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RPSGT Domain 2 (Sleep Study Preparation & Performance) Comprehensive Exam Guide 2024, Exams of Nursing

RPSGT Domain 2 (Sleep Study Preparation & Performance) Comprehensive Exam Guide 2024RPSGT Domain 2 (Sleep Study Preparation & Performance) Comprehensive Exam Guide 2024RPSGT Domain 2 (Sleep Study Preparation & Performance) Comprehensive Exam Guide 2024RPSGT Domain 2 (Sleep Study Preparation & Performance) Comprehensive Exam Guide 2024

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Download RPSGT Domain 2 (Sleep Study Preparation & Performance) Comprehensive Exam Guide 2024 and more Exams Nursing in PDF only on Docsity! RPSGT Domain 2 (Sleep Study Preparation &Performance) Comprehensive Exam Guide 2024 1. When preparing for a sleep study, which of the following is the most critical aspect to ensure accurate waveform variations? A) Room temperature B) Electrode placement C) Lighting conditions D) Patient positioning Correct Answer: B) Electrode placement Rationale: Proper electrode placement is essential for accurate signal acquisition and waveform variation analysis. Incorrect placement can lead to artifacts and misinterpretation of physiological events. 2. During a sleep study, the recognition of apnea events is primarily indicated by: A) A decrease in airflow and respiratory effort B) An increase in EEG delta waves C) Fluctuations in EOG activity D) Variations in EMG tone Correct Answer: A) A decrease in airflow and respiratory effort Rationale: Apnea events are characterized by a cessation or significant reduction in airflow, despite ongoing respiratory effort, which is crucial for accurate event recognition. Rationale: The Electromyography (EMG) channel is sensitive to muscle activity and is therefore instrumental in identifying limb movements. 8. What is the primary purpose of performing channel calibrations before a sleep study? A) To comply with regulatory standards B) To ensure patient safety C) To verify signal clarity and amplitude D) To train technical staff Correct Answer: C) To verify signal clarity and amplitude Rationale: Channel calibrations are done to ensure that signals are clear and of sufficient amplitude for accurate analysis and interpretation. 9. Which of the following best describes the importance of recognizing Cheyne-Stokes respiration in a sleep study? A) It indicates the presence of sleep apnea. B) It is a normal variant of breathing. C) It may signify underlying cardiac or neurological conditions. D) It is an artifact caused by poor electrode placement. Correct Answer: C) It may signify underlying cardiac or neurological conditions. Rationale: Cheyne-Stokes respiration is a pattern of periodic breathing often associated with heart failure or stroke, making its recognition clinically significant. 10. The calibration of physiological channels in a sleep study is crucial for: A) Determining the patient's medication needs B) Assessing the patient's response to therapy C) Accurate interpretation of physiological parameters D) Predicting the duration of the sleep study Correct Answer: C) Accurate interpretation of physiological parameters Rationale: Calibrations provide a standardized framework for interpreting physiological parameters, which is essential for accurate diagnosis and treatment planning. 11. When analyzing sleep study data, waveform variations are important because they: A) Provide entertainment for the patient B) Indicate the presence of sleep disorders C) Reflect the quality of the recording equipment D) Determine the cost of the study Correct Answer: B) Indicate the presence of sleep disorders Rationale: Waveform variations are key indicators of sleep architecture and disorders, and their accurate analysis is critical for diagnosis. 12. The correct placement of EOG electrodes is essential for: A) Monitoring heart rate B) Detecting eye movements C) Measuring respiratory effort D) Recording limb movements Correct Answer: B) Detecting eye movements Rationale: EOG electrodes are specifically placed to detect eye movements, which are crucial for identifying sleep stages, particularly REM sleep. 13. In sleep studies, the recognition of hypopnea events is indicated by: A) A 30% or greater reduction in airflow lasting at least 10 seconds B) An increase in EEG alpha waves C) A decrease in EMG activity D) An absence of EOG movements Correct Answer: A) A 30% or greater reduction in airflow lasting at least 10 seconds Rationale: Hypopnea is defined by a significant reduction in airflow, often accompanied by a drop in oxygen saturation, making its recognition vital for sleep disorder diagnosis. 