NURSING 125, EXAM #3 UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
Question:
The nurse is assessing the sleep patterns of a client who has not been sleeping
well, leading to fatigue and frustration. How could the nurse best evaluate the
situation?
Answer:
Have the client keep a sleep diary
Question:
A nurse works three 12-hour shifts each week from 7 p.m. to 7 a.m. He finds
that during his days off he wants to sleep all day, then he's up most of the
night. What could improve his sleeping pattern? Select all that apply.
Answer:
Develop a regular sleep routine, sleeping in a dark room
Question:
The client's spouse is concerned about the fatigue her husband is experiencing
from inadequate sleep. What are some complications that can occur? Select all
that apply.
Answer:
decreased activity, poor coping skills, falls, decreased mental focus
Question:
Tom, an 84-year-old with arthritis and lung disease, takes a diuretic twice a
day to remove the fluid from his lungs. He lives alone and wonders what will
become of his cat once he's gone. What factors can impact his sleep? Select all
that apply.
Answer:
old age, anxiety, frequent urination, pain, difficulty breathing
Question:
A client who has just changed to working third shift is concerned about getting
enough sleep. What is the probable cause for this?
Answer:
Interrupted circadian rhythm Stress-related insomnia Asynchronous sleeping
habits Insufficient melatonin production
Question:
Which is the restful phase of sleep in which physiological function is slow?
Answer:
NREM (characterized by delta waves; the non rapid eye movement stage is
typically the restful phase of sleep where physiological function slows) REM
RAS CSA
Question:
In which sleep stage would a client's EEG show beta waves?
, Answer:
Drowsy stage In periods of wakefulness Earlier phase of NREM When
transitioning to deep sleep
Question:
What is the hormone that naturally controls sleep?
Answer:
Melatonin L-tryptophan Progesterone Testosterone
Question:
How many hours of sleep per day does a newborn need?
Answer:
16 to 20 10 to 11 8 to 9 7 to 8
Question:
A 38-year-old client is asking for medication for trouble falling asleep and
staying asleep. The client also feels groggy and unrested during the day. What
should the nurse assess for as
possible etiologies? Select all that apply.
Answer:
Watching TV while in bed Sleeping with smart phone nearby Caffeine
consumption Current medications Exercise/activities (other issues can
override activity level)
Question:
A nurse caring for a client with peripheral neuropathy secondary to
uncontrolled diabetes suggests acupuncture because the client has trouble
sleeping and is showing signs of daytime drowsiness, irritability, and
restlessness. The client does not want to take medication for pain but is willing
to try alternative therapies. What component of the PICOT model addresses
acupuncture in this situation?
Answer:
P I (intervention)
COT
Question:
What priority nursing intervention does the nurse incorporate into a plan of
care to promote sleep for a hospitalized client?
Answer:
Schedule nursing care to avoid interrupting sleep. Promote good body
alignment to facilitate relaxation. Control the temperature of the room and
provide good ventilation. Offer cool cloths or a back massage.
Question:
A client who has depression with secondary insomnia is requesting "some
kind of relief" to improve his or her quality of life. What type of medication
would most likely be prescribed for this client?
Answer:
Tricyclic antidepressant (pg 914) Selective melatonin agonist Benzodiazepine
Barbiturate
, Question:
When educating student nurses on self-care and sleep hygiene,
what information should be included? Select all that apply.
Answer:
Fatigue can cause impaired judgment and decision making. If possible, take
frequent breaks (e.g., every 1 to 2 hours)
during the night shift. Be smart about your caffeine use. Use breaks and lunch
hours for exercise and cardio activity. Plan rest days in between consecutive
work days.
Question:
When assessing a client for sleep disturbances, what is an appropriate
question to address the sleeping environment?
Answer:
What room temperature do you prefer? Do you have a regular sleep schedule?
What do you do to help you fall asleep? Do you sleepwalk?
Question:
The physician wants to monitor a client who has been having difficulty falling
and staying asleep and feels unrested during the day. What intervention could
be used to do this?
Answer:
Have the client complete a sleep diary for 14 days. Plan, implement, and
evaluate nursing care related to the specific nursing diagnoses addressing
sleep problems. Have the client remain in the hospital to undergo sleep
studies. Work with the client to establish goals and outcomes regarding sleep
hygiene (goals and outcomes should be established to improve sleep patterns
based on the intervention)
Question:
What situation can influence how a person experiences health and illness?
Select all that apply
-Being in a caring, nurturing relationship. -Being dissatisfied with current job.
-Sleeping 6-7 hours each night. -Being a vegetarian.
-Having a father that died of a heart attack at a young age.
Answer:
-Being in a caring, nurturing relationship. -Being dissatisfied with current job.
-Sleeping 6-7 hours each night. -Being a vegetarian. -Having a father that died
of a heart attack at a young age.
Question:
Which statements best explain how health is measured on a continuum scale?
Select all that apply.
-Physical and emotional aspects of health are equally important. -Health is
dependent upon the ability to be interactive with others. -Health is constant
and rarely fluctuates. -The higher the measurement is, the better one's health
is. -Chronic illness can be in a state of health.
Answer:
-Physical and emotional aspects of health are equally important. -Chronic
illness can be in a state of health.
