SLEEP EXAM 2 2024/2025 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

Download SLEEP EXAM 2 2024/2025 WITH 100% ACCURATE SOLUTIONS and more Exams Nursing in PDF only on Docsity!

SLEEP EXAM 2 2024/2025 WITH 100%

ACCURATE SOLUTIONS

SLEEP EXAM 2 2024/2025 WITH 100%

ACCURATE SOLUTIONS

A physician orders transcutaneous monitoring during a PSG for a 34 year old female with anemia. The technologist should expect the displayed values to be - PRECISE ANSWER ✔✔lower than the patient's values. A patient asks the sleep technologist for information regarding a possible sleep apnea diagnosis. The technologist should - PRECISE ANSWER ✔✔provide a pamphlet about sleep apnea to the patient. Patient grounding can be described as:

1. A return path for an electrical circuit
2. A reference for the other electrodes
3. Increased resistance to earth
4. Path from patient to earth - PRECISE ANSWER ✔✔2, What is the minimum amount of time allowed for a patient to fall asleep during MSLT? - PRECISE ANSWER ✔✔20 minutes During a sleep study, impedance plethysmography is being used to record respirations on a 2 year old infant. To verify a good recording, which of the following should be checked first if unobtainable respiratory tracings appear? - PRECISE ANSWER ✔✔Electrodes

The first epoch of any stage of sleep is defined as - PRECISE ANSWER ✔✔sleep onset According to the AASM Scoring Manual, the recommended maximum duration to score PLMS is - PRECISE ANSWER ✔✔10 sec The difference in the electrical charge between two points in a circuit expressed in volts can best be described as - PRECISE ANSWER ✔✔thermistor The term "vegetative organism" refers to - PRECISE ANSWER ✔✔growing microorganisms A patient weighs 260 lb (118 kg) and is 6' 4" (193 cm) tall. What is this patient's Body Mass Index? - PRECISE ANSWER ✔✔31. A patient has the following data recorded following an overnight sleep study: 20 epochs of W 28 epochs of N 484 epochs of N 48 epochs of N 200 epochs of REM

What percent of time did the patient spend in N3? - PRECISE ANSWER ✔✔6% After interviewing a patient, a physician suspects the individual may have advanced sleep syndrome. Which of the following would be most helpful in assisting the physician with a diagnosis? - PRECISE ANSWER ✔✔Actigraphy Which of the following is NOT a mandatory guideline for the accreditation of a sleep lab? - PRECISE ANSWER ✔✔RPSGT on staff For a quality assurance program, which of the following is required for Home Sleep Apnea Testing? - PRECISE ANSWER ✔✔One outcome measure for OSA. According to the AASM scoring guidelines, rhythmic movement disorder will have a minimum and a maximum frequency of - PRECISE ANSWER ✔✔0.5 Hz, 2.0Hz. What is the input voltage with a pen deflection of 18 mm and a sensitivity of 5 μV/mm? - PRECISE ANSWER ✔✔90 μV Which of the following breathing patterns would most likely be seen in a patient with uncontrolled diabetes? - PRECISE ANSWER ✔✔Kussmaul's breathing Which of the following would NOT be considered a component of malpractice prevention? - PRECISE ANSWER ✔✔carefulness

A technologist is advised by his supervisor to use two separate ground connections for the upcoming PSG. The technologist should - PRECISE ANSWER ✔✔explain that ground looping can occur as a result of this arrangement. The recommended maximum desirable sampling rate for the recording of oximetry is: - PRECISE ANSWER ✔✔25 Hz To be classified as a rhythmic movement disorder, the maximum frequency must be - PRECISE ANSWER ✔✔2.0 Hz Sleep Tech Practice Exam Answers: Question 72 of 100 A patient going to bed at 3:00 AM and waking at 2:00 PM could be described as having which of the following? - PRECISE ANSWER ✔✔delayed sleep phase syndrome Which of the following stimulates breathing in a patient with COPD? - PRECISE ANSWER ✔✔hypoxemia When the sensitivity of an amplifier is increased from 10 uv/mm to 5 uv/mm, the pen deflection should - PRECISE ANSWER ✔✔decrease by half The American Academy of Sleep Medicine grants laboratory accreditation for a period of how many years? - PRECISE ANSWER ✔✔5 years

