Sleep EAQs

What percentage of sleep time in young adults is rapid eye movement (REM) sleep? Record your answer using a whole number. _____________ %

20

Nonrapid eye movement (NREM) sleep is divided into how many stages, according to the American Academy of Sleep Medicine? Record your answer using a whole number. _________ stages

3; N1, N2, and N3

A sleeper whose random eye movement (REM) sleep is around 30% of the sleep time is in which age-group? Infants Neonates Young adults Preschoolers

Infants

Which aspect of care would be included when teaching a patient with narcolepsy? The need to perform strenuous exercise The importance of avoiding caffeine The recommendation to take regular naps of no more than 20 minutes The proper method of using continuous positive airway pressure (CPAP)

The recommendation to take regular naps of no more than 20 minutes

Which information would the nurse share with a patient about the major risk factors for obstructive sleep apnea (OSA)? These include obesity and hypertension. Smoking and heart failure are the main ones. Alcohol and type 2 diabetes are the main ones. These include smoking and a family history of OSA

These include obesity and hypertension

Which condition will the nurse focus the care plan on when caring for a patient who says, "I feel sleepy, fatigued, and depressed during the daytime?" Narcolepsy Parasomnia Chronic insomnia Restless legs syndrome

Chronic insomnia

Which characteristic occurs in both N1 and N2 of nonrapid eye movement (NREM) sleep? Lasts for 10 to 20 minutes Includes a light level of sleep Muscles are completely relaxed Sleeper can be easily awakened

Sleeper can be easily awakened

Which complaint is common in patients with obstructive sleep apnea? Fatigue Anxiety Increased sex drive Evening headaches

Fatigue

Which physiological implication would the nurse look for in a patient with obstructive sleep apnea? Select all that apply. Fatigue Cataplexy Sleep paralysis Cardiac dysrhythmias Excessive daytime sleepiness

Fatigue Cardiac dysrhythmias Excessive daytime sleepiness

In a patient with narcolepsy, rapid eye movement (REM) sleep occurs within how many minutes of falling asleep?

15 minutes

Sleep apnea is classified by how many types? Record your answer using a whole number.

3; central apnea, obstructive apnea, and mixed apnea

Which instruction does the nurse provide to the patient to reduce sleep attacks when taking armodafinil? Select all that apply. "Avoid traveling long distances." "Avoid performing regular exercise." "Avoid drinking coffee and tea." "Avoid consuming alcohol and heavy meals." "Avoid sitting in hot, stuffy rooms for long periods."

"Avoid traveling long distances." "Avoid consuming alcohol and heavy meals." "Avoid sitting in hot, stuffy rooms for long periods."

Which statement made by the patient indicates successful teaching about light sleep? "There is a gradual increase in vital signs." "Light sleep is also called slow-wave sleep." "This type of light sleep lasts about 90 minutes." "The time spent in light sleep increases with age."

"The time spent in light sleep increases with age."

How many hours of sleep are typically required to prevent fatigue in a 6-year-old child? 6 hours 8 hours 10 hours 12 hours

12 hours

Which patient is at risk of developing central sleep apnea (CSA)? Select all that apply. A patient with encephalitis A patient with nasal polyps A patient with enlarged tonsils A patient with muscular dystrophy A patient with a large neck circumference

A patient with encephalitis A patient with muscular dystrophy

Which substance may produce insomnia if consumed in the evening? Select all that apply. Alcohol Nicotine Caffeine A light meal A protein-rich diet

Alcohol Nicotine Caffeine

Which patient finding is the nurse likely to observe when performing assessments? A school-age child who sleeps 15 hours a day A teenager with an upcoming final falling asleep promptly at bedtime An adult who falls asleep quickly after vigorous exercise before bedtime An infant taking several naps during the day

An infant taking several naps during the day

Which advice would the nurse give to a patient who falls asleep uncontrollably at inappropriate times and has vivid dreams during such times? Select all that apply. One, some, or all responses may be correct. Avoid alcohol. Avoid smoking. Avoid chewing gum. Avoid heavy meals. Avoid long-distance driving.

