The symptoms of insomnia at night before the examination are related to the patient’s psychological tension and anxiety. Patients must make adjustments from their own mindset and treat the exam with a go-with-the-flow mentality. Excessive tension leading to insomnia is certainly not good for the exam. If patients still can’t get effective improvement through their own adjustment, it is recommended that they take short-acting oral sleeping pills to promote sleep. The new sleeping drug zolpidem, which is commonly used in clinical practice nowadays, has a rapid onset of action and a short duration of action. Patients do not feel dizzy and hungover during the day, and can take it orally to improve their insomnia. There are also patients who can take small oral doses of, for example, half a tablet of dexrazopiclone to improve sleep, which can also be taken for insomnia at night before an exam.