NUR 111 UNIT 4 2026/2027 – COMPREHENSIVE STUDY GUIDE,
PRACTICE QUESTIONS & EXAM REVIEW
The nurse explains to a client and family the relationship between rest and sleep, which includes which
information? - ANS ✔✔Sleep always includes rest
A client is going to have a sleep study done and wants to know what type of tests to anticipate. Which
test should the nurse state in the response? - ANS ✔✔Electroencephalography
A nurse who works days fills in for a week for a nurse who works nights. After returning to the regular
shift, the nurse feels tired all the time and finds it difficult to fall asleep at night. Which nursing diagnosis
is most appropriate for this client? - ANS ✔✔Sleep Deprivation related to change in sleep-wake patterns
The nurse is seeing a pregnant client in the outpatient clinic. The client is complaining of not being able
to sleep well in her last trimester of pregnancy. What medical conditions are common with pregnant
women at stage of pregnancy that could impact quality sleep? - ANS ✔✔Restless leg syndrome and
gastroesophageal reflux disease
While assessing an older client, the nurse notices that the client's teeth have obvious caries and that the
client has difficulty swallowing. The client tells the nurse that the mouth feels very dry. The nurse's
primary concern is that the client could experience which health problem from these findings? - ANS
✔✔Nutritional deficit
A client who is NPO, comatose, and receiving oxygen has cracked lips, dry mucous membranes, swollen
gums, and caked mucus on the tongue and teeth. Which is the most appropriate nursing intervention for
this client? - ANS ✔✔Clean the teeth and tongue with a swab soaked with saline as needed
The nurse is seeing a 6-month-old infant and the parent in the clinic setting. The nurse is teaching the
parent about dental care for the child. What information is not appropriate for the nurse to include in
the teaching plan? - ANS ✔✔Brush teeth daily with a fluoride toothpaste
A new nursing graduate's first job requires 12-hour night shifts. Which strategy will make it easier for the
nurse to sleep during the day and remain awake at night? - ANS ✔✔Wear dark wraparound sunglasses
when driving home in the morning, and sleep in a darkened bedroom
The nurse knows that a client understands education about promoting restful sleep when the client
responds with which statement? - ANS ✔✔"I bought some flannel sheets to help me stay warm at
night."
The nurse is answering questions after a presentation on sleep at a local senior citizens' center. A client,
in the late 70s, asks for an opinion about the advisability of napping for 15 to 20 minutes each afternoon.
Which response by the nurse is most appropriate? - ANS ✔✔"Unless a person has trouble falling asleep
at night, a brief afternoon nap is fine."
, The nurse is caring for older adults with dementia in a long-term care facility. The nurse is aware that
these clients can exhibit signs of sundown syndrome in the late afternoon/early evening timeframe. The
nurse should be aware that which behavior is not a common manifestation of this syndrome? - ANS
✔✔Apathy
A nurse is participating in a community health education on the topic of nutrition. Which information
presented by the nurse about the physiological effects of marasmus is accurate? - ANS ✔✔Wasting of
subcutaneous tissue, muscle, and fat
A nurse is participating in community health education on the topic of nutrition. Which information
presented by the nurse about vitamin D deficiency in children is accurate? - ANS ✔✔It causes rickets.
The nurse is working with a pregnant woman who is considering breast feeding. The nurse would include
what piece of information in the client teaching plan? - ANS ✔✔Breastfeeding has been associated with
a reduction in the incidence of sudden infant death syndrome
The nurse is caring for older adults in a long-term care setting. The nurse is aware that which
physiological changes have the greatest impact on an older adult's nutritional status? - ANS
✔✔Xerostomia, loss of thirst sensation, and decrease in number of taste buds
A client is in the emergency department after experiencing trauma from an automobile accident. The
client lost consciousness at the scene of the accident but is now awake and alert. The nurse anticipates
that the client will make which request? - ANS ✔✔Request that the nurse notify the client's family.
The nurse is working in a busy pediatric ICU. Several of the nurses on the unit are interested, at the
request of parents, in changing the rules to allow families to be present in a code situation for their child.
The nurses are afraid to speak their minds openly because some of the doctors do not support the
change and the nurses do not want to cause hard feelings. The nurse manager suggests a meeting of all
concerned and might use which technique to help with decision making? - ANS ✔✔Have group
members present concerns and questions on paper
A client has specific cultural needs with regard to the plan of care. Where would this information be
found? - ANS ✔✔Problem list
A nurse works in a hospital that uses a charting by exception documentation system. When providing
care and performing assessments, the nurse may not address all of the sections on a client's flow sheet,
especially if the client did not require the particular care mentioned in these sections. What is the best
way for the nurse to indicate that these areas were addressed, but no care was needed? - ANS ✔✔Write
N/A on the flow sheet in the areas that are not applicable to that client
The nurse is doing teaching regarding medication administration for a client who is being discharged.
Which instruction should be rewritten for this client? - ANS ✔✔Lasix 20 mg po bid
A hospital fails to be reimbursed for care a particular client received while in the emergency department.
