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Chapter 13: Drugs Used for Sleep
Test Bank
MULTIPLE CHOICE
1. The nurse finds that a patient is extremely agitated, yells frequently, and is attempting to get
out of bed without assistance. What is the nurse’s initial action?
a. Administer zolpidem after taking the patient’s vital signs.
b. Close the patient’s door for privacy after administering Tylenol.
c. Administer benzodiazepine before calling the health care provider.
d. Spend uninterrupted time listening to the patient.
ANS: D
Assessing the patient’s level of anxiety is important. The patient may only need someone to
listen to what stressors he or she is facing. The nurse must assess the patient before
medication can be administered.
DIF: Cognitive Level: Analysis REF: p. 214 OBJ: 3
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
2. An older adult patient received a hypnotic agent at 9:00 PM. At 2:00 AM, the nurse discovers
that the patient has removed her gown and is attempting to get out of bed without assistance.
What type of medication effect is the patient exhibiting?
a. Allergic
b. Hypersensitivity
c. Paradoxical
d. Therapeutic
ANS: C
A paradoxical effect may occur in older adult patients. This includes periods of excitement,
confusion, restlessness, and euphoria. Allergies to medications tend to manifest in skin or
respiratory symptoms. A patient who is hypersensitive to a hypnotic would be difficult to
rouse. A therapeutic effect for a hypnotic would be sedation.
DIF: Cognitive Level: Application REF: p. 217 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
3. For what conditions are benzodiazepines prescribed?
a. Chronic amnesia
b. Chronic insomnia
c. Preoperative sedation
d. Psychotic episodes
ANS: C
The sedative hypnotic effect of benzodiazepines facilitates surgical sedation. Short acting
benzodiazepines are administered intramuscularly for preoperative sedation. They are also
given intravenously for conscious sedation before short diagnostic procedures or for the
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induction of general anesthesia. Benzodiazepines are not recommended for long term use
and do not affect amnesia. Benzodiazepines are a poor choice for the treatment of chronic
insomnia because of their risk for habituation. Benzodiazepines do not have an antipsychotic
effect.
DIF: Cognitive Level: Knowledge REF: pp. 217-218 OBJ: 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
4. A patient receiving diazepam (Valium) is complaining of nausea and vomiting and is
becoming jaundiced. Which type of blood work will be performed?
a. Renal function tests
b. Liver function tests
c. Clotting times
d. Electrolyte panels
ANS: B
Liver function tests will be performed because nausea, vomiting, and jaundice can be
indicative of hepatotoxicity. Abnormal liver function test results (i.e., elevated bilirubin,
aspartate transaminase [AST], alanine transaminase [ALT], gamma glutamyl transferase
[GGT], and alkaline phosphatase levels, as well as prothrombin time) are indicative of
hepatotoxicity. Benzodiazepines do not affect the kidneys, clotting times, and electrolytes.
DIF: Cognitive Level: Application REF: p. 220 OBJ: 6
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
5. In addition to facilitating sleep, what is another benefit of sedatives?
a. Increased pain control postoperatively
b. Reduced bronchial secretions
c. Decreased patient anxiety
d. Increased patient alertness
ANS: C
Preoperatively, sedatives will help decrease patient anxiety and facilitate sleep. Sedatives are
not long acting enough to affect postoperative pain control. Sedatives do not affect bronchial
secretions. Sedatives diminish patient alertness.
DIF: Cognitive Level: Knowledge REF: pp. 213-214 OBJ: 1
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
6. Which two phases make up normal sleep?
a. Hypnagogic and hypnopompic
b. Rapid eye movement (REM) and non REM
c. Alpha and beta
d. Delta and theta
ANS: B
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Chapter 13: Drugs Used for Sleep
Test Bank
MULTIPLE CHOICE
1. The nurse finds that a patient is extremely agitated, yells frequently, and is attempting to get
out of bed without assistance. What is the nurse’s initial action?
a. Administer zolpidem after taking the patient’s vital signs.
b. Close the patient’s door for privacy after administering Tylenol.
c. Administer benzodiazepine before calling the health care provider.
d. Spend uninterrupted time listening to the patient.
ANS: D
Assessing the patient’s level of anxiety is important. The patient may only need someone to
listen to what stressors he or she is facing. The nurse must assess the patient before
medication can be administered.
DIF: Cognitive Level: Analysis REF: p. 214 OBJ: 3
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
2. An older adult patient received a hypnotic agent at 9:00 PM. At 2:00 AM, the nurse discovers
that the patient has removed her gown and is attempting to get out of bed without assistance.
What type of medication effect is the patient exhibiting?
a. Allergic
b. Hypersensitivity
c. Paradoxical
d. Therapeutic
ANS: C
A paradoxical effect may occur in older adult patients. This includes periods of excitement,
confusion, restlessness, and euphoria. Allergies to medications tend to manifest in skin or
respiratory symptoms. A patient who is hypersensitive to a hypnotic would be difficult to
rouse. A therapeutic effect for a hypnotic would be sedation.
DIF: Cognitive Level: Application REF: p. 217 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
3. For what conditions are benzodiazepines prescribed?
a. Chronic amnesia
b. Chronic insomnia
c. Preoperative sedation
d. Psychotic episodes
ANS: C
The sedative hypnotic effect of benzodiazepines facilitates surgical sedation. Short acting
benzodiazepines are administered intramuscularly for preoperative sedation. They are also
given intravenously for conscious sedation before short diagnostic procedures or for the
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:33:37 GMT -05:00
https://www.coursehero.com/file/19255129/ch14/
Downloaded by: Sophiie |
Distribution of this document is illegal
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induction of general anesthesia. Benzodiazepines are not recommended for long term use
and do not affect amnesia. Benzodiazepines are a poor choice for the treatment of chronic
insomnia because of their risk for habituation. Benzodiazepines do not have an antipsychotic
effect.
DIF: Cognitive Level: Knowledge REF: pp. 217-218 OBJ: 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
4. A patient receiving diazepam (Valium) is complaining of nausea and vomiting and is
becoming jaundiced. Which type of blood work will be performed?
a. Renal function tests
b. Liver function tests
c. Clotting times
d. Electrolyte panels
ANS: B
Liver function tests will be performed because nausea, vomiting, and jaundice can be
indicative of hepatotoxicity. Abnormal liver function test results (i.e., elevated bilirubin,
aspartate transaminase [AST], alanine transaminase [ALT], gamma glutamyl transferase
[GGT], and alkaline phosphatase levels, as well as prothrombin time) are indicative of
hepatotoxicity. Benzodiazepines do not affect the kidneys, clotting times, and electrolytes.
DIF: Cognitive Level: Application REF: p. 220 OBJ: 6
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
5. In addition to facilitating sleep, what is another benefit of sedatives?
a. Increased pain control postoperatively
b. Reduced bronchial secretions
c. Decreased patient anxiety
d. Increased patient alertness
ANS: C
Preoperatively, sedatives will help decrease patient anxiety and facilitate sleep. Sedatives are
not long acting enough to affect postoperative pain control. Sedatives do not affect bronchial
secretions. Sedatives diminish patient alertness.
DIF: Cognitive Level: Knowledge REF: pp. 213-214 OBJ: 1
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
6. Which two phases make up normal sleep?
a. Hypnagogic and hypnopompic
b. Rapid eye movement (REM) and non REM
c. Alpha and beta
d. Delta and theta
ANS: B
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