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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 Jul. 16, 2025 (see below)
The nurse assesses a patient with Chronic Renal Failure notes crackles in the lung bases, elevated blood pressure, and weight gain of 1 kg in one day.
Based on these finding, which of the following nursing diagnoses is the MOST appropriate for this patient?
The patient's symptoms---crackles in the lung bases, elevated blood pressure, and rapid weight gain---are indicative of fluid overload, which is a common issue in chronic renal failure due to the kidneys' inability to excrete excess fluid.
Increased Cardiac Output Related to Fluid Overload: Increased cardiac output would not typically result from fluid overload; rather, fluid overload can lead to decreased cardiac output due to strain on the heart.
Ineffective Tissue Perfusion Related to Interrupted Arterial Blood Flow: This diagnosis does not directly correlate with the symptoms of fluid overload observed in this patient.
Imbalanced Nutrition More Than Body Requirements Related to Dietary Excess: This diagnosis is not relevant to the observed symptoms, which are more clearly related to fluid retention rather than dietary intake.
Excess Fluid Volume Related to the Kidney's Inability to Maintain Fluid Balance: This is the most appropriate nursing diagnosis as it directly addresses the kidney's failure to regulate fluid balance, leading to the observed clinical signs.
National Kidney Foundation: Clinical Practice Guidelines for Chronic Kidney Disease
Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care
A nursing instructor teaching a group of nursing students about the recommended diet for a patient with a myocardial infarction.
Which of the following points will be included in the teaching?
When teaching nursing students about the recommended diet for a patient with a myocardial infarction, it's crucial to emphasize a diet low in fat and cholesterol. This helps in reducing the risk of further cardiovascular complications.
Low Fat and Cholesterol: Foods low in saturated fat and cholesterol are recommended to prevent the build-up of plaque in the arteries and reduce the risk of another heart attack.
Avoiding Red Meat: High intake of red meat is discouraged because it is often high in saturated fat and cholesterol.
Dark Chocolate Intake: While some dark chocolate in moderation can have health benefits due to its antioxidant properties, the emphasis should be on a balanced diet.
Protein and Carbohydrates: Protein is essential for recovery, but the focus should be on lean sources. Carbohydrates should come from whole grains and other healthy sources rather than simple sugars.
American Heart Association (AHA): Dietary Recommendations for Cardiovascular Health
National Institutes of Health (NIH): Heart-Healthy Eating
Which of the following is an appropriate role of the parents in the teenage-stage of family developmental tasks?
During the teenage stage of family development, parents play a crucial role in helping their adolescents balance freedom with responsibility. This includes setting appropriate boundaries, providing guidance, and encouraging independence while ensuring that teenagers understand and meet their responsibilities. It is a critical period where parental support and oversight help teens develop into responsible adults.
Hockenberry, M. J., & Wilson, D. (2018). Wong's Nursing Care of Infants and Children. Elsevier.
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.
Babies born to mothers with diabetes mellitus should be thoroughly assessed for which of the following conditions?
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)
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