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Oman Nurse Exam Prep OMSB Exam Questions & Answers 2026 (11–20)

Oman Nurse Exam Prep OMSB practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.

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  1. Q11The nurse is assessing an elderly patient for dehydration. Which finding is LEAST reliable as a dehydration indicator in the elderly?

    • ASkin turgor (tenting)
    • BDark concentrated urine
    • CDry mucous membranes
    • DIncreased serum sodium (hypernatremia)
    Show answer

    ✓ Correct answer: A. Skin turgor (tenting)

    Skin turgor is the least reliable sign of dehydration in elderly patients due to age-related loss of skin elasticity — tenting can be present normally in elderly individuals. More reliable indicators in the elderly include: elevated serum sodium/BUN, dark urine, dry mucous membranes, and postural hypotension.

  2. Q12Which is the most common type of surgical site infection (SSI) caused by gram-positive cocci?

    • APseudomonas aeruginosa
    • BEscherichia coli
    • CStaphylococcus aureus (including MRSA)
    • DClostridium perfringens
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    ✓ Correct answer: C. Staphylococcus aureus (including MRSA)

    Staphylococcus aureus (and MRSA) is the most common causative organism of surgical site infections (SSIs). It is a gram-positive coccus present on the skin and nares. SSI prevention bundles include preoperative skin preparation, appropriate prophylactic antibiotics, glucose control, and normothermia.

  3. Q13The nurse should assess a diabetic patient's feet at every visit. The most common complication of diabetic neuropathy affecting the feet is:

    • AIncreased sensitivity to touch
    • BRapid healing of minor wounds
    • CLoss of protective sensation leading to undetected injuries and ulcers
    • DHyperreflexia and muscle cramps
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    ✓ Correct answer: C. Loss of protective sensation leading to undetected injuries and ulcers

    Diabetic peripheral neuropathy causes loss of protective sensation (the ability to feel pain, pressure, and temperature) in the feet. This means injuries go undetected, leading to ulcers, infections, and potentially amputation. Daily foot inspection and proper footwear are essential.

  4. Q14In Oman, a nurse must report a suspected case of which disease to the Directorate General of Disease Surveillance within 24 hours?

    • AChickenpox in adults only
    • BCholera
    • CAthlete's foot
    • DCommon cold
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    ✓ Correct answer: B. Cholera

    Cholera is an internationally notifiable disease (IHR 2005); Oman MOH mandates immediate (<24 hours) reporting of cholera and other epidemic-prone diseases.

  5. Q15Which statement BEST describes Oman's achievement in the WHO's ranking of healthcare systems?

    • AOman ranks last among GCC countries in healthcare quality
    • BOman has consistently been ranked among the top healthcare systems globally, recognized for its remarkable health outcomes improvement since the 1970s
    • COman relies entirely on expatriate staff for healthcare delivery
    • DOman's healthcare system is modeled entirely on the United Kingdom's NHS
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    ✓ Correct answer: B. Oman has consistently been ranked among the top healthcare systems globally, recognized for its remarkable health outcomes improvement since the 1970s

    The WHO ranked Oman 8th globally in overall health system performance in its World Health Report 2000, a remarkable achievement for a country that had minimal healthcare infrastructure in 1970. This was attributed to: rapid expansion of primary healthcare, immunization programs, MCH services, and strong government investment in health.

  6. Q16A patient is admitted with suspected sepsis. The nurse knows that the priority interventions within the first hour (Sepsis-1 bundle) include:

    • AOral antibiotics and close monitoring
    • BIV fluids only, awaiting blood cultures
    • CObtain blood cultures, administer broad-spectrum IV antibiotics, and IV fluid resuscitation (30 mL/kg crystalloid)
    • DImmediate surgical consultation and NPO
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    ✓ Correct answer: C. Obtain blood cultures, administer broad-spectrum IV antibiotics, and IV fluid resuscitation (30 mL/kg crystalloid)

    The Surviving Sepsis Campaign 1-hour bundle includes: obtain blood cultures (before antibiotics), administer broad-spectrum IV antibiotics, give 30 mL/kg IV crystalloid for hypotension or lactate ≥4 mmol/L, measure lactate, and apply vasopressors if needed. Time to antibiotics is the most critical intervention.

  7. Q17A nurse accidentally sustains a needlestick injury from a patient with unknown HIV status. The FIRST action should be to:

    • AImmediately start post-exposure prophylaxis (PEP)
    • BWash the wound thoroughly with soap and water
    • CApply a tourniquet above the injury site
    • DSqueeze the wound to express blood and apply iodine
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    ✓ Correct answer: B. Wash the wound thoroughly with soap and water

    The immediate first action after a needlestick is to wash the wound thoroughly with soap and water. The injury should then be reported, the patient's HIV/HBV/HCV status assessed, and PEP considered within 72 hours if indicated.

  8. Q18The nurse is teaching an immunocompromised patient about food safety to prevent listeria. Which food should the patient AVOID?

    • ACanned vegetables
    • BWell-cooked chicken
    • CPasteurized milk
    • DSoft cheeses and deli meats
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    ✓ Correct answer: D. Soft cheeses and deli meats

    Listeria monocytogenes thrives in refrigerated, ready-to-eat foods (soft cheeses, deli meats, smoked seafood) and is especially dangerous for immunocompromised patients.

  9. Q19A nurse in Oman is delegating a task to an unlicensed assistive personnel (UAP). Which task is APPROPRIATE to delegate?

    • APerforming an initial nursing assessment on a new admission
    • BAdministering oral medications from the medication cart
    • CMeasuring and recording vital signs in a stable patient
    • DInterpreting the patient's oxygen saturation trend and adjusting oxygen flow
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    ✓ Correct answer: C. Measuring and recording vital signs in a stable patient

    Delegation of vital signs measurement to a UAP is appropriate for stable patients, as it is a routine task that does not require nursing judgment for execution (though interpretation remains the nurse's responsibility). Initial assessments, medication administration, and clinical decision-making cannot be delegated to UAPs.

  10. Q20A patient with acute heart failure is receiving IV furosemide. Which laboratory result is the MOST concerning?

    • ASerum sodium 138 mEq/L
    • BSerum potassium 2.8 mEq/L
    • CSerum creatinine 1.0 mg/dL
    • DSerum chloride 100 mEq/L
    Show answer

    ✓ Correct answer: B. Serum potassium 2.8 mEq/L

    Furosemide causes potassium wasting. A potassium of 2.8 mEq/L (hypokalemia) increases the risk of life-threatening cardiac arrhythmias and must be reported promptly.

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