NURS 1141 BEST EXAM 2022/2023 UPDATE
QUESTIONS WITH ANSWERS
Rest and Sleep
A nurse on a maternity ward is teaching new mothers about the sleep patterns of infants
and how to keep them safe during this stage. What comment from a parent alerts the
nurse that further teaching is required?
a) "I can expect my newborn to sleep an average of 16 to 24 hours a day."
b) "If I see eye movements or groaning during my baby's sleep I will call the
pediatrician."
c) "I will place my infant on his back to sleep."
d) "I will not place pillows or blankets in the crib to prevent suffocation."
A nurse observes involuntary muscle jerking in a sleeping patient. What would be the
nurse's next action?
a) No action is necessary as this is a normal finding during sleep.
b) Call the primary care provider to report possible neurologic deficit.
c) Lower the temperature in the patient's room.
d) Awaken the patient as this is an indication of night terrors.
A nurse observes a slight increase in a patient's vital signs while he is sleeping during the
night. According to the patient's stage of sleep, the nurse expects what conditions to be
true? Select all that apply.
a) He is aware of his surroundings at this point.
b) He is in delta sleep at this time.
c) It would be most difficult to awaken him at this time.
d) This is most likely an NREM stage.
e) This stage constitutes around 20% to 25% of total sleep.
f) The muscles are relaxed in this stage.
A nurse working in a sleep lab observes the developmental factors that may affect sleep.
Which statements accurately describe these variations? Select all that apply.
a) REM sleep constitutes much of the sleep cycle of a preschool child.
b) By the age of 8 years, most children no longer take naps.
c) Sleep needs usually decrease when physical growth peaks.
d) Many adolescents do not get enough sleep.
e) Total sleep decreases in adults with a decrease in stage IV sleep.
f) Sleep is less sound in older adults and stage IV sleep may be absent
A nurse is discussing with an older adult patient measures to take to induce sleep. What
teaching point might the nurse include?
a) Drinking a cup of regular tea at night induces sleep.
b) Using alcohol moderately promotes a deep sleep.
c) Having a small bedtime snack high in tryptophan and carbohydrates improves sleep.
d) Exercising right before bedtime can hinder sleep.
A nurse is assessing patients in a skilled nursing facility for sleep deficits. Which patients
would be considered at a higher risk for having sleep disturbances? Select all that apply.
a) A patient who has uncontrolled hypothyroidism.
b) A patient with coronary artery disease.
c) A patient who has GERD.
d) A patient who is HIV positive.
, NURS 1141 BEST EXAM 2022/2023 UPDATE
QUESTIONS WITH ANSWERS
e) A patient who is taking corticosteroids for arthritis.
f) A patient with a urinary tract infection.
A nurse is providing discharge teaching for patients regarding their medications. For
which patients would the nurse recommend actions to promote sleep? Select all that
apply.
a) A patient who is taking iron supplements for anemia.
b) A patient with Parkinson's disease who is taking dopamine.
c) An older adult taking diuretics for congestive heart failure.
d) A patient who is taking antibiotics for an ear infection.
e) A patient who is prescribed antidepressants.
f) A patient who is taking low-dose aspirin prophylactically.
A nurse working the night shift in a pediatric unit observes a 10-year-old patient who is
snoring and appears to have labored breathing during sleep. Upon reporting the findings
to the primary care provider, what nursing action might the nurse expect to perform?
a) Preparing the family for a diagnosis of insomnia and related treatments.
b) Preparing the family for a diagnosis of narcolepsy and related treatments.
c) Anticipating the scheduling of polysomnography to confirm OSA.
d) No action would be taken, as this is a normal finding for hospitalized children
A nurse is performing a sleep assessment on a patient being treated for a sleep disorder.
During the assessment, the patient falls asleep in the middle of a conversation. The
nurse would suspect which disorder?
a) Circadian rhythm sleep-wake disorder
b) Narcolepsy
c) Enuresis
d) Sleep apnea
A nurse is teaching a patient with a sleep disorder how to keep a sleep diary. Which data
would the nurse have the patient document? Select all that apply.
a) Daily mental activities
b) Daily physical activities
c) Morning and evening body temperature
d) Daily measurement of fluid intake and output
e) Presence of anxiety or worries affecting sleep
f) Morning and evening blood pressure readings
To promote sleep in a patient, a nurse suggests what
intervention? a) Follow the usual bedtime routine if possible.
b) Drink two or three glasses of water at bedtime.
c) Have a large snack at bedtime.
d) Take a sedative-hypnotic every night at bedtime.
A nurse is caring for an older adult who is having trouble getting to sleep at night and
formulates the nursing diagnosis Disturbed sleep pattern: Initiation of sleep. Which
nursing interventions would the nurse perform related to this diagnosis? Select all that
apply.
a) Arrange for assessment for depression and treatment.
b)Discourage napping during the day.
c)Decrease fluids during the evening.
d)Administer diuretics in the morning.
