Question 1

Which nighttime activity will keep the patient from being able to fall asleep easily?

Accepted Answer

A)  Doing crossword puzzles on a tablet computer 
B)  Turning down the temperature in the bedroom 
C)  Listening to recordings of soothing classical music 
D)  Always going to bed at approximately the same time 
A)  Doing crossword puzzles on a tablet computer 
B)  Turning down the temperature in the bedroom 
C)  Listening to recordings of soothing classical music 
D)  Always going to bed at approximately the same time A

Question 2

The nurse is reviewing a patient's medical history.Which medication findings are likely to cause insomnia?

Accepted Answer

A)  Takes a beta-adrenergic blocker 
B)  Takes a muscle relaxant 
C)  Has antihistamine abuse 
D)  Has a diuretic ordered in the 
A)  Takes a beta-adrenergic blocker 
B)  Takes a muscle relaxant 
C)  Has antihistamine abuse 
D)  Has a diuretic ordered in the A,C

Question 3

Which is the highest priority nursing diagnosis for a patient who developed sleep-related eating disorder when taking zolpidem?

Accepted Answer

A)  Risk for falls related to ambulating to kitchen while asleep 
B)  Wandering related to cognitive impairment from sleeping aid 
C)  Powerlessness related to inability to keep from eating during sleep 
D)  Risk for imbalanced nutrition: more than body requirements related to sleep eating 
A)  Risk for falls related to ambulating to kitchen while asleep 
B)  Wandering related to cognitive impairment from sleeping aid 
C)  Powerlessness related to inability to keep from eating during sleep 
D)  Risk for imbalanced nutrition: more than body requirements related to sleep eating A

Question 4

Which assessment finding indicates that the patient's CPAP is effectively treating the patient's sleep apnea?

Accepted Answer

A)  The patient is able to fall asleep within 30 minutes of going to bed. 
B)  The patient is getting an average of 7 to 8 hours of sleep each night. 
C)  The patient does not require trazodone to fall asleep. 
D)  The patient sleeps through the night without having to get up and urinate. 
A)  The patient is able to fall asleep within 30 minutes of going to bed. 
B)  The patient is getting an average of 7 to 8 hours of sleep each night. 
C)  The patient does not require trazodone to fall asleep. 
D)  The patient sleeps through the night without having to get up and urinate.

Question 5

Why will the patient with sleep apnea be encouraged to use the CPAP machine while in the hospital after surgery?

Accepted Answer

A)  It will keep the patient in deep levels of REM,which will decrease the need for pain medication. 
B)  It will help decrease noise from the roommate and hospital environment that may keep the patient awake. 
C)  The patient needs ventilator support owing to the increased chance of postoperative respiratory complications. 
D)  The patient needs to follow the same bedtime routine to promote a safe environment for sleep. 
A)  It will keep the patient in deep levels of REM,which will decrease the need for pain medication. 
B)  It will help decrease noise from the roommate and hospital environment that may keep the patient awake. 
C)  The patient needs ventilator support owing to the increased chance of postoperative respiratory complications. 
D)  The patient needs to follow the same bedtime routine to promote a safe environment for sleep.

Question 6

Which assessment is most important to determine if a patient is receiving sufficient sleep?

Accepted Answer

A)  Sleep-wake pattern 
B)  Frequency of nocturia 
C)  Hours of sleep each night 
D)  Whether the patient feels rested 
A)  Sleep-wake pattern 
B)  Frequency of nocturia 
C)  Hours of sleep each night 
D)  Whether the patient feels rested

Question 7

A nurse is caring for a patient who suffers from a sleep pattern disturbance.To promote adequate sleep,what are the most appropriate nursing interventions?

Accepted Answer

A)  Provide personal hygiene before bedtime. 
B)  Straighten and change any soiled bed linens. 
C)  Assist the patient to use the toilet before bed. 
D)  Administer sleep aids every night at the same time. 
E)  Synchronize the schedule for medications and vital signs. 
A)  Provide personal hygiene before bedtime. 
B)  Straighten and change any soiled bed linens. 
C)  Assist the patient to use the toilet before bed. 
D)  Administer sleep aids every night at the same time. 
E)  Synchronize the schedule for medications and vital signs.

Question 8

Which nursing intervention can cause an unsafe sleeping environment for the hospitalized patient?

