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Oman Nurse Exam Prep OMSB Exam Questions & Answers 2026 (21–30)

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. Q21A patient has hemoglobin of 6.4 g/dL. The nurse expects to assess:

    • ASevere anemia with pallor, fatigue, dyspnea, and tachycardia
    • BPolycythemia with plethora
    • CNormal findings
    • DPolycythemia vera features
    Show answer

    ✓ Correct answer: A. Severe anemia with pallor, fatigue, dyspnea, and tachycardia

    Hemoglobin <7 g/dL indicates severe anemia; compensatory mechanisms produce tachycardia, pallor, dyspnea on exertion, and fatigue.

  2. Q22A nurse is preparing to insert a urinary catheter in a female patient. Which action is performed FIRST after opening the sterile kit?

    • ADon sterile gloves
    • BInsert the catheter
    • CClean the urethral meatus
    • DTest the balloon by inflating it
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    ✓ Correct answer: A. Don sterile gloves

    After opening the sterile catheterization kit, the first action is to don sterile gloves to maintain the sterile field for all subsequent steps. Maintaining sterility throughout the procedure is essential to prevent catheter-associated UTIs (CAUTIs).

  3. Q23Colostomy care includes which essential teaching point for the patient?

    • AEmpty the pouch only when completely full
    • BApply the pouch directly to the skin without a barrier
    • CIrrigate the stoma daily with 2 liters of saline
    • DChange the appliance when it is one-third to one-half full to prevent leakage
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    ✓ Correct answer: D. Change the appliance when it is one-third to one-half full to prevent leakage

    Patients should empty the ostomy pouch when it is one-third to one-half full to prevent the weight from breaking the seal and causing leakage. Regular pouch maintenance prevents skin breakdown around the stoma.

  4. Q24The nurse is teaching a patient about warfarin therapy. Which food should the patient be advised to consume consistently (not avoid entirely) due to its vitamin K content?

    • AGreen leafy vegetables (spinach, kale, broccoli)
    • BGrapefruit
    • CAlcohol
    • DProcessed sugars
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    ✓ Correct answer: A. Green leafy vegetables (spinach, kale, broccoli)

    Patients on warfarin should maintain a CONSISTENT intake of vitamin K-rich foods (green leafy vegetables) rather than eliminating them. Sudden changes in vitamin K intake alter INR. Grapefruit and alcohol interact with warfarin metabolism and should be limited.

  5. Q25The nurse is caring for a woman with placenta previa. Which assessment finding is MOST characteristic?

    • AAbsent fetal movement
    • BSevere hypertension and proteinuria
    • CPainful uterine rigidity with dark vaginal bleeding
    • DPainless bright red vaginal bleeding in the third trimester
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    ✓ Correct answer: D. Painless bright red vaginal bleeding in the third trimester

    Placenta previa presents with sudden, painless, bright red vaginal bleeding (without uterine tenderness) in the third trimester.

  6. Q26What is the normal range for serum potassium (K⁺) in adults?

    • A3.5–5.0 mEq/L
    • B1.5–2.5 mEq/L
    • C6.0–8.0 mEq/L
    • D10–15 mEq/L
    Show answer

    ✓ Correct answer: A. 3.5–5.0 mEq/L

    The normal serum potassium range in adults is 3.5–5.0 mEq/L. Values below 3.5 indicate hypokalemia; values above 5.0 indicate hyperkalemia, both of which can cause life-threatening cardiac arrhythmias.

  7. Q27A patient is recovering from a hip replacement surgery. Which action by the nurse PREVENTS hip dislocation?

    • AMaintain hip abduction using a wedge pillow, avoid adduction and internal rotation
    • BEncourage the patient to bend the hip beyond 90 degrees for stretching
    • CPosition the patient with hips crossed at the midline for comfort
    • DAllow the patient to sit on low chairs immediately after surgery
    Show answer

    ✓ Correct answer: A. Maintain hip abduction using a wedge pillow, avoid adduction and internal rotation

    Post-total hip replacement, dislocation is prevented by: avoiding hip flexion >90°, adduction (crossing legs), and internal rotation. Abduction wedge pillows maintain positioning. Patients should use raised toilet seats, avoid low chairs, and not bend to put on shoes.

  8. Q28The nurse is performing a focused assessment on a patient complaining of dyspnea. Which assessment is the HIGHEST priority?

    • ACheck the patient's last meal time
    • BReview the patient's social history
    • CAssess skin turgor
    • DMeasure oxygen saturation and auscultate breath sounds
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    ✓ Correct answer: D. Measure oxygen saturation and auscultate breath sounds

    Oxygen saturation and breath sounds directly assess respiratory function and guide immediate interventions for dyspnea.

  9. Q29The nurse is administering a blood transfusion and the patient develops fever, chills, and back pain 30 minutes into the transfusion. The nurse's FIRST action is:

    • AAdminister diphenhydramine and restart the transfusion
    • BSlow the transfusion and administer antipyretics
    • CStop the transfusion, keep the IV open with normal saline, notify the physician, and save the blood bag
    • DComplete the transfusion quickly and monitor the patient
    Show answer

    ✓ Correct answer: C. Stop the transfusion, keep the IV open with normal saline, notify the physician, and save the blood bag

    Fever with chills and back pain during transfusion suggests a hemolytic or febrile non-hemolytic reaction; the transfusion must be stopped immediately, IV kept open with NS, physician notified, and blood bag sent to the lab.

  10. Q30A patient arrives to the clinic with a snakebite on the right ankle. Priority nursing intervention includes:

    • AApply a tourniquet tightly above the bite
    • BMake incisions at the bite site and suck out venom
    • CApply ice to reduce swelling and pain
    • DImmobilize the limb at heart level, keep the patient calm, and transport immediately for antivenom evaluation
    Show answer

    ✓ Correct answer: D. Immobilize the limb at heart level, keep the patient calm, and transport immediately for antivenom evaluation

    Snakebite management: DO NOT apply tourniquet (worsens tissue injury), DO NOT cut/suck the wound, DO NOT apply ice. Correct management: immobilize the limb slightly below heart level, keep patient calm to reduce heart rate and venom spread, remove constrictive items, and transport urgently. Antivenom is given in a hospital setting.

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