NUR 1025HEI PN COMPREHENSIVE EXIT EXAM 2022.
HEI PN COMPREHENSIVE EXIT EXAM
1. The nurse is completing an assessment on an older-adult patient who is
having difficulty falling asleep. Which condition will the nurse further assess
for in this patient?
a. Depression
b. Mild fatigue
c. Hypertension
d. Hypothyroidism
ANS: A
Older adults and other individuals who experience depressive mood problems
experience delays in falling asleep, earlier appearance of REM sleep, frequent
awakening, feelings of sleeping poorly, and daytime sleepiness. A person who is
moderately fatigued usually achieves restful sleep, especially if the fatigue is the
result of enjoyable work or exercise. Hypertension often causes early-morning
awakening and fatigue. Alcohol speeds the onset of sleep. Hypothyroidism
decreases stage 4 sleep.
2. The nurse is caring for an adolescent with an appendectomy who is reporting
difficulty falling asleep. Which intervention will be most appropriate?
a. Close the door to decrease noise from unit activities.
b. Adjust temperature in the patient’s room to 21° C (70° F).
c. Ensure that the night-light in the patient’s room is working.
d. Encourage the discontinuation of a soda and chocolate nightly snack.
ANS: D
Discontinuing the soda and chocolate nightly snack will be most beneficial for
this patient since it has two factors that will cause difficulty falling asleep.
Coffee, tea, colas, and chocolate act as stimulants, causing a person to stay
awake or to awaken throughout the night. Personal preference influences the
temperature of the room, as well as the lighting of the room. Noise can be a
factor in the unit and can awaken the patient, but caffeine can make it difficult
to fall asleep.
13.A patient has obstructive sleep apnea. Which assessment is the priority?
a. Gastrointestinal function
1
b. Neurological function
HEI PN COMPREHENSIVE EXIT EXAM
1. The nurse is completing an assessment on an older-adult patient who is
having difficulty falling asleep. Which condition will the nurse further assess
for in this patient?
a. Depression
b. Mild fatigue
c. Hypertension
d. Hypothyroidism
ANS: A
Older adults and other individuals who experience depressive mood problems
experience delays in falling asleep, earlier appearance of REM sleep, frequent
awakening, feelings of sleeping poorly, and daytime sleepiness. A person who is
moderately fatigued usually achieves restful sleep, especially if the fatigue is the
result of enjoyable work or exercise. Hypertension often causes early-morning
awakening and fatigue. Alcohol speeds the onset of sleep. Hypothyroidism
decreases stage 4 sleep.
2. The nurse is caring for an adolescent with an appendectomy who is reporting
difficulty falling asleep. Which intervention will be most appropriate?
a. Close the door to decrease noise from unit activities.
b. Adjust temperature in the patient’s room to 21° C (70° F).
c. Ensure that the night-light in the patient’s room is working.
d. Encourage the discontinuation of a soda and chocolate nightly snack.
ANS: D
Discontinuing the soda and chocolate nightly snack will be most beneficial for
this patient since it has two factors that will cause difficulty falling asleep.
Coffee, tea, colas, and chocolate act as stimulants, causing a person to stay
awake or to awaken throughout the night. Personal preference influences the
temperature of the room, as well as the lighting of the room. Noise can be a
factor in the unit and can awaken the patient, but caffeine can make it difficult
to fall asleep.
13.A patient has obstructive sleep apnea. Which assessment is the priority?
a. Gastrointestinal function
1
b. Neurological function
