Medical, Pharmaceutical & Health Sciences
NursingFundamentals NursingNursing Active LearningPractice Set 6
NursingFundamentals NursingNursing Active LearningPractice Set 6Sleep
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- Nursing, Theory, and Professional PracticeValues, Beliefs, and CaringCommunicationCritical Thinking in NursingIntroduction to the Nursing ProcessAssessmentNursing DiagnosisPlanningImplementation and EvaluationDocumentation, Electronic Health Records, and ReportingEthical and Legal ConsiderationsLeadership and ManagementEvidence-Based Practice and Nursing ResearchHealth Literacy and Patient EducationNursing InformaticsHealth and WellnessHuman Development: Conception through AdolescenceHuman Development Young Adult to Older AdultVital SignsHealth History and Physical AssessmentEthnicity and Cultural AssessmentSpiritual HealthPublic Health, Community Base, and Home Health CareHuman SexualitySafetyAsepsis and Infection ControlHygiene and Personal CareActivity, Immobility, and Safe MovementSkin Integrity and Wound CareNutritionCognitive and Sensory AlterationsStress and CopingSleepDiagnostic TestingMedication AdministrationPain ManagementPerioperative Nursing CareOxygenation and Tissue PerfusionFluid, Electrolytes, and Acid-Base BalanceBowel EliminationUrinary EliminationDeath and Loss
Question 1
Free
Multiple Choice
The nurse knows that with the onset of darkness and in preparation for sleep:
Choose correct answer/s
cortisol levels peak.
cortisol levels increase.
core body temperature increases.
melatonin levels increase.
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Question 2
Free
Multiple Choice
The nurse knows the reticular activating system (RAS):
Choose correct answer/s
records brain waves and other variables.
relays motor impulse to the hypothalamus.
influences patterns of biological functioning.
is affected by the light-dark cycle.
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Question 3
Free
Multiple Choice
The nurse is educating a patient about taking measures to help avoid disruption to the circadian rhythm. The following statement by the patient indicates a need for further education:
Choose correct answer/s
"I know the circadian rhythm influences biological functions."
"I know the circadian rhythm exists only in humans."
"I know the sleep-wake circadian rhythm is impacted by the light-dark cycle."
"The most familiar circadian rhythm is the day-night 24-hour cycle."
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Question 4
Free
Multiple Choice
The nurse knows that polysomnograpy is:
Choose correct answer/s
the recording of brain waves and other variables.
the relay of motor impulse to the hypothalamus.
the patterns of biological functioning.
the recording of seizure activity in the brain.
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Question 5
Free
Multiple Choice
The nurse knows the usual progression of sleep is:
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NREM 1-4 then REM, then back through NREM 1 and 2.
REM then NREM 1-4, then back through NREM 2 and 3.
NREM 1-4 then back through NREM 3 and 2 then REM.
REM then NREM 1-4 then back through NREM 3.
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Question 6
Multiple Choice
The nurse is providing discharge instructions to the parents of a toddler about sleeping habits. Which of the following statements indicates further education is needed?
Choose correct answer/s
"Sleep needs may change during growth spurts."
"Children sleep 10 hours a day."
"Toddlers will often resist going to bed."
"The bedtime routine can vary."
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Question 7
Multiple Choice
The nurse knows that cataplexy includes:
Choose correct answer/s
an uncontrolled desire to sleep.
falling asleep for several minutes.
loss of voluntary muscle tone.
a sleep cycle that begins with NREM.
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Question 8
Multiple Choice
The nurse is providing discharge instructions to a patient who has had sleep alterations. The following statements by the patient indicate further education is needed.
Choose correct answer/s
"I should avoid drinking caffeine too close to bedtime."
"I should not eat anything too close to bedtime."
"I should exercise regularly to help with sleeping."
"I can gain weight if I don't sleep enough."
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Question 9
Multiple Choice
The nurse is performing an assessment of the patient's sleep patterns. Which question will elicit the best response?
Choose correct answer/s
"Do you feel rested when you awaken?"
"What is your normal eating pattern?"
"Do you awaken during the night?"
"Do you drink beverages with caffeine?"
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Question 10
Multiple Choice
The nurse knows an appropriate goal for the nursing diagnosis Sleep deprivation is:
Choose correct answer/s
the patient will remain asleep for 6 to 7 hours consistently for 1 week.
the patient will fall asleep within 15 minutes of going to bed.
the patient will report an ability to concentrate on tasks.
the patient will repeat medication instructions on discharge.
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Question 11
Multiple Choice
The nurse knows an appropriate goal for the nursing diagnosis Disturbed sleep pattern during hospitalization is:
Choose correct answer/s
the patient will fall asleep within 15 minutes of going to bed.
the patient will report an ability to concentrate on tasks.
the patient will repeat medication instructions on discharge.
the patient will be able to sleep for at least 2 hours at a time.
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Question 12
Multiple Choice
The nurse knows an appropriate goal for the nursing diagnosis Insomnia is:
Choose correct answer/s
The patient will report an ability to concentrate on tasks.
The patient will repeat medication instructions on discharge.
The patient will be able to sleep for at least 2 hours at a time.
The patient will be able to fall asleep within 15 minutes.
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Question 13
Multiple Choice
The nurse is providing discharge education for a patient with narcolepsy. The following statement by the patient indicates a need for further education:
Choose correct answer/s
"Daytime naps are helpful."
"Taking the medication will cure it."
"High protein meals are helpful."
"I should avoid alcohol."
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Question 14
Multiple Choice
The nurse is providing discharge education for a patient with restless leg syndrome. The following statement by the patient indicates a need for further education:
Choose correct answer/s
"I should avoid all caffeine."
"I can using leg massage and knee bends."
"Taking magnesium supplements may be helpful."
"Taking a walk regularly may be helpful."
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Question 15
Multiple Choice
Which of the following is inappropriate to delegate to the unlicensed assistive personnel (UAP)?
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Providing oral care
Evaluating sleep patterns
Providing bedtime routines
Documenting sleep hours
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Question 16
Multiple Choice
The nurse is providing discharge instructions for the patient with sleep pattern disturbances. Which statement by the patient indicates a need for further education?
Choose correct answer/s
"It is a good idea to have a bedtime routine."
"My bedtime routine can include watching TV in bed until I fall asleep"
"I should keep my regular sleep pattern on the weekend."
"If I can't fall asleep, I should get out of bed and do something relaxing."
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Question 17
Multiple Choice
The nurse knows that during rapid eye movement (REM) sleep, the following occur: (Select all that apply.)
Choose correct answer/s
Memories are stored
Increase in cerebral blood flow
Slow rhythmic scanning eye movements
Release of epinephrine
Repair of brain cells
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Question 18
Multiple Choice
The nurse knows that during non-rapid eye movement (NREM) sleep, the following occur: (Select all that apply.)
Choose correct answer/s
Repair of brain cells
Slow rhythmic scanning eye movements
Dreaming
Cell division in bone marrow
Conservation of energy
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Question 19
Multiple Choice
The nurse knows the following changes in sleep patterns occur in the older adult: (Select all that apply.)
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Sleep increases to approximately 8 to 10 hours a night.
REM sleep is shorter.
Stage 4 NREM is decreased.
The use of medication may interfere with sleep.
Older adults awaken more at night.
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Question 20
Multiple Choice
The nurse knows the following information about sudden infant death syndrome (SIDS): (Select all that apply.)
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SIDS is the most common cause of death among infants (1-12 months).
The etiology remains largely unknown.
The most modifiable risk factor is sleeping supine.
Risk factors include being exposed to cigarette smoke.
It is defined as sudden unexpected death.
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