Fundamentals: Patient Care Exam 2
Test Review (NR226) Question and
answers already passed 2025/2026
What are some of the factors affecting sleep? - correct answer ✔-Drugs/substances
-Lifestyle (night shift, studying at night)
-Usual sleep patterns (average sleep amount in US has decreased in last century)
-Emotional stress
-Environment
-Exercise/fatigue
-Food/caloric intake
Sleep apnea risk factors - correct answer ✔-obesity
-neck circumference (thicker necks = narrower airways, which is also a risk factor)
-being male
-fam history
-being older
-use of alcohol, sedatives, tranquilizers, smoking
Sleep apnea safety concerns - correct answer ✔-Hypertension
-Stroke
-Heart failure
-Arrhythmias, MI
-Diabetes
-Depression
,-Worsening of ADHD/headaches
Narcolepsy safety concerns - correct answer ✔-causes about 25% of all motor accidents in US
-increased risk for anxiety/depression
-heightened risk for sleep walking
-lowers quality of life and heightens risk for work related injury
Interventions that promote sleep - correct answer ✔-*Environmental Controls*: comfortable room
temp/ventilation, minimal noise,
-*sleep-wake pattern*
-maintain reg bedtime/wake schedule
-eliminate naps/limit them to 20 min
-go to bed when sleepy
*Medications*
-only use sedatives/hypnotics as a last resort
-adjust meds being taken for other things
*Diet*
-limit alcohol, caffeine/nicotine late in day
-consume carbs/milk b4 bed
-decrease fluids 2-4 hrs before
How can sleep apnea be reduced - correct answer ✔*CPAP*: (continuous positive airway pressure)
machine works by blowing air into the throat via a mask, subtly increasing air pressure in the throat and
preventing the airway from narrowing.
-supplemental O2
-Adaptive servo-ventilation (ASV)
, The client's sleep-wake cycle preference is late evening. could be normal - correct answer ✔I don't
know what this question is asking really but yes. If that is the case, adjust care to suit patient's sleep
preference (schedule meals, medications around the times that he would like and apply the above
sleep-promoting interventions)
What should a client avoid with narcolepsy? - correct answer ✔client with narcolepsy should avoid
factors that increase drowsiness such as:
Alcohol
Heavy meals
Exhausting activities
Long-distance driving
Long periods of sitting in hot, stuffy rooms
S/S sleep deprivation - correct answer ✔Irritability
Fatigue
Mood changes
Difficulty focusing and remembering
REduced sex drive
Nursing interventions for sleep disturbances - correct answer ✔-Elevate head of bed and provide extra
pillows as preferred
-Use analgesics 30 minutes before bedtime as needed to promote comfort
-Adhere to patient's preferred sleep schedule and stick to wake-up and sleep times
-Instruct patient to avoid caffeine/nicotine before bed
-Limit food/drink before bed to decrease chances of nocturia
Test Review (NR226) Question and
answers already passed 2025/2026
What are some of the factors affecting sleep? - correct answer ✔-Drugs/substances
-Lifestyle (night shift, studying at night)
-Usual sleep patterns (average sleep amount in US has decreased in last century)
-Emotional stress
-Environment
-Exercise/fatigue
-Food/caloric intake
Sleep apnea risk factors - correct answer ✔-obesity
-neck circumference (thicker necks = narrower airways, which is also a risk factor)
-being male
-fam history
-being older
-use of alcohol, sedatives, tranquilizers, smoking
Sleep apnea safety concerns - correct answer ✔-Hypertension
-Stroke
-Heart failure
-Arrhythmias, MI
-Diabetes
-Depression
,-Worsening of ADHD/headaches
Narcolepsy safety concerns - correct answer ✔-causes about 25% of all motor accidents in US
-increased risk for anxiety/depression
-heightened risk for sleep walking
-lowers quality of life and heightens risk for work related injury
Interventions that promote sleep - correct answer ✔-*Environmental Controls*: comfortable room
temp/ventilation, minimal noise,
-*sleep-wake pattern*
-maintain reg bedtime/wake schedule
-eliminate naps/limit them to 20 min
-go to bed when sleepy
*Medications*
-only use sedatives/hypnotics as a last resort
-adjust meds being taken for other things
*Diet*
-limit alcohol, caffeine/nicotine late in day
-consume carbs/milk b4 bed
-decrease fluids 2-4 hrs before
How can sleep apnea be reduced - correct answer ✔*CPAP*: (continuous positive airway pressure)
machine works by blowing air into the throat via a mask, subtly increasing air pressure in the throat and
preventing the airway from narrowing.
-supplemental O2
-Adaptive servo-ventilation (ASV)
, The client's sleep-wake cycle preference is late evening. could be normal - correct answer ✔I don't
know what this question is asking really but yes. If that is the case, adjust care to suit patient's sleep
preference (schedule meals, medications around the times that he would like and apply the above
sleep-promoting interventions)
What should a client avoid with narcolepsy? - correct answer ✔client with narcolepsy should avoid
factors that increase drowsiness such as:
Alcohol
Heavy meals
Exhausting activities
Long-distance driving
Long periods of sitting in hot, stuffy rooms
S/S sleep deprivation - correct answer ✔Irritability
Fatigue
Mood changes
Difficulty focusing and remembering
REduced sex drive
Nursing interventions for sleep disturbances - correct answer ✔-Elevate head of bed and provide extra
pillows as preferred
-Use analgesics 30 minutes before bedtime as needed to promote comfort
-Adhere to patient's preferred sleep schedule and stick to wake-up and sleep times
-Instruct patient to avoid caffeine/nicotine before bed
-Limit food/drink before bed to decrease chances of nocturia
