ATI: RN Comfort, Rest, and Sleep Assessment
2.0 2025 | ASSESSMENT | 40 QUESTIONS +
ANSWERS + RATIONALES | A+ GRADED |
BRANDNEW!!!
A nurse is caring for a client prescribed a nonbenzodiazepine hypnotic. Which adverse effect
is most concerning?
A. Mild dry mouth
B. Hallucinations
C. Increased appetite
D. Bradycardia
Answer: B
Rationale: Nonbenzodiazepine hypnotics (e.g., zolpidem) can cause CNS effects including
hallucinations, confusion, and abnormal behaviors, which are safety risks.
A client diagnosed with hypersomnia is taught that the condition is characterized by:
A. Improved alertness after extended sleep
B. Excessive daytime sleepiness not relieved by sleep
C. Inability to enter REM sleep
D. Sudden loss of muscle tone
Answer: B
Rationale: Hypersomnia involves persistent daytime sleepiness that does not improve even
after prolonged sleep.
Narcolepsy type 1 is caused by deficiency of:
A. Melatonin
B. Serotonin
C. Hypocretin
D. Dopamine
Answer: C
Rationale: NT1 is caused by loss of hypocretin (orexin), which regulates wakefulness.
,Which brain structure relays sensory input used in dream formation?
A. Cerebellum
B. Thalamus
C. Medulla
D. Hypothalamus
Answer: B
Rationale: The thalamus transmits sensory signals to the cerebral cortex during REM sleep
for dream processing.
Select all that apply: Common adverse effects of OTC sleep aids include:
A. Urinary retention
B. Dry mouth
C. Hyperactivity
D. Constipation
E. Blurred vision
Answer: A, B, D, E
Rationale: Antihistamine-based OTC sleep aids have anticholinergic effects.
Older adults experience sleep changes including:
A. Increased deep sleep (stage 3–4)
B. Increased stage 2 sleep
C. Increased REM sleep
D. Increased slow-wave sleep
Answer: B
Rationale: Aging reduces deep sleep and increases lighter stage 2 sleep, causing frequent
awakenings.
A client unable to fall asleep within 20 minutes should:
A. Stay in bed and try harder
B. Drink warm coffee
C. Leave bed and engage in quiet activity
D. Take another sedative dose
, Answer: C
Rationale: Stimulus control therapy recommends leaving the bed to prevent sleep anxiety
conditioning.
Which neurotransmitter deficiency is linked to narcolepsy with cataplexy?
A. GABA
B. Hypocretin
C. Acetylcholine
D. Histamine
Answer: B
Sleep deprivation contributes to migraine recurrence due to:
A. Increased cortisol regulation
B. Sensory overload and neural excitability
C. Increased melatonin secretion
D. Reduced brain metabolism only
Answer: B
Select all that apply: Risk factors for narcolepsy include:
A. Autoimmune destruction of hypocretin neurons
B. Genetic predisposition
C. Excess dopamine production
D. Environmental triggers
E. Viral infections
Answer: A, B, D, E
Stage 3 sleep is important because it:
A. Enhances cognitive alertness
B. Promotes tissue repair and immune function
C. Increases REM dreaming
D. Prevents insomnia
Answer: B
2.0 2025 | ASSESSMENT | 40 QUESTIONS +
ANSWERS + RATIONALES | A+ GRADED |
BRANDNEW!!!
A nurse is caring for a client prescribed a nonbenzodiazepine hypnotic. Which adverse effect
is most concerning?
A. Mild dry mouth
B. Hallucinations
C. Increased appetite
D. Bradycardia
Answer: B
Rationale: Nonbenzodiazepine hypnotics (e.g., zolpidem) can cause CNS effects including
hallucinations, confusion, and abnormal behaviors, which are safety risks.
A client diagnosed with hypersomnia is taught that the condition is characterized by:
A. Improved alertness after extended sleep
B. Excessive daytime sleepiness not relieved by sleep
C. Inability to enter REM sleep
D. Sudden loss of muscle tone
Answer: B
Rationale: Hypersomnia involves persistent daytime sleepiness that does not improve even
after prolonged sleep.
Narcolepsy type 1 is caused by deficiency of:
A. Melatonin
B. Serotonin
C. Hypocretin
D. Dopamine
Answer: C
Rationale: NT1 is caused by loss of hypocretin (orexin), which regulates wakefulness.
,Which brain structure relays sensory input used in dream formation?
A. Cerebellum
B. Thalamus
C. Medulla
D. Hypothalamus
Answer: B
Rationale: The thalamus transmits sensory signals to the cerebral cortex during REM sleep
for dream processing.
Select all that apply: Common adverse effects of OTC sleep aids include:
A. Urinary retention
B. Dry mouth
C. Hyperactivity
D. Constipation
E. Blurred vision
Answer: A, B, D, E
Rationale: Antihistamine-based OTC sleep aids have anticholinergic effects.
Older adults experience sleep changes including:
A. Increased deep sleep (stage 3–4)
B. Increased stage 2 sleep
C. Increased REM sleep
D. Increased slow-wave sleep
Answer: B
Rationale: Aging reduces deep sleep and increases lighter stage 2 sleep, causing frequent
awakenings.
A client unable to fall asleep within 20 minutes should:
A. Stay in bed and try harder
B. Drink warm coffee
C. Leave bed and engage in quiet activity
D. Take another sedative dose
, Answer: C
Rationale: Stimulus control therapy recommends leaving the bed to prevent sleep anxiety
conditioning.
Which neurotransmitter deficiency is linked to narcolepsy with cataplexy?
A. GABA
B. Hypocretin
C. Acetylcholine
D. Histamine
Answer: B
Sleep deprivation contributes to migraine recurrence due to:
A. Increased cortisol regulation
B. Sensory overload and neural excitability
C. Increased melatonin secretion
D. Reduced brain metabolism only
Answer: B
Select all that apply: Risk factors for narcolepsy include:
A. Autoimmune destruction of hypocretin neurons
B. Genetic predisposition
C. Excess dopamine production
D. Environmental triggers
E. Viral infections
Answer: A, B, D, E
Stage 3 sleep is important because it:
A. Enhances cognitive alertness
B. Promotes tissue repair and immune function
C. Increases REM dreaming
D. Prevents insomnia
Answer: B
