NURS 5359 Exam 3 Review Insomnia Treatment 2026 | Verified
Q&A | Graded A+
1. What is the function of melatonin?
Regulate body temperature
Stimulate growth
Induce sleep and act as an antioxidant
Regulate blood sugar levels
2. Discuss why monitoring blood pressure and heart rate is crucial for patients
taking Solriamfetol.
Monitoring blood pressure and heart rate is crucial because
Solriamfetol can increase cardiovascular risks.
Monitoring is unnecessary as Solriamfetol has no side effects.
Monitoring is only required for patients with pre-existing conditions.
Monitoring is done to assess the effectiveness of the medication.
3. Suvorexant is a
alpha adrenergic agonist
GABA receptor agonist
melatonin receptor agonist
orexin receptor agonist
4. Which of the following is the correct mechanism of action for zolpidem?
Reverse transcriptase inhibitor
Protease inhibitor
, Benzodiazepine receptor binding
Dopamine reuptake inhibitor
5. Describe how the adverse reactions of Duloxetine might impact its use in
treating insomnia.
Duloxetine is always safe for all patients regardless of their health
status.
Duloxetine is primarily used for anxiety and has no relevance to
insomnia.
The adverse reactions of Duloxetine, such as hepatotoxicity, may
limit its use in patients with liver issues or those at risk for liver
damage.
Duloxetine has no adverse reactions that affect its use in insomnia
treatment.
6. What is the medication class most commonly linked to dependence when
treating insomnia?
Melatonin receptor agonists
Antihistamines
Antidepressants
Benzodiazepines
7. Describe how Solriamfetol's side effects might impact a patient's treatment
for insomnia.
The side effects are primarily beneficial for sleep improvement.
The side effects of Solriamfetol, such as insomnia, may exacerbate
the very condition it is intended to treat.
, Solriamfetol's side effects are unrelated to sleep disorders.
Solriamfetol has no side effects that affect sleep.
8. You are caring for a client who is taking Alprazolam (Xanax) to treat panic
attacks. Since Alprazolam is a CYP3A4 substrate, when combined with a
CYP3A4 inhibitor, what potentially serious toxicity could arise?
Peripheral neuropathy
Hypotension
Excessive CNS depression
Cardiac arrhythmias
9. Why is it essential to check for drug interactions when prescribing
medications?
To reduce the cost of medications
To avoid potential life-threatening consequences
To simplify the medication regimen
To increase the number of prescribed medications
10. Which medication is an orexin receptor antagonist?
Hetlioz
Rameleton
Tasimelteon
Suvorexant
Quetiapine
, 11. Discuss the significance of ruling out underlying medical conditions before
prescribing Solriamfetol for insomnia.
Ruling out underlying medical conditions is crucial to ensure that
insomnia is not a symptom of a more serious health issue.
It allows for a quicker prescription of sleep medications.
It helps to identify the most effective sleep aid without considering
patient history.
It is not necessary to rule out conditions as insomnia is always treated
the same way.
12. Describe how Lemborexant's side effects might impact a patient's daily life.
Drowsiness from Lemborexant can affect a patient's ability to
perform daily activities safely.
Lemborexant causes insomnia, leading to more sleep disturbances.
Lemborexant improves cognitive function, enhancing daily activities.
Lemborexant has no side effects that impact daily life.
13. If a patient taking Solriamfetol reports increased insomnia, what should be
the next step in their treatment plan?
Advise the patient to stop all medications immediately.
Reassess the treatment plan and consider alternative therapies.
Switch to a different sleep aid without further evaluation.
Increase the dosage of Solriamfetol.
14. What is Solriamfetol primarily used for?
To enhance sleep quality in patients with sleep apnea.
Q&A | Graded A+
1. What is the function of melatonin?
Regulate body temperature
Stimulate growth
Induce sleep and act as an antioxidant
Regulate blood sugar levels
2. Discuss why monitoring blood pressure and heart rate is crucial for patients
taking Solriamfetol.
Monitoring blood pressure and heart rate is crucial because
Solriamfetol can increase cardiovascular risks.
Monitoring is unnecessary as Solriamfetol has no side effects.
Monitoring is only required for patients with pre-existing conditions.
Monitoring is done to assess the effectiveness of the medication.
3. Suvorexant is a
alpha adrenergic agonist
GABA receptor agonist
melatonin receptor agonist
orexin receptor agonist
4. Which of the following is the correct mechanism of action for zolpidem?
Reverse transcriptase inhibitor
Protease inhibitor
, Benzodiazepine receptor binding
Dopamine reuptake inhibitor
5. Describe how the adverse reactions of Duloxetine might impact its use in
treating insomnia.
Duloxetine is always safe for all patients regardless of their health
status.
Duloxetine is primarily used for anxiety and has no relevance to
insomnia.
The adverse reactions of Duloxetine, such as hepatotoxicity, may
limit its use in patients with liver issues or those at risk for liver
damage.
Duloxetine has no adverse reactions that affect its use in insomnia
treatment.
6. What is the medication class most commonly linked to dependence when
treating insomnia?
Melatonin receptor agonists
Antihistamines
Antidepressants
Benzodiazepines
7. Describe how Solriamfetol's side effects might impact a patient's treatment
for insomnia.
The side effects are primarily beneficial for sleep improvement.
The side effects of Solriamfetol, such as insomnia, may exacerbate
the very condition it is intended to treat.
, Solriamfetol's side effects are unrelated to sleep disorders.
Solriamfetol has no side effects that affect sleep.
8. You are caring for a client who is taking Alprazolam (Xanax) to treat panic
attacks. Since Alprazolam is a CYP3A4 substrate, when combined with a
CYP3A4 inhibitor, what potentially serious toxicity could arise?
Peripheral neuropathy
Hypotension
Excessive CNS depression
Cardiac arrhythmias
9. Why is it essential to check for drug interactions when prescribing
medications?
To reduce the cost of medications
To avoid potential life-threatening consequences
To simplify the medication regimen
To increase the number of prescribed medications
10. Which medication is an orexin receptor antagonist?
Hetlioz
Rameleton
Tasimelteon
Suvorexant
Quetiapine
, 11. Discuss the significance of ruling out underlying medical conditions before
prescribing Solriamfetol for insomnia.
Ruling out underlying medical conditions is crucial to ensure that
insomnia is not a symptom of a more serious health issue.
It allows for a quicker prescription of sleep medications.
It helps to identify the most effective sleep aid without considering
patient history.
It is not necessary to rule out conditions as insomnia is always treated
the same way.
12. Describe how Lemborexant's side effects might impact a patient's daily life.
Drowsiness from Lemborexant can affect a patient's ability to
perform daily activities safely.
Lemborexant causes insomnia, leading to more sleep disturbances.
Lemborexant improves cognitive function, enhancing daily activities.
Lemborexant has no side effects that impact daily life.
13. If a patient taking Solriamfetol reports increased insomnia, what should be
the next step in their treatment plan?
Advise the patient to stop all medications immediately.
Reassess the treatment plan and consider alternative therapies.
Switch to a different sleep aid without further evaluation.
Increase the dosage of Solriamfetol.
14. What is Solriamfetol primarily used for?
To enhance sleep quality in patients with sleep apnea.
