NUR 306 FINAL EXAM CUMULATIVE | 2025/2026
UPDATE | QUESTIONS AND ANSWERS | WITH
COMPLETE SOLUTION
A nurse is developing a plan for a patient who was diagnosed with narcolepsy.
which interventions should the nurse include on the plan? Answer - - take
brief, 20 minute naps no more than twice a day.
- establish a regular exercise program
- teach the patient about the side effects of modafinil.
which statement made by a patient indicate an understanding of behaviors that
will promote sleep? Answer - -"i will not watch tv in bed".
- "I will not caffeine later in the day".
- " I will start to exercise regularly during the day."
a 72 year old patient asks the nurse about using an over the counter
antihistamine as a sleeping agent to help her get to sleep. what is the nurses
best response? Answer - "Antihistamines should not be used because they can
cause confusion and increase your risk for falls".
which nursing interventions best promotes effective sleep in an older adult?
Answer - - limit fluids 2-4 hours before bed.
- ensure that the room temperature in comfortably cool.
- provide warm covers.
,which statement made by the patient indicates an understanding of sleep-
hygiene practices? Answer - " I usually drink. cup of warm milk in the evening
to help me sleep."
which nursing interventions are appropriate to include in a plan of care to
promote sleep for patients who are hospitalized? Answer - - plan vital signs to
be taken before the patient is a sleep
- have patient follow at home bed time schedule
- close the door of the patients room at bedtime.
the nurse is contacting the health care provider about a patients sleep
problem. place the steps in SBAR in the correct order. Answer - - "Dr. Smithson,
this is Pam, the nurse caring for Mrs. Dodd. im calling becasue Mrs. Dodd is
having difficult sleeping.
- Mrs. Dodd, 46 year old was admitted 3 days ago following a motor vehicle
accident. she is in balanced skeletal traction for a femur fracture. she is having
difficulty falling asleep.
- Mrs. Dodd is taking her pain medication every 4 hours as ordered and rates
her pain a 2 out of 10. last night she was still awake at 1 am. she states that she
is comfortable but that she just cant fall asleep. her vitals are Bp 124/76, P 78,
R 12, and T 98.8.
- im calling to ask if you would order a hypnotic such as zolpidem to use on a
prn basis.
which statement made by a mother being discharged home with her newborn
infant indicates that she understands the discharge teaching related to best
sleep practices. Answer - "well place the baby on her back to sleep".
, a nurse is taking a sleep history from a patient. which statement made by the
patient needs further follow up? Answer - " it takes me about 45-60 minutes to
fall asleep.
which sleep hygiene actions at bedtime can the nurse delegate to the AP?
Answer - _ giving a patient a back rub
- turning on quite music
- dimming the lights in the patients room.
which of the following signs or symptoms in a patient who is opioid-naive is of
greatest concern to the nurse when assessing the patient one hour after
administering an opiod? Answer - difficulty arousing the patient
a health care provider writes the following order for a patient who is opioid
naive who returned from operating room following a total hip replacement:
Fentanyl patch 100mcg, change every 3 days." on the basis of this order, the
nurse takes which action? Answer - calls the health care provider and question
the provider
a patient is being discharged home on an around the clock opioid for
postoperative pain. because of this order the nurse anticipates an additional
order for which class of medication? Answer - Stool softners
a new medical resident writes an order for oxycodone CR 10 mg PO q2h prn.
which part of the order does the nurse question? Answer - the time interval
the nurse reviews a patients medical administration record and finds that the
patient has received oxycodone/acetaminophen (5/325), two tablets PO every
3 hours for the past 3 days. what concerns the nurse the most? Answer - the
amount of daily acetaminophen.
UPDATE | QUESTIONS AND ANSWERS | WITH
COMPLETE SOLUTION
A nurse is developing a plan for a patient who was diagnosed with narcolepsy.
which interventions should the nurse include on the plan? Answer - - take
brief, 20 minute naps no more than twice a day.
- establish a regular exercise program
- teach the patient about the side effects of modafinil.
which statement made by a patient indicate an understanding of behaviors that
will promote sleep? Answer - -"i will not watch tv in bed".
- "I will not caffeine later in the day".
- " I will start to exercise regularly during the day."
a 72 year old patient asks the nurse about using an over the counter
antihistamine as a sleeping agent to help her get to sleep. what is the nurses
best response? Answer - "Antihistamines should not be used because they can
cause confusion and increase your risk for falls".
which nursing interventions best promotes effective sleep in an older adult?
Answer - - limit fluids 2-4 hours before bed.
- ensure that the room temperature in comfortably cool.
- provide warm covers.
,which statement made by the patient indicates an understanding of sleep-
hygiene practices? Answer - " I usually drink. cup of warm milk in the evening
to help me sleep."
which nursing interventions are appropriate to include in a plan of care to
promote sleep for patients who are hospitalized? Answer - - plan vital signs to
be taken before the patient is a sleep
- have patient follow at home bed time schedule
- close the door of the patients room at bedtime.
the nurse is contacting the health care provider about a patients sleep
problem. place the steps in SBAR in the correct order. Answer - - "Dr. Smithson,
this is Pam, the nurse caring for Mrs. Dodd. im calling becasue Mrs. Dodd is
having difficult sleeping.
- Mrs. Dodd, 46 year old was admitted 3 days ago following a motor vehicle
accident. she is in balanced skeletal traction for a femur fracture. she is having
difficulty falling asleep.
- Mrs. Dodd is taking her pain medication every 4 hours as ordered and rates
her pain a 2 out of 10. last night she was still awake at 1 am. she states that she
is comfortable but that she just cant fall asleep. her vitals are Bp 124/76, P 78,
R 12, and T 98.8.
- im calling to ask if you would order a hypnotic such as zolpidem to use on a
prn basis.
which statement made by a mother being discharged home with her newborn
infant indicates that she understands the discharge teaching related to best
sleep practices. Answer - "well place the baby on her back to sleep".
, a nurse is taking a sleep history from a patient. which statement made by the
patient needs further follow up? Answer - " it takes me about 45-60 minutes to
fall asleep.
which sleep hygiene actions at bedtime can the nurse delegate to the AP?
Answer - _ giving a patient a back rub
- turning on quite music
- dimming the lights in the patients room.
which of the following signs or symptoms in a patient who is opioid-naive is of
greatest concern to the nurse when assessing the patient one hour after
administering an opiod? Answer - difficulty arousing the patient
a health care provider writes the following order for a patient who is opioid
naive who returned from operating room following a total hip replacement:
Fentanyl patch 100mcg, change every 3 days." on the basis of this order, the
nurse takes which action? Answer - calls the health care provider and question
the provider
a patient is being discharged home on an around the clock opioid for
postoperative pain. because of this order the nurse anticipates an additional
order for which class of medication? Answer - Stool softners
a new medical resident writes an order for oxycodone CR 10 mg PO q2h prn.
which part of the order does the nurse question? Answer - the time interval
the nurse reviews a patients medical administration record and finds that the
patient has received oxycodone/acetaminophen (5/325), two tablets PO every
3 hours for the past 3 days. what concerns the nurse the most? Answer - the
amount of daily acetaminophen.
