MULTIDIMENSIONAL CARE III FINAL 2026 TEST
PAPER SOLVED QUESTIONS AND SOLUTIONS
◉ A nurse is caring for a client who has a history of migraines. The
client tells the nurse, "I have not been sleeping well. My migraine
headaches have returned after not having one for over a year." The
nurse should identify that which of the following are potential
contributing factors to the client's migraines? Select all that apply.
a. Sleep-wake homeostasis
b. Sensory overload
c. Sleep deprivation
d. Increased melatonin
e. Decreased hypocretin levels. Answer: b. Sensory overload
c. Sleep deprivation
◉ A nurse is assessing a client who reports difficulty staying awake
during the day and experiencing involuntary episodes of lost muscle
tone. The nurse should identify that these are manifestations of
which of the following conditions?
a. Hypersomnia
b. Narcolepsy (NT2)
, c. Narcolepsy (NT1)
d. Insomnia. Answer: c. Narcolepsy (NT1)
-The nurse should identify that the client is exhibiting
manifestations of narcolepsy (NT1). Narcolepsy (NT1) is a chronic
sleep condition that is characterized by sudden sleepiness and
sudden periods of sleep accompanied by cataplexy, or episodes of
involuntary loss of muscle tone brought on by strong emotions, such
as laughter. Clients who have narcolepsy (NT1) with cataplexy lack
hypocretin in their central nervous system. Clients who have both
NT1 and NT2 narcolepsy might experience nocturnal hallucinations,
paralysis while asleep, and vivid dreams.
◉ 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
PAPER SOLVED QUESTIONS AND SOLUTIONS
◉ A nurse is caring for a client who has a history of migraines. The
client tells the nurse, "I have not been sleeping well. My migraine
headaches have returned after not having one for over a year." The
nurse should identify that which of the following are potential
contributing factors to the client's migraines? Select all that apply.
a. Sleep-wake homeostasis
b. Sensory overload
c. Sleep deprivation
d. Increased melatonin
e. Decreased hypocretin levels. Answer: b. Sensory overload
c. Sleep deprivation
◉ A nurse is assessing a client who reports difficulty staying awake
during the day and experiencing involuntary episodes of lost muscle
tone. The nurse should identify that these are manifestations of
which of the following conditions?
a. Hypersomnia
b. Narcolepsy (NT2)
, c. Narcolepsy (NT1)
d. Insomnia. Answer: c. Narcolepsy (NT1)
-The nurse should identify that the client is exhibiting
manifestations of narcolepsy (NT1). Narcolepsy (NT1) is a chronic
sleep condition that is characterized by sudden sleepiness and
sudden periods of sleep accompanied by cataplexy, or episodes of
involuntary loss of muscle tone brought on by strong emotions, such
as laughter. Clients who have narcolepsy (NT1) with cataplexy lack
hypocretin in their central nervous system. Clients who have both
NT1 and NT2 narcolepsy might experience nocturnal hallucinations,
paralysis while asleep, and vivid dreams.
◉ 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
