ECPI 164 exam 4 with correct answers
A nurse on a postpartum unit is teaching new parents about newborn safety and sleep
patterns. Which comment from a parent indicates further teaching is required?
A. "I can expect my newborn to sleep an average of 16 to 24 hours a day."
B. "Eye movements or groans during my baby's sleep is an emergency."
C. "It is essential that I place my infant on their back to sleep."
D. "I will not place pillows or blankets in the crib to prevent suffocation." - Answers -B.
"Eye movements or groans during my baby's sleep is an emergency."
A nurse observes involuntary muscle jerking in a sleeping patient. What action will the
nurse take next?
A. No action is necessary; this is normal in stage 1 sleep.
B. Report the neurologic deficit to the health care provider.
C. Lower the temperature in the patient's room.
D. Awaken the patient, as this is an indication of night terrors. - Answers -A. No action is
necessary; this is normal in stage 1 sleep.
A nurse working the night shift is watching the monitors on a telemetry unit and
observes a slight increase in a patient's vital signs during sleep. Which of these points
will the nurse correlate to changes in vital signs? Select all that apply.
A. They are aware of his surroundings at this point.
B. They are in delta sleep at this time.
C. It would be most difficult to awaken them at this time.
D. This is most likely an NREM stage.
E. This stage constitutes around 20% to 25% of total sleep.
F. The muscles are relaxed in this stage. - Answers -C. It would be most difficult to
awaken them at this time.
E. This stage constitutes around 20% to 25% of total sleep.
A nurse working in a sleep lab observes the developmental factors that may affect
sleep. Which statements accurately describe these variations? Select all that apply.
A. REM sleep constitutes much of the sleep cycle of a preschool child.
B. By age 8 years, most children no longer take naps.
C. Sleep needs usually decrease when physical growth peaks.
D. Many adolescents do not get enough sleep.
E. Total sleep decreases in adults with a decrease in stage IV sleep.
F. Sleep is less sound in older adults, and stage IV sleep may be absent. - Answers -D.
Many adolescents do not get enough sleep.
E. Total sleep decreases in adults with a decrease in stage IV sleep.
F. Sleep is less sound in older adults, and stage IV sleep may be absent.
, A nurse is providing education in a senior center on sleep and sleep hygiene in older
adults. What teaching point will the nurse include?
A. Drinking a cup of regular tea at night induces sleep.
B. Using alcohol moderately promotes a deep sleep.
C. Eating a bedtime snack high in tryptophan and carbohydrates improves sleep.
D. Exercising right before bedtime can hinder sleep. - Answers -C. Eating a bedtime
snack high in tryptophan and carbohydrates improves sleep.
As part of interprofessional rounds, a nurse in a skilled facility assesses for sleep
deficits. Patients with which health problems would the team identify as higher risk for
sleep disturbances? Select all that apply.
A. Uncontrolled hypothyroidism
B. Anxiety
C. GERD
D. HIV
E. Arthritis
F. Urinary tract infection - Answers -A. Uncontrolled hypothyroidism
B. Anxiety
C. GERD
A nurse is providing discharge teaching for patients regarding their medications. For
which patients would the nurse recommend actions to promote sleep? Select all that
apply.
A. Patient taking iron supplements for anemia
B. Patient with Parkinson's disease who is taking dopamine
C. Older adult taking diuretics for congestive heart failure
D. Child taking antibiotics for an ear infection
E. Patient taking antidepressants
F. Patient taking low-dose aspirin prophylactically - Answers -B. Patient with Parkinson's
disease who is taking dopamine
C. Older adult taking diuretics for congestive heart failure
E. Patient taking antidepressants
A nurse in a pediatric unit notes a school-aged child snores and appears to have
labored breathing during sleep. Which assessment question could the nurse ask the
patient or parents?
A. "Do you have trouble sleeping?"
B. "Have you missed a lot of school due to not feeling well?"
C. "Have you been wetting the bed lately?"
D. "Do you have a history of high blood pressure?" - Answers -C. "Have you been
wetting the bed lately?"
At an annual health and wellness visit, the parent of an adolescent reports a teacher's
concerns that their child is sleepy at school during class time. Which information will the
nurse share with the parent and child? Select all that apply.
