OMSB OMSB_OEN Exam Practice Test Instant Access

Question 1

A researcher is conducting a study on population with similar age group to determine the exposure and observe who get infected by specific disease over a period of time.

Which of the following type of studies is BEST describe the scenario?

ACohort

BEcologic

CCase-control

DExperimental

Answer : A

A cohort study involves following a group of people who share a common characteristic or experience within a defined period to determine how certain exposures affect outcomes over time. In this scenario, the researcher is following a population of a similar age group over time to observe the incidence of a specific disease. This longitudinal approach helps to identify the relationship between exposure and the development of the disease, making it a cohort study.

Question 2

A nurse is caring for an adult client with cancer who is complaining of acute pain.

The MOST appropriate pain assessment would be:

AThe client's pain rating

BNonverbal cues from the client

CThe nurses' impression of the client's pain

DPain relief after appropriate nursing intervention

Answer : A

The most appropriate way to assess pain is by asking the client to rate their pain. Pain is a subjective experience, meaning only the person experiencing it can accurately describe its intensity and quality. This is often done using a numerical scale (0-10) where the patient rates their pain, with 0 being no pain and 10 being the worst pain imaginable.

Nonverbal cues and the nurse's impression can provide additional information, but they are not as reliable as the patient's self-report. Pain relief after interventions helps evaluate the effectiveness of the pain management but does not assess the initial pain level.

McCaffery, M., & Pasero, C. (1999). Pain: Clinical Manual. Mosby.

Question 3

A nurse is preparing to collect a throat culture for a middle-aged male patient.

The nurse is aware that the swabbing should be collected from:

AUvula and soft palate

BAny site of oral cavity mucosa

CTongue and right or left buccal mucosa

DMucosa of oropharynx and tonsillar region

Answer : D

Purpose of Throat Culture: A throat culture is performed to detect the presence of pathogens (like bacteria) that cause infections such as strep throat.

Correct Technique:

Uvula and Soft Palate: These are not the primary sites for collecting throat cultures.

Any site of Oral Cavity Mucosa: This is too broad and non-specific.

Tongue and Buccal Mucosa: These sites are not typically infected in throat infections and do not provide accurate culture results.

Oropharynx and Tonsillar Region: The mucosa of the oropharynx and tonsillar region is the most common site of infection in throat infections, making it the appropriate site for swabbing.

Procedure: The nurse should gently swab the oropharynx and tonsillar area, avoiding the tongue and other parts of the oral cavity to avoid contamination and ensure accurate results.

Conclusion: The correct site for collecting a throat culture is the mucosa of the oropharynx and tonsillar region, ensuring the detection of the causative pathogens. Reference: Clinical nursing skills textbooks, NCLEX-RN review guides, guidelines for throat culture collection.

Question 4

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?

ASomnolence

BParasomnia

CHypersomnia

DSomnambulism

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 5

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?

AReview the patient's calcium level

BEstablish protective environment

CAdvise for orthopedic clinic visit

DEncourage high protein diet

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 6

At the end of the year, the head nurse decided to motivate the nurses for their teamwork.

Which of the following would be the MOST appropriate action?

ASending an email to appreciate the achievement of the team

BCirculating a memo to nurses listing the consequences of standard performance

CDiscussing the significant team contribution and challenges after the morning shift report

DAcknowledging team members who have made a significant contribution during the ward meeting

Answer : D

Motivating Nurses and Teamwork:

Recognizing and appreciating the efforts of nurses is crucial for maintaining morale and encouraging teamwork.

Best Approach:

Email Appreciation and Memo: These are impersonal and might not effectively motivate the team.

Morning Shift Report Discussion: Useful for daily updates but less formal and might miss some members.

Ward Meeting Acknowledgment: Publicly recognizing individual contributions in a ward meeting is more personal and impactful. It allows team members to feel valued and appreciated in front of their peers, boosting morale and motivation.

Journal of Nursing Management on Team Motivation

American Nurses Association (ANA) on Nurse Recognition and Rewards

Question 7

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?

AMaintaining a high-fiber diet for lifelong

BLimiting physical activities for one year

CProviding counseling in relation to fertility status

DDiscouraging tub baths for the next three months

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)

OMSB_OEN Omani Examination for Nurses Exam Practice Test