NURS6540 FINAL TEST PAPER 2026 FULL
QUESTIONS AND SOLUTIONS VERIFIED A+
◉ A nurse is reviewing the plan of care for a client who was
admitted with insomnia and recent weight gain. Which of the
following is a benefit of increased sleep that could help prevent
further weight gain for the client?
a. Increased ghrelin production
b. Increased leptin production
c. Decreased hypocretin levels
d. Decreased melatonin levels. Answer: b. Increased leptin
production
-Sleep helps to prevent weight gain by increasing the production of
leptin, the hunger-reducing hormone.
◉ A nurse is caring for a client who needs to be awakened for the
administration of an oral medication. Which of the following
findings should indicate to the nurse that the client was in stage 3 of
the sleep cycle when awakened?
a. The client was easily awakened.
, b. The client states that they were having a pleasant dream.
c. The client experiences mental cloudiness for 30-60 min.
d. Prior to being awakened, the client's breathing was irregular, and
their heartrate was elevated.. Answer: c. The client experiences
mental cloudiness for 30-60 min.
-Stage 3 of the sleep cycle is the deepest stage of sleep in which
muscle, tissue, and bones regenerate and the immune system
strengthens. If a client is awakened during stage 3 of the sleep cycle,
the nurse should expect the client to experience mental cloudiness
for 30 to 60 min.
◉ A nurse is caring for a client who works overnight shifts. The
nurse should identify that individuals who perform shift work are at
an increased risk for developing which of the following conditions?
a. Diabetes mellitus
b. Central sleep apnea
c. Hypersomnia
d. Restless leg syndrome. Answer: a. Diabetes mellitus
-Individuals who perform shift work are at an increased risk for
developing health conditions, including diabetes mellitus, obesity,
and cardiovascular disease.
QUESTIONS AND SOLUTIONS VERIFIED A+
◉ A nurse is reviewing the plan of care for a client who was
admitted with insomnia and recent weight gain. Which of the
following is a benefit of increased sleep that could help prevent
further weight gain for the client?
a. Increased ghrelin production
b. Increased leptin production
c. Decreased hypocretin levels
d. Decreased melatonin levels. Answer: b. Increased leptin
production
-Sleep helps to prevent weight gain by increasing the production of
leptin, the hunger-reducing hormone.
◉ A nurse is caring for a client who needs to be awakened for the
administration of an oral medication. Which of the following
findings should indicate to the nurse that the client was in stage 3 of
the sleep cycle when awakened?
a. The client was easily awakened.
, b. The client states that they were having a pleasant dream.
c. The client experiences mental cloudiness for 30-60 min.
d. Prior to being awakened, the client's breathing was irregular, and
their heartrate was elevated.. Answer: c. The client experiences
mental cloudiness for 30-60 min.
-Stage 3 of the sleep cycle is the deepest stage of sleep in which
muscle, tissue, and bones regenerate and the immune system
strengthens. If a client is awakened during stage 3 of the sleep cycle,
the nurse should expect the client to experience mental cloudiness
for 30 to 60 min.
◉ A nurse is caring for a client who works overnight shifts. The
nurse should identify that individuals who perform shift work are at
an increased risk for developing which of the following conditions?
a. Diabetes mellitus
b. Central sleep apnea
c. Hypersomnia
d. Restless leg syndrome. Answer: a. Diabetes mellitus
-Individuals who perform shift work are at an increased risk for
developing health conditions, including diabetes mellitus, obesity,
and cardiovascular disease.
