline. Access the full Question Bank of 750+ questions with detailed rationales.

The following are free CHPNA practice questions:

1As defined by Kubler-Ross, the five stages of death and dying are:

(a)denial, anger, bargaining, depression, acceptance.

(b)anger, bargaining, depression, psychosis, resistance.

(c)anger, bargaining, sadness, denial, acceptance.

(d)denial, anger, bargaining, sadness, resistance.

Answer: (a)

Elisabeth Kübler-Ross described five stages commonly experienced during terminal illness and grief: denial, anger, bargaining, depression, and acceptance. These stages are not linear but provide a framework for understanding emotional responses to dying.

2The most common disorder associated with pain in the older adult is:

(a)cancer.

(b)osteoarthritis.

(c)fractured bones.

(d)osteoporosis.

Answer: (b)

Osteoarthritis is the most common cause of chronic pain in older adults due to age-related joint degeneration. While cancer and fractures cause significant pain, osteoarthritis affects a larger proportion of the elderly population.

3A patient appears to be in pain. The nursing assistant should ask the patient to rate the pain because this provides:

(a)evidence of disease progression.

(b)psychosocial support to the patient.

(c)the best way to evaluate the pain.

(d)compliance with federal regulations.

Answer: (c)

Pain is subjective, and self-report using a standardized pain rating scale is the most reliable method to assess its severity. This guides appropriate intervention and reassessment.

4Which statement about hospice care is CORRECT?

(a)Hospice care provides comfort when cure is not possible.

(b)Hospice care focuses solely on the patient.

(c)Hospice care stops once a patient dies.

(d)Hospice care is provided only in the patient's home.

Answer: (a)

Hospice care focuses on comfort, symptom management, and quality of life when curative treatment is no longer the goal. It addresses the needs of both the patient and family across multiple care settings.

5A patient is dying and begins calling out their deceased spouse's name, upsetting the family. What should the nursing assistant do?

(a)Tell the patient that their spouse is not there.

(b)Tell the patient to relax and try to sleep.

(c)Tell the family that this is normal.

(d)Tell the family that the nurse will medicate the patient.

Answer: (c)

Calling out to deceased loved ones can be a normal part of the dying process as patients may experience visions or confusion near end of life. Reassuring the family that this is common helps reduce distress while the nurse can assess whether additional symptom management is needed.

6A patient is crying and wants to see their child before they die. Who should the nursing assistant notify?

(a)the patient's family

(b)the patient's doctor

(c)the patient's roommate

(d)the patient's nurse

Answer: (d)

The nursing assistant should notify the supervising RN, who can coordinate family notification, assess the patient's condition, and ensure appropriate psychosocial and clinical support during this emotional time.

7A bedridden cancer patient is restless and confused. Their sibling caregiver has gone home briefly. What should the nursing assistant do?

(a)Apply arm restraints.

(b)Call the sibling to return immediately.

(c)Sit with the patient and stroke them gently.

(d)Tell the patient to relax and close the door.

Answer: (c)

Restlessness and confusion near end of life often respond to gentle reassurance and presence. Sitting with the patient provides comfort and safety monitoring while the nurse assesses for reversible causes such as pain, delirium, or anxiety.

8Advance directives provide what kind of information?

(a)The patient's medical treatment wishes if unable to speak.

(b)The patient's medical insurance coverage.

(c)The patient's private financial information.

(d)Surgical consent for emergency surgery.

Answer: (a)

Advance directives document a patient's preferences for medical treatment and end-of-life care when they cannot communicate their wishes, including living wills and durable power of attorney for healthcare.

9The assumption that health care workers will not knowingly harm a patient is an example of:

(a)autonomy

(b)nonmaleficence

(c)justice

(d)beneficence

Answer: (b)

Nonmaleficence is the ethical principle of avoiding harm to patients. Healthcare workers are expected to act in ways that do not intentionally cause injury or suffering.

Nursing assistant caring for an elderly man with a blanket, illustrating hospice and palliative care for CHPNA certification exam preparation

Your Path to CHPNA Certification Starts Here!

Are you preparing to become a Certified Hospice and Palliative Nursing Assistant (CHPNA)? Our expertly crafted CHPNA Question Bank is designed to equip you with the practice, knowledge, and confidence needed to excel on the exam and advance your career in hospice and palliative care.

Extensive Question Bank to Study for CHPNA Exam

Our CHPNA Exam Question Bank features a robust Question Bank with over 750+ practice questions meticulously designed to reflect the format and content of the actual exam, following the CHPNA exam blueprint.

Developed and reviewed by CHPNA-certified faculty, this resource also includes 4 timed Simulation Exams to help you gauge your readiness and focus your study efforts.

Covering all key areas such as activities of daily living, patient status and environment, psychosocial/spiritual care of the patient and family/caregivers, and professional skills, this comprehensive tool ensures you are fully prepared to excel on the CHPNA exam.

Mobile Phone and Tablet Compatibility

Take your preparation with you wherever you go! Our CHPNA Exam Practice Question Bank features a user-friendly platform optimized for both Android and iOS devices. Access the comprehensive CHPNA Question Bank and Simulation Exams on your phone or tablet, allowing you to study anytime, anywhere. Make the most of your time and stay on track to achieve CHPNA certification success.

You receive:

Access to mobile responsive platform
On-demand access anytime anywhere
Each question reviewed and edited by CHPNA faculty

CHPNA hospice and palliative care certification exam prep displayed on laptop, tablet, and smartphone

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Expert Team

Our Faculty

Andrew Wagner

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.

Success Stories

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Hear from learners who prepared for the CHPNA exam with our question bank.

It made preparing for my CHPNA exam much easier. The large question bank and smart study features helped me focus on the areas I needed most, while the flashcards reinforced my understanding. More than just helping me pass my exam, it expanded my knowledge and improved the care and support I provide to patients and their families every day.

Julie Lessin

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