ATI COMFORT REST AND SLEEP EXAM
QUESTIONS COMPREHENSIVE
QUESTIONS ANSWERED MULTIPLE
CHOICES 2026 VERIFIED GRADED A+
ALREADY COMPREHENSIVE STUDY
GUIDE 2026 QUESTIONS WITH
VERIFIED ANSWERS GRADED A+
1. Sleep Physiology & Weight Management
A nurse is reviewing the plan of care for a client admitted with
insomnia and recent weight gain. 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
Correct Answer: b. Increased leptin production
Rationale: Adequate sleep helps regulate appetite hormones.
It increases leptin, the hormone that signals satiety (feeling full),
, while decreasing ghrelin, the "hunger hormone." This regulation
helps prevent overeating and weight gain.
2. Sleep Stages & Arousal
A nurse needs to awaken a client for oral medication. Which
finding indicates the client was in Stage 3 (NREM III) of the sleep
cycle when awakened?
a. The client was easily awakened.
b. The client states they were having a pleasant dream.
c. The client experiences mental cloudiness for 30-60 min.
d. Prior to being awakened, the client's breathing was irregular
and heart rate elevated.
Correct Answer: c. The client experiences mental cloudiness
for 30-60 min.
Rationale: Stage 3 is "deep sleep" or slow-wave sleep. If
awakened during this stage, the client experiences
significant sleep inertia (grogginess/mental cloudiness) that can
last up to an hour. Vital signs are regular in NREM III, and
dreaming occurs in REM sleep.
3. Risks of Shift Work
A nurse cares for a client who works overnight shifts. The nurse
should identify that shift workers are at increased risk for which
condition?
a. Diabetes mellitus
b. Central sleep apnea
c. Hypersomnia
d. Restless leg syndrome
, Correct Answer: a. Diabetes mellitus
Rationale: Disruption of the circadian rhythm (biological clock)
due to shift work is linked to metabolic syndrome, including an
increased risk for diabetes mellitus, obesity, and cardiovascular
disease.
4. Sleep Aids for Older Adults
An older adult client has difficulty sleeping. Which medication
should the nurse identify as a first-line sleep aid for this
population?
a. Alprazolam
b. Eszopiclone
c. Controlled-release melatonin
d. Diphenhydramine
Correct Answer: c. Controlled-release melatonin
Rationale: Controlled-release melatonin is preferred for older
adults because it is non-habit forming, cost-effective, and has
few adverse effects. Benzodiazepines (Alprazolam) and
antihistamines (Diphenhydramine) are generally avoided due to
risks of falls, confusion, and anticholinergic effects.
5. Obstructive Sleep Apnea (OSA) Risk Factors
A client is evaluated for obstructive sleep apnea. Which finding is
a primary risk factor for OSA?
a. Hypersomnia
b. Obesity
c. Active glossal muscle
d. History of tonsillectomy
, Correct Answer: b. Obesity
Rationale: Obesity is the single greatest risk factor for OSA.
Excess adipose tissue around the neck and pharynx narrows the
airway, leading to collapse during sleep.
6. Defining "Comfort" in Nursing
A nurse reviews the concept of comfort with an AP. Which
statement indicates understanding?
a. "Comfort is achieved only by relieving physical pain with
medication."
b. "Comfort involves alleviating physical, mental, and emotional
distress using warmth and empathy."
c. "Comfort is achieved by taking control of the client's care and
routines."
d. "Comfort requires staff to smile and remain cheerful no matter
the outcome."
Correct Answer: b. "Comfort involves alleviating the client's
physical, mental, and emotional distress using warmth and
empathy."
Rationale: Comfort is holistic. According to nursing theory (e.g.,
Kolcaba), comfort exists in physical, psychospiritual,
environmental, and sociocultural contexts. It is not just pain relief;
it addresses ease, relief, and transcendence.
7. Physiological Functions of Sleep
A nurse manager teaches about sleep physiology. Which
statement indicates correct understanding?
a. "Sleep decreases the development of new neural pathways."
