Question 1

The nurse is providing discharge education for a patient with restless leg syndrome. Which statement by the patient indicates a need for further instruction?

Accepted Answer

A)  "I should avoid all caffeine." 
B)  "I can do leg massage and knee bends." 
C)  "Taking magnesium supplements may be helpful." 
D)  "Taking a walk regularly may be helpful." 
A)  "I should avoid all caffeine." 
B)  "I can do leg massage and knee bends." 
C)  "Taking magnesium supplements may be helpful." 
D)  "Taking a walk regularly may be helpful." A

Question 2

The student nurse learns that during non-rapid eye movement (NREM) sleep, which activities occur?

Accepted Answer

A)  Brain waves slow 
B)  Slow rhythmic scanning eye movements 
C)  Dreaming 
D)  Drop in blood pressure 
E)  Conservation of energy 
A)  Brain waves slow 
B)  Slow rhythmic scanning eye movements 
C)  Dreaming 
D)  Drop in blood pressure 
E)  Conservation of energy A, D, E

Question 3

The nurse manager is concerned about nursing staff who are working the night shift. What interventions can the manager suggest to help the nurses overcome shift-related sleep disturbances?

Accepted Answer

A)  Power nap before leaving for the first night shift. 
B)  Get a minimum of 4 hours of sleep. 
C)  Wear dark glasses when driving home from work. 
D)  Seek exposure to bright light when waking. 
E)  Maintain a regular sleeping schedule when working and on nights off. 
A)  Power nap before leaving for the first night shift. 
B)  Get a minimum of 4 hours of sleep. 
C)  Wear dark glasses when driving home from work. 
D)  Seek exposure to bright light when waking. 
E)  Maintain a regular sleeping schedule when working and on nights off. A, C, D, E

Question 4

The nurse recognizes which changes in sleep patterns occur in the older adult?

Accepted Answer

A)  Sleep increases to approximately 8 to 10 hours a night. 
B)  REM sleep is shorter. 
C)  Stage 4 NREM is decreased. 
D)  The use of medication may interfere with sleep. 
E)  Older adults awaken more at night. 
A)  Sleep increases to approximately 8 to 10 hours a night. 
B)  REM sleep is shorter. 
C)  Stage 4 NREM is decreased. 
D)  The use of medication may interfere with sleep. 
E)  Older adults awaken more at night.

Question 5

The nurse recognizes which sleeping conditions are identified as dyssomnias?

Accepted Answer

A)  Difficultly getting to sleep 
B)  Nocturnal enuresis 
C)  Inability staying asleep 
D)  Being excessively sleepy 
E)  Falling asleep during the day 
A)  Difficultly getting to sleep 
B)  Nocturnal enuresis 
C)  Inability staying asleep 
D)  Being excessively sleepy 
E)  Falling asleep during the day

Question 6

The nurse is educating a patient about taking measures to help avoid disruption to the circadian rhythm. Which statement by the patient indicates a need for further education?

Accepted Answer

A)  "I know the circadian rhythm influences biological functions." 
B)  "I know the circadian rhythm exists only in humans." 
C)  "I know the sleep-wake circadian rhythm is impacted by the light-dark cycle." 
D)  "The most familiar circadian rhythm is the day-night 24-hour cycle." 
A)  "I know the circadian rhythm influences biological functions." 
B)  "I know the circadian rhythm exists only in humans." 
C)  "I know the sleep-wake circadian rhythm is impacted by the light-dark cycle." 
D)  "The most familiar circadian rhythm is the day-night 24-hour cycle."

Question 7

A patient has Sleep deprivation. What finding by the nurse best indicates goal achievement?

Accepted Answer

A)  Remains asleep for 6 to 7 hours consistently for 1 week. 
B)  Falls asleep within 15 minutes of going to bed. 
C)  Reports an ability to concentrate on tasks. 
D)  Verbalizes understanding of medication instructions. 
A)  Remains asleep for 6 to 7 hours consistently for 1 week. 
B)  Falls asleep within 15 minutes of going to bed. 
C)  Reports an ability to concentrate on tasks. 
D)  Verbalizes understanding of medication instructions.

Question 8

Which task is inappropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?

Accepted Answer

A)  Providing oral care 
B)  Evaluating sleep patterns 
C)  Providing bedtime routines 
D)  Documenting sleep hours 
A)  Providing oral care 
B)  Evaluating sleep patterns 
C)  Providing bedtime routines 
D)  Documenting sleep hours

Question 9

The nurse is providing discharge instructions to the parents of a toddler about sleeping habits. Which statement indicates further education is needed?

