ATI Comfort, Rest, and Sleep test

A nurse is reviewing the plan of care for a client who was admitted with insomnia and recent weight gain. Which of the following is a benefit of increased sleep that could help prevent further weight gain for the client? A. Increased ghrelin production B. Increased leptin production C. Decreased hypocretin levels D. Decreased melatonin levels

B. Increased leptin production

A nurse is reviewing the concepts of central sleep apnea with a colleague. Which of the following statements by the colleague indicates an understanding of central sleep apnea? A. "Common causes of central sleep apnea are opioid overdose and congestive heart failure." B. "Central sleep apnea is caused by obesity and an inactive tongue." C. "Central sleep apnea is easily diagnosed using polysomnography." D. "Central sleep apnea is related to the recurrent episodes of upper airway collapse and obstruction."

A. "Common causes of central sleep apnea are opioid overdose and congestive heart failure."

A nurse is caring for a client who reports that they use their smartphone at night while they are in bed. The nurse should identify that excessive smartphone use can increase the client's risk for which of the following? A. Depression B. Binge eating disorder C. Restless leg syndrome (RLS) D. Diminished circadian rhythm

A. Depression

A nurse is caring for a client who works overnight shifts. The nurse should identify that individuals who perform shift work are at an increased risk for developing which of the following conditions? A. Diabetes mellitus B. Central sleep apnea C. Hypersomnia D. Restless leg syndrome (RLS)

A. Diabetes mellitus

A nurse is planning care for a client who is postoperative. Which of the following interventions should the nurse plan to include to promote emotional comfort for the client? A. Encourage the client to verbalize their needs and concerns. B. Limit time spent with client. C. Ask the client to splint the incision when coughing. D. Administer pain medications as prescribed.

A. Encourage the client to verbalize their needs and concerns.

A nurse is contributing to a presentation about hypersomnia. Which of the following information should the nurse recommend including in the presentation? A. Hypersomnia does not improve with increased sleep B. Hypersomnia is associated with a disturbed circadian rhythm C. Clients who experience hypersonic have a longer attention span D. Clients who experience hypersonic lack the hormone hypocretin

A. Hypersomnia does not improve with increased sleep

A nurse is caring for a client who has narcolepsy (NT1) with cataplexy. The nurse should identify that this condition is caused by a lack of which of the following hormones? A. Hypocretin B. Melatonin C. EStrogen D, Insulin

A. Hypocretin

A nurse is caring for a client who was admitted following a report of lumbar pain. In addition to administering pain medications, which of the following interventions should the nurse implement to promote comfort? A. Present information honestly. B. Have another nurse present difficult information. C. Do not include the client's concerns in the plan of care if they interfere with treatment. D. Perform cognitive behavioral therapy with the client.

A. Present information honestly.

An employee health nurse is providing teaching about sleep promotion to a group of newly licensed nurses. Which of the following statements should the nurse include? A. "Taking a cool shower before bedtime can help with sleep." B. "If you do not fall asleep within 20 minutes of lying down, go to another room and listen to soft music." C. "To promote nighttime sleep, limit daytime naps to 1 hour." D. "Exercising 1 hour before bedtime can help promote relaxation and sleep."

B. "If you do not fall asleep within 20 minutes of lying down, go to another room and listen to soft music."

A nurse is reviewing the concept of comfort with an assistive personnel (AP). Which of the following statements by the AP indicates and understanding of comfort? A. "Providing comfort for a client is achieved by the relief of physical pain through the administration of medication." B. "Providing comfort to a client involves alleviating the client's physical, mental, and emotional distress using warmth and empathy." C. "Providing comfort for a client is achieved by taking control of the client's care and creating routines for the client to become familiar with." D. "Providing comfort to a client requires staff members to smile and remain cheerful no matter the outcome the client is facing."

B. "Providing comfort to a client involves alleviating the client's physical, mental, and emotional distress using warmth and empathy."

A nurse manager is conducting an in service about the physiological functions of sleep for a group of staff nurses. Which of the following statements by one of the nurses indicates an understanding of the teaching? A. "Sleep is a process that decreases the development of new neural pathways that assist with retention of knowledge and memorization." B. "The brain and neurons continue to communicate with each other during sleep to remove toxins that built up in the brain while awake." C. "The circadian rhythm is an external process that controls the sleep-wake cycle." D. "Clients experience the highest quality sleep when they complete three out of the four stages of sleep."

B. "The brain and neurons continue to communicate with each other during sleep to remove toxins that built up in the brain while awake."

