[Dec 21, 2024] 100% Pass Guarantee for OMSB_OEN Dumps with Actual Exam Questions [Q31-Q54]

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[Dec 21, 2024] 100% Pass Guarantee for OMSB_OEN Dumps with Actual Exam Questions

Today Updated OMSB_OEN Exam Dumps Actual Questions

NEW QUESTION 31
Babies born to mothers with diabetes mellitus should be thoroughly assessed for which of the following conditions?

Cystic fibrosis

Congenital heart defects

Polycystic kidney disease

Developmental dysplasia of the hip

* 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.
References:
* American Diabetes Association (ADA)
* Centers for Disease Control and Prevention (CDC)

NEW QUESTION 32
A nurse is caring for a patient who is admitted into the surgical ward and was diagnosed with perforated appendix and is shifted to operation room for appendectomy.
The nurse understands that this procedure is classified as:

Urgent
B Emergent

Elective

Required

A perforated appendix is a medical emergency requiring immediate surgical intervention to prevent complications such as peritonitis and sepsis. Therefore, an appendectomy in this context is classified as an emergent procedure. Emergent surgeries are those that need to be performed without delay to preserve the patient’s life or health.

NEW QUESTION 33
While caring for a patient with leg ulcers, the nurse expects the patient to receive which of the following medical managements?

Anticoagulant therapy

Hyperbaric oxygenation

Decompression therapy

Positive pressure therapy

* Leg Ulcers Management:
* Leg ulcers, especially chronic ones, require specific treatments to promote healing and prevent infection.
* Medical Management Options:
* Anticoagulant therapy:Typically used for conditions like deep vein thrombosis, not directly for leg ulcers.
* Decompression therapy and Positive pressure therapy:Not standard treatments for leg ulcers.
* Hyperbaric Oxygenation:This treatment involves breathing pure oxygen in a pressurized environment. It increases oxygen delivery to tissues, promotes healing, reduces inflammation, and fights infection, making it an effective treatment for chronic leg ulcers.
References:
* Wound Healing Society guidelines on leg ulcer treatment
* National Institutes of Health (NIH) on Hyperbaric Oxygen Therapy

NEW QUESTION 34
A nurse plans to provide morning care for a bedridden client.
What is the priority action that the nurse should consider before starting?

Remove the pillows

Remove the bed sheets

Ensure that the bed is locked

Ensure that the client is at the side of the bed

* 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

NEW QUESTION 35
During a discharge planning of an educated 79-year-old woman, the patient expresses concern to the nurse about how she will remember taking the medications recently prescribed.
What is the BEST intervention that can be incorporated by the nurse in the discharge plan?

Ask a family member to administer the medications to the patient

Get the patient a weekly pill box and develop a written medication schedule

Refer the patient to care home center to help her with medications administration

Consult the physician to shortlist the prescribed drugs or prescribe combined medications

The best intervention for helping an educated 79-year-old woman remember to take her medications is to provide a weekly pill box and develop a written medication schedule. This approach empowers the patient to manage her medications independently, reducing the risk of non-compliance. Asking a family member to administer medications or referring the patient to a care home might not be necessary if the patient can manage with simple tools. Consulting the physician to reduce or combine medications is an option but does not address the immediate need for a practical solution to medication management.

NEW QUESTION 36
A nurse is preparing to infuse 500 ml of 0.9% sodium chloride intravenous (IV) solution over 4 hours. The drip factor is 15 drops/ml.
Which of the following values is the flow rate in drops/minute?

31 drops/minute

32 drops/minute

133 drops/minute

134 drops/minute

To calculate the flow rate in drops per minute (gtt/min), use the formula:
Flow rate (gtt/min) = (Total volume (ml) × Drop factor (gtt/ml)) / Time (minutes) Given:
* Total volume = 500 ml
* Drop factor = 15 gtt/ml
* Time = 4 hours (240 minutes)
Flow rate (gtt/min) = (500 ml × 15 gtt/ml) / 240 minutes = 7500 gtt / 240 minutes = 31.25 gtt/min Rounded to the nearest whole number, the flow rate is 32 drops/minute.

NEW QUESTION 37
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?

Encouraging them to read books about cerebral palsy

Introducing them to a family and community support group

Counseling them about the diagnosis and address their concerns

Helping them adjust the home environment according to the child’s need

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.

NEW QUESTION 38
Which of the following characteristics of older adults would be expected in today’s society?

