NURS-502 | CH. 45 SLEEP | QUESTIONS AND ANSWERS
| 2026 UPDATE | WITH COMPLETE SOLUTION
1) The mother of a newborn is concerned because the baby's eyes dart around
the eyelids and twitching and irregular breathing occurs during sleep. What
advice should the nurse give this mother?
1. Please bring your baby in immediately for a checkup.
2. These are common behaviors in newborns and are normal.
3. You should ask the physician about these symptoms at your next checkup.
4. If your baby does this again, take her to the emergency department. Answer
- Answer: 2
Explanation: These are indications of normal REM sleep in the newborn. The
mother should be reassured that this is normal.
2) The parents of a 6-month-old are exhausted because the baby wakes up
several times every night. What advice should the nurse give these parents?
1. Be certain that the baby is truly awake before providing a feeding.
2. Let the baby "cry it out" for a few nights until able to sleep through the
night.
3. Continue to respond to the baby whenever restlessness occurs during the
night.
4. Bring the baby in for a possible sleep study to check for sleeping disorders.
Answer - Answer: 1
, Explanation: Babies often move and make noises while sleeping that do not
indicate wakefulness. The parents should be certain the baby is awake before
feeding, changing, or comforting.
3) An older client reports going to sleep easily but waking up a few hours later
and unable to go back to sleep. What nursing action would help promote rest
and sleep in this client?
1. Have the client develop a bedtime ritual of quiet music and a glass of wine.
2. Encourage the client to avoid taking pain medication prior to sleep.
3. Evaluate if the client perceives sleeplessness to be a serious problem.
4. Have the client perform moderate exercises before bedtime. Answer -
Answer: 3
Explanation: The first intervention is to determine what the pattern of
sleeplessness means to the client. Many older clients will "nap" off and on
through the day and night and spend wakeful times engaged in activity, even if
the active times are not during traditional active hours.
4) A client complains of not being able to stay awake during the day even after
sleeping throughout the night. What should the nurse suggestion to this client?
1. Go to your physician for a physical examination.
2. Go to a mental health professional for evaluation of possible depression.
3. Purchase an over-the-counter sleep aid to deepen nighttime sleep.
4. Drink more caffeinated beverages in the daytime to stay awake. Answer -
Answer: 1
Explanation: Daytime hypersomnia is often due to medical conditions such as
kidney, liver, or metabolic disturbances. The nurse should suggest that the
client be evaluated by a physician.
5) The nurse is developing a plan of care for a client diagnosed with narcolepsy.
Which intervention should the nurse include in this plan of care?
| 2026 UPDATE | WITH COMPLETE SOLUTION
1) The mother of a newborn is concerned because the baby's eyes dart around
the eyelids and twitching and irregular breathing occurs during sleep. What
advice should the nurse give this mother?
1. Please bring your baby in immediately for a checkup.
2. These are common behaviors in newborns and are normal.
3. You should ask the physician about these symptoms at your next checkup.
4. If your baby does this again, take her to the emergency department. Answer
- Answer: 2
Explanation: These are indications of normal REM sleep in the newborn. The
mother should be reassured that this is normal.
2) The parents of a 6-month-old are exhausted because the baby wakes up
several times every night. What advice should the nurse give these parents?
1. Be certain that the baby is truly awake before providing a feeding.
2. Let the baby "cry it out" for a few nights until able to sleep through the
night.
3. Continue to respond to the baby whenever restlessness occurs during the
night.
4. Bring the baby in for a possible sleep study to check for sleeping disorders.
Answer - Answer: 1
, Explanation: Babies often move and make noises while sleeping that do not
indicate wakefulness. The parents should be certain the baby is awake before
feeding, changing, or comforting.
3) An older client reports going to sleep easily but waking up a few hours later
and unable to go back to sleep. What nursing action would help promote rest
and sleep in this client?
1. Have the client develop a bedtime ritual of quiet music and a glass of wine.
2. Encourage the client to avoid taking pain medication prior to sleep.
3. Evaluate if the client perceives sleeplessness to be a serious problem.
4. Have the client perform moderate exercises before bedtime. Answer -
Answer: 3
Explanation: The first intervention is to determine what the pattern of
sleeplessness means to the client. Many older clients will "nap" off and on
through the day and night and spend wakeful times engaged in activity, even if
the active times are not during traditional active hours.
4) A client complains of not being able to stay awake during the day even after
sleeping throughout the night. What should the nurse suggestion to this client?
1. Go to your physician for a physical examination.
2. Go to a mental health professional for evaluation of possible depression.
3. Purchase an over-the-counter sleep aid to deepen nighttime sleep.
4. Drink more caffeinated beverages in the daytime to stay awake. Answer -
Answer: 1
Explanation: Daytime hypersomnia is often due to medical conditions such as
kidney, liver, or metabolic disturbances. The nurse should suggest that the
client be evaluated by a physician.
5) The nurse is developing a plan of care for a client diagnosed with narcolepsy.
Which intervention should the nurse include in this plan of care?
