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RPSGT Pretest Items Comprehensive Exam Guide 2024, Exams of Nursing

RPSGT Pretest Items Comprehensive Exam Guide 2024RPSGT Pretest Items Comprehensive Exam Guide 2024RPSGT Pretest Items Comprehensive Exam Guide 2024RPSGT Pretest Items Comprehensive Exam Guide 2024RPSGT Pretest Items Comprehensive Exam Guide 2024

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Available from 07/08/2024

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Download RPSGT Pretest Items Comprehensive Exam Guide 2024 and more Exams Nursing in PDF only on Docsity! Pretest Items : Comprehensive Exam Guide : 2024 1. In the context of sleep disorders, which of the following is not a hypersomnia disorder as per the International Classification of Sleep Disorders-3 (ICSD-3)? A) Narcolepsy B) Insomnia C) Idiopathic hypersomnia D) Kleine-Levin syndrome Answer: B) Insomnia Rationale: Hypersomnia disorders involve excessive daytime sleepiness, unlike insomnia which is characterized by difficulty falling or staying asleep. 2. Which sleep-related co-morbidity is commonly associated with obstructive sleep apnea (OSA)? A) Restless leg syndrome B) Type 2 diabetes C) REM sleep behavior disorder D) Delayed sleep phase disorder Answer: B) Type 2 diabetes Rationale: OSA has been linked to insulin resistance and the development of type 2 diabetes. Rationale: The AASM provides guidelines for scoring sleep-related events during PSG studies. 8. Which of the following is a common practice parameter in the management of insomnia? A) Limiting exposure to bright light before bedtime B) Increasing caffeine intake in the evening C) Using electronic devices in bed before sleep D) Irregular sleep schedule Answer: A) Limiting exposure to bright light before bedtime Rationale: Exposure to bright light before bedtime can disrupt the circadian rhythm and exacerbate insomnia. 9. In the context of sleep physiology, which neurotransmitter is involved in promoting wakefulness? A) Serotonin B) GABA C) Histamine D) Melatonin Answer: C) Histamine Rationale: Histamine plays a role in promoting wakefulness and arousal. 10. Which of the following medications is commonly prescribed for the treatment of restless leg syndrome (RLS)? A) Gabapentin B) Zolpidem C) Modafinil D) Melatonin Answer: A) Gabapentin Rationale: Gabapentin is a common medication used to alleviate symptoms of RLS. 11. During a sleep study, which of the following physiological parameters is monitored to assess airflow? A) Electrocardiogram (ECG) B) Electromyography (EMG) C) Nasal cannula D) Pulse oximetry Answer: C) Nasal cannula Rationale: A nasal cannula is used to monitor airflow during a sleep study. 12. Which EEG waveform morphology is characteristic of REM sleep? A) Alpha waves B) Beta waves C) Delta waves D) Sawtooth waves Answer: D) Sawtooth waves Rationale: Sawtooth waves are characteristic of REM sleep on an EEG. 13. Which of the following is an appropriate intervention for treating obstructive sleep apnea (OSA)? A) Continuous positive airway pressure (CPAP) B) Sedative medication C) Physical activity restriction D) Irregular bedtime routine Answer: A) Continuous positive airway pressure (CPAP) Rationale: CPAP therapy is the gold standard treatment for OSA. 14. Which respiratory parameter is commonly assessed during a sleep study to diagnose sleep-disordered breathing? A) Forced vital capacity (FVC) B) Inspiratory pressure C) Apnea-hypopnea index (AHI) D) Expiratory reserve volume (ERV) Answer: C) Apnea-hypopnea index (AHI) Rationale: AHI is a measure of the severity of sleep-disordered breathing. 15. Which computer software is commonly used for scoring sleep studies in a clinical setting? A) Microsoft Excel 20. Which part of the brainstem is responsible for regulating the sleep-wake cycle? A) Pons B) Medulla oblongata C) Midbrain D) Thalamus Answer: A) Pons Rationale: The pons plays a crucial role in regulating the sleep-wake cycle. 21. The application of positive airway pressure in the treatment of sleep apnea helps to prevent which physiological event? A) Hypoxemia B) Nocturnal bruxism C) REM sleep behavior disorder D) Hypnagogic hallucinations Answer: A) Hypoxemia Rationale: Positive airway pressure prevents episodes of hypoxemia associated with sleep apnea. 