Accepted Answer

A)  "Sleep needs may change during growth spurts." 
B)  "Children sleep 12 hours a day." 
C)  "Toddlers will often resist going to bed." 
D)  "The bedtime routine can vary." 
A)  "Sleep needs may change during growth spurts." 
B)  "Children sleep 12 hours a day." 
C)  "Toddlers will often resist going to bed." 
D)  "The bedtime routine can vary."

Question 10

The nurse will include which interventions to help improve sleep quality during hospitalization on all patients' care plans?

Accepted Answer

A)  Maintaining sleep routines 
B)  Minimizing disruptions 
C)  Providing light snacks 
D)  Using sleep medications 
E)  Using relaxation measures 
A)  Maintaining sleep routines 
B)  Minimizing disruptions 
C)  Providing light snacks 
D)  Using sleep medications 
E)  Using relaxation measures

Question 11

The nurse is admitting a patient to the general medical-surgical unit. What should the nurse assess as part of a routine sleep assessment?

Accepted Answer

A)  Usual sleeping and waking times 
B)  Bedtime routines 
C)  Sleeping environment preferences 
D)  Medications used for sleep 
E)  Any current life events
F) None of above 
A)  Usual sleeping and waking times 
B)  Bedtime routines 
C)  Sleeping environment preferences 
D)  Medications used for sleep 
E)  Any current life events
F) None of above

Question 12

The nurse identifies what physiological response occurs with the onset of darkness and in preparation for sleep?

Accepted Answer

A)  Cortisol levels peak 
B)  Cortisol levels increase 
C)  Core body temperature increases 
D)  Melatonin levels increase 
A)  Cortisol levels peak 
B)  Cortisol levels increase 
C)  Core body temperature increases 
D)  Melatonin levels increase

Question 13

The nurse identifies which sequence to be the usual progression of sleep?

Accepted Answer

A)  NREM 1-3 then REM, then back through NREM 1 and 2 
B)  REM then NREM 1-4, then back through NREM 2 and 3 
C)  NREM 1-3 then back through NREM 3 and 2 then REM 
D)  REM then NREM 1-4 then back through NREM 3 
A)  NREM 1-3 then REM, then back through NREM 1 and 2 
B)  REM then NREM 1-4, then back through NREM 2 and 3 
C)  NREM 1-3 then back through NREM 3 and 2 then REM 
D)  REM then NREM 1-4 then back through NREM 3

Question 14

The nurse wants to help a hospitalized patient get more sleep. What intervention will be most helpful?

Accepted Answer

A)  Allow the patient an hour nap during the day shift. 
B)  Administer sleeping medication if the patient can't go to sleep after an hour. 
C)  Place a "do not disturb" sign on the door for the duration of the night shift. 
D)  Cluster cares so the patient gets at least 90 minutes of uninterrupted sleep at night. 
A)  Allow the patient an hour nap during the day shift. 
B)  Administer sleeping medication if the patient can't go to sleep after an hour. 
C)  Place a "do not disturb" sign on the door for the duration of the night shift. 
D)  Cluster cares so the patient gets at least 90 minutes of uninterrupted sleep at night.

Question 15

The nurse knows that during rapid eye movement (REM) sleep, which activities occur?

Accepted Answer

A)  Memories are stored 
B)  Increase in cerebral blood flow 
C)  Slow rhythmic scanning eye movements 
D)  Release of epinephrine 
E)  Repair of brain cells 
A)  Memories are stored 
B)  Increase in cerebral blood flow 
C)  Slow rhythmic scanning eye movements 
D)  Release of epinephrine 
E)  Repair of brain cells

Question 16

When the nurse is explaining cataplexy to the patient, which description should be included?

Accepted Answer

A)  It is an uncontrolled desire to sleep. 
B)  It is falling asleep for several minutes. 
C)  It is loss of voluntary muscle tone. 
D)  It is a sleep cycle that begins with NREM. 
A)  It is an uncontrolled desire to sleep. 
B)  It is falling asleep for several minutes. 
C)  It is loss of voluntary muscle tone. 
D)  It is a sleep cycle that begins with NREM.

Question 17

The nurse conducting a sleep workshop in the community would identify which patients to be at risk for obstructive sleep apnea (OSA)?

