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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 Sep. 05, 2026 (see below)
A nurse received a handover to take care of four patients. After gathering the necessary information, the nurse planned the care.
Considering the priority of nursing care, which of the following cases the nurse would assess FIRST?
Prioritizing Nursing Care:
Using the ABC (Airway, Breathing, Circulation) framework, conditions affecting airway and breathing are top priorities.
Case Analysis:
Abdominal Pain: Important but not life-threatening.
Chest Tightness: Potential sign of a cardiac event or respiratory distress, requiring immediate assessment.
Diabetic Foot: Needs attention but not immediately life-threatening.
Cataract Surgery: Scheduled, no immediate threat.
American Heart Association (AHA) guidelines
Nursing textbooks on prioritization in patient care
A woman presents to the clinic with signs and symptoms of menopause. The doctor advised to start hormonal replacement therapy. The woman enquired about the adverse effects of this therapy.
Which of the following is an adverse effects of the hormonal replacement therapy?
Hormone replacement therapy (HRT) can have several adverse effects. One significant risk associated with HRT, especially if estrogen is given without progesterone to women with an intact uterus, is the increased risk of endometrial cancer. Estrogen stimulates the lining of the uterus, and without the balancing effect of progesterone, this can lead to endometrial hyperplasia and potentially cancer. Other risks include breast cancer, blood clots, and stroke, but endometrial cancer is a specific concern with unopposed estrogen therapy.
Goodman, N. F., et al. (2011). American Association of Clinical Endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of menopause. Endocrine Practice, 17(6), 1-25.
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?
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)
An 11-year-old child with beta-thalassemia major is admitted for blood transfusion. The child underwent splenectomy last month.
Which of the following is a PRIORITY nursing intervention?
Beta-Thalassemia Major and Splenectomy:
Patients with beta-thalassemia major often require frequent blood transfusions.
Splenectomy increases the risk of infections due to loss of the spleen's immune function.
Priority Nursing Interventions:
Prevent Infections: The highest priority post-splenectomy due to the increased risk of sepsis and other infections.
High-Fat Intake, Frequent Voiding, Hydration: Important but secondary to infection prevention.
Centers for Disease Control and Prevention (CDC) guidelines on post-splenectomy care
National Institutes of Health (NIH) on Thalassemia Management
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
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