OMSB Omani Examination for Nurses OMSB_OEN Exam Questions

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Total 99 questions
Question 1

An infant with bladder exstrophy has undergone a successful surgical repair and is due for discharge. The nurse is providing the infant's parents with discharge education on the long-term effect of the condition on the infant's body.

Which of the following management aspects the nurse should emphasize?



Answer : C

Bladder Exstrophy and Surgical Repair:

Bladder exstrophy is a congenital condition where the bladder develops outside the body. Surgical repair is performed to place the bladder back inside the abdomen and reconstruct the pelvic area.

Long-term Management:

High-fiber diet and physical activities: While maintaining a healthy diet and physical activity is important, they are not the primary focus in this condition.

Tub baths: Discouraging tub baths post-surgery might be a temporary measure to prevent infection but not a long-term management focus.

Fertility Counseling: Bladder exstrophy can impact the reproductive system and future fertility. Providing counseling regarding fertility status is crucial for the parents to understand potential long-term effects and prepare for any necessary interventions or treatments in the future.


National Institutes of Health (NIH)

American Urological Association (AUA)

Question 2

A nurse is monitoring a patient with Cushing syndrome who suffers from recurrent fractures and bruising.

Which of the following is the BEST action the nurse would do?



Answer : B

Cushing Syndrome Symptoms:

Cushing syndrome is characterized by high levels of cortisol which can lead to brittle bones (osteoporosis), easy bruising, and muscle weakness.

Best Nursing Actions:

Review Calcium Level: Important but not the immediate priority to prevent fractures.

Orthopedic Clinic Visit: Necessary for follow-up but not the immediate action.

High Protein Diet: Important for muscle strength but secondary to immediate safety.

Protective Environment: Preventing falls and injuries is the best immediate action to avoid further fractures and bruising. Ensuring the patient's environment is safe and free from hazards is essential.


Mayo Clinic guidelines on Cushing Syndrome

American Association of Clinical Endocrinologists (AACE)

Question 3

A staff nurse was entering patient's clinical notes in the computer, and had to leave to attend an immediate call without completion of recording. Another nurse used the account of the previous nurse to enter her notes.

Which of the following BEST describes the ethical issue that was committed?



Answer : D

The situation describes a breach of confidentiality, which occurs when private patient information is accessed or disclosed without proper authorization.

Negligence: This refers to the failure to provide the standard of care that a reasonably prudent person would provide in a similar situation, but it doesn't specifically address unauthorized access to patient information.

Malpractice: This is a type of negligence by a professional, which results in harm to the patient, and usually involves direct patient care rather than record-keeping issues.

Breach of Privacy: This involves the inappropriate disclosure of private information. In this case, using someone else's account does not directly disclose patient information to unauthorized parties.

Breach of Confidentiality: This specifically addresses the unauthorized access or use of patient information, which is exactly what happened when another nurse used the first nurse's account to enter notes.


Health Insurance Portability and Accountability Act (HIPAA) Guidelines

American Nurses Association (ANA): Code of Ethics for Nurses with Interpretive Statements

Question 4

A nurse must be aware that keeping an aggressive patient in a seclusion or restraint requires an order from the doctor.

The renewal of such order for a patient aged 19 years old must be done:



Answer : C

When a patient aged 19 years old is placed in seclusion or restraint, the renewal of the order must be done every 4 hours. This requirement is based on the guidelines provided by the Joint Commission and the Centers for Medicare & Medicaid Services (CMS), which regulate the use of seclusion and restraints in healthcare settings.

Initial Order: The use of seclusion or restraint must be ordered by a licensed independent practitioner (LIP), such as a physician.

Time Limits: For adults aged 18 and older, the order must be renewed every 4 hours.

Renewal Process: This renewal must involve an assessment of the patient's condition and the need for continued seclusion or restraint.

Documentation: The rationale for using seclusion or restraint and the patient's response to the intervention must be documented thoroughly in the patient's medical record.


The Joint Commission: Standards for Behavioral Health Care

Centers for Medicare & Medicaid Services (CMS): Conditions of Participation for Hospitals, 42 CFR 482.13(e)

Question 5

A nurse is preparing a care plan for a patient with kidney failure on maintaining optimal sleep and comfort level.

Which of the following sleep disorders require priority intervention?



Answer : C

Sleep Disorders in Kidney Failure:

Patients with kidney failure often experience various sleep disturbances due to factors like uremic toxins, restless legs syndrome, and sleep apnea.

Priority Intervention:

Somnolence and Parasomnia: These are conditions where patients may feel drowsy or experience abnormal behaviors during sleep, but they are not as immediately concerning.

Hypersomnia: Excessive sleepiness can significantly impact daily functioning and quality of life, making it a priority for intervention.

Somnambulism: Sleepwalking can pose safety risks but is less common and usually less impactful than hypersomnia in kidney failure patients.


National Kidney Foundation (NKF)

American Academy of Sleep Medicine (AASM)

Question 6

Babies born to mothers with diabetes mellitus should be thoroughly assessed for which of the following conditions?



Answer : B

Diabetes Mellitus and Pregnancy:

Mothers with diabetes mellitus, especially if poorly controlled, have a higher risk of having babies with congenital anomalies.

Common Conditions in Infants:

Congenital Heart Defects (CHDs): These are the most common congenital anomalies seen in babies born to mothers with diabetes. This includes conditions like ventricular septal defect, atrial septal defect, and transposition of the great arteries.

Other Possible Conditions: Although cystic fibrosis, polycystic kidney disease, and developmental dysplasia of the hip can occur in newborns, they are not directly associated with maternal diabetes.


American Diabetes Association (ADA)

Centers for Disease Control and Prevention (CDC)

Question 7

A nurse is assigned to care for a client diagnosed with brain cancer who is undergone radiation therapy. On assessment, the nurse notes cachexia.

Which of the following nursing measures would take FIRST for this client?



Answer : A

For a client with brain cancer undergoing radiation therapy and exhibiting cachexia, the first nursing measure should be to encourage a high protein and high-calorie diet.

High Protein and High Calorie Diet: Cachexia is a severe form of malnutrition often seen in cancer patients, characterized by weight loss, muscle wasting, and decreased quality of life. Ensuring adequate nutrition is crucial to improve strength, immune function, and overall well-being.

Frequent Oral Hygiene: This is important, especially if the patient has oral side effects from radiation, but it does not address the primary issue of malnutrition.

Daily Physical Activity: Beneficial for maintaining muscle mass and overall health but should be secondary to addressing severe nutritional deficits.

Small Cold Meals: These may be more palatable if the patient has nausea but should also be high in calories and protein to combat cachexia.


American Cancer Society: Managing Cancer Cachexia

Oncology Nursing Society (ONS): Nutrition and Cancer Care

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Total 99 questions