Nurs 235 Exam 5 - Questions With Practical Solutions
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."
Right Ans - B
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. Right Ans - A
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. Right Ans - C,E
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.
Right Ans - D,E,F
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. Right Ans - C
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.
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."
Right Ans - B
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. Right Ans - A
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. Right Ans - C,E
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.
Right Ans - D,E,F
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. Right Ans - C
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.