A nurse is caring for a client who is being evaluated for obstructive sleep apnea. Which of the following findings should the nurse identify as a risk factor for obstructive sleep apnea? A. Hypersomnia B. Obesity C. Active glossal muscle D. History of tonsillectomy

B. Obesity

A nurse is caring for a client who has a history of migraines. The client tells the nurse, "I have not been sleeping well. My migraine headaches have returned after not having one for over a year." The nurse should identify that which of the following are potential contributing factors to the client's migraines? (SATA) A. Sleep- wake homeostasis B. Sensory overload C. Sleep deprivation D. Increased melatonin E. Decreased hypocretin levels

B. Sensory overload C. Sleep deprivation

A nurse is teaching a newly licensed nurse about the development of dreams. The nurse should include that which of the following areas of the brain transmits the sensory data that is used to develop dreams? A. Hypothalamus B. Thalamus C. Cerebral cortex D. Pineal gland

B. Thalamus

A nurse is caring for an older adult client who is having difficulty sleeping and has a new prescription for a medication to help them sleep. Which of the following medications should the nurse identify as a first-line sleep aid for older adults? A. Alprazolam B. Eszopiclone C. Controlled- release melatonin D. Diphenhydramine

C. Controlled- release melatonin

A nurse is assessing a client who reports difficulty staying awake during the day and experiencing involuntary episodes of lost muscle tone. The nurse should identify that these are manifestations of which of the following conditions? A. Hypersomnia B. Narcolepsy (NT2) C. Narcolepsy (NT1) D. Insomnia

C. Narcolepsy (NT1)

A nurse is contributing to a presentation about non-pharmacological interventions used to promote sleep. Which of the following information should the nurse recommend including in the presentation? A. Nonpharmacological interventions should only be practiced in the client's home setting. B. Massage is a nonpharmacological intervention that should be used to promote sleep for clients who are taking anticoagulants. C. Nonpharmacological interventions used to help promote sleep include acupuncture and thermotherapy. D. Before implementing nonpharmacological interventions, clients should be evaluated by a sleep specialist for sleep apnea and chronic lung disease.

C. Nonpharmacological interventions used to help promote sleep include acupuncture and thermotherapy.

A nurse is discussing the stages of the sleep cycle with a client. The nurse should include that the immune system is strengthened and tissues and bones are repaired during which of the following stages of the sleep cycle? A. Stage 1 B. Stage 2 C. Stage 3 D. Stage 4

C. Stage 3

A nurse is caring for a client who needs to be awakened for the administration of an oral medication. Which of the following findings should indicate to the nurse that the client was in stage 3 of the sleep cycle when awakened? A. The client is easily awakened B. The client states that they were having a pleasant dream C. The client experiences mental cloudiness for 30- 60 minutes D. Prior to being awakened, the client's breathing was irregular and their heart rate was elevated

C. The client experiences mental cloudiness for 30- 60 minutes

A nurse is evaluating a client after measures to promote comfort have been implemented. Which of the following statements by the client indicates that the client has been comforted? A. "I wish the staff would listen closer to my needs." B. "I am concerned about what is going to happen during my tests tomorrow." C. "It seems to take the staff a while to answer the call light." D. "My health care team has helped me to feel safe during my stay."

D. "My health care team has helped me to feel safe during my stay."

A nurse is caring for a client who is having difficulty falling asleep. Which of the following interventions should the nurse implement to promote sleep for the client? A. Offer the client a caffeinated beverage 3 hr before their bedtime. B. Turn on the client's television before they go to bed. C. Warm the temperature of the client's room before they go to bed. D. Dim the lights in the client's room at bedtime.

D. Dim the lights in the client's room at bedtime.

A nurse is caring for a client who has a new prescription for a non-benzodiazepine hypnotic to promote sleep. For which of the following adverse effects should the nurse monitor the client? A. Retrograde amnesia B. Urinary discomfort C. Dry mouth D. Hallucinations

D. Hallucinations

A nurse is caring for an older client who reports that they wake up frequently during the night. The nurse should identify that which of the following is a characteristic of older adult sleep patterns that might explain the client's frequent awakenings? A. Older adults tend to spend more time in Stage 4 sleep. B. Older adults tend to spend more time in Stage 3 sleep. C. Older adults tend to spend less time in stage 1 sleep. D. Older adults tend to spend more time in stage 2 sleep.

D. Older adults tend to spend more time in stage 2 sleep.

A nurse is caring for a client who takes an over-the-counter (OTC) sleep aid medication every evening. Which of the following findings should the nurse identify as potential adverse effect of OTC sleep aid medication? A. Hyperactivity B. Diarrhea C. Excessive salivation D. Urinary retention

D. Urinary retention