Test Generator Questions, Chapter 36, Sleep

Format: Multiple Choice

Chapter: 36

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Apply

Integrated Process: Nursing Process

Learning Objective: 2

Page and Header: Stage N1, p. 1205.

1. When the nurse attempts to wake a client who has just closed the eyes and appears asleep, the client states he or she is not asleep. What stage of sleep is this client in?

A) Stage N1

B) Stage N2

C) Stage N3

D) Stage NR

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

A) Stage N1

B) Stage N2

C) Stage N3

D) Stage NR

3. During stage N3 sleep, the client may experience:

A) enuresis.

B) anxiety.

C) diaphoresis.

D) shortness of breath.

4. During slow-wave sleep, the:

A) blood pressure is elevated.

B) pulse rate is slow.

C) respirations are irregular.

D) temperature increases.

5. When a nurse notes that the client appears to be sleeping, is demonstrating irregular respirations, and is showing eye movement, the nurse identifies the stage of sleep the client is experiencing as:

A) transitional

B) rapid eye movement (REM)

C) light sleep

D) slow wave

6. During the first cycle of sleep, the client will be in REM sleep for:

A) 1 hour

B) 3 minutes

C) 15 minutes

D) 6 minutes

7. A newly admitted client informs the nurse that the client averages around 5.5 hours of sleep per night. The nurse determines that this client is most likely:

A) in need of medication to aid sleep.

B) sleep deprived to some degree.

C) a particularly efficient sleeper.

D) in need of a sleep clinic visit.

8. A client states to the nurse during a sleep assessment that it takes her more than 60 minutes to fall asleep. The nurse documents this time period as the client’s:

A) sleep lag.

B) presleep.

C) sleep deficit.

D) sleep latency.

9. The nurse is caring for new parents. During the education session, the nurse instructs the parents on a newborn’s sleep patterns. Which statement is accurate about a newborn’s sleep patterns?

A) Newborns have shorter periods of REM sleep.

B) Newborns are inactive when awake.

C) Newborns will nap two times per day.

D) Newborns sleep 16 to 17 hours per day.

10. REM sleep in a toddler is about:

A) 10%

B) 20%

C) 30%

D) 40%

11. Which statement about the sleep patterns of toddlers should the nurse incorporate into an education plan for parents?

A) Getting the child to sleep can be difficult.

B) Most toddlers fall asleep easily.

C) Nightmares are rare in toddlers.

D) Slow-wave sleep occurs less in toddlers than in adults.

12. Which guideline does the nurse apply to the discussion of sleep patterns with older adult clients?

A) Circadian rhythms become more prominent as clients age.

B) The amount of stage 4 sleep increases as clients age.

C) Total sleep time decreases as the clients age.

D) Older clients fall asleep more quickly than younger ones.

13. What factor has been hypothesized by researchers regarding current thoughts on sleep?

A) The current population requires less sleep.

B) More sleep is obtained through napping.

C) Population is healthier due to sleep.

D) Chronic sleep deprivation is present.

14. Nurses who experience no difficulty working a variety of shifts are generally viewed as which type of person?

A) Evening

B) Afternoon

C) Morning

D) Nighttime

15. A nurse working night shift understands the importance of enhancing the sleep patterns of clients. In order to do so, the nurse should:

A) only wake them for the 12:00 am and 4:00 am vital signs.

B) allow the client time to sit at the desk to enhance better rest.

C) evaluate the sleep response of the client with polysomnogram.

D) cluster activities to allow 90 to 120 minutes of sleep.

16. Which activity would be appropriate to suggest to the client with gastroesophageal reflux who has difficulty falling asleep every evening?

A) Drink a cup of tea before bedtime.

B) Avoid eating within 3 hours of bedtime.

C) Exercise lightly for 30 minutes before sleep.

D) Watch television for a few minutes to induce sleepiness.

17. The student nurse is providing an education program for preschool parents. The nursing student should include which intervention to improve the child’s sleep?

A) The child should limit fluids after supper.

B) The child should drink milk at bedtime.

C) The parents should keep the child up until 10 pm.

D) The child should sleep with the parents.

18. While instructing young adults about the need for adequate sleep, the nurse instructs the group that to improve sleep quality, individuals should:

A) take an afternoon nap whenever possible.

B) catch up on sleep on days off from work.

C) stay awake until midnight consistently.

D) have a consistent time for arising.

19. When the newly admitted client with chronic obstructive pulmonary disease informs the nurse that the client frequently awakens during the night, the nurse may notify the physician for which intervention?

A) A hypnotic medication

B) A narcotic medication

C) Low-flow oxygen

D) Warm milk

20. A nurse is instructing students on the unit on the role of hormones in sleep patterns. Which statement would indicate to the nurse that the students need additional education?

A) A hyperactive thyroid can make the client sleepy all the time?

B) Women often experience fatigue due to loss of estrogen?

C) Estrogen has been shown to decrease sleep latency?

D) Hypothyroidism may contribute to a lack of slow-wave sleep?

21. When a client tells the clinic nurse that the client has irresistible sleep attacks throughout the day lasting from 10 to 15 minutes, the nurse suspects that the client may be experiencing what?

A) Cataplexy

B) Narcolepsy

C) Insomnia

D) Prolonged latency

22. Which problem is associated with obesity, heavy snoring, and shallow breathing?

A) Sleep apnea

B) Narcolepsy

C) Hypersomnia

D) Hyperpnea

23. When a nurse notes that a sleeping client is demonstrating irregular respirations and is showing eye movement, the nurse identifies the stage of sleep the client is experiencing as:

A) transitional.

B) rapid eye movement (REM).

C) light sleep.

D) slow wave.

24. A nurse is speaking to a group of students regarding the effects of shift work on sleep patterns. Which pattern of work shifts has been shown to enhance work production?

A) Working multiple night shifts in a row

B) Working 1 week of day shifts then 1 week of night shifts

C) Clockwise rotation of shifts

D) Rotating between day and night shifts each week.

25. A client has voiced concerns about her inability to fall asleep. When reviewing her history, what information would the nurse expect to find? Select all that apply.

A) Smokes 1 pack of cigarettes daily

B) Drinks coffee with all meals

C) History of hyperthyroidism

D) Exercises 30 to 60 minutes daily

E) Works 30 hours per week

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

A) Eliminate caffeine intake 6 hours prior to bedtime.

B) Do not watch television in bed.

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

D) Take a hot bath prior to bedtime.

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

28. The nurse is preparing a care plan for a client recently diagnosed with obstructive sleep apnea. The client reports daytime sleepiness, fatigue, and excessive snoring that "wakes me up." What nursing diagnosis would be appropriate for this client?

A) Disturbed sleep pattern as evidenced by complaints of daytime sleepiness

B) Disturbed sleep pattern related to obstructive sleep apnea as evidenced by excessive snoring

C) Disturbed sleep pattern related to periods of apnea as evidenced by excessive snoring

D) Disturbed sleep pattern related to obstructive sleep apnea

29. 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 be addictive.

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

30. The nurse is preparing a care plan for a client with insomnia. Which would be an appropriate outcome criteria for the goal of having the client report fewer problems falling asleep?

A) The client will fall asleep faster.

B) The client will report a decrease in sleep latency to 10 to 15 minutes within 30 days.

C) The nurse will administer the client’s hypnotic at bedtime each night.

D) The nurse will give the client a backrub at bedtime each night.