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WorksheetsNCLEX-Style Questions (20 Total)
Total questions: 20
Worksheet time: 10mins
An 82-year-old reports “waking up many times at night” and “not feeling rested.” Which age-related sleep change does the nurse recognize?
Increased REM sleep
Increased deep sleep (N3)
Decreased sleep efficiency
Longer total sleep time
An older adult states, “I fall asleep early but wake up at 3 AM every night.” The nurse interprets this as:
REM behavior disorder
Advanced sleep phase syndrome
Sleep apnea
Narcolepsy
A nurse teaches sleep hygiene to an older adult with chronic insomnia. Which statement indicates understanding?
“I will avoid exercising during the day.”
“I should take two long naps to restore energy.”
“I will limit caffeine intake in the afternoon.”
“I’ll drink wine before bed to help me sleep.”
Which older adult is at highest risk for obstructive sleep apnea (OSA)?
BMI 21, non-smoker
Uses diuretics daily
Obesity and loud snoring
Sleeps only 5 hours per night
During sleep assessment, which finding is abnormal in older adults?
Increased nighttime awakenings
Decreased REM sleep
Pauses in breathing lasting 20 seconds
Short daytime naps
An older adult complains of “crawling sensations in my legs at night.” The nurse suspects:
REM behavior disorder
Restless leg syndrome
Circadian rhythm disorder
Sleep paralysis
Which intervention is most effective for chronic insomnia in older adults?
Benzodiazepines
High-protein evening snack
Cognitive Behavioral Therapy for Insomnia (CBT-I)
Warm milk and herbal supplements
Which nursing recommendation best promotes sleep for a long-term care resident?
Encourage daytime sleeping
Administer sedatives to maintain a sleep cycle
Maintain consistent bedtime routines
Restrict physical activity during the day
A nurse reviews the stages of sleep. Which statement is correct?
Stage N3 (deep sleep) increases with age
REM sleep increases significantly in older adults
Older adults spend more time in lighter sleep stages
Older adults have longer sleep cycles
When assessing activity patterns in older adults, the nurse’s priority focus is:
Preventing cold exposure
Increasing balance and strength
Avoiding all strenuous activity
Promoting sedentary rest to prevent fatigue
The nurse identifies which factors as common contributors to insomnia in older adults? (Select all that apply.)
Chronic pain
Depression
Nocturia
High-protein diet
Loud nighttime environment
Which interventions promote healthy sleep in older adults? (Select all that apply.)
Maintain a consistent bedtime
Increase daytime physical activity
Drink caffeinated beverages before bed
Reduce screen exposure in the evening
Limit naps to < 30 minutes
Which assessment findings suggest obstructive sleep apnea? (Select all that apply.)
Morning headaches
Loud snoring
Slow, steady respiratory rate
Pauses in breathing during sleep
Excessive daytime sleepiness
Which are expected age-related sleep changes? (Select all that apply.)
Longer time to fall asleep
Increased deep (N3) sleep
More nighttime awakenings
Earlier sleep/wake times
Increased REM sleep cycles
An older adult with dementia has difficulty sleeping. Which nursing strategies are appropriate? (Select all that apply.)
Provide daytime sunlight exposure
Offer a calming bedtime routine
Use benzodiazepines nightly
Reduce environmental noise
Promote daytime activity
A patient with sleep apnea refuses to use the CPAP at night. What is the nurse’s priority action?
Document noncompliance
Ask about discomfort or barrier with CPAP
Turn up oxygen flow
Provide sedative-hypnotics
A nurse notices an older adult is napping more frequently and appears confused in the afternoon. What action is most appropriate?
Encourage longer daytime naps
Assess for infection or delirium
Increase caffeine intake
Restrict fluids completely
An older adult reports “acting out dreams” and accidentally hitting their spouse during sleep. The nurse suspects:
Advanced sleep phase syndrome
OSA
REM sleep behavior disorder
Restless legs syndrome
A 90-year-old resident reports chronic insomnia. Which intervention is most appropriate?
Start diazepam (Valium) nightly
Evaluate for depression, pain, and medications
Encourage patient to sleep in late mornings
Restrict all daytime movement
To promote healthy activity patterns in an older adult, the nurse should:
Encourage daily walking tailored to ability
Avoid resistance training
Tell patient to exercise only once weekly
Recommend activity only when the patient feels energetic
