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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 Jun. 16, 2025 (see below)
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)
A staff nurse was entering patient's clinical notes in the computer, and had to leave to attend an immediate call without completion of recording. Another nurse used the account of the previous nurse to enter her notes.
Which of the following BEST describes the ethical issue that was committed?
The situation describes a breach of confidentiality, which occurs when private patient information is accessed or disclosed without proper authorization.
Negligence: This refers to the failure to provide the standard of care that a reasonably prudent person would provide in a similar situation, but it doesn't specifically address unauthorized access to patient information.
Malpractice: This is a type of negligence by a professional, which results in harm to the patient, and usually involves direct patient care rather than record-keeping issues.
Breach of Privacy: This involves the inappropriate disclosure of private information. In this case, using someone else's account does not directly disclose patient information to unauthorized parties.
Breach of Confidentiality: This specifically addresses the unauthorized access or use of patient information, which is exactly what happened when another nurse used the first nurse's account to enter notes.
Health Insurance Portability and Accountability Act (HIPAA) Guidelines
American Nurses Association (ANA): Code of Ethics for Nurses with Interpretive Statements
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:
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.
American College of Obstetricians and Gynecologists (ACOG)
Mayo Clinic Guidelines on Labor and Delivery
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