WorksheetsLPN Sleep
Total questions: 58
Worksheet time: 2hrs 56mins
What fits the definition of "a condition in which the body is in a decreased state of activity resulting in feeling refreshed"?
Rest
Sleep
REM
Sleep cycle
What fits the definition of "a state of rest accompanied by altered consciousness and relative inactivity"?
Rest
Sleep
REM
Sleep cycle
Where is the Suprachiasmatic Nucleus located?
Hypothalamus
Pineal Gland
Brain Stem
Cerebellum
What part of the brain is known as the "master clock"?
Suprachiasmatic nucleus
Cerebrum
Pineal gland
Brain Stem
What does the Suprachiasmatic Nucleus do?
Receives info from the eyes through light exposure to affect the sleep-wake cycles
Receives signals from the master clock and increases melatonin release
Controls transitions between sleep and wake
Alter body functions to create a smooth sleep cycle
What does the Pineal Gland do?
Receives info from the eyes through light exposure to affect the sleep-wake cycles
Receives signals from the SCN and increases melatonin release
Controls transitions between sleep and wake
Alter body functions to create a smooth sleep cycle
What does the Brain Stem do?
Receives info from the eyes through light exposure to affect the sleep-wake cycles
Receives signals from the SCN and increases melatonin release
Controls transitions between sleep and wake
Alter body functions to create a smooth sleep cycle
What part of the brain is the circadian rhythm controlled by?
Hypothalamus
Brain Stem
Pineal Gland
Cerebellum
On average how long is a sleep cycle?
60 min
90 min
70 min
80 min
How many cycles is a normal night's sleep?
1-2
2-3
3-4
4-5
In a healthy sleep environment, which sleep stages can be extended?
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
What sleep stage includes the transition between awake and sleeping?
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
How long does stage 1 sleep usually last?
3 minutes
5 minutes
8 minutes
10 minutes
What sleep stage do we spend up to 50% of sleep time in?
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
SELECT ALL THAT APPLY: Which physiological things happen to our body while we are in sleep stage 2?
Eye movement stops
Heart rate slows
Body temperature lowers
Brain waves/activity level slows
Blood pressure rises
How long does sleep stage 2 last?
1-10 minutes
5-10 minutes
10-20 minutes
20-30 minutes
SELECT ALL THAT APPLY: In what sleep stages is growth hormone released?
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
SELECT ALL THAT APPLY: What sleep stages are also called Delta Sleep?
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
When does most deep sleep occur during the night?
First third
Middle third
Last third
About 9pm
What stage of sleep does REM occur?
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
SELECT ALL THAT APPLY: What physiological restorative things happen during stage 4 of sleep?
Brain tissue grows and restores
Skin and organ tissue gets restored by hormones released
Our heart muscle grows
Our bones release extra calcium to grow
About how long does stage 4 of sleep last?
10 min
20 min
30 min
40 min
SELECT ALL THAT APPLY: Which physiological things happen to our body while we are in sleep stage 5?
Eye movement is fast
Brain activity increases
HR and Blood pressure increase
Arm and leg muscles paralyzed
Body core is at its coolest
Why is stage 5 of the sleep cycle essential?
Essential for mental and emotional equilibrium
Most of our body grows during this time
We only have good dreams during REM and it relaxes us
We cool down, slow our heart rate and relax the most
How long do infants sleep during a day (including naps)?
12-15 hours
10-13 hours
14-17 hours
16-19 hours
When do infants start to sleep through the night?
Around 3-11 weeks
Around 6-14 weeks
Around 8-16 weeks
Around 11-17 weeks
What sleeping position is best for infants?
Their stomach
Their back
Their sides
Bundled in blankets
How long do toddlers sleep during a day (including naps)?
12-15 hours
11-14 hours
14-17 hours
16-19 hours
How long do toddlers sleep during a day (including naps)?
11-13 hours
12-14 hours
14-17 hours
16-19 hours
At what developmental age are nightmares and night terrors common?
Infants
Toddlers
Preschoolers
Middle Adults
Elderly
At what age do children age out of daily naps?
