N314 Exam Questions with All Correct
Answers 2026.
To validate the suspicion that a married male client has sleep apnea the nurse first
a. Asks the client if he experiences apnea in the middle of the night b. Questions the spouse if
she is awakened by her husband's snoring c. Schedules the client for a sleep test Places the
client on a d. continuous positive airway pressure (CPAP) device - Answer b. Questions the
spouse if she is awakened by her husband's snoring
Who spends the most time in REM sleep?
A. Frank, 87
B. Alyssa, 15
C. Mrs. Robinson 43
D. Kaleb, 7
E. Esther, 2 months - Answer E. Esther, 2 months
the younger, the more REM sleep
newborns sleep 16-17 hours per day and 53% is spent in active sleep.
elderly sleep less and thus, get less REM sleep
The nurse is caring for an elderly client (with dementia) who is alert and oriented during the day
but becomes disoriented and disruptive around dinnertime. What is a possible diagnosis for this
client?
A. Sundown syndrome
B. Restless leg syndrome
C. Bruxism
D. Enuresis - Answer A. Sundown syndrome
an increase in "neuropsychiatric symptoms such as agitation, confusion, anxiety, and
aggressiveness in late afternoon, in the evening, or at night"
bruxism is teeth grinding
The nurse in the hospital has a prescription to administer medication at 0400 to Mr. Doe. Mr.
Doe is asleep when the nurse enters the room. He is difficult to arouse and confused. Identify
the stage of sleep Mr. Doe was likely in when the nurse awakened him.
A. Stage II
, B. Stage I
C. Stage IV
D. REM - Answer C. Stage IV
difficulty to arouse and is confused indicates stage 4 and it is the most restorative sleep
(metabolism)
stage 1 is lightest sleep
Around 12-6 am, the peak of melatonin is naturally released by the pineal gland. However, there
is a decrease in the body temperature as the body starts to lose heat.
T or F - Answer true, the highest peak of melatonin is seen around 3 am with the lowest
peak of the core body temperature around 3-6 am and restores circadian rhythm
** they have an inverse relationship
Pharmacologic treatment should come before cognitive behavioral therapy for an adult with
chronic insomnia.
T or F - Answer False
CBT-I is the first line of treatment for chronic insomnia before pharmacologic treatment
Mr. J is taking Ambien to help with his sleep. What are some of the side effects of this
medication? SATA
A. Anaphylaxis
B. Daytime drowsiness
C. Non-dependance
D. Retrograde amnesia - Answer B. daytime drowsiness and A. anaphylaxis
anterograde amnesia, headaches
Who is most at risk for chronic insomnia?
A. A 25 year old that works from 0900-1700
B. A 75 year old female that takes care of her husband
C. A 13 year old going through puberty
D. A infant with colic - Answer B. A 75 year old female that takes care of her husband
caregiver, older
You are educating your 21 year old patient about the importance of sleep, especially since he is
a first semester nursing student. What are some key points that you would include in this
conversation?
A. Young adults need 9 hours or more to get a good night's sleep
Answers 2026.
To validate the suspicion that a married male client has sleep apnea the nurse first
a. Asks the client if he experiences apnea in the middle of the night b. Questions the spouse if
she is awakened by her husband's snoring c. Schedules the client for a sleep test Places the
client on a d. continuous positive airway pressure (CPAP) device - Answer b. Questions the
spouse if she is awakened by her husband's snoring
Who spends the most time in REM sleep?
A. Frank, 87
B. Alyssa, 15
C. Mrs. Robinson 43
D. Kaleb, 7
E. Esther, 2 months - Answer E. Esther, 2 months
the younger, the more REM sleep
newborns sleep 16-17 hours per day and 53% is spent in active sleep.
elderly sleep less and thus, get less REM sleep
The nurse is caring for an elderly client (with dementia) who is alert and oriented during the day
but becomes disoriented and disruptive around dinnertime. What is a possible diagnosis for this
client?
A. Sundown syndrome
B. Restless leg syndrome
C. Bruxism
D. Enuresis - Answer A. Sundown syndrome
an increase in "neuropsychiatric symptoms such as agitation, confusion, anxiety, and
aggressiveness in late afternoon, in the evening, or at night"
bruxism is teeth grinding
The nurse in the hospital has a prescription to administer medication at 0400 to Mr. Doe. Mr.
Doe is asleep when the nurse enters the room. He is difficult to arouse and confused. Identify
the stage of sleep Mr. Doe was likely in when the nurse awakened him.
A. Stage II
, B. Stage I
C. Stage IV
D. REM - Answer C. Stage IV
difficulty to arouse and is confused indicates stage 4 and it is the most restorative sleep
(metabolism)
stage 1 is lightest sleep
Around 12-6 am, the peak of melatonin is naturally released by the pineal gland. However, there
is a decrease in the body temperature as the body starts to lose heat.
T or F - Answer true, the highest peak of melatonin is seen around 3 am with the lowest
peak of the core body temperature around 3-6 am and restores circadian rhythm
** they have an inverse relationship
Pharmacologic treatment should come before cognitive behavioral therapy for an adult with
chronic insomnia.
T or F - Answer False
CBT-I is the first line of treatment for chronic insomnia before pharmacologic treatment
Mr. J is taking Ambien to help with his sleep. What are some of the side effects of this
medication? SATA
A. Anaphylaxis
B. Daytime drowsiness
C. Non-dependance
D. Retrograde amnesia - Answer B. daytime drowsiness and A. anaphylaxis
anterograde amnesia, headaches
Who is most at risk for chronic insomnia?
A. A 25 year old that works from 0900-1700
B. A 75 year old female that takes care of her husband
C. A 13 year old going through puberty
D. A infant with colic - Answer B. A 75 year old female that takes care of her husband
caregiver, older
You are educating your 21 year old patient about the importance of sleep, especially since he is
a first semester nursing student. What are some key points that you would include in this
conversation?
A. Young adults need 9 hours or more to get a good night's sleep