Avoid alcohol. Avoid heavy meals. Avoid long-distance driving.

Which factor may contribute to a patient's fatigue and insomnia from abusing alcohol? Select all that apply. One, some, or all responses may be correct. Nightmares Slow onset of sleep Awakening often during sleep Inability to fall asleep Reduced rapid eye movement sleep

Awakening often during sleep Reduced rapid eye movement sleep

Which type of sleep disorder does the nurse suspect when a patient has jet lag? Disorders of arousal Adjustment sleep disorder Rapid eye movement (REM) sleep-behavior disorder Behaviorally induced circadian rhythm sleep disorder

Behaviorally induced circadian rhythm sleep disorder

Which physiological symptom is observed in the nurse who has a sleep disorder because of working rotating shifts? Select all that apply. One, some, or all responses may be correct. Blurred vision Increased reflexes Decreased judgment Slowed response time Increased visual alertness

Blurred vision Decreased judgment Slowed response time

Which feature is similar for both obstructive sleep apnea (OSA) and central sleep apnea (CSA)? Loud snoring Decreased oxygen saturation level No movement of the chest wall Relaxed throat muscles

Decreased oxygen saturation level

Which effect will likely occur in a patient who takes an antidepressant for depression? Decreased total sleep time High blood pressure Difficulty breathing Increased daytime sleepiness

Decreased total sleep time

Which patient effect can be caused from the noise generated during the delivery of care? Select all that apply. Delayed healing Increased agitation Decreased heart rate Lowered blood pressure Impaired immune function

Delayed healing Increased agitation Impaired immune function

Which sleep disturbance is the nurse likely to observe in the patient with hyperthyroidism? Sleep-related bruxism Enuresis Sleepwalking Difficulty falling asleep

Difficulty falling asleep

Which class of medication in the patient's prescription does the nurse expect to have caused a patient to report disturbed sleep because of frequent nighttime voiding? Diuretics Hypnotics Benzodiazepines Beta-adrenergic blockers

Diuretics

Which point would be included in a teaching session for a group of high school students about health-promoting behaviors that improve sleep? Select all that apply. Do not study in bed. Go to sleep each night when tired. Turn off cell phones at bedtime. Avoid drinking coffee or soda before bedtime. Watch television in bed to help fall asleep.

Do not study in bed. Turn off cell phones at bedtime. Avoid drinking coffee or soda before bedtime.

Which intervention is appropriate to include in the plan of care for a patient experiencing narcolepsy? Instruct the patient to increase carbohydrates in the diet. Have patient limit fluid intake 2 hours before bedtime. Preserve energy by limiting exercise to morning hours. Encourage patient to take one or two 20-minute naps during the day.

Encourage patient to take one or two 20-minute naps during the day.

Which symptom is the most common complaint by patients who have narcolepsy? Sleep paralysis Sudden muscle weakness Excessive daytime sleepiness Vivid dreams while falling asleep

Excessive daytime sleepiness

Which condition is associated with early morning wakefulness and fatigue? Liver failure Hypertension Hyperthyroidism Restless legs syndrome

Hypertension

Which information would the nurse include in a teaching session about the different stages of sleep? Select all that apply. If awakened in N1 stage, the person feels as though daydreaming has occurred. Dreams occur during rapid eye movement (REM) sleep only. N3 is called slow-wave sleep. Dreams occur during both nonrapid eye movement (NREM) and REM sleep. There is decreased epinephrine release during REM sleep.

If awakened in N1 stage, the person feels as though daydreaming has occurred. N3 is called slow-wave sleep. Dreams occur during both nonrapid eye movement (NREM) and REM sleep.

