Question 19
Type: MCMA
The nurse is completing the admission assessment on a client who has obstructive sleep apnea. Which findings
should the nurse expect when assessing this client?
Standard Text: Select all that apply.
1. Reddened uvula
2. Large soft palate
3. Obesity
4. Short neck
5. Deviated septum
Question 20
Type: MCMA
The nurse is working on a hospital committee tasked with reducing environmental distractions to sleep within the
hospital. Which recommendations by the committee would be helpful?
Standard Text: Select all that apply.
1. Turn off all overhead lights on the unit and use night-lights and flashlights.
2. Establish a time at which radios and televisions should be turned off or down.
3. Discontinue use of the paging system after 2100.
4. Conduct nursing reports in the hallway.
5. Open curtains between beds in semiprivate rooms.
Question 21
Type: MCSA
A client tells the nurse that because of work and life responsibilities, sleep has “become optional.” What is the
best response the nurse should make to this client?
1. “Be sure to get extra sleep when you can.”
2. “A lack of sleep can affect hormone levels and bodily functions.”
3. “Everyone has different needs for sleep to in order to function.”
4. “You must be very productive.”
Question 22
Type: MCMA
The nurse is assessing a client in the intensive care unit who is asleep. What physiological changes will the nurse
observe in this client?
Standard Text: Select all that apply.
1. Lower respiratory rate
2. Increased muscle tension
3. Increased lower extremity edema
4. Lower blood pressure
5. Lower heart rate
Question 23
Type: MCSA
A client with diabetes asks the nurse why his blood glucose level is higher on days when he sleeps less. What
should the nurse explain to the client?
1. During sleep, the hormone cortisol is inhibited. If sleep is interrupted, cortisol levels will remain elevated,
impacting blood glucose.
2. Because the client is awake more, it is likely the client is eating more, which is impacting the blood glucose
level.
3. There is no relationship between sleep and blood glucose levels.
4. The body needs cortisol for the extra energy created by the lack of sleep.
Question 24
Type: MCSA
A hospitalized client is being woken up every hour during the night for care and procedures. The nurse realizes
that the lack of NREM sleep can have which physiological effect?
1. Decrease urine output
2. Increase thirst
3. Increase susceptibility to infection
4. Decrease heart rate
Question 25
Type: MCMA
A client has not had uninterrupted sleep for several nights, and is irritable. What other assessment findings should
the nurse associate with the client’s lack of REM sleep?
Standard Text: Select all that apply.
1. Depression
2. Confusion
3. Disorientation
4. Impaired memory
5. Muscle weakness
Question 26
Type: MCSA
The nurse, seeing a client asleep, turns off the television in the room. The client opens her eyes and says “I was
watching that. I wasn’t sleeping.” The nurse realizes that the client was demonstrating which stage of NREM
sleep?
1. IV
2. III
3. II
4. I
Question 27
Type: MCSA
The parent of a preschool-age child asks the nurse what can be done to reduce the number of nightmares the child
experiences. What should the nurse suggest to this parent?
1. Provide hot chocolate prior to bedtime.
2. Limit or eliminate television.
3. Engage in a physical activity before bedtime.
4. Play a computer game before bedtime.
Question 28
Type: MCSA
A client reports the need to urinate during the night and then not being able to fall back asleep. The nurse should
document this assessment finding as which factor that influences sleep?
1. Illness
2. Stimulant
3. Diet
4. Lifestyle
Question 29
Type: MCSA
A client is working two jobs, caring for aged parents, and maintaining a household for the family. The nurse
realizes that this emotional stress will have what impact on the client’s sleep?
1. More REM sleep
2. Less Stage 1 and Stage II NREM sleep
3. More NREM sleep
4. Less deep sleep and more awakenings during the night
Question 30
Type: MCSA
A client who smokes cigarettes tells the nurse that sleep is light, and that he awakens easily. What should the
nurse suggest to help this client with sleep?
1. Smoke no cigarettes 1 hour before sleep.
2. Smoke no cigarettes after the evening meal.
3. Limit the number of cigarettes smoked during the day.
4. Adjust to the lack of sleep, because those who smoke do not get sufficient sleep.
Question 31
Type: MCMA
A client tells the nurse about having problems falling and staying asleep. What should the nurse ask the client to
gain more information about this client problem?
Standard Text: Select all that apply.
1. “How often does this happen?”
2. “How much coffee do you drink each day?”
3. “How do you feel when you wake up in the morning?”
4. “When do you eat your evening meal?”
5. “What have you done to deal with this sleeping problem?”
Question 32
Type: MCMA
After an assessment, the nurse is concerned that an older client is experiencing changes in sleep. What findings
did the nurse use to make this clinical decision?
Standard Text: Select all that apply.
1. Is wide awake around 3 AM
2. Takes a nap after lunch every day
3. Returns to sleep after using the bathroom
4. Goes to sleep before 9 PM most evenings
5. Wakes up and looks at the clock every hour
The nurse suspects that an adult is not getting an adequate amount of nightly sleep. What information caused the
nurse to have this suspicion?
Standard Text: Select all that apply.
1. Enrolled in online classes
2. Raising two children ages 4 and 8
3. Experiences chronic pain from sciatica
4. Attends religious services every Sunday and Wednesday
5. Works one job steady night turn and another part-time late afternoon