Accepted Answer

A)  Deviated septum 
B)  Recessed chin 
C)  Alcohol use 
D)  Large neck 
E)  Recent tonsillectomy 
A)  Deviated septum 
B)  Recessed chin 
C)  Alcohol use 
D)  Large neck 
E)  Recent tonsillectomy

Question 18

The nurse teaches the patient what information about polysomnograpy?

Accepted Answer

A)  This is the recording of brain waves and other variables. 
B)  This is the relay of motor impulse to the hypothalamus. 
C)  This is the patterns of biological functioning. 
D)  This is the recording of seizure activity in the brain. 
A)  This is the recording of brain waves and other variables. 
B)  This is the relay of motor impulse to the hypothalamus. 
C)  This is the patterns of biological functioning. 
D)  This is the recording of seizure activity in the brain.

Question 19

The nurse is providing discharge instructions for the patient with sleep pattern disturbances. Which statement by the patient indicates a need for further education?

Accepted Answer

A)  "It is a good idea to have a bedtime routine." 
B)  "My bedtime routine can include watching TV in bed until I fall asleep." 
C)  "I will keep my regular sleep pattern on the weekend." 
D)  "If I can't fall asleep, I will get out of bed and do something relaxing." 
A)  "It is a good idea to have a bedtime routine." 
B)  "My bedtime routine can include watching TV in bed until I fall asleep." 
C)  "I will keep my regular sleep pattern on the weekend." 
D)  "If I can't fall asleep, I will get out of bed and do something relaxing."

Question 20

The nurse is working with a patient who has been advised to take 2 20-minute naps during the day for fatigue. After a week, the patient states the naps have not helped. What response by the nurse is best?

Accepted Answer

A)  "Maybe that is too much sleep for you during the day." 
B)  "Why don't you try one 40-minute nap instead?" 
C)  "Let's explore some sleeping medications for you to try." 
D)  "It often takes a few weeks for napping to help." 
A)  "Maybe that is too much sleep for you during the day." 
B)  "Why don't you try one 40-minute nap instead?" 
C)  "Let's explore some sleeping medications for you to try." 
D)  "It often takes a few weeks for napping to help."

Exam 33: Sleep

The nurse is providing discharge education for a patient with restless leg syndrome. Which statement by the patient indicates a need for further instruction?

The student nurse learns that during non-rapid eye movement (NREM) sleep, which activities occur?

The nurse manager is concerned about nursing staff who are working the night shift. What interventions can the manager suggest to help the nurses overcome shift-related sleep disturbances?

The nurse recognizes which changes in sleep patterns occur in the older adult?

The nurse recognizes which sleeping conditions are identified as dyssomnias?

The nurse is educating a patient about taking measures to help avoid disruption to the circadian rhythm. Which statement by the patient indicates a need for further education?

A patient has Sleep deprivation. What finding by the nurse best indicates goal achievement?

Which task is inappropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?

The nurse is providing discharge instructions to the parents of a toddler about sleeping habits. Which statement indicates further education is needed?

The nurse will include which interventions to help improve sleep quality during hospitalization on all patients' care plans?

The nurse is admitting a patient to the general medical-surgical unit. What should the nurse assess as part of a routine sleep assessment?

The nurse identifies what physiological response occurs with the onset of darkness and in preparation for sleep?

The nurse identifies which sequence to be the usual progression of sleep?

The nurse wants to help a hospitalized patient get more sleep. What intervention will be most helpful?

The nurse knows that during rapid eye movement (REM) sleep, which activities occur?

When the nurse is explaining cataplexy to the patient, which description should be included?

The nurse conducting a sleep workshop in the community would identify which patients to be at risk for obstructive sleep apnea (OSA)?

The nurse teaches the patient what information about polysomnograpy?

The nurse is providing discharge instructions for the patient with sleep pattern disturbances. Which statement by the patient indicates a need for further education?

The nurse is working with a patient who has been advised to take 2 20-minute naps during the day for fatigue. After a week, the patient states the naps have not helped. What response by the nurse is best?

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

Assessment

Nursing Diagnosis

Planning

Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception Through Adolescence

Human Development: Young Adult Through Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

Spiritual Health

Public Health, Community-Based, and Home Health Care

Human Sexuality

Safety

Asepsis and Infection Control

Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Cognitive and Sensory Alterations

Stress and Coping

Diagnostic Testing

Medication Administration

Pain Management

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

Filters