5
7
9
Never, give me a blanket and a pillow right now!
How long do younger school aged children sleep a day?
11-13 hours
10-12 hours
9-11 hours
8-10 hours
How long do older school aged children sleep a day?
11-13 hours
10-12 hours
9-11 hours
8-10 hours
How long do younger adults sleep a day?
5-7 hours
10-12 hours
9-11 hours
7-9 hours
At what developmental age do we start to spend less time in Stage 4 sleep?
Infants
Toddlers
Preschoolers
Middle Adults
Elderly
At what developmental age does REM sleep decrease?
Infants
Toddlers
Preschoolers
Middle Adults
Elderly
SELECT ALL THAT APPLY: What are some effects of attempting to "catch up on sleep"?
Excess caloric intake
Reduced energy expenditure
Increase in weight
Affects body's ability to use insulin
Our eyes become more bloodshot
SELECT ALL THAT APPLY: What are some effects of adequate sleep?
Boosts immune system
Supports metabolism
Promotes learning
Cures bipolar
Leads to more car accidents
What percent of fatal accidents involved a drowsy driver?
4%
12.7%
16.5%
29.3%
SELECT ALL THAT APPLY: Inadequate sleep increases the likelihood for which diseases?
Diabetes
Heart Disease
Obesity
Anxiety/Depression
Schizophrenia
GERD decreases what stage of the sleep cycle?
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
SELECT ALL THAT APPLY: Hypothyroidism decreases what stages of the sleep cycle?
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
SELECT ALL THAT APPLY: What effects does stress have on our sleep?
Makes it harder to sleep
Decreases REM
Makes us feel less rested
Causes us to wake up multiple times during sleep
What fits the definition of "excess sleep"?
Dyssomnia
Hypersomnia
Insomnia
Parasomnia
What fits the definition of "difficulty falling or staying asleep"?
Dyssomnia
Hypersomnia
Insomnia
Parasomnia
People who work night shift are most likely to suffer?
Circadian Rhythm Sleep disorders
Extrinsic Sleep Disorders
Intrinsic Sleep Disorders
Sleep bruxism
What category of sleep disorders does narcolepsy, obstructive sleep apnea and restless leg fall under?
Circadian rhythm sleep disorder
Extrinsic sleep disorder
Intrinsic sleep disorders
Sleep bruxism
What is somnambulism?
Sleep walking
Sleep talking
When people act out their dreams
Grinding of teeth
What is REM sleep behavior disorder?
Sleep walking
Sleep talking
When people act out their dreams
Grinding of teeth
What is sleep bruxism?
Sleep walking
Sleep talking
When people act out their dreams
Grinding of teeth
TRUE/FALSE: They only perform sleep studies from 10pm-6am, you must sleep during then.
True
False
Engaging in _______ several times a week can increase fatigue, promote relaxation and sleep.
Physical activity
Drinking caffeine
Taking melatonin
Sexual relations
What do sedatives interact with in the body?
GABA receptors
Nicotine receptors
Dopamine receptors
H1 receptors
SELECT ALL THAT APPLY: What are some examples of a sedative medication?
Zaleplon
Zolpidem
Eszopiclone
Doxepin
Amitriptyline
How do melatonin supplements help us sleep?
Interact with GABA receptors to induce and maintain sleep
Helps to regulate circadian rhythm, synchronizes sleep-wake cycle
Prevent reuptake of norepinephrine and/or serotonin
Helps block the effect of histamine at the H1 receptor
How do antidepressants/antianxiety meds help us sleep?
Interact with GABA receptors to induce and maintain sleep
Helps to regulate circadian rhythm, synchronizes sleep-wake cycle
Prevent reuptake of norepinephrine and/or serotonin
Helps block the effect of histamine at the H1 receptor
What do antihistamines interact with in the body?
GABA receptors
Nicotine receptors
Dopamine receptors
H1 receptors
What is the best way to evaluate the effectiveness of sleep promotion measures?
Ask the patient
Do a physical assessment
Assess a patient's sleep diary
Perform a sleep study
