OMSB Omani Examination for Nurses Exam Practice Test
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Question 1
While reviewing medication charts, the nurse observed that one patient received a wrong medication that was prescribed for another patient with similar first and last name.
What is the BEST nursing action for reporting the incident?
Answer : B
The best nursing action for reporting a medication error is to report and document the incident immediately. Prompt reporting ensures that the error is addressed quickly to prevent harm to the patient, allows for accurate documentation, and initiates the process for investigation and prevention of future errors. While assessing the patient and informing a senior nurse are also necessary steps, immediate documentation is the priority to ensure patient safety and compliance with legal and professional standards.
Question 2
A neurologist has just disclosed to the parents of a two-month-old child that their child has cerebral palsy. The parents are extremely anxious and tensed.
Which of the following should be the INITIAL supportive measure for the parent?
Answer : C
The initial supportive measure for parents who have just received a diagnosis of cerebral palsy for their child should be direct counseling. This involves providing clear, compassionate, and thorough information about the diagnosis, addressing their immediate concerns, and helping them understand what cerebral palsy means for their child's future. This step is crucial to help reduce their anxiety and tension. Encouraging reading, support groups, and home adjustments are important but secondary steps after initial counseling.
Question 3
A nurse responds to clients' health needs and communicates with authorities to ensure the accessibility of services in rural areas.
The nurse here assuming the role of:
Answer : C
In this scenario, the nurse is assuming the role of an advocate. Advocacy involves acting on behalf of patients to ensure they receive the necessary services and support. This includes communicating with authorities to improve access to healthcare services, especially in underserved areas like rural communities. By addressing barriers and promoting patients' needs, the nurse helps to ensure equitable access to care and resources.
Question 4
The following term refers to the type of abortion in which the fetus dies in the uterus but is not expelled:
Answer : A
A missed abortion refers to a situation where the fetus dies in the uterus but is not expelled. This condition is also known as a silent miscarriage. The woman may not experience the typical symptoms of miscarriage, such as bleeding or cramping, and the diagnosis is often made during a routine ultrasound when no fetal heartbeat is detected. Complete abortion involves the complete expulsion of fetal tissue, inevitable abortion is when the miscarriage cannot be stopped, and threatened abortion refers to any bleeding in the first 20 weeks of pregnancy without cervical dilation.
Question 5
A nurse is providing health teaching for a group of nursing students regarding the diagnostic tests for patient who is suffering from hearing loss.
Which of the following is the most IMPORTANT diagnostic test for hearing loss?
Answer : A
Audiometry is the most important diagnostic test for assessing hearing loss. This test measures a person's ability to hear sounds, varying in pitch and loudness. It is a comprehensive evaluation that helps determine the degree and type of hearing loss, whether it is conductive, sensorineural, or mixed. Tympanogram, middle ear endoscopy, and auditory brain stem response are also valuable diagnostic tools, but audiometry provides the primary assessment necessary for diagnosing hearing loss and guiding subsequent treatment.
Question 6
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?
Answer : D
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
Question 7
The nurse cares for a 60-year-old patient who is post renal transplant and on Sandimmune (Cyclosporine). While assessing the patient the nurse observed signs of septic shock.
Which of the following is a risk factor that predisposes the patient for septic shock?
Answer : C
Post Renal Transplant Care:
Patients who undergo renal transplants are prescribed immunosuppressive medications like Cyclosporine (Sandimmune) to prevent organ rejection.
Risk Factors for Septic Shock:
Age: Older adults have a higher risk of infections, but age alone is not the primary factor for septic shock in this context.
Multiple Surgeries: Increase the risk of infection but not as significant as immunosuppression.
Immunosuppression: The primary risk factor as it weakens the immune system, making the patient highly susceptible to infections leading to septic shock.
History of Medication Sensitivity: Important but less relevant to septic shock risk.
National Institutes of Health (NIH) on post-transplant care
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