, NURS 1141 BEST EXAM 2022/2023 UPDATE
QUESTIONS WITH ANSWERS
e)Encourage patient to engage in some type of physical activity.
f)Assess medication for side effects of sleep pattern
disturbances.
A nurse is caring for a patient who states he has had trouble sleeping ever since his job
at a factory changed from the day shift to the night shift. For what recommended
treatment might the nurse prepare this patient?
a) The use of a central nervous system stimulant
b) Continuous positive airway pressure machine
(CPAP) c) Chronotherapy
d) The application of heat or cold therapy to promote sleep
A nurse caring for patients in a busy hospital environment should implement which
recommendation to promote sleep?
a) Keep the room light dimmed during the
day. b) Keep the room cool.
c) Keep the door of the room open.
d) Offer a sleep aid medication to patients on a regular basis.
A nurse caring for patients in a long-term care facility is implementing interventions to
help promote sleep in older adults. Which action is recommended for these patients?
a) Increase physical activities during the day.
b) Encourage short periods of napping during the day.
c) Increase fluids during the evening.
d) Dispense diuretics during the afternoon hours.
The nurse is caring for a young-adult patient on the medical-surgical unit. When doing
midnight checks, the nurse observes the patient awake, putting a puzzle together.
Which information will the nurse consider to best explain this finding?
a. The patient misses family and is lonely.
b. The patient was waiting to talk with the nurse.
c. The patient has been kept up with the noise on the unit.
d. The patient's sleep-wake cycle preference is late
evening.
The nurse is providing an educational session on sleep regulation for new nurses in the
Sleep Disorder Treatment Center. Which statement by the nurses will best indicate
that the teaching is effective?
a. "If the patient has a disease process in the central nervous system, it can influence
the functions of sleep."
b. "If the patient has a disease process in the cranial nerves, it can influence the functions
of sleep."
c. "If the patient has an interruption in the urinary pathways, it can influence the functions
of sleep."
d. "If the patient has an interruption in the spinal reflexes, it can influence the functions
of sleep."
The nurse is caring for a patient who is having trouble sleeping. Which action will
the nurse take?
a. Suggest snug-fitting nightwear.
b. Provide a favorite beverage.
c. Encourage deep breathing.
d. Walk with the patient.
QUESTIONS WITH ANSWERS
Rest and Sleep
A nurse on a maternity ward is teaching new mothers about the sleep patterns of infants
and how to keep them safe during this stage. What comment from a parent alerts the
nurse that further teaching is required?
a) "I can expect my newborn to sleep an average of 16 to 24 hours a day."
b) "If I see eye movements or groaning during my baby's sleep I will call the
pediatrician."
c) "I will place my infant on his back to sleep."
d) "I will not place pillows or blankets in the crib to prevent suffocation."
A nurse observes involuntary muscle jerking in a sleeping patient. What would be the
nurse's next action?
a) No action is necessary as this is a normal finding during sleep.
b) Call the primary care provider to report possible neurologic deficit.
c) Lower the temperature in the patient's room.
d) Awaken the patient as this is an indication of night terrors.
A nurse observes a slight increase in a patient's vital signs while he is sleeping during the
night. According to the patient's stage of sleep, the nurse expects what conditions to be
true? Select all that apply.
a) He is aware of his surroundings at this point.
b) He is in delta sleep at this time.
c) It would be most difficult to awaken him at this time.
d) This is most likely an NREM stage.
e) This stage constitutes around 20% to 25% of total sleep.
f) The muscles are relaxed in this stage.
A nurse working in a sleep lab observes the developmental factors that may affect sleep.
Which statements accurately describe these variations? Select all that apply.
a) REM sleep constitutes much of the sleep cycle of a preschool child.
b) By the age of 8 years, most children no longer take naps.
c) Sleep needs usually decrease when physical growth peaks.
d) Many adolescents do not get enough sleep.
e) Total sleep decreases in adults with a decrease in stage IV sleep.
f) Sleep is less sound in older adults and stage IV sleep may be absent
A nurse is discussing with an older adult patient measures to take to induce sleep. What
teaching point might the nurse include?
a) Drinking a cup of regular tea at night induces sleep.
b) Using alcohol moderately promotes a deep sleep.
c) Having a small bedtime snack high in tryptophan and carbohydrates improves sleep.
d) Exercising right before bedtime can hinder sleep.
A nurse is assessing patients in a skilled nursing facility for sleep deficits. Which patients
would be considered at a higher risk for having sleep disturbances? Select all that apply.
a) A patient who has uncontrolled hypothyroidism.
b) A patient with coronary artery disease.
c) A patient who has GERD.
d) A patient who is HIV positive.
