Advanced Nursing Sleep Physiology, Sleep Hygiene, Sleep Disorders, Insomnia,
Narcolepsy, Obstructive Sleep Apnea, CPAP Therapy, Circadian Rhythm,
Melatonin Regulation, REM Sleep, NREM Sleep Stages, Stage 1 Sleep, Stage 2
Sleep, Stage 3 Deep Sleep, Stage 4 Deep Sleep, Sleepwalking, Enuresis,
Parasomnias, Dyssomnias, Restless Leg Syndrome, Sleep Deprivation,
Benzodiazepine Sedatives, Modafinil Therapy, Desipramine Treatment, Sleep
Assessment, SBAR Communication, Hospital Sleep Interventions, Sleep Hygiene
Education, Infant Safe Sleep Practices, Elderly Sleep Changes, Stimulants and
Sleep Disruption, Alcohol Effects on REM Sleep, Pain and Sleep Disturbance,
Nursing Sleep Care Plans, Evidence-Based Sleep Management Exam Questions
Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026
The nurse incorporates which priority nursing intervention into a plan of care to promote sleep for a
hospitalized patient?
A. Have patient follow hospital routines.
B. Avoid waking patient for nonessential tasks.
C. Give prescribed sleeping medications at dinner.
D. Turn television on low to late-night programming.
B. Avoid waking patient for nonessential tasks.
A 72-year-old patient asks the nurse about using an over-the-counter antihistamine as a sleeping pill to
help her get to sleep. What is the nurse's best response?
A."Antihistamines are better than prescription medications because these can cause a lot of problems."
B. "Antihistamines should not be used because they can cause confusion and increase your risk of falls."
,C. "Antihistamines are effective sleep aids because they do not have many side effects."
D. "Over-the-counter medications when combined with sleep-hygiene measures are a good plan for
sleep."
B. "Antihistamines should not be used because they can cause confusion and increase your risk of falls."
(Older adults should avoid the use of over-the-counter antihistamines. These medications have a long
duration of action in older adults and can cause confusion, constipation, urinary retention, and
increased risk of falls.)
The patient reports episodes of sleepwalking to the nurse. Through understanding of the sleep cycle, the
nurse recognizes that sleepwalking occurs during which sleep phase?
A. Rapid eye movement (REM) sleep
B. Stage 1 non rapid eye movement (NREM) sleep
C. Stage 4 NREM sleep.
D. Transition period from NREM to REM sleep
C. Stage 4 NREM sleep
Stage 4 NREM sleep is the deepest stage of sleep.
It is difficult to rouse the sleeper in this stage. During this stage sleepwalking and enuresis (bed-wetting)
sometimes occur.
, The nurse is administering a benzodiazepine sleep aid to an older adult. What should be the priority
assessment for the patient?
A. Incontinence
B. Nausea and vomiting
C. Bradycardia
D. Respiratory depression.
D. Respiratory depression.
Benzodiazepines in older adults should be used on a short-term, limited basis. Respiratory depression is
an adverse effect of benzodiazepines in older adults. Other adverse effects for which to assess include
next-day sedation, amnesia, rebound insomnia, and impaired motor functioning and coordination.
Which statement made by a mother being discharged to home with her newborn infant indicates that
she understands the discharge teaching related to best sleep practices?
A. "I'll give the baby a bottle to help her fall asleep."
B. "We'll place the baby on her back to sleep."
C. "We put the baby's stuffed animals in the crib to make her feel safe."
D. "I know the baby will not need to be fed until morning."
B. "We'll place the baby on her back to sleep."
Narcolepsy, Obstructive Sleep Apnea, CPAP Therapy, Circadian Rhythm,
Melatonin Regulation, REM Sleep, NREM Sleep Stages, Stage 1 Sleep, Stage 2
Sleep, Stage 3 Deep Sleep, Stage 4 Deep Sleep, Sleepwalking, Enuresis,
Parasomnias, Dyssomnias, Restless Leg Syndrome, Sleep Deprivation,
Benzodiazepine Sedatives, Modafinil Therapy, Desipramine Treatment, Sleep
Assessment, SBAR Communication, Hospital Sleep Interventions, Sleep Hygiene
Education, Infant Safe Sleep Practices, Elderly Sleep Changes, Stimulants and
Sleep Disruption, Alcohol Effects on REM Sleep, Pain and Sleep Disturbance,
Nursing Sleep Care Plans, Evidence-Based Sleep Management Exam Questions
Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026
The nurse incorporates which priority nursing intervention into a plan of care to promote sleep for a
hospitalized patient?
A. Have patient follow hospital routines.
B. Avoid waking patient for nonessential tasks.
C. Give prescribed sleeping medications at dinner.
D. Turn television on low to late-night programming.
B. Avoid waking patient for nonessential tasks.
A 72-year-old patient asks the nurse about using an over-the-counter antihistamine as a sleeping pill to
help her get to sleep. What is the nurse's best response?
A."Antihistamines are better than prescription medications because these can cause a lot of problems."
B. "Antihistamines should not be used because they can cause confusion and increase your risk of falls."
,C. "Antihistamines are effective sleep aids because they do not have many side effects."
D. "Over-the-counter medications when combined with sleep-hygiene measures are a good plan for
sleep."
B. "Antihistamines should not be used because they can cause confusion and increase your risk of falls."
(Older adults should avoid the use of over-the-counter antihistamines. These medications have a long
duration of action in older adults and can cause confusion, constipation, urinary retention, and
increased risk of falls.)
The patient reports episodes of sleepwalking to the nurse. Through understanding of the sleep cycle, the
nurse recognizes that sleepwalking occurs during which sleep phase?
A. Rapid eye movement (REM) sleep
B. Stage 1 non rapid eye movement (NREM) sleep
C. Stage 4 NREM sleep.
D. Transition period from NREM to REM sleep
C. Stage 4 NREM sleep
Stage 4 NREM sleep is the deepest stage of sleep.
It is difficult to rouse the sleeper in this stage. During this stage sleepwalking and enuresis (bed-wetting)
sometimes occur.
, The nurse is administering a benzodiazepine sleep aid to an older adult. What should be the priority
assessment for the patient?
A. Incontinence
B. Nausea and vomiting
C. Bradycardia
D. Respiratory depression.
D. Respiratory depression.
Benzodiazepines in older adults should be used on a short-term, limited basis. Respiratory depression is
an adverse effect of benzodiazepines in older adults. Other adverse effects for which to assess include
next-day sedation, amnesia, rebound insomnia, and impaired motor functioning and coordination.
Which statement made by a mother being discharged to home with her newborn infant indicates that
she understands the discharge teaching related to best sleep practices?
A. "I'll give the baby a bottle to help her fall asleep."
B. "We'll place the baby on her back to sleep."
C. "We put the baby's stuffed animals in the crib to make her feel safe."
D. "I know the baby will not need to be fed until morning."
B. "We'll place the baby on her back to sleep."
