Question 1

A patient who is currently taking a diuretic should be informed by the nurse that he or she may experience which of the following effects?

Accepted Answer

A) Nocturia. 
B) Nightmares. 
C) Increased daytime sleepiness. 
D) Reduced REM sleep. 
A) Nocturia. 
B) Nightmares. 
C) Increased daytime sleepiness. 
D) Reduced REM sleep. A

Question 2

Which stage of sleep accounts for the greatest proportion of total sleep time in adults?

Accepted Answer

A) Stage 1. 
B) Stage 2. 
C) Stage 3. 
D) Stage 4. 
A) Stage 1. 
B) Stage 2. 
C) Stage 3. 
D) Stage 4. B

Question 3

Which of the following is a determinant of dreams?

Accepted Answer

A) Gender. 
B) Age. 
C) Height. 
D) Weight. 
A) Gender. 
B) Age. 
C) Height. 
D) Weight. B

Question 4

When a patient is deprived of sleep,the nurse might assess which of the following symptoms?

Accepted Answer

A) Elevated blood pressure. 
B) Confusion and irritability. 
C) Inappropriateness and rapid respirations. 
D) Decreased temperature and talkativeness. 
A) Elevated blood pressure. 
B) Confusion and irritability. 
C) Inappropriateness and rapid respirations. 
D) Decreased temperature and talkativeness.

Question 5

An 11-year-old child in middle school is currently experiencing fatigue related to sleep deprivation during classes.Which of the following responses by the school nurse is the most appropriate one when counselling the child's parents regarding this assessment?

Accepted Answer

A) "What are the child's usual sleep patterns?" 
B) "Establish bedtimes for the child,and withhold his allowance whenever he does not adhere to those bedtimes." 
C) "We need to explore other health-related problems,as sleep problems are probably not the cause of the child's fatigue." 
D) "The bulbar synchronizing region of the child's central nervous system (CNS)is causing these insomniac problems." 
A) "What are the child's usual sleep patterns?" 
B) "Establish bedtimes for the child,and withhold his allowance whenever he does not adhere to those bedtimes." 
C) "We need to explore other health-related problems,as sleep problems are probably not the cause of the child's fatigue." 
D) "The bulbar synchronizing region of the child's central nervous system (CNS)is causing these insomniac problems."

Question 6

The nurse is completing an assessment of the patient's sleep patterns.Which of the following is a specific question that the nurse should ask to determine the potential presence of sleep apnea?

Accepted Answer

A) "How easily do you fall asleep?" 
B) "Do you have vivid,lifelike dreams?" 
C) "Do you ever experience loss of muscle control or falling?" 
D) "Do you snore loudly or experience headaches?" 
A) "How easily do you fall asleep?" 
B) "Do you have vivid,lifelike dreams?" 
C) "Do you ever experience loss of muscle control or falling?" 
D) "Do you snore loudly or experience headaches?"

Question 7

In describing the sleep patterns of older persons,the nurse recognizes that which of the following statements is true?

Accepted Answer

A) Older persons are more difficult to arouse. 
B) Older persons require more sleep than middle-aged adults. 
C) Older persons take less time to fall asleep. 
D) Older persons have a decline in slow-wave or deep sleep. 
A) Older persons are more difficult to arouse. 
B) Older persons require more sleep than middle-aged adults. 
C) Older persons take less time to fall asleep. 
D) Older persons have a decline in slow-wave or deep sleep.

Question 8

As a result of recent studies regarding infant safety during sleep,which of the following instructions does the nurse give the parents?

Accepted Answer

A) Provide a stuffed toy for comfort. 
B) Apply a loose-fitting plastic mattress cover. 
C) Place the infant on his or her back. 
D) Use small pillows in the crib. 
A) Provide a stuffed toy for comfort. 
B) Apply a loose-fitting plastic mattress cover. 
C) Place the infant on his or her back. 
D) Use small pillows in the crib.

Question 9

The nurse is alert to patients who may be predisposed to obstructive sleep apnea.This includes which of the following individuals?

Accepted Answer

A) Patients with heart disease. 
B) Patients with respiratory infections. 
C) Patients with nasal polyps. 
D) Patients who are obese. 
A) Patients with heart disease. 
B) Patients with respiratory infections. 
C) Patients with nasal polyps. 
D) Patients who are obese.

Question 10

Which of the following is an effective brief method for assessing sleep quality?

Accepted Answer

A) Sleep history. 
B) Sleep monitor. 
C) Visual analogue scale. 
D) Sleep questionnaire diary. 
A) Sleep history. 
B) Sleep monitor. 
C) Visual analogue scale. 
D) Sleep questionnaire diary.

Question 11

A 74-year-old patient reports having sleeping difficulties.To have a better idea of the patient's problem,how should the nurse respond?

Accepted Answer

A) "What do you do just before going to bed?" 
B) "Let's make sure that your bedroom is completely darkened at night." 
C) "Why don't you try napping more during the daytime?" 
D) "You should always eat something just before bedtime." 
A) "What do you do just before going to bed?" 
B) "Let's make sure that your bedroom is completely darkened at night." 
C) "Why don't you try napping more during the daytime?" 
D) "You should always eat something just before bedtime."

Question 12

The physiological processes of sleep are complex.Which of the following statements is the most appropriate one regarding this process?

Accepted Answer

A) Circadian rhythms occur in a cycle longer than 24 hours. 
B) Non-rapid eye movement (NREM)refers to the cycle that most people experience when in a high-stimulus environment. 
C) The reticular activating system is partly responsible for the level of consciousness of a person. 
D) The bulbar synchronizing region causes the rapid eye movement (REM)sleep in most normal adults. 
A) Circadian rhythms occur in a cycle longer than 24 hours. 
B) Non-rapid eye movement (NREM)refers to the cycle that most people experience when in a high-stimulus environment. 
C) The reticular activating system is partly responsible for the level of consciousness of a person. 
D) The bulbar synchronizing region causes the rapid eye movement (REM)sleep in most normal adults.