14. The calibration of the EEG channel in a sleep study is important for: A) Assessing the patient's cognitive abilities B) Evaluating the patient's emotional state C) Accurately identifying sleep stages D) Measuring the depth of sleep Correct Answer: C) Accurately identifying sleep stages B. EOG (Electrooculogram) C. EMG (Electromyogram) D. EKG (Electrocardiogram) Correct Answer: D. EKG (Electrocardiogram) Rationale: EKG is not commonly measured in Pediatric PSG studies unless specifically indicated for cardiac monitoring. What is the purpose of a Multiple Sleep Latency Test (MSLT)? A. To assess circadian rhythm disorders B. To evaluate sleep-disordered breathing C. To measure daytime sleepiness and assess for narcolepsy D. To monitor sleep architecture in children Correct Answer: C. To measure daytime sleepiness and assess for narcolepsy Rationale: MSLT is used to evaluate daytime sleepiness and diagnose conditions like narcolepsy based on how quickly a person falls asleep in a controlled environment. Which of the following conditions is commonly assessed using an Adult PSG study? A. Restless Legs Syndrome B. Nocturnal Enuresis C. Sleepwalking D. Insomnia Correct Answer: A. Restless Legs Syndrome Rationale: Adult PSG studies are used to assess various sleep disorders, including Restless Legs Syndrome, which can disrupt sleep patterns. How long is a typical PSG recording session for an Adult PSG study? A. 2 hours B. 4 hours C. 6-8 hours D. 10 hours Correct Answer: C. 6-8 hours Rationale: A standard PSG recording session for an Adult PSG study usually lasts 6 to 8 hours to capture a full night of sleep cycles. During a Pediatric PSG study, which of the following events is NOT typically monitored? A. Periodic Limb Movements B. Nightmares C. Sleep Apnea D. Bruxism (Teeth Grinding) Correct Answer: B. Nightmares Rationale: Nightmares are typically not monitored during a Pediatric PSG study unless they are causing significant sleep disturbances. What is the primary advantage of conducting a split-night PSG study? A. Reduced cost B. Shorter testing time C. Improved patient comfort D. Higher diagnostic yield Correct Answer: D. Higher diagnostic yield Rationale: Split-night PSG studies combine diagnostic and titration portions in one night, leading to a higher diagnostic yield for sleep disorders. Which of the following stages of sleep is characterized by slow-wave activity and restorative functions? A. REM (Rapid Eye Movement) sleep B. Stage N3 (Deep Sleep) C. Stage N2 (Light Sleep) D. Stage N1 (Transition to Sleep) What is the purpose of conducting a Multiple Sleep Latency Test (MSLT) following a PSG study? A. To assess sleep architecture B. To confirm sleep apnea C. To evaluate for periodic limb movements D. To diagnose narcolepsy Correct Answer: D. To diagnose narcolepsy Rationale: MSLT is often performed following a PSG study to evaluate daytime sleepiness and confirm diagnoses like narcolepsy based on multiple nap opportunities. 1. What is the purpose of impedance check during sleep study preparation? A. To ensure proper communication between electrodes and the recording device B. To monitor respiratory effort during sleep C. To assess the impact of sleep disorders on cardiovascular health D. To signal the onset of sleep stages Correct Answer: A. To ensure proper communication between electrodes and the recording device Rationale: Impedance check is crucial in ensuring the integrity of electrode connections for accurate data collection during a sleep study. 2. Which of the following types of electrodes is commonly used for EEG recordings in sleep studies? A. EKG electrodes B. Surface electrodes C. Needle electrodes D. Thermistor electrodes Correct Answer: B. Surface electrodes Rationale: Surface electrodes are non-invasive and commonly used in sleep studies for EEG recordings. 3. Where is the appropriate placement for a nasal pressure transducer during a sleep study? A. On the chin B. On the abdomen C. On the chest D. Over the nose Correct Answer: D. Over the nose Rationale: The nasal pressure transducer is placed over the nose to monitor airflow during sleep studies, providing important data on breathing patterns. 4. Which sensor is used to detect limb movements during sleep studies? A. ECG sensor B. EMG sensor C. EOG sensor D. Thermistor sensor Correct Answer: B. EMG sensor Rationale: EMG sensors are used to monitor muscle activity, including limb movements, during sleep studies. 5. What is the primary objective of infection control in a sleep study lab? A. Preventing the spread of infectious diseases B. Enhancing patient comfort C. Optimizing sleep study data accuracy D. Minimizing noise interference during recordings Correct Answer: A. Preventing the spread of infectious diseases Rationale: Infection control measures are essential in sleep study labs to protect both patients and staff from potential transmission of communicable diseases. 6. Which of the following actions is an effective infection control practice when handling sleep study equipment? C. EKG electrode D. EEG electrode Correct Answer: C. EKG electrode Rationale: EKG electrodes are specifically designed to capture electrical activity of the heart, providing valuable information on cardiac function during sleep. 