RNSG 1430 Exam 2 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
A nurse is teaching a client about obstructive sleep apnea (OSA). Which finding should the nurse
include as a common symptom?
A. Weight gain only
B. Loud snoring and daytime sleepiness
C. Excessive urination at night
D. Productive cough - CORRECT ANSWER B
A nurse understands that REM sleep is characterized by which assessment finding?
A. Slow delta waves
B. Decreased heart rate and temperature
C. Atonia of skeletal muscles
D. Increased muscle tone - CORRECT ANSWER C
A client reports mental cloudiness for 45 minutes after being awakened. The nurse recognizes this
occurs most commonly during which stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. REM - CORRECT ANSWER C
Which intervention promotes sleep hygiene?
A. Exercise immediately before bedtime
B. Keep television on for background noise
C. Avoid caffeine 4-6 hours before bed
D. Nap after 5 p.m. - CORRECT ANSWER C
A nurse is assessing an older adult's sleep pattern. Which change is expected?
A. Increased stage 3 sleep
,B. Decreased awakenings
C. Increased stage 2 sleep
D. Longer REM cycles - CORRECT ANSWER C
Which hormone is primarily responsible for regulating the sleep-wake cycle?
A. Cortisol
B. Melatonin
C. Insulin
D. Thyroxine - CORRECT ANSWER B
A client taking benzodiazepines for sleep should receive which priority education?
A. Stop medication abruptly when feeling better
B. Double dose if insomnia continues
C. Risk for dependency exists
D. Take with caffeine - CORRECT ANSWER C
A nurse identifies which antecedent is necessary for normal sleep?
A. High stimulation
B. Normal circadian rhythm
C. Frequent naps
D. Loud environment - CORRECT ANSWER B
A client with sleep deprivation is at risk for which negative outcome?
A. Enhanced reflexes
B. Improved focus
C. Altered thought process
D. Increased energy - CORRECT ANSWER C
A nurse teaching about circadian rhythm should explain it is controlled by which brain structure?
A. Thalamus
,B. Pineal gland
C. Suprachiasmatic nucleus
D. Medulla - CORRECT ANSWER C
⸻⸻⸻
A nurse assesses a client with dry, scaly skin, brittle nails, and hair loss. Which imbalance does the
nurse suspect?
A. Obesity
B. Malnutrition
C. Dehydration only
D. Hyperthyroidism - CORRECT ANSWER B
Which laboratory finding supports adequate nutrition?
A. Low albumin
B. Elevated hematocrit
C. Albumin within normal limits
D. Low hemoglobin - CORRECT ANSWER C
Which patient is at highest risk for iron deficiency anemia?
A. Older adult male with high-protein diet
B. Adolescent athlete
C. Woman of reproductive age
D. Middle-aged male executive - CORRECT ANSWER C
A client with iron deficiency anemia may exhibit which early finding?
A. Cyanosis
B. Pallor
C. Jaundice
D. Petechiae - CORRECT ANSWER B
, Which diet teaching is appropriate for obesity management?
A. Eliminate all carbohydrates
B. Increase fruits and vegetables
C. Skip meals
D. Avoid all fats permanently - CORRECT ANSWER B
BMI is primarily used to assess which attribute of nutrition?
A. Cognitive function
B. Height-weight relationship
C. Electrolyte balance
D. Reflex response - CORRECT ANSWER B
A nurse identifies which as a negative consequence of nutritional imbalance?
A. Tissue repair
B. Physiological wellness
C. Delayed healing
D. Normal hydration - CORRECT ANSWER C
Which condition is considered an exemplar of nutrition imbalance?
A. Dysphagia
B. Hypertension
C. Asthma
D. COPD - CORRECT ANSWER A
A nurse is assessing for peripheral arterial disease (PAD). Which finding is expected?
