Sleep hygiene teaching for an adult with trouble falling asleep

NCLEX-RN
Basic Care and Comfort
Select all that apply
Difficulty 2 of 5

Question

A nurse is teaching an adult client who has trouble falling asleep about sleep hygiene. Which recommendations should the nurse include? Select all that apply.

Go to bed and get up at about the same times every day.✓ Correct

Correct. A consistent bedtime and wake time supports good sleep.
Use the bed for working on a laptop and watching shows so it feels familiar.✗ Incorrect

Incorrect. The bed should be kept for sleep, and screens are avoided.
Keep the bedroom quiet, dark and cool.✓ Correct

Correct. A comfortable sleep environment is quiet, dark and cool.
Exercise vigorously in the hour before bed to tire the body.✗ Incorrect

Incorrect. Intense exercise right before bedtime interferes with winding down; activity belongs earlier in the day.
Keep phones, TVs and computers out of the bedroom.✓ Correct

Correct. Electronics are removed from the sleeping space.
Avoid caffeine, alcohol and large meals close to bedtime.✓ Correct

Correct. These can disturb sleep when taken near bedtime.

Answer

A. Go to bed and get up at about the same times every day. · C. Keep the bedroom quiet, dark and cool. · E. Keep phones, TVs and computers out of the bedroom. · F. Avoid caffeine, alcohol and large meals close to bedtime.

Rationale

Good sleep hygiene means a regular bedtime and wake time, a quiet, dark, cool bedroom without electronics, and avoiding caffeine, alcohol and a large meal near bedtime. The bed is reserved for sleep rather than work or entertainment. Physical activity is encouraged during the day, but intense exercise right before bed is avoided.

RememberSame schedule daily, a cool dark bedroom with no screens, and no caffeine, alcohol or big meals at night.

Sources

Sources marked “Adapted from” are licensed under CC BY 4.0. We changed the material: its facts are rewritten into an original question, answer options and rationale. The original authors and publishers do not endorse SwipeExam.

Adapted from Open RN Nursing Health Promotion: HEALTHY LIFESTYLE Open RN (Chippewa Valley Technical College) · License: CC BY 4.0 · Retrieved November 2, 2026 · Primary Prevention: Teaching Elements of a Healthy Lifestyle › Sleep · 2nd edition, 2025
Adapted from Open RN Nursing: Mental Health and Community Concepts, 2nd edition: STRESS, COPING, AND CRISIS INTERVENTION Open RN (Chippewa Valley Technical College) · License: CC BY 4.0 · Retrieved November 2, 2026 · Stress › Stress Management · 2nd edition, 2025
Healthy Sleep (MedlinePlus health topic) MedlinePlus, National Library of Medicine · License: US government work (public domain) · Retrieved November 2, 2026 · Summary: Healthy Sleep
Sleep Deprivation and Deficiency Healthy Sleep Habits National Heart, Lung, and Blood Institute (NIH) · License: US government work (public domain) · Retrieved November 2, 2026 · Sleep Deprivation and Deficiency Healthy Sleep Habits

Last verified: November 2, 2026 2 independent automated checks Question rn-bcc-00128, version 1

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