NR 226 NCLEX QUIZ ANSWERS Ch. 42 Sleep
1. The nurse is caring for a young adult patient on the medical-surgical unit. When doing midnight checks,
she sees that the patient is awake and is doing a puzzle. What is the best explanation for the patient being awake?
a) The patient was waiting to talk with the nurse.
b) The patient misses his family and is lonely.
c) The patient’s sleep-wake cycle preference is late evening.
d) The patient has been kept up with the noise on the unit.
2. The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment
Center. Which of these statements by the nurses would best indicate that learning has occurred?
a) “If the patient has a disease process in the central nervous system, it can influence the functions of sleep
b)
c) “If the patient has a disease process in the cranial nerves, it can influence the functions of sleep.”
d) “If the patient has an interruption in the motor pathways, it can influence the functions of sleep.”
e) “If the patient has an interruption in the spinal reflexes, it can influence the functions of sleep.”
3. The nurse is caring for a patient who is having trouble sleeping. To encourage decreased stimulus to the
reticular activating system and activation of the bulbar synchronizing region, which actions would the nurse
implement?
a) Encourage television for distraction.
b) Encourage relaxed positions
c) Walk with the patient.
d) Provide a favorite beverage.
4. The nurse is caring for a patient in the sleep lab. The nurse recognizes that the patient is in stage 4 NREM from
which of the following assessments?
a) The patient awakens easily.
b) Body functions slow.
c) The patient is difficult to awaken.
d) Eyes rapidly move.
5. The patient shares with the nurse the vivid, full color dreams experienced by the patient last night. These data
would indicate that the patient has reached what stage of sleep?
a) Stage 1 NREM
b) Stage 2 NREM
, c) Stage 3 NREM
d) REM
e)
6. Which nursing observation of the patient in intensive care indicates that the patient is sleeping comfortably?
a) Eyes closed, lying quietly, respirations 12, heart rate 60
b) t
c) Eyes closed, tossing in bed, respirations 18, heart rate 80
d) Eyes closed, mumbling to self, respirations 16, heart rate 68
e) Eyes closed, lying straight in bed, respirations 22, heart rate 66
7. The nurse is discussing with a new mother the sleep requirements of a neonate. Which of these comments
would indicate that the patient has an understanding of the neonate’s sleeping pattern?
a) “I can’t wait to get the baby home to play with the brothers and sisters.”
b) “I will ask my mom to come after the first week, when the baby is more alert.”
c)
d) “I will get the baby on a sleeping schedule the first week while my mom is here.”
e) “I won’t be able to nap during the day because the baby will be awake.”
8. The nurse is discussing lack of sleep with a middle-aged adult. The nurse recognizes that insomnia in this age
group is commonly due to:
a) Anxiety. Correct
b) Teenagers keeping them awake.
c) Caring for pets.
d) Late night television.
9. A single dad is discussing with the nurse the sleep needs of a preschooler. Which of the following direction
would be most helpful to the parent?
a) “It is important that the 5-year-old get a nap every day.”
b) “Preschoolers sleep soundly all night long.”
c) “On average, the preschooler needs to sleep 10 hours a night.”
d) “The preschooler may have trouble settling down after a busy day.”
e)
10. The nurse is having a conversation with an adolescent regarding the need for sleep. The adolescent states
that it is common to stay up with friends several nights a week. Which nursing action should the nurse take?
1. The nurse is caring for a young adult patient on the medical-surgical unit. When doing midnight checks,
she sees that the patient is awake and is doing a puzzle. What is the best explanation for the patient being awake?
a) The patient was waiting to talk with the nurse.
b) The patient misses his family and is lonely.
c) The patient’s sleep-wake cycle preference is late evening.
d) The patient has been kept up with the noise on the unit.
2. The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment
Center. Which of these statements by the nurses would best indicate that learning has occurred?
a) “If the patient has a disease process in the central nervous system, it can influence the functions of sleep
b)
c) “If the patient has a disease process in the cranial nerves, it can influence the functions of sleep.”
d) “If the patient has an interruption in the motor pathways, it can influence the functions of sleep.”
e) “If the patient has an interruption in the spinal reflexes, it can influence the functions of sleep.”
3. The nurse is caring for a patient who is having trouble sleeping. To encourage decreased stimulus to the
reticular activating system and activation of the bulbar synchronizing region, which actions would the nurse
implement?
a) Encourage television for distraction.
b) Encourage relaxed positions
c) Walk with the patient.
d) Provide a favorite beverage.
4. The nurse is caring for a patient in the sleep lab. The nurse recognizes that the patient is in stage 4 NREM from
which of the following assessments?
a) The patient awakens easily.
b) Body functions slow.
c) The patient is difficult to awaken.
d) Eyes rapidly move.
5. The patient shares with the nurse the vivid, full color dreams experienced by the patient last night. These data
would indicate that the patient has reached what stage of sleep?
a) Stage 1 NREM
b) Stage 2 NREM
, c) Stage 3 NREM
d) REM
e)
6. Which nursing observation of the patient in intensive care indicates that the patient is sleeping comfortably?
a) Eyes closed, lying quietly, respirations 12, heart rate 60
b) t
c) Eyes closed, tossing in bed, respirations 18, heart rate 80
d) Eyes closed, mumbling to self, respirations 16, heart rate 68
e) Eyes closed, lying straight in bed, respirations 22, heart rate 66
7. The nurse is discussing with a new mother the sleep requirements of a neonate. Which of these comments
would indicate that the patient has an understanding of the neonate’s sleeping pattern?
a) “I can’t wait to get the baby home to play with the brothers and sisters.”
b) “I will ask my mom to come after the first week, when the baby is more alert.”
c)
d) “I will get the baby on a sleeping schedule the first week while my mom is here.”
e) “I won’t be able to nap during the day because the baby will be awake.”
8. The nurse is discussing lack of sleep with a middle-aged adult. The nurse recognizes that insomnia in this age
group is commonly due to:
a) Anxiety. Correct
b) Teenagers keeping them awake.
c) Caring for pets.
d) Late night television.
9. A single dad is discussing with the nurse the sleep needs of a preschooler. Which of the following direction
would be most helpful to the parent?
a) “It is important that the 5-year-old get a nap every day.”
b) “Preschoolers sleep soundly all night long.”
c) “On average, the preschooler needs to sleep 10 hours a night.”
d) “The preschooler may have trouble settling down after a busy day.”
e)
10. The nurse is having a conversation with an adolescent regarding the need for sleep. The adolescent states
that it is common to stay up with friends several nights a week. Which nursing action should the nurse take?