AND CORRECT ANSWERS
Question:
The nurse is assessing the sleep patterns of a client who has not been sleeping
well, leading to fatigue and frustration. How could the nurse best evaluate the
situation?
Answer:
Have the client keep a sleep diary
Question:
A nurse works three 12-hour shifts each week from 7 p.m. to 7 a.m. He finds
that during his days off he wants to sleep all day, then he's up most of the
night. What could improve his sleeping pattern? Select all that apply.
Answer:
Develop a regular sleep routine, sleeping in a dark room
Question:
The client's spouse is concerned about the fatigue her husband is experiencing
from inadequate sleep. What are some complications that can occur? Select all
that apply.
Answer:
decreased activity, poor coping skills, falls, decreased mental focus
Question:
Tom, an 84-year-old with arthritis and lung disease, takes a diuretic twice a
day to remove the fluid from his lungs. He lives alone and wonders what will
become of his cat once he's gone. What factors can impact his sleep? Select all
that apply.
Answer:
old age, anxiety, frequent urination, pain, difficulty breathing
Question:
A client who has just changed to working third shift is concerned about getting
enough sleep. What is the probable cause for this?
Answer:
Interrupted circadian rhythm Stress-related insomnia Asynchronous sleeping
habits Insufficient melatonin production
Question:
Which is the restful phase of sleep in which physiological function is slow?
Answer:
NREM (characterized by delta waves; the non rapid eye movement stage is
typically the restful phase of sleep where physiological function slows) REM
RAS CSA
Question:
In which sleep stage would a client's EEG show beta waves?
, Answer:
Drowsy stage In periods of wakefulness Earlier phase of NREM When
transitioning to deep sleep
Question:
What is the hormone that naturally controls sleep?
Answer:
Melatonin L-tryptophan Progesterone Testosterone
Question:
How many hours of sleep per day does a newborn need?
Answer:
16 to 20 10 to 11 8 to 9 7 to 8
Question:
A 38-year-old client is asking for medication for trouble falling asleep and
staying asleep. The client also feels groggy and unrested during the day. What
should the nurse assess for as
possible etiologies? Select all that apply.
Answer:
Watching TV while in bed Sleeping with smart phone nearby Caffeine
consumption Current medications Exercise/activities (other issues can
override activity level)
Question:
A nurse caring for a client with peripheral neuropathy secondary to
uncontrolled diabetes suggests acupuncture because the client has trouble
sleeping and is showing signs of daytime drowsiness, irritability, and
restlessness. The client does not want to take medication for pain but is willing
to try alternative therapies. What component of the PICOT model addresses
acupuncture in this situation?
Answer:
P I (intervention)
COT
Question:
What priority nursing intervention does the nurse incorporate into a plan of
care to promote sleep for a hospitalized client?
Answer:
Schedule nursing care to avoid interrupting sleep. Promote good body
alignment to facilitate relaxation. Control the temperature of the room and
provide good ventilation. Offer cool cloths or a back massage.
Question:
A client who has depression with secondary insomnia is requesting "some
kind of relief" to improve his or her quality of life. What type of medication
would most likely be prescribed for this client?
Answer:
Tricyclic antidepressant (pg 914) Selective melatonin agonist Benzodiazepine
Barbiturate
, Question:
When educating student nurses on self-care and sleep hygiene,
what information should be included? Select all that apply.
Answer:
Fatigue can cause impaired judgment and decision making. If possible, take
frequent breaks (e.g., every 1 to 2 hours)
during the night shift. Be smart about your caffeine use. Use breaks and lunch
hours for exercise and cardio activity. Plan rest days in between consecutive
work days.
Question:
When assessing a client for sleep disturbances, what is an appropriate
question to address the sleeping environment?
Answer:
What room temperature do you prefer? Do you have a regular sleep schedule?
What do you do to help you fall asleep? Do you sleepwalk?
Question:
The physician wants to monitor a client who has been having difficulty falling
and staying asleep and feels unrested during the day. What intervention could
be used to do this?
Answer:
Have the client complete a sleep diary for 14 days. Plan, implement, and
evaluate nursing care related to the specific nursing diagnoses addressing
sleep problems. Have the client remain in the hospital to undergo sleep
studies. Work with the client to establish goals and outcomes regarding sleep
hygiene (goals and outcomes should be established to improve sleep patterns
based on the intervention)
Question:
What situation can influence how a person experiences health and illness?
Select all that apply
-Being in a caring, nurturing relationship. -Being dissatisfied with current job.
-Sleeping 6-7 hours each night. -Being a vegetarian.
-Having a father that died of a heart attack at a young age.
Answer:
-Being in a caring, nurturing relationship. -Being dissatisfied with current job.
-Sleeping 6-7 hours each night. -Being a vegetarian. -Having a father that died
of a heart attack at a young age.
Question:
Which statements best explain how health is measured on a continuum scale?
Select all that apply.
-Physical and emotional aspects of health are equally important. -Health is
dependent upon the ability to be interactive with others. -Health is constant
and rarely fluctuates. -The higher the measurement is, the better one's health
is. -Chronic illness can be in a state of health.
Answer:
-Physical and emotional aspects of health are equally important. -Chronic
illness can be in a state of health.