A. Adolescents typically need 8 to 10 hours of sleep each night.
A nurse on a postpartum unit is teaching new parents about newborn safety and sleep
patterns. Which comment from a parent indicates further teaching is required?
A. "I can expect my newborn to sleep an average of 16 to 24 hours a day."
B. "Eye movements or groans during my baby's sleep is an emergency."
C. "It is essential that I place my infant on their back to sleep."
D. "I will not place pillows or blankets in the crib to prevent suffocation." - Answers -B.
"Eye movements or groans during my baby's sleep is an emergency."
A nurse observes involuntary muscle jerking in a sleeping patient. What action will the
nurse take next?
A. No action is necessary; this is normal in stage 1 sleep.
B. Report the neurologic deficit to the health care provider.
C. Lower the temperature in the patient's room.
D. Awaken the patient, as this is an indication of night terrors. - Answers -A. No action is
necessary; this is normal in stage 1 sleep.
A nurse working the night shift is watching the monitors on a telemetry unit and
observes a slight increase in a patient's vital signs during sleep. Which of these points
will the nurse correlate to changes in vital signs? Select all that apply.
A. They are aware of his surroundings at this point.
B. They are in delta sleep at this time.
C. It would be most difficult to awaken them at this time.
D. This is most likely an NREM stage.
E. This stage constitutes around 20% to 25% of total sleep.
F. The muscles are relaxed in this stage. - Answers -C. It would be most difficult to
awaken them at this time.
E. This stage constitutes around 20% to 25% of total sleep.
A nurse working in a sleep lab observes the developmental factors that may affect
sleep. Which statements accurately describe these variations? Select all that apply.
A. REM sleep constitutes much of the sleep cycle of a preschool child.
B. By age 8 years, most children no longer take naps.
C. Sleep needs usually decrease when physical growth peaks.
D. Many adolescents do not get enough sleep.
E. Total sleep decreases in adults with a decrease in stage IV sleep.
F. Sleep is less sound in older adults, and stage IV sleep may be absent. - Answers -D.
Many adolescents do not get enough sleep.
E. Total sleep decreases in adults with a decrease in stage IV sleep.
F. Sleep is less sound in older adults, and stage IV sleep may be absent.
, A nurse is providing education in a senior center on sleep and sleep hygiene in older
adults. What teaching point will the nurse include?
A. Drinking a cup of regular tea at night induces sleep.
B. Using alcohol moderately promotes a deep sleep.
C. Eating a bedtime snack high in tryptophan and carbohydrates improves sleep.
D. Exercising right before bedtime can hinder sleep. - Answers -C. Eating a bedtime
snack high in tryptophan and carbohydrates improves sleep.
As part of interprofessional rounds, a nurse in a skilled facility assesses for sleep
deficits. Patients with which health problems would the team identify as higher risk for
sleep disturbances? Select all that apply.
A. Uncontrolled hypothyroidism
B. Anxiety
C. GERD
D. HIV
E. Arthritis
F. Urinary tract infection - Answers -A. Uncontrolled hypothyroidism
B. Anxiety
C. GERD
A nurse is providing discharge teaching for patients regarding their medications. For
which patients would the nurse recommend actions to promote sleep? Select all that
apply.
A. Patient taking iron supplements for anemia
B. Patient with Parkinson's disease who is taking dopamine
C. Older adult taking diuretics for congestive heart failure
D. Child taking antibiotics for an ear infection
E. Patient taking antidepressants
F. Patient taking low-dose aspirin prophylactically - Answers -B. Patient with Parkinson's
disease who is taking dopamine
C. Older adult taking diuretics for congestive heart failure
E. Patient taking antidepressants
A nurse in a pediatric unit notes a school-aged child snores and appears to have
labored breathing during sleep. Which assessment question could the nurse ask the
patient or parents?
A. "Do you have trouble sleeping?"
B. "Have you missed a lot of school due to not feeling well?"
C. "Have you been wetting the bed lately?"
D. "Do you have a history of high blood pressure?" - Answers -C. "Have you been
wetting the bed lately?"
At an annual health and wellness visit, the parent of an adolescent reports a teacher's
concerns that their child is sleepy at school during class time. Which information will the
nurse share with the parent and child? Select all that apply.
A. Adolescents typically need 8 to 10 hours of sleep each night.
