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OMSB_OEN Exam Questions
- Topic 1: Principles of Care: This topic includes standards of care, legal and ethical practice, and leadership and management.
- Topic 2: Evidence-Based Practice Including Research & Epidemiology: It covers evidence-based practice, research, and epidemiology.
- Topic 3: Adult Health: This topic includes various aspects of adult health nursing.
- Topic 4: Maternal Health: It focuses on different aspects of maternal health nursing.
- Topic 5: Child Health: This topic discusses different concepts of child health nursing. These concepts are vital for providing care to children and adolescents.
- Topic 6: Mental Health: The primary focus of this topic is on mental health nursing. Providing care to patients with mental health issues is the focal point of this topic.
- Topic 7: Community Health Nursing and Gerontology Nursing: Community health nursing and gerontological nursing are discussed in this section. Moreover, it focuses on providing care to patients in various settings and across different age groups.
Free OMSB OMSB_OEN Exam Actual Questions
Note: Premium Questions for OMSB_OEN were last updated On Apr. 29, 2026 (see below)
A client with schizophrenia is placed on chlorpromazine 50 mg PO bid, and Benztropine 2 mg PO bid PRN.
Which of the following nursing assessment findings would indicate a need to administer Benztropine?
Chlorpromazine is an antipsychotic medication that can cause extrapyramidal symptoms (EPS), such as muscle spasms and tremors. Benztropine is an anticholinergic medication often prescribed to manage these side effects.
If a client on chlorpromazine develops muscle spasms and tremors, it indicates EPS, and administering Benztropine would help alleviate these symptoms. The other options, such as severe agitation, sore throat, or suicidal thoughts, are not directly related to the need for Benztropine.
Stahl, S. M. (2013). Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications. Cambridge University Press.
The aim of outcome research in nursing is to:
Outcome research in nursing focuses on understanding the results of health care practices and interventions. It aims to evaluate how effective these practices are in improving patient outcomes. This type of research is crucial for ensuring that the care provided is evidence-based and leads to the best possible health results for patients.
For example, if a new wound care protocol is introduced, outcome research would measure whether patients heal faster or have fewer infections compared to the previous method. This helps in determining the effectiveness of the new protocol.
Polit, D. F., & Beck, C. T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer Health.
A nurse is providing education to a new parent about the psychosocial development of the newborn.
Applying Erikson's psychosocial development theory, the nurse would BEST instruct the parents to:
Applying Erikson's psychosocial development theory, the nurse should instruct the parents to observe and respond to the newborn's signals of needs. According to Erikson, the first stage of psychosocial development is 'Trust vs. Mistrust,' which occurs from birth to approximately 18 months.
Trust vs. Mistrust: In this stage, infants learn to trust their caregivers when their needs for food, comfort, and affection are consistently met. If caregivers are responsive to the infant's needs, the infant develops a sense of trust and security.
Ignoring and Distracting the Newborn: This approach may lead to feelings of mistrust as the infant's needs are not being adequately addressed.
Anticipating and Planning for the Newborn's Demands: While planning is important, it is more crucial to be responsive to the infant's immediate signals.
Providing a Comfortable Environment: This is beneficial but must be combined with responsive caregiving to establish trust.
Erikson, E. H. (1963). Childhood and Society.
American Psychological Association (APA): Erikson's Stages of Psychosocial Development
A nurse plans to provide morning care for a bedridden client.
What is the priority action that the nurse should consider before starting?
Safety in Bedridden Patient Care:
Ensuring patient safety is paramount before beginning any care activities.
Priority Actions:
Bed Locked: Prevents bed movement which could cause patient falls.
Pillows and Bed Sheets: Secondary actions related to patient comfort and hygiene.
Client Position: Important but ensuring bed stability is the first step for safety.
Joint Commission guidelines on patient safety
Fundamentals of Nursing textbooks
A patient with a history angina pectoris brought by to the Emergency Department complaining of severe chest pain. The patient informs the nurse that he did not take nitroglycerine tablet.
Which of the following assessment findings must concern the nurses MOST before administering nitroglycerine?
Patient History: The patient has angina pectoris, which means they have episodes of chest pain due to reduced blood flow to the heart muscle. Nitroglycerin is a common medication used to relieve this pain by dilating blood vessels.
Nitroglycerin Mechanism: Nitroglycerin works by relaxing and widening blood vessels, which decreases the workload on the heart and increases blood flow to the heart muscle. This process typically lowers blood pressure.
Assessment Concerns:
Heart rate of 90 bpm: This is within the normal range and does not typically contraindicate the use of nitroglycerin.
Blood sugar of 12 mmol/L: Elevated blood sugar is concerning but not directly affected by nitroglycerin administration.
Blood pressure of 190/110 mmHg: This is high and nitroglycerin can help reduce it. High blood pressure is often treated with nitroglycerin.
Blood pressure of 80/60 mmHg: This is hypotension (low blood pressure). Since nitroglycerin lowers blood pressure further, administering it to a patient with already low blood pressure can lead to severe hypotension, which is life-threatening.
Conclusion: The most concerning finding is the low blood pressure (80/60 mmHg) because administering nitroglycerin in this situation can further lower the blood pressure to dangerous levels. Reference: NCLEX-RN review guides, pharmacology textbooks, clinical guidelines on the management of angina pectoris and nitroglycerin use.
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