Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client reports excessive daytime sleepiness and sudden muscle weakness triggered by strong emotions. The nurse should suspect which condition?
A. Insomnia
Insomnia involves difficulty falling or staying asleep, but it does not typically cause sudden muscle weakness or sleep during the day.
B. Central sleep apnea
Central sleep apnea involves disrupted breathing during sleep due to brain signaling issues, not muscle weakness or emotional triggers.
C. Hypersomnia
Hypersomnia is characterized by excessive daytime sleepiness, but it does not include cataplexy (sudden muscle weakness).
D. Narcolepsy with cataplexy
Narcolepsy with cataplexy is marked by overwhelming daytime sleepiness and sudden loss of muscle tone (cataplexy), often triggered by strong emotions like laughter or anger.
This question is an excerpt from Nurse Dive's nursing test bank - Ati fundamentals med surg mid term proctored exam. Take the full exam now
Full Explanation
A. Insomnia involves difficulty falling or staying asleep, but it does not typically cause sudden muscle weakness or sleep during the day.
B. Central sleep apnea involves disrupted breathing during sleep due to brain signaling issues, not muscle weakness or emotional triggers.
C. Hypersomnia is characterized by excessive daytime sleepiness, but it does not include cataplexy (sudden muscle weakness).
D. Narcolepsy with cataplexy is marked by overwhelming daytime sleepiness and sudden loss of muscle tone (cataplexy), often triggered by strong emotions like laughter or anger.
Similar Questions
A nurse identifies that a client is experiencing a situational crisis. Which of the following scenarios best describes this type of crisis?
A. An older adult diagnosed with terminal cancer
An older adult with terminal cancer may experience a maturational or anticipated crisis rather than a situational one.
B. An individual experiencing a natural dis
A natural disaster is an example of an adventitious crisis, which is unexpected and often impacts many people.
C. A community responding to an infectious disease
A community responding to an infectious disease is also an adventitious or collective crisis.
D. A teenager moving away to college
A situational crisis results from a sudden change in life circumstances—such as relocation, job loss, or divorce—and can cause emotional distress and coping challenges.
Full Explanation
A. An older adult with terminal cancer may experience a maturational or anticipated crisis rather than a situational one.
B. A natural disaster is an example of an adventitious crisis, which is unexpected and often impacts many people.
C. A community responding to an infectious disease is also an adventitious or collective crisis.
D. A situational crisis results from a sudden change in life circumstances—such as relocation, job loss, or divorce—and can cause emotional distress and coping challenges.
Informatics as a nursing concept involves:
A. Using technology and information to communicate, manage knowledge and support decision-making
Nursing informatics integrates nursing science with information and communication technologies to improve patient care and outcomes.
B. Delegating all technological task to the hospital IT department
Delegating all tech tasks to IT; Nurses must be proficient in using healthcare technologies relevant to patient care.
C. Focusing exclusively on the technical maintenance of healthcare equipment
Technical maintenance is typically the role of biomedical or IT staff, not the focus of nursing informatics.
D. Using only paper-based chart to ensure accuracy in documentation
Relying solely on paper-based documentation is outdated and less efficient; informatics encourages the use of electronic health records and decision-support systems.
Full Explanation
A. Nursing informatics integrates nursing science with information and communication technologies to improve patient care and outcomes.
B. Delegating all tech tasks to IT; Nurses must be proficient in using healthcare technologies relevant to patient care.
C. Technical maintenance is typically the role of biomedical or IT staff, not the focus of nursing informatics.
D. Relying solely on paper-based documentation is outdated and less efficient; informatics encourages the use of electronic health records and decision-support systems.
Which of the following is a known barrier to effective communication in healthcare settings?
A. Language barriers, and hesitation to speak up
Language barriers and hesitation to speak up are issues that can lead to misunderstandings, errors in care, and reduced patient safety, making them well-documented barriers to effective communication.
B. Use of written care plans
Written care plans support clarity and continuity of care, not a barrier.
C. Use of standardized tools like I-SBAR-R
Standardized tools like I-SBAR-R improve communication by providing a structured format.
D. Use of Team STEPPS
Team STEPPS is a communication and teamwork training system that enhances, rather than hinders, effective communication.
Full Explanation
A. Language barriers and hesitation to speak up are issues that can lead to misunderstandings, errors in care, and reduced patient safety, making them well-documented barriers to effective communication.
B. Written care plans support clarity and continuity of care, not a barrier.
C. Standardized tools like I-SBAR-R improve communication by providing a structured format.
D. Team STEPPS is a communication and teamwork training system that enhances, rather than hinders, effective communication.