NSG 100 - Rest & Sleep

A client is diagnosed with narcolepsy. What is a characteristic of this disorder?

A. decrease in the amount or quality of sleep

B. waking during sleep

C. uncontrollable desire to sleep

D. restless leg syndrome

C. uncontrollable desire to sleep

Which expected outcome demonstrates the effectiveness of a plan of care to promote rest and sleep?

A. identifies factors that interfere with normal sleep pattern

B. continues to read in bed for hours each night

C. verbalizes inability to sleep without medications

D. reports minimal improvement in quality of rest and sleep

A. identifies factors that interfere with normal sleep pattern

The client being seen in the employee wellness clinic reports difficulty sleeping for the past several months. The most important assessment the nurse could make is:

A. identifying specific foods that negatively impact sleep

B. asking the client’s bed partner to describe the sleep problem

C. having the client recall the number of sleep hours each night for the past week

D. reviewing the client’s sleep diary for the past 2 weeks

D. reviewing the client’s sleep diary for the past 2 weeks

A middle-aged client reports to the nurse that they have difficulty falling asleep at night. The nurse assessed the client as having poor sleep hygiene habits. What should the nurse instruct the client to try? Select all that apply.

A. Establish a set time to go to sleep each night

B. Perform moderate exercise three or four times each week

C. Participate in an enjoyable activity each day

D. Eat a snack that contains a small amount of fat

E. Drink one or two ounces of alcohol before bedtime

A. Establish a set time to go to sleep each night

B. Perform moderate exercise three or four times each week

C. Participate in an enjoyable activity each day

A nurse educates a young couple on putting their newborn on their back to sleep. What is the rationale for this information?

A. Prone position increases the risk for sudden unexplained infant death

B. Supine position may alter the size and shape of the newborn’s head 

C. Prone position decreases the risk for sudden unexplained infant death

D. Supine position makes changing diapers and feeding difficult

A. Prone position increases the risk for sudden unexplained infant death

The nurse recognizes that sleep deprivation related to environmental concerns will apply to which clients? Select all that apply.

A. a 16-year-old who works part time on Saturdays

B. an 84-year-old client hospitalized for prostate surgery

C. a 58-year-old who takes cholesterol-lowering medication and aspirin daily

D. a 67-year-old who has two beers during the late-night newscast

E. a 32-year-old machinist, two packs a day smoker

A. a 16-year-old who works part time on Saturdays

B. an 84-year-old client hospitalized for prostate surgery

E. a 32-year-old machinist, two packs a day smoker

A nurse is preparing a presentation on sleep hygiene practices. What information should the nurse include? Select all that apply.

A. Use blackout or other types of curtains/blinds to keep the room as dark as possible

B. Eliminate caffeine intake 6 hours prior to bedtime

C. Do not watch television in bed

D. Take a hot bath prior to bedtime

E. Do 15 to 30 minutes of exercise prior to bedtime

A. Use blackout or other types of curtains/blinds to keep the room as dark as possible

B. Eliminate caffeine intake 6 hours prior to bedtime

C. Do not watch television in bed

A new parent calls the pediatric nurse to talk about their 4-month-old infant who sleeps “all day long.” The nurse informs the parent that an infant of this age requires how many hours of sleep?

A. 8 to 9 hours each day

B. 10 to 11 hours each day

C. 17 to 18 hours each day

D. 12 to 16 hours each day

D. 12 to 16 hours each day

Which interview question would be the best choice for the nurse to use to assess for recent changes in a client’s sleep-wakefulness pattern?

A. Do you usually go to bed and wake up about the same time each day?

B. In what way does the sleep you get each day affect your everyday living?

C. What do you usually do to help yourself fall asleep?

D. How much sleep do you think you need to feel rested?

A. Do you usually go to bed and wake up about the same time each day?

Which physiologic change occurs during non-rapid eye movement (NREM) sleep?

A. Unregulated body temperature

B. Increased sympathetic nerve activity from wakefulness

C. Decreased brain activity from wakefulness

D. Absence of muscle tone

C. Decreased brain activity from wakefulness

The client states that their spouse reports that the client’s snoring awakens the spouse at night. The spouse is present at the appointment. To obtain further data, what will the nurse ask the spouse?

A. How loud is the snoring

B. How often are you awakened at night due to the client’s loud snoring

C. Is there silence after snoring that then is followed with a snort

D. How long does the client snore each night

C. Is there silence after snoring that then is followed with a snort

A hospitalized client informs the evening shift nurse about not being able to sleep without of shot of whiskey each night before bed and asks if the spouse could bring in a bottle. Which is the best response by the nurse?

A. Go ahead and ask your spouse to bring a bottle

B. Let’s discuss that with your health care provider

C. Do you really think that is a good habit

D. It will be difficult for you to continue that routine in the hospital

B. Let’s discuss that with your health care provider

A nurse is discussing sleep problems with a client. What type of food should the nurse recommend to promote sleep?

A. Three glasses of red wine

B. One cup of peanuts

C. Cheese and crackers

D. One cup of hot chocolate

C. Cheese and crackers

During an orientation class for new RN graduates, the nurse educator identifies which conditions as potential risks for clients to experience sleep pattern disturbance? Select all that apply.

A. Constipation

B. Substance Use

C. Depression

D. Type 1 Diabetes Mellitus

E. Glaucoma

F. Stroke

A. Constipation

B. Substance Use

C. Depression

F. Stroke

A client begins snoring and is sleeping lightly. The stage of sleep is:

A. Stage 2

B. Stage 3

C. Stage 4

D. Stage 1

A. Stage 2

An older client tells the home care nurse that they do not seem to sleep as well as they used to. The nurse will teach the client about what age-related change to sleep patterns in older adults.

