NURS 5359 Exam 3 Comprehensive Resource To Help You
Ace 2026-2027 Exams Includes Frequently Tested Questions
With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. First-line treatment for chronic insomnia - Correct Answer: CBT-I
2. Core components of CBT-I - Correct Answer: Sleep hygiene, stimulus
control, sleep restriction, cognitive restructuring, relaxation training
3. Definition of chronic insomnia - Correct Answer: Difficulty initiating or
maintaining sleep ≥3 nights/week for ≥3 months with impairment
4. Normal adult sleep requirement - Correct Answer: ≥7 hours per night
5. Sleep requirement for adolescents - Correct Answer: 8-10 hours
6. Sleep requirement for school-age children - Correct Answer: 9-11 hours
7. Sleep hygiene environmental recommendations - Correct Answer: Dark,
quiet, cool room with minimal stimulation
,8. Sleep hygiene behavioral recommendations - Correct Answer: Regular
sleep schedule, avoid naps, exercise earlier in day
9. Substances that worsen sleep - Correct Answer: Caffeine, nicotine,
alcohol
10.Alcohol effect on sleep - Correct Answer: Initial sedation followed by
REM rebound and early awakenings
11.Sleep hygiene cognitive stimulation rule - Correct Answer: Avoid screens
before bedtime
12.Acceptable auditory sleep aid - Correct Answer: White noise or podcast
with timer
13.Most important condition to rule out before treating insomnia - Correct
Answer: Bipolar disorder
14.Sleep clue for mania - Correct Answer: Decreased need for sleep with
increased energy
15.Condition that must be ruled out before prescribing hypnotics - Correct
Answer: Obstructive sleep apnea
,16.Common symptoms of obstructive sleep apnea - Correct Answer: Loud
snoring, witnessed apneas, daytime sleepiness, morning headaches
17.OSA medication caution - Correct Answer: Avoid benzodiazepines and
sedative hypnotics
18.OSA risk factors - Correct Answer: Obesity, large tonsils, narrow airway,
sedative use, alcohol
19.Provider role in OSA - Correct Answer: Screen and refer for sleep study
20.Provider limitation in OSA - Correct Answer: Does not interpret sleep
study or set CPAP
21.Shift work sleep disorder core issue - Correct Answer: Circadian rhythm
disruption
22.First-line medications for shift work disorder - Correct Answer:
Modafinil or solriamfetol
23.Medication adherence strategy for shift workers - Correct Answer:
Prefer extended-release medications
24.Sleep onset insomnia medications - Correct Answer: Zaleplon, zolpidem
IR, ramelteon, melatonin
, 25.Sleep maintenance insomnia medications - Correct Answer:
Eszopiclone, suvorexant, lemborexant, daridorexant, temazepam
26.Mechanism of Z-drugs - Correct Answer: Selective GABA-A alpha-1
receptor modulation
27.Unique adverse effect of zolpidem - Correct Answer: Parasomnias such
as sleep driving or sleep eating
28.Unique adverse effect of eszopiclone - Correct Answer: Metallic taste
29.Unique feature of zaleplon - Correct Answer: Ultra-short half-life allows
middle-of-night dosing
30.Mechanism of orexin antagonists - Correct Answer: Block orexin-
mediated wake drive
31.Unique adverse effect of orexin antagonists - Correct Answer: Sleep
paralysis or hypnagogic hallucinations
32.Mechanism of ramelteon - Correct Answer: Melatonin receptor
MT1/MT2 agonist
Ace 2026-2027 Exams Includes Frequently Tested Questions
With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. First-line treatment for chronic insomnia - Correct Answer: CBT-I
2. Core components of CBT-I - Correct Answer: Sleep hygiene, stimulus
control, sleep restriction, cognitive restructuring, relaxation training
3. Definition of chronic insomnia - Correct Answer: Difficulty initiating or
maintaining sleep ≥3 nights/week for ≥3 months with impairment
4. Normal adult sleep requirement - Correct Answer: ≥7 hours per night
5. Sleep requirement for adolescents - Correct Answer: 8-10 hours
6. Sleep requirement for school-age children - Correct Answer: 9-11 hours
7. Sleep hygiene environmental recommendations - Correct Answer: Dark,
quiet, cool room with minimal stimulation
,8. Sleep hygiene behavioral recommendations - Correct Answer: Regular
sleep schedule, avoid naps, exercise earlier in day
9. Substances that worsen sleep - Correct Answer: Caffeine, nicotine,
alcohol
10.Alcohol effect on sleep - Correct Answer: Initial sedation followed by
REM rebound and early awakenings
11.Sleep hygiene cognitive stimulation rule - Correct Answer: Avoid screens
before bedtime
12.Acceptable auditory sleep aid - Correct Answer: White noise or podcast
with timer
13.Most important condition to rule out before treating insomnia - Correct
Answer: Bipolar disorder
14.Sleep clue for mania - Correct Answer: Decreased need for sleep with
increased energy
15.Condition that must be ruled out before prescribing hypnotics - Correct
Answer: Obstructive sleep apnea
,16.Common symptoms of obstructive sleep apnea - Correct Answer: Loud
snoring, witnessed apneas, daytime sleepiness, morning headaches
17.OSA medication caution - Correct Answer: Avoid benzodiazepines and
sedative hypnotics
18.OSA risk factors - Correct Answer: Obesity, large tonsils, narrow airway,
sedative use, alcohol
19.Provider role in OSA - Correct Answer: Screen and refer for sleep study
20.Provider limitation in OSA - Correct Answer: Does not interpret sleep
study or set CPAP
21.Shift work sleep disorder core issue - Correct Answer: Circadian rhythm
disruption
22.First-line medications for shift work disorder - Correct Answer:
Modafinil or solriamfetol
23.Medication adherence strategy for shift workers - Correct Answer:
Prefer extended-release medications
24.Sleep onset insomnia medications - Correct Answer: Zaleplon, zolpidem
IR, ramelteon, melatonin
, 25.Sleep maintenance insomnia medications - Correct Answer:
Eszopiclone, suvorexant, lemborexant, daridorexant, temazepam
26.Mechanism of Z-drugs - Correct Answer: Selective GABA-A alpha-1
receptor modulation
27.Unique adverse effect of zolpidem - Correct Answer: Parasomnias such
as sleep driving or sleep eating
28.Unique adverse effect of eszopiclone - Correct Answer: Metallic taste
29.Unique feature of zaleplon - Correct Answer: Ultra-short half-life allows
middle-of-night dosing
30.Mechanism of orexin antagonists - Correct Answer: Block orexin-
mediated wake drive
31.Unique adverse effect of orexin antagonists - Correct Answer: Sleep
paralysis or hypnagogic hallucinations
32.Mechanism of ramelteon - Correct Answer: Melatonin receptor
MT1/MT2 agonist