22. Which term describes the process of scoring and interpreting data obtained from a sleep study? A) Actigraphy B) Oximetry C) Polysomnography D) Spectroscopy Answer: C) Polysomnography Rationale: Polysomnography involves scoring and interpreting data from a sleep study. 23. Which medication is commonly used as a short-term solution for insomnia? A) Zolpidem B) Lorazepam C) Mirtazapine D) Venlafaxine Answer: A) Zolpidem Rationale: Zolpidem is a sedative-hypnotic medication used for short- term management of insomnia. 24. Which of the following parameters is essential in determining the effectiveness of CPAP titration during a sleep study? A) Respiratory disturbance index (RDI) B) Electroencephalogram (EEG) C) Blood pressure D) Body mass index (BMI) Answer: A) Respiratory disturbance index (RDI) Rationale: RDI measures the frequency of respiratory events and is crucial in determining CPAP effectiveness. 25. What type of sleep disorder is characterized by an overwhelming urge to move the legs, usually due to uncomfortable sensations? A) Cataplexy B) Periodic limb movement disorder C) Sleep paralysis D) Restless legs syndrome Answer: D) Restless legs syndrome Rationale: Restless legs syndrome is characterized by an urge to move the legs to relieve uncomfortable sensations. 26. Which part of the brain is primarily responsible for regulating breathing during sleep? A) Cerebellum B) Pons C) Thalamus D) Amygdala Answer: B) Pons Rationale: The pons regulates breathing and respiratory function during sleep. Rationale: During REM sleep, there is an activation of the pontine tegmentum, which is associated with the generation of REM sleep. 2. Which of the following is a common comorbidity associated with Obstructive Sleep Apnea (OSA)? A) Hypertension B) Type I Diabetes C) Hyperthyroidism D) Rheumatoid Arthritis Answer: A) Hypertension Rationale: Hypertension is a common comorbidity of OSA due to the recurrent episodes of hypoxia and hypercapnia causing increased sympathetic activity. 3. In terms of sleep physiology, what is the role of the suprachiasmatic nucleus? A) Initiating sleep onset B) Regulating circadian rhythms C) Controlling dream content D) Modulating sleep depth Answer: B) Regulating circadian rhythms Rationale: The suprachiasmatic nucleus acts as the body's master clock, regulating circadian rhythms, including the sleep-wake cycle. 4. Which EEG waveform is characteristic of stage 2 NREM sleep? A) Alpha waves B) Beta waves C) Sleep spindles D) Delta waves Answer: C) Sleep spindles Rationale: Sleep spindles are bursts of rapid, rhythmic brain activity that occur during stage 2 NREM sleep. 5. When scoring a polysomnogram, which respiratory event is scored when there is a 90% reduction in airflow lasting at least 10 seconds? A) Hypopnea B) Apnea C) Cheyne-Stokes respiration D) Respiratory effort-related arousal Answer: B) Apnea Rationale: An apnea is defined as a 90% or greater reduction in airflow lasting at least 10 seconds during sleep. 6. According to the American Academy of Sleep Medicine's practice parameters, what is the minimum recommended duration for a nap study (MSLT)? A) 15 minutes B) 20 minutes C) 30 minutes D) 45 minutes Answer: B) 20 minutes Rationale: The MSLT consists of a series of nap opportunities spaced throughout the day, with each opportunity lasting a minimum of 20 minutes. 7. Which medication class is commonly used to treat REM Sleep Behavior Disorder (RBD)? A) Benzodiazepines B) Non-benzodiazepine sleep aids C) Selective serotonin reuptake inhibitors D) Beta-blockers Answer: A) Benzodiazepines Rationale: Benzodiazepines, such as clonazepam, are commonly used to treat RBD due to their ability to suppress muscle activity during REM sleep. 8. What is the primary function of the hypoglossal nerve in relation to sleep? A) Regulating the sleep-wake cycle B) Controlling eye movements during REM sleep C) Maintaining airway patency D) Modulating autonomic functions Answer: C) Maintaining airway patency D) Its low frequency and irregular shape Answer: A) Its high amplitude and biphasic nature Rationale: K-complexes are high-amplitude, biphasic waveforms that occur during stage 2 NREM sleep and are thought to represent a form of sleep maintenance. 