Question 1

The nurse is caring for a patient who is having trouble sleeping. Which action will the nurse take?

Accepted Answer

A)   Suggest snug-fitting nightwear.
B)   Provide a favorite beverage.
C)   Encourage deep breathing.
D)   Walk with the patient. C

Question 2

The nurse is discussing lack of sleep with a middle-aged adult. Which area should the nurse most likely assess to determine a possible cause of the lack of sleep?

Accepted Answer

A)   Anxiety
B)   Loud teenagers
C)   Caring for pets
D)   Late night television A

Question 3

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's experiencing sleep deprivation. Which action will be best 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 hypnotic medication to help the patient sleep.
D)   Ask everyone in the unit to try to be quiet so the patient can sleep. A

Question 4

A patient has obstructive sleep apnea. Which assessment is the $\bold{priority}$?

Accepted Answer

A)   Gastrointestinal function
B)   Neurological function
C)   Respiratory status
D)   Circulatory status

Question 5

The nurse is teaching a new mother about the sleep requirements of a neonate. Which comment by the patient indicates a correct understanding of the teaching?

Accepted Answer

A)   "I can't wait to get the baby home to play with the brothers and sisters."
B)   "I will ask my mom to come after the first week, when the baby is more alert."
C)   "I can get the baby on a sleeping schedule the first week while my mom is here."
D)   "I won't be able to nap during the day because the baby will be awake."

Question 6

The nurse is beginning a sleep assessment on a patient. Which question will be most appropriate for the nurse to ask initially?

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?"

Question 7

The nurse is completing a sleep assessment on a patient. Which tool will the nurse use to complete the assessment?

Accepted Answer

A)   Visual analog scale
B)   Cataplexy scale
C)   Polysomnogram
D)   RAS scale

Question 8

The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 4 NREM?

Accepted Answer

A)   The patient awakens easily.
B)   The patient's eyes rapidly move.
C)   The patient is difficult to awaken.
D)   The patient's vital signs are elevated.

Question 9

An older-adult patient is visiting the clinic after a fall during the night. The nurse obtains information on what medications the patient takes. Which medication most likely contributed to the patient's fall?

Accepted Answer

A)   Melatonin
B)   L-tryptophan
C)   Benzodiazepine
D)   Iron supplement

Question 10

The nurse is caring for a postpartum patient. The patient's labor has lasted over 28 hours within the hospital; the patient has not slept and is disoriented to date and time. Which nursing diagnosis will the nurse document in the patient's care plan?

Accepted Answer

A)   Insomnia
B)   Impaired parenting
C)   Ineffective coping
D)   Sleep deprivation

Question 11

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

Accepted Answer

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

Question 12

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. Which information will the nurse include in the teaching session? (Select all that apply.)

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.

Question 13

The nurse is caring for a group of patients who have sleeping disruptions. Match the condition to the intervention the nurse will use.
-Insomnia

Accepted Answer

A)  Use continuous positive airway pressure.
B)  Offer a small meal several hours before bedtime.
C)  Administer antidepressants.
D)  Administer modafinil (Provigel) .
E)  Do not startle.F) Administer benzodiazepine-like drugs.

Question 14

The patient presents to the clinic with reports of irritability, being sleepy during the day, chronically not being able to fall asleep, and being tired. Which nursing diagnosis will the nurse document in the plan of care?

Accepted Answer

A)   Anxiety
B)   Fatigue
C)   Insomnia
D)   Sleep deprivation

Question 15

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

Accepted Answer

A)   Place bed in semi-Fowler's position.
B)   Offer iron-rich foods for meals.
C)   Provide a snack before bedtime.
D)   Encourage the patient to read.

Question 16

The patient and the nurse discuss the need for sleep. After the discussion, the patient is able to state factors that hinder sleep. Which statements indicate the patient has a good understanding of the teaching? (Select all that apply.)

Accepted Answer

A)   "Drinking coffee at 7 PM could interrupt my sleep."
B)   "Staying up late for a party can interrupt sleep patterns."
C)   "Exercising 2 hours before bedtime can decrease relaxation."
D)   "Changing the time of day that I eat dinner can disrupt sleep."
E)   "Worrying about work can disrupt my sleep."F)  "Taking an antacid can decrease sleep."

Question 17

The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center. Which statement by the nurses will best indicate that the teaching is effective?

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 urinary 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 18

The nurse is evaluating outcomes for the patient with insomnia. Which key principle will the nurse consider during this process?

Accepted Answer

A)   The patient is the best evaluator of sleep.
B)   The nurse is the best evaluator of sleep.
C)   Effective interventions are the best evaluators of sleep.
D)   Observations of the patient are the best evaluators of sleep.

