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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 Mar. 09, 2026 (see below)
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.
48-year-old male has an appointment at the primary health care setting for the screening program. The nurse recognizes that this patient had breakfast.
Which of the following is the BEST nurse's response?
Screening Programs and Fasting Requirements:
Certain screening tests, like fasting blood glucose or lipid profiles, require fasting for accurate results.
Nurse's Response:
Not Eligible: Incorrect as the patient can still participate in parts of the screening.
Come Tomorrow: Not the most efficient use of the patient's time.
No Worries: Incorrect as fasting is important for some tests.
Take History Now, Blood Test Later: The best response as it makes efficient use of the current visit for history taking and schedules the blood test for another time when fasting can be ensured.
American Diabetes Association (ADA) guidelines
A nurse is providing health education and instructions to a woman who has been diagnosed with mastitis.
Which of the following statements if made by the woman indicates a need for further teaching?
Understanding Mastitis: Mastitis is an infection of the breast tissue that results in breast pain, swelling, warmth, and redness. It often occurs in breastfeeding women.
Appropriate Management:
Continue Breastfeeding: It is generally recommended to continue breastfeeding or pumping to relieve milk stasis and prevent further complications.
Analgesia: Pain relief medications (analgesia) can help manage discomfort associated with mastitis.
Antibiotics: Antibiotics are often prescribed, and improvement is typically seen within 24-48 hours.
Warm Compression: Applying warm compresses before breastfeeding can help alleviate pain and improve milk flow.
Incorrect Belief: The statement 'I need to stop breastfeeding until this condition resolves' indicates a misunderstanding. Stopping breastfeeding can worsen the condition due to milk stasis and increased engorgement.
Conclusion: The statement indicates a need for further teaching as continuing breastfeeding is crucial for managing and resolving mastitis. Reference: Maternal and child nursing textbooks, NCLEX-RN review guides, clinical guidelines on breastfeeding and mastitis management.
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