Question 1

The nurse is preparing an older patient's evening medications.Which of the following does the nurse recognize as relatively safe for difficulty sleeping?

Accepted Answer

A)  Benadryl (diphenhydramine) 
B)  Melatonin 
C)  Valerian 
D)  Lorazepam 
A)  Benadryl (diphenhydramine) 
B)  Melatonin 
C)  Valerian 
D)  Lorazepam

Question 2

The nurse is caring for a patient in the intensive care unit who is having trouble sleeping.The nurse explains the purpose of sleep and its benefits.What points should the nurse include in her teaching?

Accepted Answer

A)  NREM sleep contributes to body tissue restoration. 
B)  During NREM sleep, biological functions increase. 
C)  Restful sleep preserves cardiac function. 
D)  Sleep contributes to cognitive restoration. 
E)  REM sleep decreases cortical activity.
F) REM sleep assists with memory storage and learning. 
A)  NREM sleep contributes to body tissue restoration. 
B)  During NREM sleep, biological functions increase. 
C)  Restful sleep preserves cardiac function. 
D)  Sleep contributes to cognitive restoration. 
E)  REM sleep decreases cortical activity.
F) REM sleep assists with memory storage and learning.

Question 3

The nurse is caring for a patient who has not been able to sleep well while in the hospital.The nurse recognizes that lack of sleep can manifest in which of the following signs and symptoms?

Accepted Answer

A)  Changes in physiological function such as temperature 
B)  Decreased appetite and weight loss 
C)  Anxiety, irritability, and restlessness 
D)  Impaired judgment 
E)  Nausea, vomiting, and diarrhea
F) Shortness of breath and chest pain 
A)  Changes in physiological function such as temperature 
B)  Decreased appetite and weight loss 
C)  Anxiety, irritability, and restlessness 
D)  Impaired judgment 
E)  Nausea, vomiting, and diarrhea
F) Shortness of breath and chest pain

Question 4

The patient has just been diagnosed with narcolepsy.The nurse provides an educational session and teaches the patient to avoid

Accepted Answer

A)  Antidepressant medications. 
B)  Naps shorter than 20 minutes. 
C)  Sitting in hot, stuffy rooms. 
D)  Chewing gum. 
A)  Antidepressant medications. 
B)  Naps shorter than 20 minutes. 
C)  Sitting in hot, stuffy rooms. 
D)  Chewing gum.

Question 5

The nurse is beginning a sleep assessment on a patient.Which of the following would be the most appropriate question to ask?

Accepted Answer

A)  "What is going on?" 
B)  "How are you sleeping?" 
C)  "Are you taking any medications?" 
D)  "What did you have for dinner last night?" 
A)  "What is going on?" 
B)  "How are you sleeping?" 
C)  "Are you taking any medications?" 
D)  "What did you have for dinner last night?"

Question 6

The nurse is completing a sleep assessment on a patient.The nurse utilizes which of the following tools to complete the assessment?

Accepted Answer

A)  Visual Analogue Scale 
B)  OUCHER scale 
C)  FACES scale 
D)  Glasgow Coma Scale 
A)  Visual Analogue Scale 
B)  OUCHER scale 
C)  FACES scale 
D)  Glasgow Coma Scale

Question 7

The nurse is caring for a patient who has been in holding in the emergency department for 24 hours.The nurse is concerned about the patient experiencing sleep deprivation.What would be the best action for the nurse to take?

Accepted Answer

A)  Expedite the process of obtaining a medical-surgical room for the patient. 
B)  Pull the curtains shut, dim the lights, and decrease the number of visitors. 
C)  Obtain an order for a medication to help the patient sleep. 
D)  Ask everyone in the unit to try to be quiet so the patient can sleep. 
A)  Expedite the process of obtaining a medical-surgical room for the patient. 
B)  Pull the curtains shut, dim the lights, and decrease the number of visitors. 
C)  Obtain an order for a medication to help the patient sleep. 
D)  Ask everyone in the unit to try to be quiet so the patient can sleep.

Question 8

The nurse is caring for a patient on the medical-surgical unit who is experiencing an exacerbation of asthma.Which of the following interventions would be most appropriate to help the patient sleep?

Accepted Answer

A)  Bed placed in semi-Fowler's position 
B)  Increased BNC oxygen to 5 L a minute 
C)  A snack provided before bedtime 
D)  Encouraging the patient to read 
A)  Bed placed in semi-Fowler's position 
B)  Increased BNC oxygen to 5 L a minute 
C)  A snack provided before bedtime 
D)  Encouraging the patient to read

Question 9

The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center.Which of these statements by the nurses would best indicate that learning has occurred?

Accepted Answer

A)  "If the patient has a disease process in the central nervous system, it can influence the functions of sleep." 
B)  "If the patient has a disease process in the cranial nerves, it can influence the functions of sleep." 
C)  "If the patient has an interruption in the motor pathways, it can influence the functions of sleep." 
D)  "If the patient has an interruption in the spinal reflexes, it can influence the functions of sleep." 
A)  "If the patient has a disease process in the central nervous system, it can influence the functions of sleep." 
B)  "If the patient has a disease process in the cranial nerves, it can influence the functions of sleep." 
C)  "If the patient has an interruption in the motor pathways, it can influence the functions of sleep." 
D)  "If the patient has an interruption in the spinal reflexes, it can influence the functions of sleep."

Question 10

A community health nurse is providing an educational session at the senior center on how to promote sleep.Which practices should the nurse recommend?

Accepted Answer

A)  Take a nap in the afternoon. 
B)  Sleep where you sleep best. 
C)  Use sedatives as a last resort. 
D)  Decrease fluids 2 to 4 hours before sleep. 
E)  Watch television right before sleep.
F) Get up if unable to fall asleep in 15 to 30 minutes. 
A)  Take a nap in the afternoon. 
B)  Sleep where you sleep best. 
C)  Use sedatives as a last resort. 
D)  Decrease fluids 2 to 4 hours before sleep. 
E)  Watch television right before sleep.
F) Get up if unable to fall asleep in 15 to 30 minutes.

Exam 42: Sleep

The nurse is preparing an older patient's evening medications.Which of the following does the nurse recognize as relatively safe for difficulty sleeping?

The nurse is caring for a patient in the intensive care unit who is having trouble sleeping.The nurse explains the purpose of sleep and its benefits.What points should the nurse include in her teaching?

The nurse is caring for a patient who has not been able to sleep well while in the hospital.The nurse recognizes that lack of sleep can manifest in which of the following signs and symptoms?

The patient has just been diagnosed with narcolepsy.The nurse provides an educational session and teaches the patient to avoid

The nurse is beginning a sleep assessment on a patient.Which of the following would be the most appropriate question to ask?

The nurse is completing a sleep assessment on a patient.The nurse utilizes which of the following tools to complete the assessment?

The nurse is caring for a patient who has been in holding in the emergency department for 24 hours.The nurse is concerned about the patient experiencing sleep deprivation.What would be the best action for the nurse to take?

The nurse is caring for a patient on the medical-surgical unit who is experiencing an exacerbation of asthma.Which of the following interventions would be most appropriate to help the patient sleep?

The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center.Which of these statements by the nurses would best indicate that learning has occurred?

A community health nurse is providing an educational session at the senior center on how to promote sleep.Which practices should the nurse recommend?

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