CCSH CORE EXAMS TEST QUESTIONS AND SOLUTIONS
RATED A+
✔✔Surgery pt arrives at the hospital and has a stop-bang score of 7, history of
hypertension and cardiac disease. What is the most appropriate course of action for this
patient? - ✔✔Regional anesthesia should be considered (ex:spinal,epidural)
✔✔When analgesics are ordered for pt with OSA the nurse should be most concerned
about what? - ✔✔Opioids
✔✔What information found on an noc ox report is most useful to assess for risk of
OSA? - ✔✔Oxygen desaturation index (ODI)
✔✔Outcomes measured evaluate what? - ✔✔The impact of care on pt quality of life.
✔✔Strategically timed bright light therapy, use of melatonin and modification of sleep
schedule are useful to treat what? - ✔✔Delayed sleep wake phase disorder.
✔✔What screening tool is most helpful for measuring the impact of daytime sleepiness
on ADL? - ✔✔Functional outcomes of sleep questionnaire (FOS-Q)
✔✔Most appropriate therapy for pts with complex sleep apnea or opioid induced sleep
apnea is? - ✔✔ASV
✔✔You would expect to see increased sleep latencies, repetitive awakenings during the
night, decreased total sleep time and early morning awakenings in what age group? -
✔✔The elderly
✔✔Rhythmic movement disorders, PLM, NREM parasomias and paroxysmal nocturnal
behaviors are most commonly seen in pt with what? - ✔✔Autism spectrum disorder
✔✔Normal oxygen saturation levels during sleep for a healthy adults are what? - ✔✔92-
95%
✔✔Pts with impairment of ALD, increased risk of domestic and occupational accidents,
and a tendency to fail in school or work are the most often demonstrating symptoms of
what? - ✔✔Narcolepsy
✔✔A patient reported outcome tool includes what? - ✔✔ESS (epworth sleepiness
scale)
✔✔The sss, kss, and BSI all assess what? - ✔✔Sleepiness
, ✔✔If a patient falls asleep at min 17 of an MSLT nap, then the nap should be ended at
min what? - ✔✔32
✔✔The association between OSA and motor vehicle accident risk is what? -
✔✔Exacerbated in OSA pts with sleep restriction.
✔✔Children with autism most commonly present with what? - ✔✔Movement disorders
and NREM parasomnias.
✔✔Sleep walking, confusional arousals and sleep terrors most commonly accur when?
- ✔✔1-1.5hrs after sleep onset.
✔✔Which two sleep screening questionnaires have eight questions? - ✔✔Stop-bang
and epworth
✔✔An indication of narcolepsy is the observation of stage R in two or more naps with in
how many mins of falling asleep? - ✔✔15 mins
✔✔According to the national sleep foundation, the ideal bedroom temp for sleeping is
what? - ✔✔60-67 degrees
✔✔The sleep neurotransmitter that is responsible for the homeostatic sleep drive with
levels that's progressively increase during sustained wakefulness and decrease during
sustained sleeps is what? - ✔✔Adenosine
✔✔NREM sleep - ✔✔Heart rate-regular
Respiratory rate-regular
Blood pressure-regular
Muscle tone-preserved
Brain O2 consumption-reduced
Response to CO2-same as wake
Response to O2-same as wake
Temp-homeothermic
✔✔REM sleep - ✔✔HR-irregular
RR-irregular
BP-variable
Muscle tone-absent
Brain O2-increased
Response to CO2-decreased
Response to O2-same as wake
Temp-poikilothermic
RATED A+
✔✔Surgery pt arrives at the hospital and has a stop-bang score of 7, history of
hypertension and cardiac disease. What is the most appropriate course of action for this
patient? - ✔✔Regional anesthesia should be considered (ex:spinal,epidural)
✔✔When analgesics are ordered for pt with OSA the nurse should be most concerned
about what? - ✔✔Opioids
✔✔What information found on an noc ox report is most useful to assess for risk of
OSA? - ✔✔Oxygen desaturation index (ODI)
✔✔Outcomes measured evaluate what? - ✔✔The impact of care on pt quality of life.
✔✔Strategically timed bright light therapy, use of melatonin and modification of sleep
schedule are useful to treat what? - ✔✔Delayed sleep wake phase disorder.
✔✔What screening tool is most helpful for measuring the impact of daytime sleepiness
on ADL? - ✔✔Functional outcomes of sleep questionnaire (FOS-Q)
✔✔Most appropriate therapy for pts with complex sleep apnea or opioid induced sleep
apnea is? - ✔✔ASV
✔✔You would expect to see increased sleep latencies, repetitive awakenings during the
night, decreased total sleep time and early morning awakenings in what age group? -
✔✔The elderly
✔✔Rhythmic movement disorders, PLM, NREM parasomias and paroxysmal nocturnal
behaviors are most commonly seen in pt with what? - ✔✔Autism spectrum disorder
✔✔Normal oxygen saturation levels during sleep for a healthy adults are what? - ✔✔92-
95%
✔✔Pts with impairment of ALD, increased risk of domestic and occupational accidents,
and a tendency to fail in school or work are the most often demonstrating symptoms of
what? - ✔✔Narcolepsy
✔✔A patient reported outcome tool includes what? - ✔✔ESS (epworth sleepiness
scale)
✔✔The sss, kss, and BSI all assess what? - ✔✔Sleepiness
, ✔✔If a patient falls asleep at min 17 of an MSLT nap, then the nap should be ended at
min what? - ✔✔32
✔✔The association between OSA and motor vehicle accident risk is what? -
✔✔Exacerbated in OSA pts with sleep restriction.
✔✔Children with autism most commonly present with what? - ✔✔Movement disorders
and NREM parasomnias.
✔✔Sleep walking, confusional arousals and sleep terrors most commonly accur when?
- ✔✔1-1.5hrs after sleep onset.
✔✔Which two sleep screening questionnaires have eight questions? - ✔✔Stop-bang
and epworth
✔✔An indication of narcolepsy is the observation of stage R in two or more naps with in
how many mins of falling asleep? - ✔✔15 mins
✔✔According to the national sleep foundation, the ideal bedroom temp for sleeping is
what? - ✔✔60-67 degrees
✔✔The sleep neurotransmitter that is responsible for the homeostatic sleep drive with
levels that's progressively increase during sustained wakefulness and decrease during
sustained sleeps is what? - ✔✔Adenosine
✔✔NREM sleep - ✔✔Heart rate-regular
Respiratory rate-regular
Blood pressure-regular
Muscle tone-preserved
Brain O2 consumption-reduced
Response to CO2-same as wake
Response to O2-same as wake
Temp-homeothermic
✔✔REM sleep - ✔✔HR-irregular
RR-irregular
BP-variable
Muscle tone-absent
Brain O2-increased
Response to CO2-decreased
Response to O2-same as wake
Temp-poikilothermic