Chronic conditions result in some limitations in ADL

Most older adults live independently or in home care centers

There is steady increase in percentage of workers in the labor force

Married people have higher mortality rate than unmarried people at all ages

* Chronic Conditions and ADLs:
* Older adults are more likely to suffer from chronic conditions such as arthritis, hypertension, heart disease, and diabetes. These conditions can lead to some limitations in Activities of Daily Living (ADLs), which include tasks like bathing, dressing, eating, and walking.
* According to the Centers for Disease Control and Prevention (CDC), chronic diseases are the leading cause of death and disability in the United States, and they significantly impact the quality of life of older adults.
* Living Arrangements:
* While many older adults do live independently or in home care settings, a significant number also live with chronic conditions that impact their ADLs, hence answer B is less accurate compared to A.
* As per the Administration for Community Living (ACL), the majority of older adults do live independently; however, chronic conditions still play a significant role in their daily lives.
* Labor Force Participation:
* There is an increase in the percentage of older adults in the labor force, but this is not a primary characteristic affecting most older adults today.
* Marital Status and Mortality:
* Studies have shown that married individuals often have a lower mortality rate compared to unmarried individuals, making option D incorrect.
References:
* Centers for Disease Control and Prevention (CDC)
* Administration for Community Living (ACL)

NEW QUESTION 39
A nurse understands that patient with blood transfusion reaction is at risk to develop which of the following types of jaundice?

Hepatocellular

Obstructive

Hemolytic

Chronic

A blood transfusion reaction can lead to hemolytic jaundice. This type of jaundice occurs when there is an excessive breakdown of red blood cells, leading to an increase in bilirubin production. Hemolytic reactions during a blood transfusion cause the destruction of the transfused red bloodcells, releasing large amounts of hemoglobin into the bloodstream, which is then converted to bilirubin, resulting in jaundice.

NEW QUESTION 40
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?

Euthymia

Eating too little

Weakness to care for the baby

Difficulty to breastfeed the baby

* 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.
References:
* American Psychological Association (APA) on Postpartum Depression
* Mayo Clinic guidelines on Postpartum Depression

NEW QUESTION 41
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?

Negligence

Malpractice

Breach of privacy

Breach of confidentiality

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.
References:
* Health Insurance Portability and Accountability Act (HIPAA) Guidelines
* American Nurses Association (ANA): Code of Ethics for Nurses with Interpretive Statements

NEW QUESTION 42
At the end of the year, the head nurse decided to motivate the nurses for their teamwork.
Which of the following would be the MOST appropriate action?

Sending an email to appreciate the achievement of the team

Circulating a memo to nurses listing the consequences of standard performance

Discussing the significant team contribution and challenges after the morning shift report

Acknowledging team members who have made a significant contribution during the ward meeting

* Motivating Nurses and Teamwork:
* Recognizing and appreciating the efforts of nurses is crucial for maintaining morale and encouraging teamwork.
* Best Approach:
* Email Appreciation and Memo:These are impersonal and might not effectively motivate the team.
* Morning Shift Report Discussion:Useful for daily updates but less formal and might miss some members.
* Ward Meeting Acknowledgment:Publicly recognizing individual contributions in a ward meeting is more personal and impactful. It allows team members to feel valued and appreciated in front of their peers, boosting morale and motivation.
References:
* Journal of Nursing Management on Team Motivation
* American Nurses Association (ANA) on Nurse Recognition and Rewards

NEW QUESTION 43
The unit in-charge is following up an incident report for a patient who fell down from the bed to be written by the nurse.
Which of the following actions if done by the nurse needs to be corrected?

Writing the incident report immediately

Investigating the root cause of the incidence

Writing the incident report by the assigned nurse

Documenting the incident report in patient’s record

When an incident such as a patient fall occurs, specific protocols must be followed to ensure proper documentation and quality improvement processes.
* Writing the Incident Report Immediately: The nurse should document the incident as soon as possible to ensure accurate details are captured.
* Investigating the Root Cause of the Incident: This is essential to prevent future occurrences and improve patient safety. It involves a thorough analysis of the factors that led to the incident.
* Writing the Incident Report by the Assigned Nurse: The nurse who witnessed or discovered the incident is typically responsible for documenting it, ensuring first-hand accuracy.
* Documenting the Incident Report in Patient’s Record: This is incorrect. Incident reports are meant
* for internal use to track and analyze incidents and should not be included in the patient’s medical record.
Including it in the patient’s record can potentially compromise confidentiality and affect the patient’s care.
References:
* The Joint Commission: Sentinel Event Policy and Procedures
* National Patient Safety Foundation: Guidelines for Incident Reporting

