Certified Hospice and Palliative Pediatric Nurse (CHPPN®)

The Certified Hospice and Palliative Pediatric Nurse (CHPPN®) examination was designed for experienced hospice and palliative pediatric registered nurses. Applicants must hold a current, unrestricted registered nurse license in the United States or Canada, and must have 500 hours of hospice and palliative pediatric nursing practice in the most recent 12 months or 1,000 hours in the most recent 24 months.

About Us

The Hospice and Palliative Certification Center is a competence-based Board comprised of a minimum of seven voting directors and a maximum of two non-voting ex officio directors. Board members represent a wide variety of geographic areas, practice settings, and educational backgrounds. HPCC is responsible for the development and oversight of certification for the specialty of nursing in hospice and palliative care.

How is Hospice and Palliative Nursing Practice Defined?

Hospice and palliative nursing practice is the provision of nursing care for the patient and family, with emphasis on their physical, psychological, emotional and spiritual needs when experiencing a life-limiting illness and through bereavement. This is accomplished in collaboration with an interdisciplinary team in a setting which provides pain and symptom management, family support and 24-hour nursing availability.

To be eligible for the HPCC CHPPN® Examination, an applicant must hold a current, unrestricted registered nurse license in the United States, its territories, or the equivalent in Canada and must also have hospice and palliative pediatric nursing practice of 500 hours in the most recent 12 months or 1000 hours in the most recent 24 months prior to applying for the examination.

Why Seek Certification?

Certification validates an individual’s competence and knowledge in the specialized area of hospice and palliative care.  Certification is highly valued and provides formal recognition of having achieved a standard of knowledge in the specialty of hospice and palliative care.  Research studies confirm the value placed on certification. www.nursingcertification.org/research-bibliography.html

What are the Benefits and Advantages of Being Certified?

Certified individuals have achieved formal recognition of their knowledge, experience and confidence.  HPCC certification provides benefits and advantages for continued personal and professional growth.

How Do I Apply?  

A candidate can apply for the certification exam online by clicking the “Start Your Application” button to the right, or by mailing their application to the testing company, Applied Measurement Professionals (AMP).

The paper exam application can be found in the back of the Candidate Handbook.

How is the Test Administered?

All HPCC certification exams are computer based exams and are given at approximately 200 AMP approved test site locations.

What Content is Covered in the Exam?  

A detailed content outline of the information that may be covered on the exam is provided in the Candidate Handbook.  The exam consists of multiple choice questions along with pretest questions.  The content is formulated from a national survey known as a Role Delineation Study (RDS). The CHPPN® exam has 150 items (questions) with three hours for test completion.

What are Pretest Questions?

The multiple-choice examinations contain items (questions) that do not count toward candidates’ scores, but are being pretested to use as scored items on future versions of the examinations.

How is Pretesting Done?

Pretesting is accomplished by interspersing a small number of new, untried questions throughout the examination so candidates will answer them with the same care they would answer questions to be scored.  Only a small number are included so that additional testing time will not be needed by the candidates.  The pretest questions are not used to compute the candidates’ scores.  The performance of the pretest questions is later evaluated, and questions that perform well may be included as scored questions on a future examination.

Why Use Pretest Questions?

Using the pretesting methodology promotes fairness to all candidates by ensuring examinees that their test scores are the result of sound measurement practices and that the scored questions are reflective of current practice.  Also it is the only way for HPCC to issue immediate scores to candidates.  Developing a test using items that have not been pretested could lead to examinations of different levels of difficulty, which could have cut scores that do not represent an appropriate level of knowledge deserving of certification, which would not be fair to candidates.

What is the Cost of Certification?

Persons applying for the certification exam who are current HPNA members PRIOR to applying for the HPCC exam are entitled to the HPNA member discounted exam fee as a membership benefit.  List of Certification Fee and Deadlines

What Credential is Granted for Certification?