14. What is the primary purpose of CPAP therapy in the treatment of sleep disorders? A) To induce deeper stages of sleep B) To reduce the frequency of nightmares C) To maintain continuous positive airway pressure D) To synchronize sleep cycles Answer: C) To maintain continuous positive airway pressure Rationale: CPAP therapy provides a constant flow of air to keep the airway open during sleep, effectively treating obstructive sleep apnea. 15. Which computer component is essential for the storage of polysomnographic data? A) Graphics card B) Central processing unit (CPU) C) Hard drive D) Power supply unit Answer: C) Hard drive Rationale: The hard drive is critical for storing the large amounts of data generated during polysomnographic studies Question 1: What is the primary diagnostic tool used to evaluate sleep disorders? A) Echocardiogram B) Electroencephalogram (EEG) C) Magnetic Resonance Imaging (MRI) D) Pulmonary Function Test (PFT) Correct Answer: B) Electroencephalogram (EEG) Rationale: EEG is commonly used to monitor brain activity during sleep and diagnose various sleep disorders. Question 2: Which of the following is a common co-morbidity associated with obstructive sleep apnea? A) Hypertension B) Type 1 Diabetes C) Osteoporosis D) Migraines Correct Answer: A) Hypertension Rationale: Hypertension is frequently seen in patients with obstructive sleep apnea due to the effects of sleep-disordered breathing on blood pressure regulation. Question 3: In which part of the brain is the circadian rhythm generated? A) Hypothalamus B) Cerebellum C) Thalamus D) Amygdala Correct Answer: A) Hypothalamus Rationale: The hypothalamus plays a crucial role in regulating the body's circadian rhythm. Question 4: Which of the following is responsible for the regulation of heart rate during sleep? A) Sympathetic nervous system B) Parasympathetic nervous system C) Endocrine system D) Respiratory system Correct Answer: B) Parasympathetic nervous system Rationale: The parasympathetic nervous system controls heart rate and promotes relaxation during sleep. Question 5: B) Aspirin C) Ibuprofen D) Acetaminophen Correct Answer: A) Zolpidem (Ambien) Rationale: Zolpidem is a sedative-hypnotic medication often prescribed for insomnia to aid in falling asleep and staying asleep. Question 10: What type of waveform morphology is typically observed in a normal sleep EEG recording during REM sleep? A) Alpha waves B) Beta waves C) Theta waves D) Delta waves Correct Answer: C) Theta waves Rationale: Theta waves are characteristic of REM sleep EEG patterns and are associated with dreaming and rapid eye movements. Question 11: Which physiological parameter is measured using a pulse oximeter during a sleep study? A) Blood pressure B) Blood glucose level C) Oxygen saturation D) Carbon dioxide level Correct Answer: C) Oxygen saturation Rationale: Pulse oximetry is used to monitor oxygen levels in the blood during sleep studies to assess respiratory function. Question 12: What is the primary intervention for treating moderate to severe obstructive sleep apnea? A) Continuous Positive Airway Pressure (CPAP) therapy B) Surgical removal of the uvula C) Weight loss surgery D) Oxygen therapy Correct Answer: A) Continuous Positive Airway Pressure (CPAP) therapy Rationale: CPAP therapy is the gold standard treatment for obstructive sleep apnea and involves using a device to keep the airway open during sleep. Question 13: Which of the following is a common side effect of certain over-the-counter sleep aids? A) Increased alertness B) Daytime drowsiness C) Reduced heart rate D) Elevated blood pressure Correct Answer: B) Daytime drowsiness Rationale: Some OTC sleep aids can cause daytime drowsiness or grogginess due to their sedative effects. Question 14: What type of computer program is often used to analyze polysomnography data in sleep labs? A) Spreadsheet software B) Word processing software C) Sleep scoring software D) Graphic design software Correct Answer: C) Sleep scoring software Rationale: Sleep scoring software is specialized software designed for analyzing and interpreting polysomnography data collected during sleep studies. Question 15: Which sleep disorder is characterized by a sudden onset of excessive daytime sleepiness and cataplexy? A) Insomnia B) Narcolepsy C) Restless Legs Syndrome D) Sleep Apnea
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