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OMSB OMSB_OEN Exam Prep
Omaniination for Nurses (Page 8 )

Updated On: 8-Oct-2026
Page 4 of 21
PDF with 99 Questions

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:

  1. Urgent
  2. Emergent
  3. Elective
  4. Required

Answer(s): B

Explanation:

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.


Reference:

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth's Textbook of Medical-Surgical Nursing. Lippincott Williams & Wilkins.



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

  1. Coping with the energy depletion
  2. Releasing young adults into work
  3. Balancing freedom with responsibility
  4. Preparing themselves for different roles

Answer(s): C

Explanation:

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.


Reference:

Hockenberry, M. J., & Wilson, D. (2018). Wong's Nursing Care of Infants and Children. Elsevier.



A nurse is caring for a patient with bacterial meningitis who develops high-grade fever and nasal discharge.
Which of the following is the FIRST nursing intervention for this patient?

  1. Control elevated body temperature
  2. Assist with getting rest in a quiet dark room
  3. Encourage patient to stay hydrated with adequate oral intake
  4. Follow infection precautions for 24 hours after starting antibiotic treatment

Answer(s): D

Explanation:

The first nursing intervention for a patient with bacterial meningitis who develops a high-grade fever and nasal discharge is to follow infection precautions. This is crucial to prevent the spread of the infection to others. Bacterial meningitis is highly contagious, and infection control measures such as isolation and wearing protective gear should be implemented immediately upon diagnosis and continued for at least 24 hours after starting antibiotic treatment.


Reference:

Centers for Disease Control and Prevention (CDC). (2018). Bacterial Meningitis. Retrieved from CDC website.



A nurse must be aware that keeping an aggressive patient in a seclusion or restraint requires an order from the doctor.
The renewal of such order for a patient aged 19 years old must be done:

  1. Every 1 hour
  2. Every 2 hours
  3. Every 4 hours
  4. Every 7 hours

Answer(s): C

Explanation:

When a patient aged 19 years old is placed in seclusion or restraint, the renewal of the order must be done every 4 hours. This requirement is based on the guidelines provided by the Joint Commission and the Centers for Medicare & Medicaid Services (CMS), which regulate the use of seclusion and restraints in healthcare settings.
Initial Order: The use of seclusion or restraint must be ordered by a licensed independent practitioner (LIP), such as a physician.
Time Limits: For adults aged 18 and older, the order must be renewed every 4 hours.

Renewal Process: This renewal must involve an assessment of the patient's condition and the need for continued seclusion or restraint.
Documentation: The rationale for using seclusion or restraint and the patient's response to the intervention must be documented thoroughly in the patient's medical record.


Reference:

The Joint Commission: Standards for Behavioral Health Care Centers for Medicare & Medicaid Services (CMS): Conditions of Participation for Hospitals, 42 CFR 482.13(e)



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?

  1. Writing the incident report immediately
  2. Investigating the root cause of the incidence
  3. Writing the incident report by the assigned nurse
  4. Documenting the incident report in patient's record

Answer(s): D

Explanation:

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.


Reference:

The Joint Commission: Sentinel Event Policy and Procedures National Patient Safety Foundation: Guidelines for Incident Reporting



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