Candidates who sit for and pass the HPCC exams are granted the credential of CHPPN® (Certified Hospice and Palliative Pediatric Nurse)

Are the HPCC Certification Exams Accredited? 

The ACHPN® and CHPN® exams are accredited by the Accreditation Board for Specialty Nursing Certification (ABSNC).

How Often Must I Renew My Certification? 

Certification is valid for a period of four years at which time the candidate must renew their certification through the Hospice and Palliative Accrual for Recertification (HPAR) process.

How Do I Renew my Certification?  

Find details about renewal, click the “Recertification” tab on this page.

For more information contact the national office at hpcc@goHPCC.org or call 412-787-1057.

HPCC begins the development of every certification examination with a role delineation study (RDS), also known as a job analysis. The RDS is a research project that is conducted when initially developing a certification program, and then repeated approximately every five years to ensure that a certification exam is based on current practice.

The objective of an RDS is to define a role in terms of the work behaviors necessary for practitioners to safely and effectively perform the role at a specified level of expertise. The RDS is guided by an advisory committee of subject matter experts who are representative and knowledgeable of the role to be studied. The RDS uses a survey method which verifies the major domains of practice and leading to the development of the content outline. The survey is pilot tested and then nationally disseminated to individuals in the hospice and palliative team serving in the role to be studied.

The advisory committee reviews the survey responses and using decision rules, determines the detailed content outline. Next they decide the number of items (test questions) needed within each major domain of practice (ie knowledge area) on the outline to assess a reasonable sample of an examination candidate’s knowledge of the domain.

Items for the examination are then written respective to the test content outline. This chain of evidence is crucial for establishing content validity when building national examination. Every examination form developed and approved by the examination development committee will exactly match the test specifications to help ensure that all candidates have a fair opportunity to demonstrate their level of knowledge of the topics covered on the test content outline.

View the chain of evidence that establishes the content validity for HPCC examinations.

View the Executive Summary of the most recent RN Peds RDS.

The requirements for CHPPN® recertification include fulfilling practice hours and submission of the Hospice and Palliative Accrual for Recertification (HPAR) application. The CHPPN® HPAR requires renewal of certification by fulfilling practice hour requirements and accumulating points through various professional development activities.  Each category varies as to how the points are calculated and how many of the total points can be obtained. Each activity MUST correlate with the test content outline as published in the CHPPN® Candidate Handbook.

In 2016, testing will no longer be an option for recertification.  HPAR will be required to renew certification.

The HPAR process requires fulfilling practice hour requirements and the accumulation of 100 points of professional development activities over the preceding four years. Points can be accrued through continuing education, academic education, professional publications, professional presentations, precepting students, orienting staff, and volunteer service in professional organizations. Each area varies as to how the points are calculated and how many of the total points can be obtained by that method. Each activity MUST correlate with the test content outline. More details and instructions are in the HPAR packet for CHPPN®.

The packet is updated yearly. Be sure that you are using the current HPAR packet for CHPPN® (dated in the bottom left corner) which corresponds to the year that your recertification is due. The packet contains the instructions, test content outline, application, category logs, and summary log with fee structure and deadlines.

Click here for the CHPPN® HPAR packet.

PowerPoint Instructions for HPAR

If you have any questions please contact the national office at 412-787-1057 or via email at hpcc@gohpcc.org.

Click here to download the HPAR FAQs.

Click here to view an informational slideshow on HPAR.

Test site locations for Computer Based Testing (CBT) are determined and available through the testing vendor, Applied Measurement Professionals (AMP).

For a direct link to the AMP testing locations page, click AMP Testing Locations

NOTE: Locations are the same for all HPCC certification exams.

Candidate Handbook and Application

What you need to know for the Certified Hospice and Palliative Pediatric Nurse® computer based examination.

Download The Handbook!
Start Your Application!


HPCC neither endorses, approves, or sponsors exam preparation courses, guides, or study aids for any of HPCC’s exams offered by any third parties.

Back to Top