nclex questions

A patient reports difficulty falling asleep. Which questions should the nurse ask to assess the patient's insomnia? Select all that apply.1 "How frequently do you eat out?"2 "How easily do you fall asleep?"3 "What causes you to awaken early?"4 "What do you think of when you try to fall asleep?"5 "Do you stay with your parents?"

2,3,4

which of the follwoing conditons chacaterized rapid eey movement sleep 1-disoreintation and disorganuzed thinking 2-jerky limb moveemnt and psotion changes 3-pulse rate slowed by 5-10 beats a min 4-highly active brain and physciology activity

4

the nurse undertsands that the most vivid dreaming occurs during 1-rem sleep 2-stage 1 nrem 3-stage 4 nrem 4-transition period from nrem to rem sleep

1

a cleitn scheduled for a bowel sugrery states to a nurse "Im not sure if I should have this surgery"-which repsonse by the nurse is appropriate? a-its your decison b-dont worry, everything is fine c-why dont you want to have this surgeery? d-tell me what concersn you about the surgery

D-open ended question-to find out what concern is

The patient reports vivid dreaming to the nurse. Through understanding of the sleep cycle, the nurse recognizes that vivid dreaming occurs during which sleep phase? 1 REM sleep 2 Stage 1 NREM sleep 3 Stage 4 NREM sleep 4 Transition period from NREM to REM sleep

1

the nurse recognized that the client is experiencing insomnia when the client reports 1. Extended time to fall asleep 2. Falling asleep at inappropriate times 3. Difficulty staying asleep 4. Feeling tired after a night's sleep

1,3,4,

The nurse finds that an obese patient snores loudly. The patient stops breathing for a few seconds and then resumes breathing. This happens several times during sleep. What could be the diagnosis?1 Narcolepsy2 Sleep apnea3 Sleep deprivation4 Paroxysmal nocturnal dyspnea

2

Which statement made by the patient indicates a need for further teaching on sleep hygiene? 1 "I'm going to do my exercises before I eat dinner." 2 "I'll have a glass of wine at bedtime to relax." 3 "I set my alarm to get up at the same time every morning." 4 "I moved my computer to the den to do my work.

2

ms. smith tells you that she is here because she cant sleep at night after staying up late etaching her childre. the best nursing repsonse is 1-have you tried wtaching tv to wind dwon 2-there are alot of changes in your life right now 3-perpahges hiring a tutor would help with the situation 4-at leat you are able to help your children learn

2

the nurse would like to increase her pateinst self efficacy for quitting smkoing. which of the following statements by the nurse will be most helpful 1-i quit smoking a pack a day so i know you can do it oo 2-you told me you quite smoking 3 motnhs. tell me about the stragetgies you used 3-keep rpacting mindfulness while you are working toward quitting 4-how confiedent do you feel that you can avoid smoking when you are aorund other smokers

2

which of the following substances is a natural hormone produced by the pineal gland that indueces sleep 1-amphetamine 2-melatonin 3-methylphenidate

2

which of the follwoing sleep disorders is the most prevalent 1-hypersomnia 2-insomnia 3-narcolepshy 4-sleep awakre schedule distrubance

2

The nurse on the day shift walks into a client's room and finds the client unresponsive. The client is not breathing and does not have a pulse and the nurse immediately calls out for help. Which is the next nursing action? 1. Open the airway 2. Give the client oxygen 3. Start chest compressions 4. Ventilate with a mouth to mask device

3

What is the most common complaint by patients who have narcolepsy? 1 Sleep paralysis 2 Sudden muscle weakness 3 Excessive daytime sleepiness 4 Vivid dreams while falling asleep

3

at times a client anxiety level is so high it blcoks attempts at communciation and the nurse is unsure of what is being said. to cliarfy undertsanding the nurse states "Lets see whether we both mean the same thing" this is an example of the technique of 1-reflecting feeling 2-making observations 3-seeking conseula validation 4-attempting to place events in sequence

3

ms smith is a single mother of two schooled aged children ages 5 and 12. due to covid 19 pandemic, her children are now enagged in virtual learning. ms smith is now working from home and comes to your clinci bevacuse she is having trouble sleeping. how would you begin the encounter wuth ms smith 1-ms. smith why are you here tody 2-ms smith, i see that you are veyr anxious 3-please tell me about what brought you in today 4-here are some sleepign pills to get you through this difficult time

3

the nurse at the crisi intervention center asks a new female client, who has come beacuase her husband is planning a divorce, her reaosn for seeking help. the client repsonds by describing her first meeting with her husband when they were both teenages. when doing crisi invertention the nurses most therpaeutic repsonse would be 1-youre avoding talking about teh divorice 2-what does this have to do with the divoirce 3-and now your husband is asking for a divorce 4-would you like to tell me more about the early years

3

the nurse finds a client sleep walking down teh unit hallway. an appropriate intervention the nurse implements is 1. Asking the client what he or she is doing and call for help 2. Quietly approaching the client and then loudly calling his or her name 3. Lightly tapping the client on the shoulder and leading him or her back to bed 4. Blocking the hallway with chairs and seating the client

3

a nurse witnesses a neighbor husband sustain a fall from the roof of his house. the nurse rushes to the victim and determines the need to open the airway. the nurse opens the airway in this victim by using which method 1-flexed postion 2-head tilt-chin lift 3-jaw thrust maneuuver 4-modified head tilt, chin-lift

3- If a neck injury is suspected, the jaw maneuver is used to open the airway

The nurse understands that which is a correct guideline for adult CPR for a health care provider 1. One breath should be given for every five compressions 2. Two breaths should be given for every 15 compressions 3. Initially, two quick breaths should be given as rapidly as possible 4. Each rescue breath should be given over 1 second and should produce a visible chest rise

4

3 days after a stressful indicent, a client can no longer remember what there was to worry about. the nurse, in relating this to the client, can be most therapeutic by recongizning that the inability to recall the situation is an examlpe of the defense mechansim of a-denial b-repression 3-regression 4-dissociation

b

A patient tells the nurse about a dream that was vivid and colorful. In which stage of sleep does such a dream occur? 1 Rapid eye movement sleep 2 Stage 2 of nonrapid eye movement (NREM) sleep 3 Stage 3 of nonrapid eye movement sleep 4 Stage 4 of nonrapid eye movement sleep

1