OMSB_OEN Omani Examination for Nurses Exam Practice Test

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Total 99 questions
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 nurse visited a postpartum mother who delivered a baby boy 3 days ago. During assessment, the nurse suspects that the mother is having postpartum depression.

Which behavior suggests the condition in the mother?



Answer : C

Postpartum Depression Symptoms:

Postpartum depression can manifest in various ways, affecting the mother's ability to care for herself and her baby.

Behavioral Indicators:

Euthymia: Indicates normal mood, not a sign of depression.

Eating Too Little: Can be a symptom but not as specific to postpartum depression.

Weakness to Care for the Baby: A significant indicator, as it shows the mother's lack of energy, interest, or capability to perform daily tasks related to baby care.

Difficulty Breastfeeding: Could be due to various reasons and not solely indicative of depression.


American Psychological Association (APA) on Postpartum Depression

Mayo Clinic guidelines on Postpartum Depression

Question 3

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 4

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

Mayo Clinic on Septic Shock

Question 5

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?



Answer : A

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

Question 6

A nurse plans to provide morning care for a bedridden client.

What is the priority action that the nurse should consider before starting?



Answer : C

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

Question 7

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?



Answer : B

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

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Total 99 questions