Question 19

The nurse is caring for a group of patients who have sleeping disruptions. Match the condition to the intervention the nurse will use.
-Cataplexy

Accepted Answer

A)  Use continuous positive airway pressure.
B)  Offer a small meal several hours before bedtime.
C)  Administer antidepressants.
D)  Administer modafinil (Provigel) .
E)  Do not startle.F) Administer benzodiazepine-like drugs.

Question 20

Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?

Accepted Answer

A)   Eyes closed, lying quietly, respirations 12, heart rate 60
B)   Eyes closed, tossing in bed, respirations 18, heart rate 80
C)   Eyes closed, mumbling to self, respirations 16, heart rate 68
D)   Eyes closed, lying supine in bed, respirations 22, heart rate 66

Exam 43: Sleep

The nurse is caring for a patient who is having trouble sleeping. Which action will the nurse take?

The nurse is discussing lack of sleep with a middle-aged adult. Which area should the nurse most likely assess to determine a possible cause of the lack of sleep?

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's experiencing sleep deprivation. Which action will be best for the nurse to take?

A patient has obstructive sleep apnea. Which assessment is the $\bold{priority}$ ?

The nurse is teaching a new mother about the sleep requirements of a neonate. Which comment by the patient indicates a correct understanding of the teaching?

The nurse is beginning a sleep assessment on a patient. Which question will be most appropriate for the nurse to ask initially?

The nurse is completing a sleep assessment on a patient. Which tool will the nurse use to complete the assessment?

The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 4 NREM?

An older-adult patient is visiting the clinic after a fall during the night. The nurse obtains information on what medications the patient takes. Which medication most likely contributed to the patient's fall?

The nurse is caring for a postpartum patient. The patient's labor has lasted over 28 hours within the hospital; the patient has not slept and is disoriented to date and time. Which nursing diagnosis will the nurse document in the patient's care plan?

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

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. Which information will the nurse include in the teaching session? (Select all that apply.)

The nurse is caring for a group of patients who have sleeping disruptions. Match the condition to the intervention the nurse will use. -Insomnia

The patient presents to the clinic with reports of irritability, being sleepy during the day, chronically not being able to fall asleep, and being tired. Which nursing diagnosis will the nurse document in the plan of care?

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

The patient and the nurse discuss the need for sleep. After the discussion, the patient is able to state factors that hinder sleep. Which statements indicate the patient has a good understanding of the teaching? (Select all that apply.)

The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center. Which statement by the nurses will best indicate that the teaching is effective?

The nurse is evaluating outcomes for the patient with insomnia. Which key principle will the nurse consider during this process?

The nurse is caring for a group of patients who have sleeping disruptions. Match the condition to the intervention the nurse will use. -Cataplexy

Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?

Exam 43: Sleep

The nurse is caring for a patient who is having trouble sleeping. Which action will the nurse take?

The nurse is discussing lack of sleep with a middle-aged adult. Which area should the nurse most likely assess to determine a possible cause of the lack of sleep?

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's experiencing sleep deprivation. Which action will be best for the nurse to take?

A patient has obstructive sleep apnea. Which assessment is the priority\bold{priority}priority ?

The nurse is teaching a new mother about the sleep requirements of a neonate. Which comment by the patient indicates a correct understanding of the teaching?

The nurse is beginning a sleep assessment on a patient. Which question will be most appropriate for the nurse to ask initially?

The nurse is completing a sleep assessment on a patient. Which tool will the nurse use to complete the assessment?

The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 4 NREM?

An older-adult patient is visiting the clinic after a fall during the night. The nurse obtains information on what medications the patient takes. Which medication most likely contributed to the patient's fall?

The nurse is caring for a postpartum patient. The patient's labor has lasted over 28 hours within the hospital; the patient has not slept and is disoriented to date and time. Which nursing diagnosis will the nurse document in the patient's care plan?

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

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. Which information will the nurse include in the teaching session? (Select all that apply.)

The nurse is caring for a group of patients who have sleeping disruptions. Match the condition to the intervention the nurse will use. -Insomnia

The patient presents to the clinic with reports of irritability, being sleepy during the day, chronically not being able to fall asleep, and being tired. Which nursing diagnosis will the nurse document in the plan of care?

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

The patient and the nurse discuss the need for sleep. After the discussion, the patient is able to state factors that hinder sleep. Which statements indicate the patient has a good understanding of the teaching? (Select all that apply.)

The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center. Which statement by the nurses will best indicate that the teaching is effective?

The nurse is evaluating outcomes for the patient with insomnia. Which key principle will the nurse consider during this process?

The nurse is caring for a group of patients who have sleeping disruptions. Match the condition to the intervention the nurse will use. -Cataplexy

Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?

A patient has obstructive sleep apnea. Which assessment is the $\bold{priority}$ ?