A. Decrease in stage 1 of the sleep cycle

B. Change in the normal progression of the sleep cycle

C. Increase of stage 2 of the sleep cycle

D. Decrease in the deep-sleep stage of the sleep cycle

D. Decrease in the deep-sleep stage of the sleep cycle

A nurse is conducting an assessment of a middle-aged client who reports difficulties with sleeping at night. Which information would the nurse correlate with the client’s sleep-wakefulness pattern? Select all that apply.

A. “I like to keep a dim light on during the night in case I need to get up.”

B. “I usually get up two to three times a night to urinate.”

C. “I have never tried using any medicine to fall asleep.”

D. “I’m always tired and feel like I don’t have much energy anymore.”

E. “I usually go to bed around 9 and get up about 7.”

B. “I usually get up two to three times a night to urinate.”
E. “I usually go to bed around 9 and get up about 7.”

A nurse is discussing sleep problems with a client. What type of food should the nurse recommend to promote sleep?

A. Three glasses of red wine

B. One cup of peanuts

C. One cup of hot chocolate

D. Cheese and crackers

D. Cheese and crackers

A nurse explains cognitive behavioral therapy (CBT) to a client who is experiencing chronic insomnia. Which statement(s) by the nurse describe this therapy? Select all that apply.

A. “Clients undergoing CBT are asked to stay in bed during normal sleep hours even if they are unable to sleep.”

B. “Pharmacologic approaches should be attempted prior to CBT to resolve the insomnia.”

C. “You will meet with a therapist to work through any maladaptive sleep beliefs.”

D. “Used with other complementary therapies, CBT is very successful.”

E. “Sedatives and hypnotics are used in conjunction with CBT.”

F. “CBT may include progressive muscle relaxation measures, stimulus control, and sleep restriction therapy.”

C. “You will meet with a therapist to work through any maladaptive sleep beliefs.”

D. “Used with other complementary therapies, CBT is very successful.”

F. “CBT may include progressive muscle relaxation measures, stimulus control, and sleep restriction therapy.”

A client who underwent surgery yesterday has a prescription for an opioid analgesic every 3 to 4 hours and received the last dose 3 hours earlier. Which action is most appropriate for the nurse to take in response to the client’s request for medication?

A. Provide the client with pain medication

B. Administer half of the dose now and half in 1 hour

C. Document and ask the client to wait 1 hour, if possible

D. Advocate for an increase in the analgesia dose

A. Provide the client with pain medication

The parents of a 10-year-old child are worried about the child’s sleepwalking (somnambulism). What topic should the nurse discuss with the parents?

A. Privacy

B. Sleep Deprivation

C. Safety

D. Schoolwork

C. Safety

Which expected outcome demonstrates the effectiveness of a plan of care to promote rest and sleep?

A. Identifies factors that interfere with normal sleep pattern

B. Verbalizes inability to sleep without medications

C. Continues to read in bed for hours each night

D. Reports minimal improvement in quality of rest and sleep

A. Identifies factors that interfere with normal sleep pattern

Which individual is likely to require more hours of sleep?

A. a person 43 years of age

B. a person 25 years of age

C. a person 75 years of age

D. a person 15 years of age

D. a person 15 years of age

The nurse is planning health education sessions for adults that will focus on the role of sleep and strategies for enhancing sleep. What principle will the nurse integrate into the education plan?

A. Napping should be avoided in order to ensure adequate nighttime sleep.

B. Older adults normally have unrealistic expectations for sleep quality and quantity

C. Sleep sufficiency is essential for overall health and wellness

D. Previously established norms for the quantity of sleep for adults have been proven excessive.

C. Sleep sufficiency is essential for overall health and wellness

A nurse is preparing a presentation regarding hypnotic medications. What information should the nurse include? Select all that apply.

A. Hypnotics induce a normal sleep pattern

B. Hypnotics may impair waking in a client

C. Hypnotics are safe for long-term use

D. Hypnotics may cause dependence

E. Tapering of doses may be required after long-term use

B. Hypnotics may impair waking in a client

D. Hypnotics may cause dependence

E. Tapering of doses may be required after long-term use

A parent reports their 4-year-old child wakes up at night screaming and this occurs shortly after the child has fallen asleep. The nurse determines that the child takes a tub bath and the parent reads a story prior to bedtime at 8pm. What is the best response to the parent? Select all that apply.

A. “You will need to change your child’s bedroom routine.”

B. “Put the child in your bed to sleep when this occurs.”

C. “You may find a nightlight in their room is helpful.”

D. “It is common for this to occur in this age group.”

E. “Comforting your child when this occurs may help.”

C. “You may find a nightlight in their room is helpful.”

D. “It is common for this to occur in this age group.”

E. “Comforting your child when this occurs may help.”

The nurse makes a following assessment. A middle-age client reports falling asleep frequently at their job during the day, feeling like they are not getting enough sleep at night (even though the number of hours of sleep is unchanged), continuing to feel tired, and being unable to think clearly. Also, the client reports their spouse believes they are irritable upon awakening. Nursing interventions include teaching the client to:

A. drink at least 1 cup of coffee with the evening meal

B. change bedtime to later in the evening

C. ingest a small amount of alcohol prior to bedtime

D. use caution when driving an automobile

D. use caution when driving an automobile

A client is being seen in the clinic due to insomnia that has been increasing in severity and frequency in recent months. What question(s) will the nurse include in an assessment of this client’s health concern? Select all that apply.

A. “What medications are you currently taking?”

B. “Do your parents or siblings have difficulty with sleep?”

C. “Do you smoke?”

D. “What is your routine for preparing for bed?”

E. “How would you state your mood lately?”

A. “What medications are you currently taking?”

C. “Do you smoke?”

D. “What is your routine for preparing for bed?”

E. “How would you state your mood lately?”