STUDY GUIDE 2026/2027 ACCURATE
QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
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1. Melatonin - ANSWER ✔ A hormone manufactured by the pineal gland
that produces sleepiness.
2. circadian rhythm - ANSWER ✔ Internal, natural process that regulates the
sleep- wake cycle and occurs approximately every 24 hrs
3. Hypithalamus - ANSWER ✔ A structure located deep inside the brain
which commands a group of nerves that affect sleep and arousal and
contains the suprachiasmatic nucleus.
4. suprachiasmatic nucleus - ANSWER ✔ Controls a clients behavioral
rhythm directly from the eyes through light exposure
5. pineal gland - ANSWER ✔ Glands found in the brains two hemispheres, in
which melatonin is synthesized
6. A nurse is caring for a client who has a new prescription for a non
benzodiazepine hypnotic to promote sleep. Which adverse effect should the
nurse monitor the client - ANSWER ✔ Hallucinations
7. A nurse is contributing to a presentation about hypersomnia which
information should the nurse recommend, including in the presentation -
ANSWER ✔ Hypersomnia does not improve with increased sleep
,8. A nurse is caring for a client who is being evaluated for obstructive sleep
apnea. Which of the following findings should the nurse identify as a risk for
obstructive sleep apnea? - ANSWER ✔ Obesity
9. A nurse is reviewing the concept of comfort with an assistive personnel.
Which statement by the assistive personnel indicates an understanding of
comfort? - ANSWER ✔ " providing comfort to a client involves alleviating
the client's physical, mental, and emotional distress, using warmth and
empathy."
10.A nurse manager is conducting an in-service about the physical logical
functions of sleep for a group of staff nurses. Which statement statements by
one of the nurses indicates an understanding of the teaching? - ANSWER
✔ " the brain and neurons continue to communicate with each other during
sleep to remove toxins that buildup in the brain while awake"
11.A nurse is evaluating a client that measures to promote comfort having the
implemented. Which statements by the client indicates that the client has
been comforted? - ANSWER ✔ " my healthcare team has helped me feel
safe during my stay"
12.A nurse is caring for a client who has a new prescription for a
nonbenzodiazepine hypnotic to promote 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 - ANSWER ✔ d. Hallucinations
-The nurse should monitor the client for hallucinations, which can be an adverse
effect of nonbenzodiazepine hypnotics.
13.A nurse is contributing to a presentation about hypersomnia. Which of the
following information should the nurse recommend including in the
presentation?
a. Hypersomnia does not improve with increased sleep.
b. Hypersomnia is associated with a disturbed circadian rhythm.
, c. Clients who experience hypersomnia have a longer attention span.
d. Clients who experience hypersomnia lack the hormone hypocretin. -
ANSWER ✔ a. Hypersomnia does not improve with increased sleep.
-The nurse should recommend including that hypersomnia is characterized by
excessive daytime fatigue that does not improve if the client receives additional
sleep.
14.A nurse is caring for a client who has narcolepsy (NT1) with cataplexy. The
nurse should identify that this condition is caused by a lack of which of the
following hormones?
a. Hypocretin
b. Melatonin
c. Estrogen
d. Insulin - ANSWER ✔ a. Hypocretin
-Hypocretin is a hormone produced in the hypothalamus and is responsible for
maintaining alertness. Narcolepsy (NT1) with cataplexy is caused by a lack of
hypocretin.
15.Which NREM stage usually doesn't repeat - ANSWER ✔ stage 1
16.NREM stage 1 sleep - ANSWER ✔ Lightest sleep level
gradual decrease in V/S
last few mintues
17.NREM stage 2 - ANSWER ✔ sound sleep
last 10-20 minutes
body functions continue to slow
18.NREM stage 3 - ANSWER ✔ First stage of deep sleep
last 15-30 minutes
V/S decrease
hard to wake up person
19.NREM stage 4 - ANSWER ✔ Deepest state of sleep
last 15-20 minutes
V/S much lower than awake