{"id":8490,"date":"2025-11-10T00:01:14","date_gmt":"2025-11-10T08:01:14","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=8490"},"modified":"2026-07-10T14:04:23","modified_gmt":"2026-07-10T22:04:23","slug":"nclex-question-of-the-day-trouble-sleeping","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-trouble-sleeping","title":{"rendered":"NCLEX-LPN\u00ae Question of the Day: Trouble sleeping"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-trouble-sleeping\/#The_correct_answer_to_todays_NCLEX-PN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-PN\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-trouble-sleeping\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-trouble-sleeping\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-trouble-sleeping\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Today&#8217;s NCLEX-PN\u00ae question of the day focuses on sleep issues an in-patient is having. Do you know the answer? Let&#8217;s find out!<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is caring for a patient in the inpatient medical unit who reports having trouble falling asleep. Which factor is <em>most likely<\/em> impairing their sleep?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Eating a high-carbohydrate snack before bed<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Drinking a morning cup of coffee<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Attending an evening physical therapy session<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Removing the patient\u2019s nicotine patch during bathing<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Learn with Osmosis\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/iDxHtjjCMbU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-PN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-PN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Attending an evening physical therapy session<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> <strong>Physical activity<\/strong> before bed can <strong>make it more difficult <\/strong>for the patient<strong> to fall asleep<\/strong> since <strong>exercise causes<\/strong> the body to <strong>release endorphins.<\/strong> The nurse may want to consider scheduling <strong>physical therapy<\/strong> earlier in the day as regular exercise can support sleep hygiene.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse should recognize that <strong>quality of sleep<\/strong> can be impacted by <strong>numerous factors<\/strong>. Regular physical activity can promote sleep, though exercising late in the day can make it <strong>more difficult to fall asleep or to stay asleep,<\/strong> this can include physical therapy sessions for hospitalized patients. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Some dietary factors include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Eating a large meal right before bedtime, <\/strong>especially spicy foods that can cause heartburn. However, eating a high-carbohydrate snack before bedtime can promote sleep quality. <\/li>\n\n\n\n<li><strong>Drinking alcohol<\/strong> before bedtime may allow patients to fall asleep easier, but it leads to wakefulness later in the night. Since caffeine is a stimulant, it can make it more difficult to fall asleep. <\/li>\n\n\n\n<li><strong>Smoking <\/strong>impacts sleep because the stimulating effects of nicotine can make it more difficult to fall asleep, and once the person is asleep, they can be more easily aroused.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"791\" height=\"418\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/11\/image_5cad78.png?w=791\" alt=\"FACTORS IMPACTING SLEEP\n* Exercise close to bedtime\n* Drinking alcohol close to bedtime\n* Eating a high carbohydrate snack close to bedtime\n* Smoking close to bedtime\" class=\"wp-image-8483\" style=\"width:467px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/11\/image_5cad78.png 791w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/11\/image_5cad78.png?resize=300,159 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/11\/image_5cad78.png?resize=768,406 768w\" sizes=\"auto, (max-width: 791px) 100vw, 791px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Eating a high-carbohydrate snack before bed<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> Although the mechanism is not completely understood, <strong>eating a high-carbohydrate snack<\/strong> before bed can help <strong>improve sleep quality<\/strong>, due to the impact on <strong>sleep hormones. <\/strong>Therefore, another factor is likely causing the impairment of sleep.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Drinking a morning cup of coffee<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> Typically, drinking a <strong>caffeinated beverage<\/strong> later in the day, <strong>closer to bedtime<\/strong>, can <strong>impair sleep<\/strong> rather than drinking it in the morning. Therefore, another factor is likely causing the impairment of sleep.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Removing the patient\u2019s nicotine patch during bathing<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> The stimulating effects of nicotine can make it more difficult for patients to fall asleep, and once they are asleep, they can be more easily aroused. Since the nicotine patch was removed, it is more likely another factor is causing the impairment of sleep.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch the Osmosis video: <a href=\"https:\/\/www.osmosis.org\/learn\/Sleep_-_Overview:_Nursing\">Sleep &#8211; Overview: Nursing<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"https:\/\/www.osmosis.org\/create\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN1_2023_535910.png?w=700\" alt=\"\" class=\"wp-image-5083\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN1_2023_535910.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN1_2023_535910.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><em>Get your\u00a0<a href=\"https:\/\/www.osmosis.org\/create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0and find out why millions of current and future clinicians and caregivers love learning by Osmosis.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A patient reports trouble falling asleep in the hospital. Which common factor is most likely affecting their ability to sleep well?<\/p>\n","protected":false},"author":279,"featured_media":8484,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,867,29,1368,1366],"tags":[1817,1819,1279,1821,1029,1822,1818,1823,1392,1820],"class_list":["post-8490","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-lpn","category-nclex","category-nclex-pn","category-questions","tag-caffeine","tag-hospital-nursing","tag-nclex-lpn","tag-nicotine","tag-nursing-care","tag-patient-sleep","tag-physical-therapy","tag-sleep-education","tag-sleep-hygiene","tag-sleep-impairment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-LPN\u00ae Question of the Day: Trouble sleeping - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-trouble-sleeping\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-LPN\u00ae Question of the Day: Trouble sleeping - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"A patient reports trouble falling asleep in the hospital. 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