ATI: RN Comfort, Rest, and Sleep Assessment 2.0 Test Questions
and Answers Rated A
A nurse is caring for a client who has a new b. Melatonin
prescription for a nonbenzodiazepine hypnotic to c. Estrogen
promote sleep. For which of the following d. Insulin - ANSWERS - a. Hypocretin
adverse effects should the nurse monitor the
client? -Hypocretin is a hormone produced in the
hypothalamus and is responsible for maintaining
a. Retrograde amnesia alertness. Narcolepsy (NT1) with cataplexy is
b. Urinary discomfort caused by a lack of hypocretin.
c. Dry mouth
d. Hallucinations - ANSWERS - d.
Hallucinations A nurse is teaching a newly licensed nurse about
the development of dreams. The nurse should
-The nurse should monitor the client for include that which of the following areas of the
hallucinations, which can be an adverse effect of brain transmits the sensory data that is used to
nonbenzodiazepine hypnotics. develop dreams?
a. Hypothalamus
A nurse is contributing to a presentation about b. Thalamus
hypersomnia. Which of the following information c. Cerebral cortex
should the nurse recommend including in the d. Pineal gland - ANSWERS - b. Thalamus
presentation?
-The nurse should include that the thalamus
a. Hypersomnia does not improve with increased transmits images, sounds, and sensations to the
sleep. cerebral cortex, which are used to develop
b. Hypersomnia is associated with a disturbed dreams during rapid eye movement (REM) sleep.
circadian rhythm.
c. Clients who experience hypersomnia have a
longer attention span. A client is caring for a client who takes OTC
d. Clients who experience hypersomnia lack the sleep aid medication every evening. Which of the
hormone hypocretin. - ANSWERS - a. following findings should the nurse identify as a
Hypersomnia does not improve with increased potential adverse effect of OTC sleep aid
sleep. medications?
-The nurse should recommend including that a. Hyperactivity
hypersomnia is characterized by excessive b. Diarrhea
daytime fatigue that does not improve if the client c. Excessive salivation
receives additional sleep. d. Urinary retention - ANSWERS - d.
Urinary retention
A nurse is caring for a client who has narcolepsy -The nurse should identify that OTC sleep aid
(NT1) with cataplexy. The nurse should identify medications can cause urinary retention, as well
that this condition is caused by a lack of which of as daytime drowsiness, dry mouth, visual
the following hormones? disturbances, and constipation.
a. Hypocretin
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, ATI: RN Comfort, Rest, and Sleep Assessment 2.0 Test Questions
and Answers Rated A
A nurse is caring for an older adult client who nurses to go to bed when tired, and to get out of
reports that they wake up frequently during the bed if sleep does not occur within 20 min. Getting
night. The nurse should identify that which of the out of the bed and reading a book or listening to
following is a characteristic of older adult sleep soft music can help promote relaxation and
patterns that might explain the client's frequent sleep.
awakenings?
a. Older adults tend to spend more time in stage A nurse is caring for a client who has a history of
4 sleep. migraines. The client tells the nurse, "I have not
b. Older adults tend to spend more time in stage been sleeping well. My migraine headaches have
3 sleep. returned after not having one for over a year."
c. Older adults tend to spend less time in stage 1 The nurse should identify that which of the
sleep. following are potential contributing factors to the
d. Older adults tend to spend more time in stage client's migraines? Select all that apply.
2 sleep. - ANSWERS - d. Older adults tend
to spend more time in stage 2 sleep. a. Sleep-wake homeostasis
b. Sensory overload
-Older adults tend to spend more time in stage 2 c. Sleep deprivation
sleep compared to adults. Stage 2 is a lighter d. Increased melatonin
stage of sleep than stages 3 and 4. This can e. Decreased hypocretin levels -
contribute to the client's frequent awakenings ANSWERS - b. Sensory overload
because environmental factors, such as noise, c. Sleep deprivation
are more likely to rouse someone who is in stage
2 sleep.
A nurse is assessing a client who reports
difficulty staying awake during the day and
An employee health nurse is providing teaching experiencing involuntary episodes of lost muscle
about sleep promotion to a group of newly tone. The nurse should identify that these are
licensed nurses. Which of the following manifestations of which of the following
statements should the nurse include? conditions?
a. "Taking a cool shower before bedtime can a. Hypersomnia
help with sleep." b. Narcolepsy (NT2)
b. "If you do not fall asleep within 20 minutes of c. Narcolepsy (NT1)
lying down, go to another room and listen to soft d. Insomnia - ANSWERS - c. Narcolepsy
music." (NT1)
c. "To promote nighttime sleep, limit daytime
naps to 1 hr." -The nurse should identify that the client is
d. "Exercising 1 hr before bedtime can help exhibiting manifestations of narcolepsy (NT1).
promote relaxation and sleep." - Narcolepsy (NT1) is a chronic sleep condition
ANSWERS - b. "If you do not fall asleep that is characterized by sudden sleepiness and
within 20 minutes of lying down, go to another sudden periods of sleep accompanied by
room and listen to soft music." cataplexy, or episodes of involuntary loss of
muscle tone brought on by strong emotions, such
-The nurse should instruct the newly licensed as laughter. Clients who have narcolepsy (NT1)
2/6
and Answers Rated A
A nurse is caring for a client who has a new b. Melatonin
prescription for a nonbenzodiazepine hypnotic to c. Estrogen
promote sleep. For which of the following d. Insulin - ANSWERS - a. Hypocretin
adverse effects should the nurse monitor the
client? -Hypocretin is a hormone produced in the
hypothalamus and is responsible for maintaining
a. Retrograde amnesia alertness. Narcolepsy (NT1) with cataplexy is
b. Urinary discomfort caused by a lack of hypocretin.
c. Dry mouth
d. Hallucinations - ANSWERS - d.
