NURB 3040: Rest and Sleep Questions with
Verified Correct Answers
An older adult patient reports waking up multiple times during the night. Which age-
related sleep change should the nurse explain to the patient?
A) Increased stage 4 deep sleep
B) Lighter, more fragmented sleep
C) Increased total overnight sleep time
D) Decreased daytime sleepiness
B) Lighter, more fragmented sleep. Sleep needs decrease and fragment with aging.
A nurse is caring for a client with chronic insomnia. Which nonpharmacological
intervention should the nurse suggest first?
A) Take a warm bath right before getting into bed
B) Use the bedroom only for sleep and sex
C) Drink a cup of black coffee or tea after dinner
D) Watch television in bed until falling asleep
B) Use the bedroom only for sleep and sex. This reinforces sleep association.
The nurse is teaching a patient with insomnia about the "20-minute rule." Which
instruction is correct?
A) Rest in bed for at least 20 minutes before turning off lights
B) If unable to sleep after 20 minutes, leave the bedroom
C) Limit afternoon naps to exactly 20 minutes
D) Practice deep breathing exercises for 20 minutes before bed
B) If unable to sleep after 20 minutes, leave the bedroom. Prevents bed-anxiety association.
,Which of the following bedtime snacks is most appropriate for the nurse to recommend
to a patient with mild sleep difficulties?
A) Chocolate chip cookies and hot tea
B) Spicy chicken wings and celery
C) Peanut butter on whole grain toast
D) A large bowl of chili with cheese
C) Peanut butter on whole grain toast. Combines protein with complex carbohydrates.
A nurse is planning care for a hospitalized patient. Which action best minimizes sleep
disturbances for the patient at night?
A) Keeping the patient's room door wide open
B) Performing routine vital signs every 2 hours
C) Clustering nursing care and administering medications together
D) Leaving the overhead fluorescent lights on
C) Clustering nursing care and administering medications together. This preserves
uninterrupted sleep cycles.
A patient is scheduled for a STOP-Bang questionnaire. The nurse knows this tool is
used to screen for which condition?
A) Narcolepsy
B) Restless Legs Syndrome
C) Obstructive Sleep Apnea
D) Insomnia
C) Obstructive Sleep Apnea. STOP-Bang is the standard screening tool for OSA.
A nurse is teaching a patient about Restless Legs Syndrome (RLS). Which risk factor
should the nurse highlight during teaching?
, A) Hypercalcemia
B) Iron deficiency
C) Vitamin D toxicity
D) Hyperthyroidism
B) Iron deficiency. Iron deficiency is a known risk factor for RLS.
A patient with narcolepsy asks how to manage daytime sleepiness. Which strategy
should the nurse recommend?
A) Taking long, unscheduled naps during the afternoon
B) Consuming high doses of caffeine throughout the day
C) Scheduling short, structured naps during the day
D) Avoiding all exercise and physical activity
C) Scheduling short, structured naps during the day. This helps manage hypersomnolence.
Which finding during a physical assessment of a pediatric patient is a primary risk
factor for pediatric Obstructive Sleep Apnea?
A) Microcephaly
B) Enlarged tonsils and adenoids
C) Undescended testicles
D) Cleft lip repair
B) Enlarged tonsils and adenoids. This is the most common pediatric risk factor.
A nurse is assessing a patient with suspected sleep deprivation. Which clinical
manifestation should the nurse expect to observe first?
A) Total disintegration of personality
B) Irritability and impaired mental abilities
Verified Correct Answers
An older adult patient reports waking up multiple times during the night. Which age-
related sleep change should the nurse explain to the patient?
A) Increased stage 4 deep sleep
B) Lighter, more fragmented sleep
C) Increased total overnight sleep time
D) Decreased daytime sleepiness
B) Lighter, more fragmented sleep. Sleep needs decrease and fragment with aging.
A nurse is caring for a client with chronic insomnia. Which nonpharmacological
intervention should the nurse suggest first?
A) Take a warm bath right before getting into bed
B) Use the bedroom only for sleep and sex
C) Drink a cup of black coffee or tea after dinner
D) Watch television in bed until falling asleep
B) Use the bedroom only for sleep and sex. This reinforces sleep association.
The nurse is teaching a patient with insomnia about the "20-minute rule." Which
instruction is correct?
A) Rest in bed for at least 20 minutes before turning off lights
B) If unable to sleep after 20 minutes, leave the bedroom
C) Limit afternoon naps to exactly 20 minutes
D) Practice deep breathing exercises for 20 minutes before bed
B) If unable to sleep after 20 minutes, leave the bedroom. Prevents bed-anxiety association.
,Which of the following bedtime snacks is most appropriate for the nurse to recommend
to a patient with mild sleep difficulties?
A) Chocolate chip cookies and hot tea
B) Spicy chicken wings and celery
C) Peanut butter on whole grain toast
D) A large bowl of chili with cheese
C) Peanut butter on whole grain toast. Combines protein with complex carbohydrates.
A nurse is planning care for a hospitalized patient. Which action best minimizes sleep
disturbances for the patient at night?
A) Keeping the patient's room door wide open
B) Performing routine vital signs every 2 hours
C) Clustering nursing care and administering medications together
D) Leaving the overhead fluorescent lights on
C) Clustering nursing care and administering medications together. This preserves
uninterrupted sleep cycles.
A patient is scheduled for a STOP-Bang questionnaire. The nurse knows this tool is
used to screen for which condition?
A) Narcolepsy
B) Restless Legs Syndrome
C) Obstructive Sleep Apnea
D) Insomnia
C) Obstructive Sleep Apnea. STOP-Bang is the standard screening tool for OSA.
A nurse is teaching a patient about Restless Legs Syndrome (RLS). Which risk factor
should the nurse highlight during teaching?
, A) Hypercalcemia
B) Iron deficiency
C) Vitamin D toxicity
D) Hyperthyroidism
B) Iron deficiency. Iron deficiency is a known risk factor for RLS.
A patient with narcolepsy asks how to manage daytime sleepiness. Which strategy
should the nurse recommend?
A) Taking long, unscheduled naps during the afternoon
B) Consuming high doses of caffeine throughout the day
C) Scheduling short, structured naps during the day
D) Avoiding all exercise and physical activity
C) Scheduling short, structured naps during the day. This helps manage hypersomnolence.
Which finding during a physical assessment of a pediatric patient is a primary risk
factor for pediatric Obstructive Sleep Apnea?
A) Microcephaly
B) Enlarged tonsils and adenoids
C) Undescended testicles
D) Cleft lip repair
B) Enlarged tonsils and adenoids. This is the most common pediatric risk factor.
A nurse is assessing a patient with suspected sleep deprivation. Which clinical
manifestation should the nurse expect to observe first?
A) Total disintegration of personality
B) Irritability and impaired mental abilities
