CHPN study plan

Map every component of the assessment and care-planning domain into a single one-page outline you can redraw from memory

Distinguish nociceptive, neuropathic, and visceral pain and select a matched first-line strategy for 20 short vignettes

Compute equianalgesic opioid conversions and describe management of opioid side effects across 15 practice items

Build and self-quiz a 40-card deck covering assessment and pain terminology until you reach 90% recall

Classify dyspnea, nausea, constipation, delirium, and terminal secretions by assessment cues and first-line intervention

Sequence nursing priorities for the last days and hours by writing 10 short end-of-life scenarios and ranking each action

Compare drug and non-drug interventions for each symptom and note the evaluation parameter you would monitor

Explain the difference between symptom management at end of life and routine symptom control in three written sentences per symptom

Script three advance care planning conversations: goals of care, code status, and family conflict

Apply ethical principles to 15 dilemmas and justify the chosen action in one sentence each

Differentiate palliative sedation, voluntarily stopping eating and drinking, and withdrawal of treatment using ethical and legal frameworks

List the key legal documents and decision-making hierarchies that govern surrogate decision making

Conduct a structured spiritual assessment using a standard framework on two practice patients

Distinguish anticipatory, normal, prolonged, and disenfranchised grief with a concrete example of each

Identify psychosocial screening tools and match each to the population it serves

Design a bereavement follow-up plan with risk stratification for a family at high risk

Outline a plan-do-study-act quality improvement cycle applied to one hospice process

Summarize regulatory, accreditation, and scope-of-practice expectations relevant to hospice and palliative nursing

Identify burnout and moral distress warning signs and match each to a concrete self-care or team intervention

Remediate your two lowest-scoring domains with targeted review and 20 new items per domain

Complete 25 mixed-topic items daily across all nine domains and log accuracy by domain

Condense each of the nine domains into a single page of high-yield facts written in your own words

Re-teach two difficult concepts aloud or in writing to confirm understanding rather than recognition

Convert every remaining missed item into a flashcard and clear the backlog by week end

Complete two full-length timed simulations under exam conditions with no interruptions

Review every incorrect and every guessed item and rewrite the underlying rule in your own words

Target 80% or higher on each simulation and identify any domain still below 75%

Practice pacing by logging time per item block and adjusting your strategy

Re-test your entire error log until you reach 90% mastery

Recite the nine domain summaries daily and fill any remaining gaps in writing

Memorize high-yield numbers, equianalgesic conversions, and assessment thresholds cold

Finalize exam-day logistics including timing, identification, and a 48-hour light-review schedule