Which type of anemia will likely lead to restless legs syndrome? Folate Cobalamin Vitamin B12 Iron

Iron

Which sleep deprivation symptom will the nurse likely find in a patient who has insomnia? Select all that apply. One, some, or all responses may be correct. Irritability Agitation Increased reflexes Decreased sensitivity to pain Decreased visual alertness

Irritability Agitation Decreased visual alertness

Which chemical promotes sleep? Orexin Hypocretin L-tryptophan Catecholamine

L-tryptophan

Which conservative approach is included in the patient's treatment plan for obstructive sleep apnea? Select all that apply. Limit alcohol consumption. Motivate the patient to lose weight. Recommend that the patient take sedatives. Suggest that the patient take herbal medicines. Use jaw and tongue repositioning devices at night.

Limit alcohol consumption. Motivate the patient to lose weight. Use jaw and tongue repositioning devices at night.

According to the American Academy of Sleep Medicine, which stage of nonrapid eye movement (NREM) sleep is the deepest stage of sleep, is very difficult to arouse the sleeper from, and are vital signs lower than during normal waking hours?

N3

During which stage of sleep does the body release human growth hormone? N1 N2 N3 Rapid eye movement (REM)

N3

Which stage of the sleep cycle is decreased in the patient who has hypothyroidism? N1 N2 N3 Rapid eye movement (REM)

N3

Which patient requires further assessment to determine the risk of developing obstructive sleep apnea? Select all that apply. Patient with a stroke Patient with iron deficiency anemia Patient with hypertension Patient who is a chronic smoker Patient who is 75 years old

Patient with hypertension Patient who is a chronic smoker Patient who is 75 years old

Which symptom is likely to be found in the patient who has obstructive sleep apnea? Select all that apply. Loud snoring Sudden muscle weakness Decreased sex drive Difficulty concentrating Excessive urination during the night

Loud snoring Decreased sex drive Difficulty concentrating

Which common symptom does the patient likely report when being evaluated for obstructive sleep apnea? Select all that apply. Morning headache Early wakening Excessive daytime sleepiness Difficulty falling asleep Irritability

Morning headache Excessive daytime sleepiness Irritability

Which event does the nurse discuss while explaining rapid eye movement (REM) sleep? Slow-wave sleep Daydreaming Protein synthesis Muscle atonia

Muscle atonia

Which parameter does an electromyogram (EMG) monitor in a patient diagnosed with a sleep disorder? Muscle tone Eye movements Electrical activity of the heart Electrical activity in the brain

Muscle tone

Which patient is at risk of fatigue? Patient A: 2 years old, 12 hours of sleep Patient B: 7 years old, 8 hours of sleep Patient C: 11 years old, 10 hours of sleep Patient D: 14 years old, 9 hours of sleep

Patient B

Stage 4 of nonrapid eye movement (NREM) sleep is almost absent in which age-group? Infants Toddlers Adolescents Older adults

Older adults

Which class of drug does the nurse suspect is responsible for the patient reporting daytime drowsiness and a lack of dreams? Antibiotics Antipyretics Opiates Diuretics

Opiates

Which drug classification or substance causes suppressed rapid eye movement (REM) sleep and increased daytime drowsiness? Alcohol Opiates Nicotine Hypnotics

Opiates

The patient who tells the nurse about a dream that was vivid and colorful would have be in which stage of sleep? Rapid eye movement (REM) N1 N2 N3

Rapid eye movement (REM)

Which biological function occurs when a patient is dreaming? Cortical activity decreases. Respiratory rate fluctuates. Eye movement slowly fluctuates. Epinephrine release decreases.

Respiratory rate fluctuates.

Which condition will likely result when a person is moderately fatigued because of exercising 2 hours before bedtime? Insomnia Sleep apnea Restful sleep Excessive daytime sleepiness

Restful sleep

Which class of drugs does the nurse anticipate administering to a patient with narcolepsy to prevent sleep attacks? Hypnotics Stimulants Anticonvulsants Benzodiazepines

Stimulants