Question 1

A patient asks when most dreams occur.What is the nurse's best response? Most dreams occur during _____ sleep.

Accepted Answer

A)   Non-REM
B)   Alpha wave
C)   REM
D)   Delta wave C

Question 2

While planning care for infants,which principles should the nurse remember? (Select all that apply.)Infants have problems with thermoregulation because they:

Accepted Answer

A)   Cannot conserve heat
B)   Do not shiver
C)   Rarely sweat
D)   Have decreased metabolic rates
E)   Have excess subcutaneous fat A,B

Question 3

When a patient has a fever,which of the following thermoregulatory mechanisms is activated?

Accepted Answer

A)   The body's thermostat is adjusted to a lower temperature.
B)   Temperature is raised above the set point.
C)   Bacteria directly stimulate peripheral thermogenesis.
D)   The body's thermostat is reset to a higher level. D

Question 4

A patient has increased intraocular pressure.Which diagnosis will the nurse observe on the chart?

Accepted Answer

A)   Glaucoma
B)   Ocular degeneration
C)   Diplopia
D)   Nystagmus

Question 5

A 15-year-old female scrapes her knee while playing soccer and complains of sharp and well-localized pain.Which of the following should the nurse document to most accurately characterize her pain?

Accepted Answer

A)   Chronic pain
B)   Referred pain
C)   Somatic pain
D)   Visceral pain

Question 6

A 70-year-old male presents to his primary care provider reporting loss of vision.He reports that he has hypertension and smokes cigarettes.Which of the following disorders is most likely causing his visual loss?

Accepted Answer

A)   Presbyopia
B)   Macular degeneration
C)   Strabismus
D)   Amblyopia

Question 7

A 14-month-old child suffers from sudden apparent arousals in which she expresses intense fear or other emotion.Her mother reports that she seems to wake screaming,but that she is difficult to waken completely.The child most likely suffers from:

Accepted Answer

A)   Night terrors
B)   Parasomnia
C)   Somnambulism
D)   Enuresis episodes

Question 8

When planning care for a child in pain,which principle should the nurse remember? The pain threshold in children is _____ that of adults.

Accepted Answer

A)   Higher than
B)   Lower than
C)   The same as
D)   Not related to

Question 9

A 52-year-old male enters a sleep study to gather information about his sleep disturbances.He reports that his wife will not let him sleep in the bed with her until he stops snoring so loudly.He also reports feeling tired a lot through the day.When the nurse checks the chart,what is the most likely diagnosis?

Accepted Answer

A)   Insomnia
B)   Obstructive sleep apnea syndrome (OSAS) 
C)   Somnambulism
D)   Jet-lag syndrome

Question 10

When a neurologist explains how pricking a finger with a needle provides minimal pain while cutting the finger with a knife provides more severe pain,what theory is being described?

Accepted Answer

A)   Gate control theory
B)   Neuromatrix theory
C)   Specificity theory
D)   Neuromodulation

Question 11

A 50-year-old diabetic patient experiences visual disturbances and decides to visit his primary care provider.After examination,the primary care provider tells the patient that the cells that allow him to see are degenerated.Which of the following structures is most likely damaged?

Accepted Answer

A)   Lens
B)   Pupil
C)   Cornea
D)   Retina

Question 12

A young child presents to the ophthalmologist for visual difficulties secondary to eye deviation.One of the child's eyes deviates outward,thereby decreasing the visual field.Which of the following diagnoses is most likely?

Accepted Answer

A)   Entropia
B)   Extropia
C)   Diplopia
D)   Nystagmus

Question 13

The nurse would expect the patient with an alteration in proprioception to experience vertigo which is manifested by:

Accepted Answer

A)   Headache
B)   Light sensitivity
C)   A sensation that the room is spinning
D)   Loss of feeling in the lips

Question 14

A 35-year-old female presents with watering and severely reddened eyes.She reports being very sensitive to light.Her primary care provider determined it was viral conjunctivitis caused by:

Accepted Answer

A)   Secondary bacterial infections
B)   Cytomegalovirus
C)   Herpes virus
D)   Adenovirus

Question 15

A patient is undergoing a sleep lab test.When the sleep lab worker notices EEG patterns with brain activity similar to the normal awake pattern,which phase of sleep is occurring?

Accepted Answer

A)   Non-rapid eye movement (REM) 
B)   Fast wave
C)   REM
D)   Delta wave

Question 16

A nurse is teaching about the structure that connects the middle ear with the pharynx.Which structure is the nurse describing?

Accepted Answer

A)   Organ of Corti
B)   Eustachian tube
C)   Semicircular canal
D)   Auditory canal

Question 17

The most common form of sensorineural hearing loss in the elderly is:

Accepted Answer

A)   Conductive hearing loss
B)   Acute otitis media
C)   Presbycusis
D)   Ménière disease

Question 18

Which finding indicates the patient is having complications from heat stroke?

Accepted Answer

A)   Mild elevation of core body temperatures
B)   Cerebral edema and degeneration of the CNS
C)   Spasmodic cramping in the abdomen and extremities
D)   Alterations in calcium uptake

Question 19

When the nurse is discussing the patient's cyclical temperature fluctuation occurring on a daily basis,what term should the nurse use?

Accepted Answer

A)   Thermogenesis cycle
B)   Thermoconductive phases
C)   Adaptive pattern
D)   Circadian rhythm

Question 20

Fever of unknown origin (FUO)is characterized by a fever of ____° F or greater

Accepted Answer

The answer of Fever of unknown origin (FUO)is characterized by...

Exam 13: Pain, Temperature, Sleep, and Sensory Function