Hallucinations A nurse is teaching a newly licensed nurse about
the development of dreams. The nurse should
-The nurse should monitor the client for include that which of the following areas of the
hallucinations, which can be an adverse effect of brain transmits the sensory data that is used to
nonbenzodiazepine hypnotics. develop dreams?
a. Hypothalamus
A nurse is contributing to a presentation about b. Thalamus
hypersomnia. Which of the following information c. Cerebral cortex
should the nurse recommend including in the d. Pineal gland - ANSWERS - b. Thalamus
presentation?
-The nurse should include that the thalamus
a. Hypersomnia does not improve with increased transmits images, sounds, and sensations to the
sleep. cerebral cortex, which are used to develop
b. Hypersomnia is associated with a disturbed dreams during rapid eye movement (REM) sleep.
circadian rhythm.
c. Clients who experience hypersomnia have a
longer attention span. A client is caring for a client who takes OTC
d. Clients who experience hypersomnia lack the sleep aid medication every evening. Which of the
hormone hypocretin. - ANSWERS - a. following findings should the nurse identify as a
Hypersomnia does not improve with increased potential adverse effect of OTC sleep aid
sleep. medications?
-The nurse should recommend including that a. Hyperactivity
hypersomnia is characterized by excessive b. Diarrhea
daytime fatigue that does not improve if the client c. Excessive salivation
receives additional sleep. d. Urinary retention - ANSWERS - d.
Urinary retention
A nurse is caring for a client who has narcolepsy -The nurse should identify that OTC sleep aid
(NT1) with cataplexy. The nurse should identify medications can cause urinary retention, as well
that this condition is caused by a lack of which of as daytime drowsiness, dry mouth, visual
the following hormones? disturbances, and constipation.
a. Hypocretin
1/6
, ATI: RN Comfort, Rest, and Sleep Assessment 2.0 Test Questions
and Answers Rated A
A nurse is caring for an older adult client who nurses to go to bed when tired, and to get out of
reports that they wake up frequently during the bed if sleep does not occur within 20 min. Getting
night. The nurse should identify that which of the out of the bed and reading a book or listening to
following is a characteristic of older adult sleep soft music can help promote relaxation and
patterns that might explain the client's frequent sleep.
awakenings?
a. Older adults tend to spend more time in stage A nurse is caring for a client who has a history of
4 sleep. migraines. The client tells the nurse, "I have not
b. Older adults tend to spend more time in stage been sleeping well. My migraine headaches have
3 sleep. returned after not having one for over a year."
c. Older adults tend to spend less time in stage 1 The nurse should identify that which of the
sleep. following are potential contributing factors to the
d. Older adults tend to spend more time in stage client's migraines? Select all that apply.
2 sleep. - ANSWERS - d. Older adults tend
to spend more time in stage 2 sleep. a. Sleep-wake homeostasis
b. Sensory overload
-Older adults tend to spend more time in stage 2 c. Sleep deprivation
sleep compared to adults. Stage 2 is a lighter d. Increased melatonin
stage of sleep than stages 3 and 4. This can e. Decreased hypocretin levels -
contribute to the client's frequent awakenings ANSWERS - b. Sensory overload
because environmental factors, such as noise, c. Sleep deprivation
are more likely to rouse someone who is in stage
2 sleep.
A nurse is assessing a client who reports
difficulty staying awake during the day and
An employee health nurse is providing teaching experiencing involuntary episodes of lost muscle
about sleep promotion to a group of newly tone. The nurse should identify that these are
licensed nurses. Which of the following manifestations of which of the following
statements should the nurse include? conditions?
a. "Taking a cool shower before bedtime can a. Hypersomnia
help with sleep." b. Narcolepsy (NT2)
b. "If you do not fall asleep within 20 minutes of c. Narcolepsy (NT1)
lying down, go to another room and listen to soft d. Insomnia - ANSWERS - c. Narcolepsy
music." (NT1)
c. "To promote nighttime sleep, limit daytime
naps to 1 hr." -The nurse should identify that the client is
d. "Exercising 1 hr before bedtime can help exhibiting manifestations of narcolepsy (NT1).
promote relaxation and sleep." - Narcolepsy (NT1) is a chronic sleep condition
ANSWERS - b. "If you do not fall asleep that is characterized by sudden sleepiness and
within 20 minutes of lying down, go to another sudden periods of sleep accompanied by
room and listen to soft music." cataplexy, or episodes of involuntary loss of
muscle tone brought on by strong emotions, such
-The nurse should instruct the newly licensed as laughter. Clients who have narcolepsy (NT1)
2/6