A. Warm extremities
B. Ruddy color with elevation
C. Intermittent claudication
D. Bounding pulses - CORRECT ANSWER C
QUESTIONS AND CORRECT ANSWERS
A nurse is teaching a client about obstructive sleep apnea (OSA). Which finding should the nurse
include as a common symptom?
A. Weight gain only
B. Loud snoring and daytime sleepiness
C. Excessive urination at night
D. Productive cough - CORRECT ANSWER B
A nurse understands that REM sleep is characterized by which assessment finding?
A. Slow delta waves
B. Decreased heart rate and temperature
C. Atonia of skeletal muscles
D. Increased muscle tone - CORRECT ANSWER C
A client reports mental cloudiness for 45 minutes after being awakened. The nurse recognizes this
occurs most commonly during which stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. REM - CORRECT ANSWER C
Which intervention promotes sleep hygiene?
A. Exercise immediately before bedtime
B. Keep television on for background noise
C. Avoid caffeine 4-6 hours before bed
D. Nap after 5 p.m. - CORRECT ANSWER C
A nurse is assessing an older adult's sleep pattern. Which change is expected?
A. Increased stage 3 sleep
,B. Decreased awakenings
C. Increased stage 2 sleep
D. Longer REM cycles - CORRECT ANSWER C
Which hormone is primarily responsible for regulating the sleep-wake cycle?
A. Cortisol
B. Melatonin
C. Insulin
D. Thyroxine - CORRECT ANSWER B
A client taking benzodiazepines for sleep should receive which priority education?
A. Stop medication abruptly when feeling better
B. Double dose if insomnia continues
C. Risk for dependency exists
D. Take with caffeine - CORRECT ANSWER C
A nurse identifies which antecedent is necessary for normal sleep?
A. High stimulation
B. Normal circadian rhythm
C. Frequent naps
D. Loud environment - CORRECT ANSWER B
A client with sleep deprivation is at risk for which negative outcome?
A. Enhanced reflexes
B. Improved focus
C. Altered thought process
D. Increased energy - CORRECT ANSWER C
A nurse teaching about circadian rhythm should explain it is controlled by which brain structure?
A. Thalamus
,B. Pineal gland
C. Suprachiasmatic nucleus
D. Medulla - CORRECT ANSWER C
⸻⸻⸻
A nurse assesses a client with dry, scaly skin, brittle nails, and hair loss. Which imbalance does the
nurse suspect?
A. Obesity
B. Malnutrition
C. Dehydration only
D. Hyperthyroidism - CORRECT ANSWER B
Which laboratory finding supports adequate nutrition?
A. Low albumin
B. Elevated hematocrit
C. Albumin within normal limits
D. Low hemoglobin - CORRECT ANSWER C
Which patient is at highest risk for iron deficiency anemia?
A. Older adult male with high-protein diet
B. Adolescent athlete
C. Woman of reproductive age
D. Middle-aged male executive - CORRECT ANSWER C
A client with iron deficiency anemia may exhibit which early finding?
A. Cyanosis
B. Pallor
C. Jaundice
D. Petechiae - CORRECT ANSWER B
, Which diet teaching is appropriate for obesity management?
A. Eliminate all carbohydrates
B. Increase fruits and vegetables
C. Skip meals
D. Avoid all fats permanently - CORRECT ANSWER B
BMI is primarily used to assess which attribute of nutrition?
A. Cognitive function
B. Height-weight relationship
C. Electrolyte balance
D. Reflex response - CORRECT ANSWER B
A nurse identifies which as a negative consequence of nutritional imbalance?
A. Tissue repair
B. Physiological wellness
C. Delayed healing
D. Normal hydration - CORRECT ANSWER C
Which condition is considered an exemplar of nutrition imbalance?
A. Dysphagia
B. Hypertension
C. Asthma
D. COPD - CORRECT ANSWER A
A nurse is assessing for peripheral arterial disease (PAD). Which finding is expected?
A. Warm extremities
B. Ruddy color with elevation
C. Intermittent claudication
D. Bounding pulses - CORRECT ANSWER C
