Question 1

The nurse knows the usual progression of sleep is:

Accepted Answer

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

Question 2

The nurse knows the reticular activating system (RAS):

Accepted Answer

A)  records brain waves and other variables. 
B)  relays motor impulse to the hypothalamus. 
C)  influences patterns of biological functioning. 
D)  is affected by the light-dark cycle. 
A)  records brain waves and other variables. 
B)  relays motor impulse to the hypothalamus. 
C)  influences patterns of biological functioning. 
D)  is affected by the light-dark cycle. B

Question 3

The nurse knows that 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. D

Question 4

The nurse knows that during non-rapid eye movement (NREM) sleep, the following occur: (Select all that apply.)

Accepted Answer

A)  Repair of brain cells 
B)  Slow rhythmic scanning eye movements 
C)  Dreaming 
D)  Cell division in bone marrow 
E)  Conservation of energy 
A)  Repair of brain cells 
B)  Slow rhythmic scanning eye movements 
C)  Dreaming 
D)  Cell division in bone marrow 
E)  Conservation of energy

Question 5

The nurse is providing discharge education for a patient with narcolepsy. The following statement by the patient indicates a need for further education:

Accepted Answer

A)  "Daytime naps are helpful." 
B)  "Taking the medication will cure it." 
C)  "High protein meals are helpful." 
D)  "I should avoid alcohol." 
A)  "Daytime naps are helpful." 
B)  "Taking the medication will cure it." 
C)  "High protein meals are helpful." 
D)  "I should avoid alcohol."

Question 6

The nurse is performing an assessment of the patient's sleep patterns. Which question will elicit the best response?

Accepted Answer

A)  "Do you feel rested when you awaken?" 
B)  "What is your normal eating pattern?" 
C)  "Do you awaken during the night?" 
D)  "Do you drink beverages with caffeine?" 
A)  "Do you feel rested when you awaken?" 
B)  "What is your normal eating pattern?" 
C)  "Do you awaken during the night?" 
D)  "Do you drink beverages with caffeine?"

Question 7

The nurse knows the following information about sudden infant death syndrome (SIDS): (Select all that apply.)

Accepted Answer

A)  SIDS is the most common cause of death among infants (1-12 months). 
B)  The etiology remains largely unknown. 
C)  The most modifiable risk factor is sleeping supine. 
D)  Risk factors include being exposed to cigarette smoke. 
E)  It is defined as sudden unexpected death. 
A)  SIDS is the most common cause of death among infants (1-12 months). 
B)  The etiology remains largely unknown. 
C)  The most modifiable risk factor is sleeping supine. 
D)  Risk factors include being exposed to cigarette smoke. 
E)  It is defined as sudden unexpected death.

Question 8

The nurse knows that cataplexy includes:

Accepted Answer

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

Question 9

The nurse knows an appropriate goal for the nursing diagnosis Disturbed sleep pattern during hospitalization is:

Accepted Answer

A)  the patient will fall asleep within 15 minutes of going to bed. 
B)  the patient will report an ability to concentrate on tasks. 
C)  the patient will repeat medication instructions on discharge. 
D)  the patient will be able to sleep for at least 2 hours at a time. 
A)  the patient will fall asleep within 15 minutes of going to bed. 
B)  the patient will report an ability to concentrate on tasks. 
C)  the patient will repeat medication instructions on discharge. 
D)  the patient will be able to sleep for at least 2 hours at a time.

Question 10

The nurse knows an appropriate goal for the nursing diagnosis Insomnia is:

Accepted Answer

A)  The patient will report an ability to concentrate on tasks. 
B)  The patient will repeat medication instructions on discharge. 
C)  The patient will be able to sleep for at least 2 hours at a time. 
D)  The patient will be able to fall asleep within 15 minutes. 
A)  The patient will report an ability to concentrate on tasks. 
B)  The patient will repeat medication instructions on discharge. 
C)  The patient will be able to sleep for at least 2 hours at a time. 
D)  The patient will be able to fall asleep within 15 minutes.

Question 11

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

Accepted Answer

A)  "Sleep needs may change during growth spurts." 
B)  "Children sleep 10 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 10 hours a day." 
C)  "Toddlers will often resist going to bed." 
D)  "The bedtime routine can vary."

Question 12

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

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 the 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 the above

Question 13

The nurse knows the following risk factors are associated with obstructive sleep apnea (OSA): (Select all that apply.)

Accepted Answer

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

Question 14

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

Accepted Answer

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

Question 15

Which of the following is inappropriate 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 16

The nurse knows that polysomnograpy is:

Accepted Answer

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

Question 17

The nurse knows that dyssomnias are: (Select all that apply.)

Accepted Answer

A)  difficultly getting to sleep. 
B)  stages of sleep. 
C)  inability staying asleep. 
D)  being excessively sleepy. 
E)  falling asleep during the day. 
A)  difficultly getting to sleep. 
B)  stages of sleep. 
C)  inability staying asleep. 
D)  being excessively sleepy. 
E)  falling asleep during the day.

Question 18

The nurse knows an appropriate goal for the nursing diagnosis Sleep deprivation is:

Accepted Answer

A)  the patient will remain asleep for 6 to 7 hours consistently for 1 week. 
B)  the patient will fall asleep within 15 minutes of going to bed. 
C)  the patient will report an ability to concentrate on tasks. 
D)  the patient will repeat medication instructions on discharge. 
A)  the patient will remain asleep for 6 to 7 hours consistently for 1 week. 
B)  the patient will fall asleep within 15 minutes of going to bed. 
C)  the patient will report an ability to concentrate on tasks. 
D)  the patient will repeat medication instructions on discharge.

Question 19

The nurse knows the following interventions will help improve sleep quality during hospitalization: (Select all that apply.)

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 20

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 should keep my regular sleep pattern on the weekend." 
D)  "If I can't fall asleep, I should 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 should keep my regular sleep pattern on the weekend." 
D)  "If I can't fall asleep, I should get out of bed and do something relaxing."

Exam 33: Sleep

The nurse knows the usual progression of sleep is:

The nurse knows the reticular activating system (RAS):

The nurse knows that with the onset of darkness and in preparation for sleep:

The nurse knows that during non-rapid eye movement (NREM) sleep, the following occur: (Select all that apply.)

The nurse is providing discharge education for a patient with narcolepsy. The following statement by the patient indicates a need for further education:

The nurse is performing an assessment of the patient's sleep patterns. Which question will elicit the best response?

The nurse knows the following information about sudden infant death syndrome (SIDS): (Select all that apply.)

The nurse knows that cataplexy includes:

The nurse knows an appropriate goal for the nursing diagnosis Disturbed sleep pattern during hospitalization is:

The nurse knows an appropriate goal for the nursing diagnosis Insomnia is:

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

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

The nurse knows the following risk factors are associated with obstructive sleep apnea (OSA): (Select all that apply.)

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

Which of the following is inappropriate to delegate to the unlicensed assistive personnel (UAP)?

The nurse knows that polysomnograpy is:

The nurse knows that dyssomnias are: (Select all that apply.)

The nurse knows an appropriate goal for the nursing diagnosis Sleep deprivation is:

The nurse knows the following interventions will help improve sleep quality during hospitalization: (Select all that apply.)

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

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