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1. A nurse is caring for a client who has narcolepsy (NT1) a. Hypocretin
with cataplexy. The nurse should identify that this con-
dition is caused by a lack of which of the following
hormones?
a. Hypocretin
b. Melatonin
c. Estrogen
d. Insulin
2. A nurse is reviewing the plan of care for a client who b. Increased leptin pro-
was admitted with insomnia and recent weight gain. duction
Which of the following is a benefit of increased sleep
that could help prevent further weight gain for the
client?
a. Increased ghrelin production
b. Increased leptin production
c. Decreased hypocretin levels
d. Decreased melatonin levels
3. A nurse is caring for an older adult client who is having c. Controlled-release
difficulty sleeping and has a new prescription for a melatonin
medication to help them sleep. Which of the following
medications should the nurse identify as a first-line
sleep aid for older adults?
a. Alprazolam
b. Eszopiclone
c. Controlled-release melatonin
d. Diphenhydramine
4. d. Hallucinations
, ATI Comfort, Rest, and Sleep EXam 2
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A nurse is caring for a client who has a new pre-
scription for a nonbenzodiazepine hypnotic to pro-
mote sleep. For which of the following adverse effects
should the nurse monitor the client?
a. Retrograde amnesia
b. Urinary discomfort
c. Dry mouth
d. Hallucinations
5. A nurse is caring for a client who is having difficul- d. Dim the lights in the
ty falling asleep. Which of the following interventions client's room at bedtime.
should the nurse implement to promote sleep for the
client?
a. Offer the client a caffeinated beverage 3 hr before
their bedtime.
b. Turn on the client's television before they go to bed.
c. Warm the temperature of the client's room before
they go to bed.
d. Dim the lights in the client's room at bedtime.
6. A nurse is evaluating a client after measures to pro- d. "My health care team
mote comfort have been implemented. Which of the has helped me to feel safe
following statements by the client indicates that the during my stay."
client has been comforted?
a. "I wish the staff would listen closer to my needs."
b. "I am concerned about what is going to happen
during my tests tomorrow."
c. "It seems to take the staff a while to answer the call
light."