NEW QUESTION 44
A nurse is caring for a patient with retinal detachment who is posted for retinopexy surgery.
The INITIAL nursing intervention in order to maintain pressure for reattaching the sensory retina:

Keep the patient in prone position

Provide eye patch with intact dressing

Follow aseptic technique when cleaning the eye

Instruct the patient to avoid lying on the surgical side

* Retinal Detachment and Retinopexy:
* Retinal detachment is a serious condition where the retina peels away from its underlying layer.
Retinopexy surgery is performed to reattach the retina.
* Initial Nursing Interventions:
* Eye patch and dressing:Helps maintain pressure on the retina and prevent movement that could disrupt the reattachment process.
* Prone position and avoiding lying on surgical side:These are not specific standard initial interventions.
* Aseptic technique:Important but not the primary initial intervention for maintaining retinal attachment pressure.
References:
* American Academy of Ophthalmology (AAO) guidelines on Retinal Detachment
* Mayo Clinic guidelines on Retinopexy Surgery

NEW QUESTION 45
A nurse is assigned to care for a client diagnosed with brain cancer who is undergone radiation therapy. On assessment, the nurse notes cachexia.
Which of the following nursing measures would take FIRST for this client?

Encourage high protein and high calorie diet

Encourage frequent oral hygiene

Encourage daily physical activity

Encourage small cold meals

For a client with brain cancer undergoing radiation therapy and exhibiting cachexia, the first nursing measure should be to encourage a high protein and high-calorie diet.
* High Protein and High Calorie Diet: Cachexia is a severe form of malnutrition often seen in cancer patients, characterized by weight loss, muscle wasting, and decreasedquality of life. Ensuring adequate nutrition is crucial to improve strength, immune function, and overall well-being.
* Frequent Oral Hygiene: This is important, especially if the patient has oral side effects from radiation, but it does not address the primary issue of malnutrition.
* Daily Physical Activity: Beneficial for maintaining muscle mass and overall health but should be secondary to addressing severe nutritional deficits.
* Small Cold Meals: These may be more palatable if the patient has nausea but should also be high in calories and protein to combat cachexia.
References:
* American Cancer Society: Managing Cancer Cachexia
* Oncology Nursing Society (ONS): Nutrition and Cancer Care

NEW QUESTION 46
Which of the following is an appropriate role of the parents in the teenage-stage of family developmental tasks?

Coping with the energy depletion

Releasing young adults into work

Balancing freedom with responsibility

Preparing themselves for different roles

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.

NEW QUESTION 47
A head nurse of an intensive care unit wants to ensure that the staff are performing Basic Life Support (BLS) based on latest American Heart Association’s guidelines.
What will be the head nurse’s BEST action?

Review the BLS policy periodically

Perform regular mocks on BLS in the unit

Send staff to renew BLS certification every three years

Monitor the staff performing BLS during the actual scene

Ensuring that staff perform Basic Life Support (BLS) according to the latest American Heart Association (AHA) guidelines involves several strategies, but performing regular mock drills is the best approach.
* Reviewing the BLS Policy Periodically: While this is important, it alone does not ensure that staff are up-to-date or proficient in BLS techniques.
* Performing Regular Mocks on BLS in the Unit: Regular mock drills provide hands-on practice and allow staff to apply the latest guidelines in a simulated environment. This helps in retaining skills and identifying any gaps in knowledge or performance.
* Sending Staff to Renew BLS Certification Every Three Years: Certification renewal is necessary, but practical skills can degrade over time if not regularly practiced.
* Monitoring the Staff Performing BLS During the Actual Scene: This is reactive rather than proactive and does not provide an opportunity for practice and improvement without the pressure of a real-life situation.
References:
* American Heart Association (AHA): Guidelines for CPR and ECC
* National Institutes of Health (NIH): Effective Training Strategies in Healthcare

NEW QUESTION 48
A 50-year-old multi-para woman complains of a soft bulge of tissue in her vagina. It is uncomfortable to her and is protruding through her vaginal orifice. The woman expresses her anxiety regarding her situation.
What is the IMMEDIATE action of the nurse?