11. What should a sleep technologist do to reduce the risk of artifact interference in sleep study recordings? A. Increase electrode impedance B. Ensure proper electrode placement C. Use expired sensors D. Store equipment in direct sunlight Correct Answer: B. Ensure proper electrode placement Rationale: Proper electrode placement helps minimize artifact interference and ensures high-quality sleep study recordings. 12. Why is it important to calibrate sensors and equipment prior to a sleep study? A. To prolong sensor longevity B. To achieve accurate and reliable data measurements C. To reduce patient anxiety D. To increase overall study cost Correct Answer: B. To achieve accurate and reliable data measurements Rationale: Calibration of sensors and equipment is essential for obtaining precise data measurements, crucial for diagnosing sleep disorders effectively. 13. Which infection control measure is crucial when dealing with reusable equipment in a sleep study lab? A. Proper ventilation of the sleep lab B. Regular cleaning without disinfection C. Single-use policy for all equipment D. Effective sterilization and disinfection procedures Correct Answer: D. Effective sterilization and disinfection procedures Rationale: Reusable equipment must undergo thorough sterilization and disinfection processes to prevent contamination and ensure patient safety. 14. During a sleep study preparation, what is the role of the thermistor sensor? A. Measure brain wave activity B. Record eye movements C. Monitor temperature changes in the sleep environment D.Measure airflow and respiratory effort Correct Answer: D. Measure airflow and respiratory effort Rationale: The thermistor sensor is used to monitor airflow and respiratory effort by detecting temperature changes during breathing. 15. Which sleep study parameter is commonly assessed using a pulse oximeter? A. Heart rate B. Respiratory effort C. Eye movements D. Brain wave activity Correct Answer: A. Heart rate Rationale: A pulse oximeter primarily measures heart rate and blood oxygen levels, providing essential cardiovascular data during sleep studies. 16. What is the purpose of using a chin EMG sensor in sleep studies? A. Monitoring leg movements during sleep B. Recording brain wave activity C. Detecting breathing patterns D. Tracking muscle tone and activity in the chin Correct Answer: D. Tracking muscle tone and activity in the chin Rationale: Pulse oximeter sensors are designed to measure blood oxygen levels, an important parameter in assessing respiratory function during sleep. 21. How does proper electrode maintenance contribute to the overall quality of sleep study recordings? A. Facilitates longer sleep study sessions B. Minimizes sleep onset latency C. Reduces signal artifact interference D. Enhances sleep architecture Correct Answer: C. Reduces signal artifact interference Rationale: Proper maintenance of electrodes helps minimize signal artifact interference, ensuring high-quality sleep study recordings and accurate data interpretation. 22. When conducting a sleep study, where should the EOG electrodes be placed for effective eye movement monitoring? A. On the forehead B. Near the mouth C. By the ears D. Close to the eyes Correct Answer: D. Close to the eyes Rationale: Placing EOG electrodes close to the eyes allows for accurate monitoring of eye movements during different sleep stages, aiding in sleep study analysis. 23. Why is it important to regularly check and replace sensor cables in a sleep study lab? A. To reduce equipment wear and tear B. To maintain a clean sleep environment C. To ensure quality data transmission D. To promote patient relaxation during the study Correct Answer: C. To ensure quality data transmission Rationale: Regularly checking and replacing sensor cables is essential to maintain reliable data transmission quality, crucial for accurate sleep study results. 24. What role does the nasal pressure transducer play in monitoring breathing patterns during sleep studies? A. Measure eye movements B. Record brain wave activity C. Monitor airflow in the nasal passages D. Assess heart rate variability Correct Answer: C. Monitor airflow in the nasal passages Rationale: The nasal pressure transducer is specifically used to monitor airflow in the nasal passages, providing valuable data on breathing patterns during sleep. 25. How can the use of clean electrodes and cables impact the overall comfort of the patient during a sleep study? A. Increases sleep latency B. Reduces potential skin irritation C. Enhances sleep architecture D. Causes signal distortion Correct Answer: B. Reduces potential skin irritation Rationale: Clean electrodes and cables minimize the risk of skin irritation, promoting patient comfort and ensuring a successful sleep study experience. 26. Which infection control measure is essential when handling reusable sensors in a sleep study lab? A. Using a single set of sensors for multiple patients B. Storing sensors in a humid environment C. Reusing sensors without proper disinfection D. Following sterilization and disinfection protocols Correct Answer: D. Following sterilization and disinfection protocols
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