, NURS 1141 BEST EXAM 2022/2023 UPDATE
QUESTIONS WITH ANSWERS
e) A patient who is taking corticosteroids for arthritis.
f) A patient with a urinary tract infection.
A nurse is providing discharge teaching for patients regarding their medications. For
which patients would the nurse recommend actions to promote sleep? Select all that
apply.
a) A patient who is taking iron supplements for anemia.
b) A patient with Parkinson's disease who is taking dopamine.
c) An older adult taking diuretics for congestive heart failure.
d) A patient who is taking antibiotics for an ear infection.
e) A patient who is prescribed antidepressants.
f) A patient who is taking low-dose aspirin prophylactically.
A nurse working the night shift in a pediatric unit observes a 10-year-old patient who is
snoring and appears to have labored breathing during sleep. Upon reporting the findings
to the primary care provider, what nursing action might the nurse expect to perform?
a) Preparing the family for a diagnosis of insomnia and related treatments.
b) Preparing the family for a diagnosis of narcolepsy and related treatments.
c) Anticipating the scheduling of polysomnography to confirm OSA.
d) No action would be taken, as this is a normal finding for hospitalized children
A nurse is performing a sleep assessment on a patient being treated for a sleep disorder.
During the assessment, the patient falls asleep in the middle of a conversation. The
nurse would suspect which disorder?
a) Circadian rhythm sleep-wake disorder
b) Narcolepsy
c) Enuresis
d) Sleep apnea
A nurse is teaching a patient with a sleep disorder how to keep a sleep diary. Which data
would the nurse have the patient document? Select all that apply.
a) Daily mental activities
b) Daily physical activities
c) Morning and evening body temperature
d) Daily measurement of fluid intake and output
e) Presence of anxiety or worries affecting sleep
f) Morning and evening blood pressure readings
To promote sleep in a patient, a nurse suggests what
intervention? a) Follow the usual bedtime routine if possible.
b) Drink two or three glasses of water at bedtime.
c) Have a large snack at bedtime.
d) Take a sedative-hypnotic every night at bedtime.
A nurse is caring for an older adult who is having trouble getting to sleep at night and
formulates the nursing diagnosis Disturbed sleep pattern: Initiation of sleep. Which
nursing interventions would the nurse perform related to this diagnosis? Select all that
apply.
a) Arrange for assessment for depression and treatment.
b)Discourage napping during the day.
c)Decrease fluids during the evening.
d)Administer diuretics in the morning.
, NURS 1141 BEST EXAM 2022/2023 UPDATE
QUESTIONS WITH ANSWERS
e)Encourage patient to engage in some type of physical activity.
f)Assess medication for side effects of sleep pattern
disturbances.
A nurse is caring for a patient who states he has had trouble sleeping ever since his job
at a factory changed from the day shift to the night shift. For what recommended
treatment might the nurse prepare this patient?
a) The use of a central nervous system stimulant
b) Continuous positive airway pressure machine
(CPAP) c) Chronotherapy
d) The application of heat or cold therapy to promote sleep
A nurse caring for patients in a busy hospital environment should implement which
recommendation to promote sleep?
a) Keep the room light dimmed during the
day. b) Keep the room cool.
c) Keep the door of the room open.
d) Offer a sleep aid medication to patients on a regular basis.
A nurse caring for patients in a long-term care facility is implementing interventions to
help promote sleep in older adults. Which action is recommended for these patients?
a) Increase physical activities during the day.
b) Encourage short periods of napping during the day.
c) Increase fluids during the evening.
d) Dispense diuretics during the afternoon hours.
The nurse is caring for a young-adult patient on the medical-surgical unit. When doing
midnight checks, the nurse observes the patient awake, putting a puzzle together.
Which information will the nurse consider to best explain this finding?
a. The patient misses family and is lonely.
b. The patient was waiting to talk with the nurse.
c. The patient has been kept up with the noise on the unit.
d. The patient's sleep-wake cycle preference is late
evening.
The nurse is providing an educational session on sleep regulation for new nurses in the
Sleep Disorder Treatment Center. Which statement by the nurses will best indicate
that the teaching is effective?
a. "If the patient has a disease process in the central nervous system, it can influence
the functions of sleep."
b. "If the patient has a disease process in the cranial nerves, it can influence the functions
of sleep."
c. "If the patient has an interruption in the urinary pathways, it can influence the functions
of sleep."
d. "If the patient has an interruption in the spinal reflexes, it can influence the functions
of sleep."
The nurse is caring for a patient who is having trouble sleeping. Which action will
the nurse take?
a. Suggest snug-fitting nightwear.
b. Provide a favorite beverage.
c. Encourage deep breathing.
d. Walk with the patient.