QUESTIONS COMPREHENSIVE
QUESTIONS ANSWERED MULTIPLE
CHOICES 2026 VERIFIED GRADED A+
ALREADY COMPREHENSIVE STUDY
GUIDE 2026 QUESTIONS WITH
VERIFIED ANSWERS GRADED A+
1. Sleep Physiology & Weight Management
A nurse is reviewing the plan of care for a client admitted with
insomnia and recent weight gain. 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
Correct Answer: b. Increased leptin production
Rationale: Adequate sleep helps regulate appetite hormones.
It increases leptin, the hormone that signals satiety (feeling full),
, while decreasing ghrelin, the "hunger hormone." This regulation
helps prevent overeating and weight gain.
2. Sleep Stages & Arousal
A nurse needs to awaken a client for oral medication. Which
finding indicates the client was in Stage 3 (NREM III) of the sleep
cycle when awakened?
a. The client was easily awakened.
b. The client states they were having a pleasant dream.
c. The client experiences mental cloudiness for 30-60 min.
d. Prior to being awakened, the client's breathing was irregular
and heart rate elevated.
Correct Answer: c. The client experiences mental cloudiness
for 30-60 min.
Rationale: Stage 3 is "deep sleep" or slow-wave sleep. If
awakened during this stage, the client experiences
significant sleep inertia (grogginess/mental cloudiness) that can
last up to an hour. Vital signs are regular in NREM III, and
dreaming occurs in REM sleep.
3. Risks of Shift Work
A nurse cares for a client who works overnight shifts. The nurse
should identify that shift workers are at increased risk for which
condition?
a. Diabetes mellitus
b. Central sleep apnea
c. Hypersomnia
d. Restless leg syndrome
, Correct Answer: a. Diabetes mellitus
Rationale: Disruption of the circadian rhythm (biological clock)
due to shift work is linked to metabolic syndrome, including an
increased risk for diabetes mellitus, obesity, and cardiovascular
disease.
4. Sleep Aids for Older Adults
An older adult client has difficulty sleeping. Which medication
should the nurse identify as a first-line sleep aid for this
population?
a. Alprazolam
b. Eszopiclone
c. Controlled-release melatonin
d. Diphenhydramine
Correct Answer: c. Controlled-release melatonin
Rationale: Controlled-release melatonin is preferred for older
adults because it is non-habit forming, cost-effective, and has
few adverse effects. Benzodiazepines (Alprazolam) and
antihistamines (Diphenhydramine) are generally avoided due to
risks of falls, confusion, and anticholinergic effects.
5. Obstructive Sleep Apnea (OSA) Risk Factors
A client is evaluated for obstructive sleep apnea. Which finding is
a primary risk factor for OSA?
a. Hypersomnia
b. Obesity
c. Active glossal muscle
d. History of tonsillectomy
, Correct Answer: b. Obesity
Rationale: Obesity is the single greatest risk factor for OSA.
Excess adipose tissue around the neck and pharynx narrows the
airway, leading to collapse during sleep.
6. Defining "Comfort" in Nursing
A nurse reviews the concept of comfort with an AP. Which
statement indicates understanding?
a. "Comfort is achieved only by relieving physical pain with
medication."
b. "Comfort involves alleviating physical, mental, and emotional
distress using warmth and empathy."
c. "Comfort is achieved by taking control of the client's care and
routines."
d. "Comfort requires staff to smile and remain cheerful no matter
the outcome."
Correct Answer: b. "Comfort involves alleviating the client's
physical, mental, and emotional distress using warmth and
empathy."
Rationale: Comfort is holistic. According to nursing theory (e.g.,
Kolcaba), comfort exists in physical, psychospiritual,
environmental, and sociocultural contexts. It is not just pain relief;
it addresses ease, relief, and transcendence.
7. Physiological Functions of Sleep
A nurse manager teaches about sleep physiology. Which
statement indicates correct understanding?
a. "Sleep decreases the development of new neural pathways."
