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OMSB OMSB_OEN Prüfungsplan:

Thema	Einzelheiten
Thema 1	Principles of Care: This topic includes standards of care, legal and ethical practice, and leadership and management.
Thema 2	Maternal Health: It focuses on different aspects of maternal health nursing.
Thema 3	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.
Thema 4	Child Health: This topic discusses different concepts of child health nursing. These concepts are vital for providing care to children and adolescents.
Thema 5	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.

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OMSB_OEN Fragen Beantworten - OMSB_OEN Buch

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OMSB Omani Examination for Nurses OMSB_OEN Prüfungsfragen mit Lösungen (Q51-Q56):

51. Frage
A 37 weeks pregnant woman presents with labor-like pain. She has mild uterine contractions (2-3 contractions in 10 minutes). On abdominal palpation, the nurse notes the fetus lie is transverse. The nurse reported to the doctor who confirm the malpresentation via an ultrasound.
The immediate nursing action is to:

A. Provide oral fluids
B. Monitor the progress of labor
C. Offer the woman pain relief
D. Prepare for cesarean section

Antwort: D

Begründung:
* Transverse Lie and Delivery:
* A transverse lie means the fetus is positioned horizontally in the uterus, making vaginal delivery impossible and risky.
* In such cases, a cesarean section is usually required to safely deliver the baby.
* Immediate Nursing Action:
* Oral Fluids and Pain Relief:While important, these are not the immediate priorities in this scenario.
* Monitoring Labor:This is less relevant due to the malpresentation.
* Preparing for Cesarean Section:Given the transverse lie, this is the immediate and appropriate action to ensure the safety of both mother and baby.
References:
* American College of Obstetricians and Gynecologists (ACOG)
* Mayo Clinic Guidelines on Labor and Delivery

52. Frage
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?

A. Blood pressure of 80/60 mmHg
B. Heart rate of 90 bpm
C. Blood sugar of 12 mmol/L
D. Blood pressure of 190/110 mmHg

Antwort: A

Begründung:
* 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 withalready 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.References:
NCLEX-RN review guides, pharmacology textbooks, clinical guidelines on the management of angina pectoris and nitroglycerin use.

53. Frage
A nurse plans to provide morning care for a bedridden client.
What is the priority action that the nurse should consider before starting?

A. Remove the bed sheets
B. Ensure that the client is at the side of the bed
C. Ensure that the bed is locked
D. Remove the pillows

Antwort: C

Begründung:
* 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.
References:
* Joint Commission guidelines on patient safety
* Fundamentals of Nursing textbooks

54. Frage
A group of nurses conducting a systematic review to identify best practice evidence for hemodialysis in patient with anemia.
Which of the following should considered based on level of research evidence?

A. Case-control studies
B. Randomized control studies
C. Non-experimental studies
D. Quasi-experimental studies

Antwort: B

Begründung:
Randomized controlled trials (RCTs) are considered the highest level of evidence in research because they reduce bias and provide the most reliable results. When conducting a systematic review to identify best practice evidence for hemodialysis in patients with anemia, RCTs should be prioritized. These studies provide strong evidence on the efficacy of interventions. Case-control studies, non-experimentalstudies, and quasi-experimental studies provide valuable information but are considered lower levels of evidence compared to RCTs.

55. Frage
A nurse aims to establish a respectful therapeutic relationship with a patient.
Which of the following actions is MOST appropriate to achieve this?

A. Being congruent between what is felt and what is expressed
B. Understanding the meaning and relevance of client's thoughts and feelings
C. Considering client's ideas, preferences, and opinions when planning care
D. Discussing non-health-related topics

Antwort: C

Begründung:
Establishing a respectful therapeutic relationship involves actively including the client's ideas, preferences, and opinions in their care planning. This action demonstrates respect for the client's autonomy and individuality, fostering trust and cooperation. Discussing non-health-related topics may help build rapport but does not directly contribute to a therapeutic relationship. Being congruent and understanding the client's thoughts and feelings are important but are part of the overall communication process rather than a specific action to establish respect in the relationship.

56. Frage
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