A periodic abnormal ECG conduction that occurs after every two normal beats is referred to as - PRECISE ANSWER ✔✔trigeminy When scheduling a patient for polysomnography, the scheduler should - PRECISE ANSWER ✔✔verify insurance information An extreme high frequency filter setting would cause which of the following to occur in a waveform on an EEG tracing? - PRECISE ANSWER ✔✔A "peak" effect at the top. The minimum peak to peak voltage needed to identify a K-complex is - PRECISE ANSWER ✔✔not stipulated Reduced levels of __________ would decrease the amount sleep. - PRECISE ANSWER ✔✔dopamine Which of the following medications can cause respiratory depression if administered in large doses? - PRECISE ANSWER ✔✔morphine If G1 and G2 receive an input signal of 50 μV, what would the output signal be? - PRECISE ANSWER ✔✔0 μV According to the AASM Scoring Manual, sharp vertex waves first appear at - PRECISE ANSWER ✔✔4-6 months post term

A patient with emphysema is undergoing Polysomnography. EEG hook- up and attachment of the pulse oximetry probe have been completed. The initial pulse oximetry saturation reading is 80%. After 7 minutes, the displayed saturation is 82%. The technologist should - PRECISE ANSWER ✔✔start the patient on 1 L/min of nasal oxygen and recheck the pulse oximetry saturation in 10 minutes. A patient has been diagnosed with circadian rhythm disorder. What therapy should the technologist recommend? - PRECISE ANSWER ✔✔Bright light therapy in the evening The following information is available following a sleep study: Time in bed (TIB) is 380 minutes. Latency to sleep onset is 30 minutes. Total wake time following sleep onset (WASO) and before the lights are turned on is 34 minutes. What is the total sleep time (TST) for this patient? - PRECISE ANSWER ✔✔316 minutes All of the following can occur in Stage REM EXCEPT - PRECISE ANSWER ✔✔0.5 Hz - 2 Hz wave activity. Which of the following is the most common cause of obstructive sleep apnea in a patient with Down Syndrome? - PRECISE ANSWER ✔✔macroglossia An attending physician has ordered a 12-lead ECG for a patient prior to an overnight PSG. The technologist notes that the ECG technician has placed ten electrodes on the patient. The sleep technologist should - PRECISE ANSWER ✔✔do nothing. This is the correct procedure.

From sleep onset to the first epoch of REM is known as - PRECISE ANSWER ✔✔REM latency When informing a patient of his/her medical rights, which of the following should NOT be included? - PRECISE ANSWER ✔✔Involuntary participation by the patient. What are the primary reasons for recording eye movements during a sleep study?

1. To capture slow rolling eye movement at the beginning of sleep.
2. To determine when the patient is asleep.
3. To see phasic bursts of rapid eye movement.
4. To capture the E1 - M2 and E2 - M2 reference - PRECISE ANSWER ✔✔1, When informed by his primary care physician about the need for a sleep study, the patient asks who will be in charge of the study. The primary care physician informs the patient that although he doesn't have that information, the patient should be assured that it will be "someone good". In this case, the patient has a right to expect - PRECISE ANSWER ✔✔the name of the physician responsible for his care. A physician refers a patient for PSG due to a sleep related breathing disorder. Which is the most appropriate way to evaluate the patient? - PRECISE ANSWER ✔✔Full-night PSG A patient with narcolepsy would benefit from which of the following medications? - PRECISE ANSWER ✔✔provigil

A patient had sleep onset on epoch 30 with the first stage of REM occurring at epoch 250. How should REM latency be scored? - PRECISE ANSWER ✔✔110 minutes