Accepted Answer

A)  A small night-light left on in the bedroom. 
B)  The patient's bed is in high position with side rails up. 
C)  All clutter is removed between the bed and the bathroom. 
D)  Call bell at the bedside for the patient to contact the nurse. 
A)  A small night-light left on in the bedroom. 
B)  The patient's bed is in high position with side rails up. 
C)  All clutter is removed between the bed and the bathroom. 
D)  Call bell at the bedside for the patient to contact the nurse.

Question 9

Which assessment finding indicates to the nurse why the patient is having difficulty sleeping at night?

Accepted Answer

A)  The patient follows an organic,low-carbohydrate diet. 
B)  The patient enjoys doing crossword puzzles and reading. 
C)  The patient's job includes many hours of hard labor each day. 
D)  The patient now works in Alaska with extended daylight hours. 
A)  The patient follows an organic,low-carbohydrate diet. 
B)  The patient enjoys doing crossword puzzles and reading. 
C)  The patient's job includes many hours of hard labor each day. 
D)  The patient now works in Alaska with extended daylight hours.

Question 10

Which assessment findings lead the nurse to suspect that the patient has obstructive sleep apnea?

Accepted Answer

A)  Daytime sleepiness,snoring,and obesity 
B)  Insomnia,inability to concentrate,and anemia 
C)  Early morning awakening,shift work,and attention deficit disorder (AD
D)  
D)  Latex allergy,stressful career,and recent divorce 
A)  Daytime sleepiness,snoring,and obesity 
B)  Insomnia,inability to concentrate,and anemia 
C)  Early morning awakening,shift work,and attention deficit disorder (AD
D)  
D)  Latex allergy,stressful career,and recent divorce

Question 11

Which is the highest priority nursing diagnosis for a patient who is starting CPAP therapy for sleep apnea?

Accepted Answer

A)  Risk for impaired skin integrity related to tight-fitting mask on face 
B)  Impaired bed mobility related to presence of CPAP mask on face 
C)  Health-seeking behaviors related to expressed desire for better sleep 
D)  Risk for powerlessness related to inability to breathe regularly during sleep 
A)  Risk for impaired skin integrity related to tight-fitting mask on face 
B)  Impaired bed mobility related to presence of CPAP mask on face 
C)  Health-seeking behaviors related to expressed desire for better sleep 
D)  Risk for powerlessness related to inability to breathe regularly during sleep

Question 12

Which nursing intervention is appropriate for a patient with a history of parasomnia?

Accepted Answer

A)  Use of a bed alarm during the night 
B)  Padded side rails for the patient's bed 
C)  Use of a CPAP machine during the night 
D)  Continuous pulse oximetry during the night 
A)  Use of a bed alarm during the night 
B)  Padded side rails for the patient's bed 
C)  Use of a CPAP machine during the night 
D)  Continuous pulse oximetry during the night

Question 13

How can the nurse best assist a hospitalized young child to fall asleep?

Accepted Answer

A)  Eliminate a daytime nap. 
B)  Offer the child warm chocolate milk. 
C)  Maintain the child's home bedtime routine. 
D)  Allow the child to sleep longer in the morning. 
A)  Eliminate a daytime nap. 
B)  Offer the child warm chocolate milk. 
C)  Maintain the child's home bedtime routine. 
D)  Allow the child to sleep longer in the morning.

Question 14

A nurse has been temporarily assigned to the night shift.A change in this circadian rhythm may cause which of the following?

Accepted Answer

A)  Anxiety 
B)  Weight gain 
C)  Decreased appetite 
D)  Impaired judgment 
E)  Increased periods of sleep 
A)  Anxiety 
B)  Weight gain 
C)  Decreased appetite 
D)  Impaired judgment 
E)  Increased periods of sleep

Question 15

Which bedtime snack will best help the patient to fall asleep easily?

Accepted Answer

A)  Bowl of cereal with milk 
B)  Ham sandwich,fruit,and juice 
C)  Glass of red wine with wheat crackers 
D)  Chocolate chip cookies and a cup of hot tea 
A)  Bowl of cereal with milk 
B)  Ham sandwich,fruit,and juice 
C)  Glass of red wine with wheat crackers 
D)  Chocolate chip cookies and a cup of hot tea

Question 16

Which nursing intervention is appropriate for a postoperative patient with a history of sleep apnea?

