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The dumps for OMSB_OEN exam was last updated on Jul 08,2025 .

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Question#1

The nurse cares for a 60-year-old patient who is post renal transplant and on Sand immune (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?

A. Age

B. Multiple surgeries

C. Immunosuppression

D. History of medication sensitivity

Explanation:
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.
Reference: National Institutes of Health (NIH) on post-transplant care Mayo Clinic on Septic Shock

Question#2

A nurse is providing health teaching for a group of nursing students regarding the diagnostic tests for patient who is suffering from hearing loss.
Which of the following is the most IMPORTANT diagnostic test for hearing loss?

A. Audiometry

B. Tympanogram

C. Middle ear endoscopy

D. Auditory brain stem response

Explanation:
Audiometry is the most important diagnostic test for assessing hearing loss. This test measures a person's ability to hear sounds, varying in pitch and loudness. It is a comprehensive evaluation that helps determine the degree and type of hearing loss, whether it is conductive, sensorineural, or mixed. Tympanogram, middle ear endoscopy, and auditory brain stem response are also valuable diagnostic tools, but audiometry provides the primary assessment necessary for diagnosing hearing loss and guiding subsequent treatment.

Question#3

A nurse is conducting a physical assessment of a 12-month-old child whose birth weight was 3.2 kg.
What would be the child's expected current weight?

A. 6.4 kg

B. 7.3 kg

C. 9.6 kg

D. 12.8 kg

Explanation:
Weight Doubling by 5-6 Months:
Typically, a newborn's birth weight doubles by the time they are 5-6 months old.
For this child, that would be: 3.2 kg×2=6.4 kg3.2 \, \text{kg} \times 2 = 6.4 \, \text{kg}3.2kg×2=6.4kg.
Weight Tripling by 1 Year:
By the age of 12 months, a child’s birth weight is expected to triple.
So, for a child with a birth weight of 3.2 kg, the expected weight at 12 months is: 3.2 kg×3=9.6 kg3.2 \, \text{kg} \times 3 = 9.6 \, \text{kg}3.2kg×3=9.6kg.
Reference: American Academy of Pediatrics (AAP)
World Health Organization (WHO) Growth Standards

Question#4

Which of the following is the appropriate nursing action in the termination phase of the home visit?

A. Validate the health history of the family

B. Document the care provided during the visit

C. Determine the family's readiness for more visits in future

D. Review important teaching topics discussed during the visit

Explanation:
In the termination phase of a home visit, the appropriate nursing action is to review important teaching topics discussed during the visit. This ensures that the family understands the care instructions and can ask any final questions. Validating the health history and documenting the care provided are important but are typically part of the initial or ongoing phases of the visit. Determining readiness for future visits is also important but is secondary to ensuring the family understands the teaching provided.

Question#5

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?

A. Encouraging them to read books about cerebral palsy

B. Introducing them to a family and community support group

C. Counseling them about the diagnosis and address their concerns

D. Helping them adjust the home environment according to the child's need

Explanation:
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.

Exam Code: OMSB_OEN Q & A: 99 Q&As Updated: Jul 08,2025

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Exam Code: OMSB_OEN
Q & A: 99 Q&As
Updated: Jul 08,2025

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