Question

A nurse is caring for a client who has a new prescription for a nonbenzodiazepine hypnotic to promote sleep. For which of the following adverse effects should the nurse monitor the client?

Answer 1

Correct Answers:

Retrograde amnesia

Rationale :

🔹 Retrograde amnesia is a common adverse effect of nonbenzodiazepine hypnotics such as zolpidem.

🔹 These drugs can cause memory impairment, particularly when the client engages in activities after ingestion.

🔹 Clients may not recall behaviors like eating, driving, or conversations performed under the drug’s influence.

🔹 This is due to the depression of CNS activity and alteration of the sleep cycle.

🔹 Nurses should closely monitor for signs of amnesia and ensure client safety precautions.

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Answer 2

Correct Answers:

Hypersomnia does not improve with increased sleep.

Rationale :

♦ Hypersomnia is excessive daytime sleepiness that is not relieved by additional sleep.

♦ Clients may still feel fatigued even after long hours of nighttime rest.

♦ It is often associated with neurological or psychiatric conditions.

♦ Increasing sleep duration usually does not restore alertness or focus.

♦ Nurses must educate clients that treatment requires medical evaluation, not just sleeping longer.

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Answer 3

Correct Answers:

Hypocretin

Rationale :

💎 Hypocretin (orexin) is the neurotransmitter responsible for wakefulness regulation.

💎 Lack of hypocretin leads to narcolepsy type 1 with cataplexy.

💎 It is produced in the hypothalamus and stabilizes sleep-wake cycles.

💎 Deficiency causes sudden loss of muscle tone and irresistible sleep attacks.

💎 Narcolepsy treatment often targets improving hypocretin-related pathways.

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Answer 4

Correct Answers:

Thalamus

Rationale :

✍️ The thalamus acts as a relay center for sensory input to the brain.

✍️ During dreaming, sensory data are processed and transmitted through the thalamus.

✍️ It integrates external and internal signals to form the basis of dream imagery.

✍️ It works with the cerebral cortex in dream construction.

✍️ Nurses should understand this when explaining how sleep affects mental function.

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Answer 5

Correct Answers:

Urinary retention

Rationale :

✔️ OTC sleep aids often contain antihistamines (diphenhydramine).

✔️ These have anticholinergic effects, leading to urinary retention.

✔️ Older adults are at higher risk due to age-related bladder changes.

✔️ This can worsen conditions like benign prostatic hyperplasia.

✔️ Nurses should assess urinary function in clients using OTC sleep aids regularly.

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Answer 6

Correct Answers:

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

Rationale :

➡️ Aging leads to lighter, fragmented sleep patterns.

➡️ Stage 2 sleep becomes dominant, while deep restorative sleep (stages 3–4) decreases.

➡️ This results in frequent awakenings and poor rest quality.

➡️ Older adults may report feeling unrefreshed even after a full night’s sleep.

➡️ Nurses should provide education on sleep hygiene interventions for older clients.

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Answer 7

Correct Answers:

Go to bed when you are tired and if you are restless while attempting to go to sleep, go to another room and listen to soft music.'

Rationale :

🍃 This promotes healthy sleep hygiene by associating bed with sleep only.

🍃 It reduces anxiety and frustration when unable to fall asleep.

🍃 Stimulus control techniques retrain the brain to connect bed with rest.

🍃 Moving to another room prevents reinforcing insomnia behaviors.

🍃 Listening to soft music or engaging in quiet activity can restore relaxation.

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Answer 8

Correct Answers:

Sleep-wake homeostasis
Sensory overload
Sleep deprivation

Rationale :

◈ Sleep-wake homeostasis imbalance can trigger migraines when rest is insufficient.

◈ Sensory overload such as light, sound, or stress can precipitate headaches.

◈ Sleep deprivation is a strong migraine trigger, disrupting brain recovery processes.

◈ Proper rest and environment control are key in migraine prevention.

◈ Nurses should reinforce consistent sleep patterns to reduce recurrence.

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Answer 9

Correct Answers:

Narcolepsy (NTI)

Rationale :

🔷 Narcolepsy type 1 is characterized by daytime sleep attacks and cataplexy.

🔷 Clients experience involuntary loss of muscle tone triggered by emotions.

🔷 It is linked to a deficiency of hypocretin in the hypothalamus.

🔷 Clients may suddenly collapse but remain conscious during cataplexy.

🔷 Nurses should educate on safety precautions and medication use.

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Answer 10

Correct Answers:

Increased leptin production

Rationale :

🟡 Leptin is the hormone that suppresses appetite and increases energy use.

🟡 Adequate sleep boosts leptin, reducing risk of overeating and weight gain.

🟡 Sleep deprivation lowers leptin and raises ghrelin, which increases hunger.

🟡 Improved sleep is therefore a protective factor against obesity.

🟡 Nurses should promote good sleep hygiene as part of weight management.

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RN Comfort. Rest, and Sleep Assessment 2.0. 23.7.2025

No.

1 :
A nurse is caring for a client who has a new prescription for a nonbenzodiazepine hypnotic to promote sleep. For which of the following adverse effects should the nurse monitor the client?

2 :
A nurse is contributing to a presentation about hypersomnia, Which Of the following information should the recommend including in the presentation?

3 :
A nurse is caring for a client who has narcolepsy (NTI) with cataplexy. The nurse should identify that this condition is caused by a lack Of which Of the following hormones?

4 :
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?

5 :
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 a potential adverse effect of OTC sleep aid medications?

6 :
A nurse is caring for an older adult 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?

7 :
An employee health nurse is providing teaching about Sleep promotion to a group Of licensed Which Of the following Statements should the include?

9 :
A nurse is assessing a Client Who reports difficulty Staying awake during the day and experiencing involuntary episodes Of tone, The should that these are manifestations Of which Of the following conditions?

10 :
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?

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RN Comfort. Rest, and Sleep Assessment 2.0. 23.7.2025

No.

1 : A nurse is caring for a client who has a new prescription for a nonbenzodiazepine hypnotic to promote sleep. For which of the following adverse effects should the nurse monitor the client?

2 : A nurse is contributing to a presentation about hypersomnia, Which Of the following information should the recommend including in the presentation?

3 : A nurse is caring for a client who has narcolepsy (NTI) with cataplexy. The nurse should identify that this condition is caused by a lack Of which Of the following hormones?

4 : 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?

5 : 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 a potential adverse effect of OTC sleep aid medications?

6 : A nurse is caring for an older adult 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?

7 : An employee health nurse is providing teaching about Sleep promotion to a group Of licensed Which Of the following Statements should the include?

9 : A nurse is assessing a Client Who reports difficulty Staying awake during the day and experiencing involuntary episodes Of tone, The should that these are manifestations Of which Of the following conditions?

10 : 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?

1 :
A nurse is caring for a client who has a new prescription for a nonbenzodiazepine hypnotic to promote sleep. For which of the following adverse effects should the nurse monitor the client?

2 :
A nurse is contributing to a presentation about hypersomnia, Which Of the following information should the recommend including in the presentation?

3 :
A nurse is caring for a client who has narcolepsy (NTI) with cataplexy. The nurse should identify that this condition is caused by a lack Of which Of the following hormones?

4 :
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?

5 :
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 a potential adverse effect of OTC sleep aid medications?

6 :
A nurse is caring for an older adult 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?

7 :
An employee health nurse is providing teaching about Sleep promotion to a group Of licensed Which Of the following Statements should the include?

9 :
A nurse is assessing a Client Who reports difficulty Staying awake during the day and experiencing involuntary episodes Of tone, The should that these are manifestations Of which Of the following conditions?

10 :
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?