Question 13

The nurse is discussing sleep habits with the patient in the sleep assessment clinic.Of the following activities performed before sleeping,the nurse informs the patient that which one of the following can potentially interfere with the patient's sleep?

Accepted Answer

A) Listening to classical music. 
B) Finishing office work. 
C) Reading novels. 
D) Drinking warm milk. 
A) Listening to classical music. 
B) Finishing office work. 
C) Reading novels. 
D) Drinking warm milk.

Question 14

Which of the following information provided by the patient's bed partner is most associated with sleep apnea?

Accepted Answer

A) Restlessness. 
B) Talking during sleep. 
C) Sleepwalking. 
D) Excessive snoring. 
A) Restlessness. 
B) Talking during sleep. 
C) Sleepwalking. 
D) Excessive snoring.

Question 15

Which of the following instructions does the nurse give the patient in teaching methods to promote positive sleep habits at home?

Accepted Answer

A) Use the bedroom only for sleep or sexual activity. 
B) Eat a large meal 1 to 2 hours before bedtime. 
C) Exercise vigorously before bedtime. 
D) Stay in bed if sleep does not come after 30 minutes. 
A) Use the bedroom only for sleep or sexual activity. 
B) Eat a large meal 1 to 2 hours before bedtime. 
C) Exercise vigorously before bedtime. 
D) Stay in bed if sleep does not come after 30 minutes.

Question 16

Which of the following sleep disorders is a parasomnia disorder of arousal?

Accepted Answer

A) Sleep apnea. 
B) Narcolepsy. 
C) Sleepwalking. 
D) Early-morning awakening. 
A) Sleep apnea. 
B) Narcolepsy. 
C) Sleepwalking. 
D) Early-morning awakening.

Question 17

The parents of a newborn wonder when she should start to sleep through the night.The nurse's response should be that in infants,a nighttime pattern of sleep usually develops by which age?

Accepted Answer

A) 1 month. 
B) 2 months. 
C) 3 months. 
D) 6 months. 
A) 1 month. 
B) 2 months. 
C) 3 months. 
D) 6 months.

Question 18

Which sleep stage begins the initial period of deep sleep?

Accepted Answer

A) Stage 1. 
B) Stage 2. 
C) Stage 3. 
D) Stage 4. 
A) Stage 1. 
B) Stage 2. 
C) Stage 3. 
D) Stage 4.

Question 19

The mother of a preschooler tells the nurse that the child has started crying and resisting going to sleep at the scheduled bedtime.Which of the following actions should the nurse advise the parent to take?

Accepted Answer

A) Offer the child a bedtime snack. 
B) Eliminate one of the naps during the day. 
C) Allow the child to sleep longer in the mornings. 
D) Maintain consistency in the same bedtime ritual. 
A) Offer the child a bedtime snack. 
B) Eliminate one of the naps during the day. 
C) Allow the child to sleep longer in the mornings. 
D) Maintain consistency in the same bedtime ritual.

Question 20

The patient needs pharmacological treatment to assist with his sleep patterns.The nurse anticipates that treatment with an anxiety-reducing,relaxation-promoting medication will include the use of which one of the following?

Accepted Answer

A) Barbiturates. 
B) Amphetamines. 
C) Benzodiazepines. 
D) Tricyclic antidepressants. 
A) Barbiturates. 
B) Amphetamines. 
C) Benzodiazepines. 
D) Tricyclic antidepressants.

Exam 41: Sleep

A patient who is currently taking a diuretic should be informed by the nurse that he or she may experience which of the following effects?

Which stage of sleep accounts for the greatest proportion of total sleep time in adults?

Which of the following is a determinant of dreams?

When a patient is deprived of sleep,the nurse might assess which of the following symptoms?

An 11-year-old child in middle school is currently experiencing fatigue related to sleep deprivation during classes.Which of the following responses by the school nurse is the most appropriate one when counselling the child's parents regarding this assessment?

The nurse is completing an assessment of the patient's sleep patterns.Which of the following is a specific question that the nurse should ask to determine the potential presence of sleep apnea?

In describing the sleep patterns of older persons,the nurse recognizes that which of the following statements is true?

As a result of recent studies regarding infant safety during sleep,which of the following instructions does the nurse give the parents?

The nurse is alert to patients who may be predisposed to obstructive sleep apnea.This includes which of the following individuals?

Which of the following is an effective brief method for assessing sleep quality?

A 74-year-old patient reports having sleeping difficulties.To have a better idea of the patient's problem,how should the nurse respond?

The physiological processes of sleep are complex.Which of the following statements is the most appropriate one regarding this process?

The nurse is discussing sleep habits with the patient in the sleep assessment clinic.Of the following activities performed before sleeping,the nurse informs the patient that which one of the following can potentially interfere with the patient's sleep?

Which of the following information provided by the patient's bed partner is most associated with sleep apnea?

Which of the following instructions does the nurse give the patient in teaching methods to promote positive sleep habits at home?

Which of the following sleep disorders is a parasomnia disorder of arousal?

The parents of a newborn wonder when she should start to sleep through the night.The nurse's response should be that in infants,a nighttime pattern of sleep usually develops by which age?

Which sleep stage begins the initial period of deep sleep?

The mother of a preschooler tells the nurse that the child has started crying and resisting going to sleep at the scheduled bedtime.Which of the following actions should the nurse advise the parent to take?

The patient needs pharmacological treatment to assist with his sleep patterns.The nurse anticipates that treatment with an anxiety-reducing,relaxation-promoting medication will include the use of which one of the following?

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