Question 1

When a client is in stage 1 of non-rapid eye movement (NREM)sleep,a nurse would expect which of these responses when the client is to be roused?

Accepted Answer

A) The client can be easily awakened. 
B) The client can be difficult to arouse. 
C) The client will report dreaming if awakened. 
D) The client's vital signs are significantly lower than when awake. A

Question 2

When a client is experiencing sleep deprivation,which of these symptoms can occur?

Accepted Answer

A) irritability and confusion 
B) increased reflexes and snoring 
C) sleep talking and periodic limb movements 
D) sleepwalking and daytime sleep attacks A

Question 3

Many factors can influence the quantity and quality of rest and sleep.The nurse caring for a client experiencing sleep disturbances identifies which of the following as contributing factors? (Select all that apply. )

Accepted Answer

A) hunger 
B) pain 
C) noise 
D) exercising 
E) caffeine-free sodas
F)time zone changes A,B,C,F

Question 4

An adult client reports getting 5 hours of sleep each night.How much sleep each day does the average adult require to function well?

Accepted Answer

A) 4 to 5 hours 
B) 6 to 7 hours 
C) 7 to 9 hours 
D) 8 hours or more

Question 5

Which of these statements about the sleep cycle is TRUE?

Accepted Answer

A) Each cycle begins with two stages of non-rapid eye movement (NREM)sleep in order. 
B) Each cycle ends with the last three stages of NREM sleep in reverse order. 
C) Each cycle lasts 20 to 30 minutes. 
D) The typical person will have four to six sleep cycles during a 7- to 8-hour sleep period.

Question 6

A client who has been experiencing sleep disturbance should be encouraged to:

Accepted Answer

A) take a 1-hour nap at midday 
B) sleep whenever possible 
C) go to bed as early as possible 
D) use bedtime rituals consistently

Question 7

Which of these statements about sleep is TRUE?

Accepted Answer

A) Non-rapid eye movement (NREM)sleep is the most restorative. 
B) Rapid eye movement sleep (REM)lasts about 15 minutes. 
C) About 75% of sleep is NREM sleep. 
D) REM sleep is the time of least brain wave activity.

Question 8

A client has difficulty sleeping.Which of these methods should a nurse recommend the client try at bedtime?

Accepted Answer

A) vigorous exercise 
B) take an over-the-counter sleep aid 
C) life review 
D) deep breathing

Question 9

Which of these approaches can be used successfully to treat sleep apnea?

Accepted Answer

A) drinking warm milk before bedtime 
B) using nasal continuous positive airway pressure 
C) reducing use of caffeine and nicotine 
D) elevating the head on two pillows

Question 10

When providing client education regarding sleep disorder management,it is MOST important for a nurse to:

Accepted Answer

A) avoid discussing any issues that may produce stress or anxiety in the client 
B) include family members or sleep partners 
C) promote pharmaceutical interventions as a "quick fix" 
D) provide a relaxing environment

Question 11

Somnambulism and bruxism are the MOST common manifestations of which sleep disorder?

Accepted Answer

A) hypersomnia 
B) narcolepsy 
C) parasomnia 
D) periodic limb movement disorder

Question 12

The nurse is caring for a client with restless leg syndrome.Assessment data for this client would include which of the following? (Select all that apply. )

Accepted Answer

A) legs jumping involuntarily 
B) itching of the legs and feet 
C) paralysis of the feet 
D) decrease in pulse in the feet 
E) tingling of the legs and feet
F)deep aching in the feet

Question 13

How does sleep differ from rest?

Accepted Answer

A) Rest is a state of mental and physical relaxation in which no activities occur. 
B) Sleep is a state of altered consciousness. 
C) Rest involves being in a quiet environment. 
D) Individuals require at least 8 hours of sleep for it to be restorative.

Question 14

The nurse is caring for a client experiencing recurrent periods of sleep during the day that the client cannot control.The nurse is aware that the treatment for this condition includes which of the following? (Select all that apply. )

Accepted Answer

A) avoid substances that cause sleepiness 
B) short daytime naps 
C) sleeping alone 
D) avoid activities that cause sleepiness 
E) exercise prior to bedtime
F)stimulant medications may be prescribed

Question 15

When a person's sleep cycle is broken,which of the following occurs?

Accepted Answer

A) A new sleep cycle starts with non-rapid eye movement (NREM)sleep. 
B) A new sleep cycle starts with rapid eye movement (REM)sleep. 
C) The new sleep cycle involves more vivid dreaming. 
D) The new sleep cycle is more restorative than the one that was interrupted.

Question 16

A client complains of frequent insomnia,affecting ability to rest well.Which of the following factors or lifestyle choices is MOST likely to contribute to the client's inability to sleep?

Accepted Answer

A) having a light snack at bedtime 
B) taking 1 baby aspirin each day 
C) reading in bed prior to going to sleep 
D) smoking 1/2 pack of filtered cigarettes each day

Question 17

The nursing is caring for a client who usually works night shift.The client is experiencing sleep disturbances with the change in routine.The nurse is aware that the client is experiencing:

Accepted Answer

A) primary sleep disorder 
B) hypersomnia 
C) insomnia 
D) desynchronization

Question 18

A client who has periods of nonbreathing following a period of loud snoring is experiencing which of these sleep disorders?

Accepted Answer

A) hypersomnia 
B) narcolepsy 
C) parasomnia 
D) sleep apnea

Question 19

During which stage of sleep would you expect your client's vital signs to be higher than while awake?

Accepted Answer

A) stage 1 non-rapid eye movement (NREM)sleep 
B) stage 2 NREM sleep 
C) stage 3 to 4 NREM sleep 
D) rapid eye movement (REM)sleep

Question 20

When a nurse is assessing a client's altered sleep patterns,which of these questions is MOST important to be included?

Accepted Answer

A) "Do you experience fatigue,confusion,or irritability during the day?" 
B) "How much sleep do you expect to get every night?" 
C) "How would you rate the quality of your sleep?" 
D) "Do you get up several times during the night?"

Exam 19: Rest and Sleep

When a client is in stage 1 of non-rapid eye movement (NREM) sleep,a nurse would expect which of these responses when the client is to be roused?