The client came in with chest pain, which was later diagnosed as gastric reflux. Which example is a
problem in documentation that may have caused the lack of reimbursement? - ANS ✔✔The client's
record contained an incorrect DRG
PRACTICE QUESTIONS & EXAM REVIEW
The nurse explains to a client and family the relationship between rest and sleep, which includes which
information? - ANS ✔✔Sleep always includes rest
A client is going to have a sleep study done and wants to know what type of tests to anticipate. Which
test should the nurse state in the response? - ANS ✔✔Electroencephalography
A nurse who works days fills in for a week for a nurse who works nights. After returning to the regular
shift, the nurse feels tired all the time and finds it difficult to fall asleep at night. Which nursing diagnosis
is most appropriate for this client? - ANS ✔✔Sleep Deprivation related to change in sleep-wake patterns
The nurse is seeing a pregnant client in the outpatient clinic. The client is complaining of not being able
to sleep well in her last trimester of pregnancy. What medical conditions are common with pregnant
women at stage of pregnancy that could impact quality sleep? - ANS ✔✔Restless leg syndrome and
gastroesophageal reflux disease
While assessing an older client, the nurse notices that the client's teeth have obvious caries and that the
client has difficulty swallowing. The client tells the nurse that the mouth feels very dry. The nurse's
primary concern is that the client could experience which health problem from these findings? - ANS
✔✔Nutritional deficit
A client who is NPO, comatose, and receiving oxygen has cracked lips, dry mucous membranes, swollen
gums, and caked mucus on the tongue and teeth. Which is the most appropriate nursing intervention for
this client? - ANS ✔✔Clean the teeth and tongue with a swab soaked with saline as needed
The nurse is seeing a 6-month-old infant and the parent in the clinic setting. The nurse is teaching the
parent about dental care for the child. What information is not appropriate for the nurse to include in
the teaching plan? - ANS ✔✔Brush teeth daily with a fluoride toothpaste
A new nursing graduate's first job requires 12-hour night shifts. Which strategy will make it easier for the
nurse to sleep during the day and remain awake at night? - ANS ✔✔Wear dark wraparound sunglasses
when driving home in the morning, and sleep in a darkened bedroom
The nurse knows that a client understands education about promoting restful sleep when the client
responds with which statement? - ANS ✔✔"I bought some flannel sheets to help me stay warm at
night."
The nurse is answering questions after a presentation on sleep at a local senior citizens' center. A client,
in the late 70s, asks for an opinion about the advisability of napping for 15 to 20 minutes each afternoon.
Which response by the nurse is most appropriate? - ANS ✔✔"Unless a person has trouble falling asleep
at night, a brief afternoon nap is fine."
, The nurse is caring for older adults with dementia in a long-term care facility. The nurse is aware that
these clients can exhibit signs of sundown syndrome in the late afternoon/early evening timeframe. The
nurse should be aware that which behavior is not a common manifestation of this syndrome? - ANS
✔✔Apathy
A nurse is participating in a community health education on the topic of nutrition. Which information
presented by the nurse about the physiological effects of marasmus is accurate? - ANS ✔✔Wasting of
subcutaneous tissue, muscle, and fat
A nurse is participating in community health education on the topic of nutrition. Which information
presented by the nurse about vitamin D deficiency in children is accurate? - ANS ✔✔It causes rickets.
The nurse is working with a pregnant woman who is considering breast feeding. The nurse would include
what piece of information in the client teaching plan? - ANS ✔✔Breastfeeding has been associated with
a reduction in the incidence of sudden infant death syndrome
The nurse is caring for older adults in a long-term care setting. The nurse is aware that which
physiological changes have the greatest impact on an older adult's nutritional status? - ANS
✔✔Xerostomia, loss of thirst sensation, and decrease in number of taste buds
A client is in the emergency department after experiencing trauma from an automobile accident. The
client lost consciousness at the scene of the accident but is now awake and alert. The nurse anticipates
that the client will make which request? - ANS ✔✔Request that the nurse notify the client's family.
The nurse is working in a busy pediatric ICU. Several of the nurses on the unit are interested, at the
request of parents, in changing the rules to allow families to be present in a code situation for their child.
The nurses are afraid to speak their minds openly because some of the doctors do not support the
change and the nurses do not want to cause hard feelings. The nurse manager suggests a meeting of all
concerned and might use which technique to help with decision making? - ANS ✔✔Have group
members present concerns and questions on paper
A client has specific cultural needs with regard to the plan of care. Where would this information be
found? - ANS ✔✔Problem list
A nurse works in a hospital that uses a charting by exception documentation system. When providing
care and performing assessments, the nurse may not address all of the sections on a client's flow sheet,
especially if the client did not require the particular care mentioned in these sections. What is the best
way for the nurse to indicate that these areas were addressed, but no care was needed? - ANS ✔✔Write
N/A on the flow sheet in the areas that are not applicable to that client
The nurse is doing teaching regarding medication administration for a client who is being discharged.
Which instruction should be rewritten for this client? - ANS ✔✔Lasix 20 mg po bid
A hospital fails to be reimbursed for care a particular client received while in the emergency department.
The client came in with chest pain, which was later diagnosed as gastric reflux. Which example is a
problem in documentation that may have caused the lack of reimbursement? - ANS ✔✔The client's
record contained an incorrect DRG
