NURS230- ch 45 Exam Questions With
Answers Latest
The mother of a newborn tells the nurse, I am concerned about my baby. When she first goes to
sleep, her eyes dart around under her eyelids, she doesnt breathe regularly, and she sometimes
twitches. What advice should the nurse give this mother?
1. Please bring your baby in immediately for a checkup.
2. These are common behaviors in newborns and are normal.
3. You should ask the physician about these symptoms at your next checkup.
4. If your baby does this again, take her to the emergency department.
2
The parents of a 6-month-old tell the nurse that they are exhausted because their baby wakes up
several times every night. What advice should the nurse give these parents?
1. Be certain that the baby is truly awake before picking him up for feeding.
2. Let the baby cry it out for a few nights until he can sleep through the night.
3. Continue to respond to the baby whenever he is restless during the night.
4. Bring the baby in for a possible sleep study to check for sleeping disorders.
1
The 70-year-old client tells the nurse, I can go to sleep without a problem, but then I wake up in a
couple of hours and cant go back to sleep. What nursing action would help promote rest and sleep in
this client?
1. Have the client develop a bedtime ritual of quiet music and a glass of wine.
2. Encourage the client to avoid taking pain medication prior to sleep.
3. Evaluate if the client perceives sleeplessness to be a serious problem.
4. Have the client perform moderate exercises before bedtime.
3
A client complains of not being able to stay awake during the day even after sleeping throughout the
night. What should the nurse suggestion to this client?
1. Go to your physician for a physical examination.
2. Go to a mental health professional for evaluation of possible depression.
3. Purchase an over-the-counter sleep aid to deepen nighttime sleep.
4. Drink more caffeinated beverages in the daytime to stay awake.
1
, The nurse is developing a plan of care for a client diagnosed with narcolepsy. Which intervention
should the nurse include in this plan of care?
1. Encourage the client to take an over-the-counter medication to improve nighttime sleep.
2. Be certain the client has the prescription for modafinil (Provigil) filled.
3. Have the client purchase sodium oxybate (Xyrem) over the counter to prevent daytime drowsiness.
4. Be certain the client obtains antihistamines to control nasal stuffiness.
2
The client is being treated with a nasal continuous positive airway pressure device (CPAP) for sleep
apnea. What finding indicates that this treatment has been helpful to the client?
1. The client has lost 7 pounds since treatment began.
2. The client sleeps so soundly that he snores.
3. The clients diabetes is now under control.
4. The client reports a decrease in morning headache.
4
The nurse is admitting a critically ill client to the intensive care unit. What question should the nurse
ask regarding this clients sleep history?
1. No questions should be asked.
2. When do you usually go to sleep?
3. Do you have any problems with sleeping?
4. What are your bedtime rituals?
1
The client who has sleep apnea reports falling asleep while driving, almost being involved in an
accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this
client?
1. Disturbed Sleep Pattern related to difficulty staying asleep
2. Risk for Impaired Gas Exchange related to sleep apnea
3. Disturbed Thought Processes related to chronic insomnia
4. Risk for Injury related to somnambulism
4
The nurse is working with a client to develop an expected outcome for the nursing diagnosis
Disturbed Sleep Pattern, difficulty staying asleep related to anxiety secondary to multiple life
stressors. Which expected outcome would be most applicable to this clients situation?
Answers Latest
The mother of a newborn tells the nurse, I am concerned about my baby. When she first goes to
sleep, her eyes dart around under her eyelids, she doesnt breathe regularly, and she sometimes
twitches. What advice should the nurse give this mother?
1. Please bring your baby in immediately for a checkup.
2. These are common behaviors in newborns and are normal.
3. You should ask the physician about these symptoms at your next checkup.
4. If your baby does this again, take her to the emergency department.
2
The parents of a 6-month-old tell the nurse that they are exhausted because their baby wakes up
several times every night. What advice should the nurse give these parents?
1. Be certain that the baby is truly awake before picking him up for feeding.
2. Let the baby cry it out for a few nights until he can sleep through the night.
3. Continue to respond to the baby whenever he is restless during the night.
4. Bring the baby in for a possible sleep study to check for sleeping disorders.
1
The 70-year-old client tells the nurse, I can go to sleep without a problem, but then I wake up in a
couple of hours and cant go back to sleep. What nursing action would help promote rest and sleep in
this client?
1. Have the client develop a bedtime ritual of quiet music and a glass of wine.
2. Encourage the client to avoid taking pain medication prior to sleep.
3. Evaluate if the client perceives sleeplessness to be a serious problem.
4. Have the client perform moderate exercises before bedtime.
3
A client complains of not being able to stay awake during the day even after sleeping throughout the
night. What should the nurse suggestion to this client?
1. Go to your physician for a physical examination.
2. Go to a mental health professional for evaluation of possible depression.
3. Purchase an over-the-counter sleep aid to deepen nighttime sleep.
4. Drink more caffeinated beverages in the daytime to stay awake.
1
, The nurse is developing a plan of care for a client diagnosed with narcolepsy. Which intervention
should the nurse include in this plan of care?
1. Encourage the client to take an over-the-counter medication to improve nighttime sleep.
2. Be certain the client has the prescription for modafinil (Provigil) filled.
3. Have the client purchase sodium oxybate (Xyrem) over the counter to prevent daytime drowsiness.
4. Be certain the client obtains antihistamines to control nasal stuffiness.
2
The client is being treated with a nasal continuous positive airway pressure device (CPAP) for sleep
apnea. What finding indicates that this treatment has been helpful to the client?
1. The client has lost 7 pounds since treatment began.
2. The client sleeps so soundly that he snores.
3. The clients diabetes is now under control.
4. The client reports a decrease in morning headache.
4
The nurse is admitting a critically ill client to the intensive care unit. What question should the nurse
ask regarding this clients sleep history?
1. No questions should be asked.
2. When do you usually go to sleep?
3. Do you have any problems with sleeping?
4. What are your bedtime rituals?
1
The client who has sleep apnea reports falling asleep while driving, almost being involved in an
accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this
client?
1. Disturbed Sleep Pattern related to difficulty staying asleep
2. Risk for Impaired Gas Exchange related to sleep apnea
3. Disturbed Thought Processes related to chronic insomnia
4. Risk for Injury related to somnambulism
4
The nurse is working with a client to develop an expected outcome for the nursing diagnosis
Disturbed Sleep Pattern, difficulty staying asleep related to anxiety secondary to multiple life
stressors. Which expected outcome would be most applicable to this clients situation?