Refers the woman to the doctor

Educates the woman about her diet

Reassures the woman about her condition

Teaches the woman about Kegel exercises

* Soft Bulge in Vagina:
* This symptom could indicate a pelvic organ prolapse, such as a uterine or bladder prolapse, which requires medical evaluation and treatment.
* Immediate Action:
* Referral to Doctor:Immediate referral is necessary for proper diagnosis and to plan appropriate treatment.
* Diet and Reassurance:These are important but secondary actions after the initial medical assessment.
* Kegel Exercises:While beneficial for pelvic floor strengthening, they are not the immediate action in response to a significant prolapse.
References:
* American College of Obstetricians and Gynecologists (ACOG)
* Mayo Clinic Guidelines on Pelvic Organ Prolapse

NEW QUESTION 49
The aim of outcome research in nursing is to:

Explore and investigate nursing clinical interventions

Focus on the perception and of nursing professional

Assess and documents the effectiveness of health care services

Analyze the cause and effect relationship based on nursing actions

Outcome research in nursing focuses on understanding the results of health care practices and interventions. It aims to evaluate how effective these practices are in improving patient outcomes. This type of research is crucial for ensuring that the care provided is evidence-based and leads to the best possible health results for patients.
For example, if a new wound care protocol is introduced, outcome research would measure whether patients heal faster or have fewer infections compared to the previous method. This helps in determining the effectiveness of the new protocol.

NEW QUESTION 50
Which of the following cases suggest the need for nurse’s advocacy role?

A 70-year-old male patient diagnosed with stroke attended by his elder son

A newborn admitted for respiratory distress, the mother visits for breastfeeding

A 15-year-old female patient admitted for plastic surgery for her nose, awaiting consent

A 40-year-old male patient admitted for postoperative complications, speaks foreign language

* Nurse’s Advocacy Role:
* Advocacy involves supporting and promoting the interests and well-being of patients, especially when they are unable to do so themselves due to various barriers.
* Case Analysis:
* 70-year-old stroke patient with son:Likely has family support and an advocate in the son.
* Newborn with mother for breastfeeding:Mother is present to provide care and advocacy.
* 15-year-old awaiting consent for surgery:Typically has parental or guardian support for decision-making.
* 40-year-old with language barrier:This patient needs advocacy to ensure clear communication and understanding of postoperative care and complications due to the language barrier.
References:
* American Nurses Association (ANA) on Patient Advocacy
* Joint Commission guidelines on effective communication in healthcare

NEW QUESTION 51
The following term refers to the type of abortion in which the fetus dies in the uterus but is not expelled:

Missed

Complete

Inevitable

Threatened

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.

NEW QUESTION 52
A nurse is monitoring a patient with Cushing syndrome who suffers from recurrent fractures and bruising.
Which of the following is the BEST action the nurse would do?

Review the patient’s calcium level

Establish protective environment

Advise for orthopedic clinic visit

Encourage high protein diet

* Cushing Syndrome Symptoms:
* Cushing syndrome is characterized by high levels of cortisol which can lead to brittle bones (osteoporosis), easy bruising, and muscle weakness.
* Best Nursing Actions:
* Review Calcium Level:Important but not the immediate priority to prevent fractures.
* Orthopedic Clinic Visit:Necessary for follow-up but not the immediate action.
* High Protein Diet:Important for muscle strength but secondary to immediate safety.
* Protective Environment:Preventing falls and injuries is the best immediate action to avoid further fractures and bruising. Ensuring the patient’s environment is safe and free from hazards is essential.
References:
* Mayo Clinic guidelines on Cushing Syndrome
* American Association of Clinical Endocrinologists (AACE)

NEW QUESTION 53
The stool analysis on a nine-month-old infant showed occult blood. The child is otherwise healthy.
Which of the following questions the nurse should include when taking health history?

Have you introduced cow-milk to the infant?

How often do you give chocolate to the infant?

Do you add leafy vegetables to the infant’s food?

When did you include chicken in the infant’s diet?

Occult blood in the stool of a nine-month-old infant can be a sign of gastrointestinal irritation or bleeding. One common cause of occult blood in infants is an intolerance to cow’s milk protein. Therefore, it is crucial to ask if cow’s milk has been introduced to the infant’s diet. This helps identify a potential cause of the symptoms and guides further management. While diet and other factors are also important, cow’s milk introduction is a primary consideration for occult blood in this age group.

NEW QUESTION 54
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?

Low fat and cholesterol

High intake of red meat

Low intake of dark chocolate
D Low protein and high carbohydrates

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.
References:
* American Heart Association (AHA): Dietary Recommendations for Cardiovascular Health
* National Institutes of Health (NIH): Heart-Healthy Eating

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