NURS 3234 Exam 3 Review Questions with Answers
(100% Correct Answers)
The nurse learns during the assessment of a client that the client has
difficulty falling asleep, wakes up early, and does not feel refreshed in
the morning. This client is most likely experiencing: Answer:
disturbed sleep pattern
A factory worker has a work schedule involving rotating work hours
between days, evenings, and nights. The client tells the nurse about
being a "morning person" and not sleeping well when working the
night shift. Which information will the nurse teach the client about
sleep hygiene? Answer: Modify the sleep environment to simulate
quiet and darkness.
A client is prescribed escitalopram, diuretics, and pseudoephedrine.
The client states, "I'm tired all the time." What does the nurse
understand may be happening to this client? Answer: Decrease in
R.E.M. sleep due to prescribed medications
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A client taking a diuretic twice daily for treatment of hypertension
reports being awakened often by a full bladder. What teaching
regarding the diuretic will the nurse provide? Answer: take it before
6pm
A maternity nurse is instructing new parents on the proper sleeping
position for their newborn child. In what position does the nurse
instruct the parents to place the infant? Answer: supine position
A client is diagnosed with narcolepsy. What is a characteristic of this
disorder? Answer: uncontrollable desire to sleep
The parents of a boy 10 years of age are worried about his
sleepwalking (somnambulism). What topic should the nurse discuss
with the parents? Answer: safety
A client's partner expresses concern to the nurse about the client's
snoring. Which assessment parameters will the nurse teach the couple
to observe for the possibility of sleep apnea? Answer: snoring with
periods of irregular silence
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,3
A nurse is caring for a client who is prescribed continuous positive
airway pressure (CPAP) for sleep apnea. Which action will the nurse
take? Answer: apply a CPAP mask while sleeping
A 62-year-old client informs the nurse that the parent has been anxious
and disoriented in the morning. The client also informs the nurse that
the parent gets up frequently to use the bathroom. Which nursing
intervention can decrease the disruption of sleep? Answer: have your
parent take diuretic medicine in the morning
A nurse at the health care facility is caring for an older adult client who
complains of sleeplessness. Which condition is a manifestation of
depression in an older client? Answer: insomnia
A nurse is caring for a client who has been diagnosed with a disturbed
sleep pattern. Which measures should the nurse implement to promote
sleep? Select all that apply. Answer: promoting daytime exercises
providing a back massage
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, 4
assisting with progressive relaxation
A nurse is caring for a client who is sleeping for abnormally long
periods of time. This condition may be caused by injury to which body
structure? Answer: hypothalamus
An 82-year-old client is newly admitted to an assisted living facility.
Which intervention promotes safety at night for the client? Answer:
using a night light in the bathroom
A nurse is caring for a client with insomnia. Which teaching will the
nurse provide to help the client improve sleep? Answer: create a
bedtime routine
Which natural chemical does the body produce at night to decrease
wakefulness and promote sleep? Answer: melatonin
What name is given to the rhythmic biologic clock that exists in
humans? Answer: circadian rhythm
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