Accepted Answer

A)  Padded side rails 
B)  Bedside commode 
C)  Continuous pulse oximetry 
D)  Suction equipment at bedside 
A)  Padded side rails 
B)  Bedside commode 
C)  Continuous pulse oximetry 
D)  Suction equipment at bedside

Question 17

Which bedtime action by the nurse may make it more difficult for the patient to fall asleep?

Accepted Answer

A)  Giving the patient a gentle backrub 
B)  Providing a warm cup of hot chocolate 
C)  Encouraging the patient to use the bathroom 
D)  Giving the patient an extra blanket when cold 
A)  Giving the patient a gentle backrub 
B)  Providing a warm cup of hot chocolate 
C)  Encouraging the patient to use the bathroom 
D)  Giving the patient an extra blanket when cold

Question 18

Which outcome is most appropriate for the patient with the nursing diagnosis insomnia related to night shift work?

Accepted Answer

A)  The patient will rotate day/night work shifts frequently. 
B)  The patient will obtain at least 48 hours of sleep per week. 
C)  The patient will use caffeine sparingly to wake up before shifts. 
D)  The patient will use bright lights to stay awake through the night. 
A)  The patient will rotate day/night work shifts frequently. 
B)  The patient will obtain at least 48 hours of sleep per week. 
C)  The patient will use caffeine sparingly to wake up before shifts. 
D)  The patient will use bright lights to stay awake through the night.

Question 19

Which is the priority nursing diagnosis for an adolescent who gets up at 5:00 a.m.every morning for school and studies until midnight every night?

Accepted Answer

A)  Fatigue related to insufficient rest and stress of academic demands 
B)  Risk for injury related to inattention and excessive daytime sleepiness 
C)  Deficient diversional activity related to lack of time for recreation and leisure 
D)  Impaired social interaction related to time required to study and maintain grades 
A)  Fatigue related to insufficient rest and stress of academic demands 
B)  Risk for injury related to inattention and excessive daytime sleepiness 
C)  Deficient diversional activity related to lack of time for recreation and leisure 
D)  Impaired social interaction related to time required to study and maintain grades

Question 20

Which is the appropriate outcome for a patient with the nursing diagnosis insomnia related to overwhelming parental and job responsibilities?

Accepted Answer

A)  The patient will sleep longer throughout the night. 
B)  The patient will wake up more refreshed in the morning. 
C)  The patient will fall asleep within 30 minutes of going to bed. 
D)  The patient will take a warm bath nightly before going to bed. 
A)  The patient will sleep longer throughout the night. 
B)  The patient will wake up more refreshed in the morning. 
C)  The patient will fall asleep within 30 minutes of going to bed. 
D)  The patient will take a warm bath nightly before going to bed.

Exam 33: Sleep

Which nighttime activity will keep the patient from being able to fall asleep easily?

The nurse is reviewing a patient's medical history.Which medication findings are likely to cause insomnia?

Which is the highest priority nursing diagnosis for a patient who developed sleep-related eating disorder when taking zolpidem?

Which assessment finding indicates that the patient's CPAP is effectively treating the patient's sleep apnea?

Why will the patient with sleep apnea be encouraged to use the CPAP machine while in the hospital after surgery?

Which assessment is most important to determine if a patient is receiving sufficient sleep?

A nurse is caring for a patient who suffers from a sleep pattern disturbance.To promote adequate sleep,what are the most appropriate nursing interventions?

Which nursing intervention can cause an unsafe sleeping environment for the hospitalized patient?

Which assessment finding indicates to the nurse why the patient is having difficulty sleeping at night?

Which assessment findings lead the nurse to suspect that the patient has obstructive sleep apnea?

Which is the highest priority nursing diagnosis for a patient who is starting CPAP therapy for sleep apnea?

Which nursing intervention is appropriate for a patient with a history of parasomnia?

How can the nurse best assist a hospitalized young child to fall asleep?

A nurse has been temporarily assigned to the night shift.A change in this circadian rhythm may cause which of the following?

Which bedtime snack will best help the patient to fall asleep easily?

Which nursing intervention is appropriate for a postoperative patient with a history of sleep apnea?

Which bedtime action by the nurse may make it more difficult for the patient to fall asleep?

Which outcome is most appropriate for the patient with the nursing diagnosis insomnia related to night shift work?

Which is the priority nursing diagnosis for an adolescent who gets up at 5:00 a.m.every morning for school and studies until midnight every night?

Which is the appropriate outcome for a patient with the nursing diagnosis insomnia related to overwhelming parental and job responsibilities?

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