# The nurse reviews an inpatient sleep plan. Which actions require follow-up? Highlight the actions that create avoidable barriers to restorative sleep.

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497307&lang=en  
> language: en  
> subject: Mobility/Immobility  
> category: BCC

## Question

The nurse reviews an inpatient sleep plan. Which actions require follow-up? Highlight the actions that create avoidable barriers to restorative sleep.

| Care-plan area | Observed care entry |
| --- | --- |
| Assessment | Asks which sounds, symptoms, and usual routines affect the client’s sleep |
| Care coordination | Clusters compatible assessments and supplies before the preferred sleep period |
| Scheduling | Wakes the stable client in the early morning for a nonurgent weight that can wait |
| Environment | Leaves the overhead lights and television on after the client settles |
| Noise control | Offers earplugs after confirming that communication and alarms remain safe |
| Comfort | Addresses pain, positioning, and toileting needs before the quiet period |
| Safety | Keeps the prescribed fall alarm active while reducing other room noise |
| Beverage | Offers caffeinated coffee at 2100 when the client reports difficulty sleeping |
| Medication review | Checks whether nonurgent medication timing can be safely consolidated |

## Explanation

Waking the client for a deferrable weight, leaving bright media stimulation on, and offering caffeine late at night require follow-up. Individualized assessment, clustered care, symptom relief, and preserved safety support sleep.

## In-depth explanation

Quick answer
Highlight waking the client in the early morning for a nonurgent weight that may be deferred, leaving the television and overhead lights on, and offering caffeinated coffee at 2100. Each action adds an avoidable sleep disruptor.

Why this is correct
Hospital sleep improves when nurses assess individual disturbing factors, collaborate on a plan, reduce noise and light, cluster safe care, and address pain or toileting needs. Sleep promotion must remain individualized and cannot override urgent monitoring or prescribed safety precautions.[2]

Easy analogy or mental picture
Think of sleep as a runway that needs a clear stretch for landing. Every unnecessary light, sound, stimulant, or interruption resets the approach; the image explains continuity but does not justify delaying essential clinical care.

Memory hook
Ask, cluster, dim, quiet, comfort, keep safety.

NCLEX decision rule
For basic comfort, remove modifiable barriers and coordinate nonurgent care around the client’s preferences while continuing essential assessments, alarms, medications, and safety measures.

Why the other choices are wrong
Asking about preferences, clustering compatible tasks, offering earplugs when safe, treating pain and toileting needs, preserving the fall alarm, and reviewing medication timing are patient-centered actions. They promote rest without withholding necessary care.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]AHRQ: Sleep Promotion Toolkit for Hospitalized PatientsAgency for Healthcare Research and Quality

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