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OMSB Omani Examination for Nurses Sample Questions (Q31-Q36):

NEW QUESTION # 31
The destruction of the alveoli walls is defined as:

A. Asthma
B. Emphysema
C. Bronchitis
D. Bronchiolitis

Answer: B

Explanation:
* Definition of Emphysema:
* Emphysema is a chronic lung condition characterized by the destruction of the alveoli (air sacs) walls. This leads to reduced surface area for gas exchange and difficulty in breathing.
* It is a major component of Chronic Obstructive Pulmonary Disease (COPD).
* Differentiation from Other Conditions:
* Asthma:A condition where the airways become inflamed and narrowed.
* Bronchitis:Inflammation of the bronchial tubes, often resulting in cough and mucus production.
* Bronchiolitis:Inflammation of the small airways (bronchioles), commonly seen in children.
References:
* American Lung Association (ALA)
* National Heart, Lung, and Blood Institute (NHLBI)

NEW QUESTION # 32
During the planning phase, a healthcare organization states its purposes and fundamental aims to achieve in the long term.
This defines which of the following organizational concept?

A. Vision
B. Values
C. Mission
D. Strategy

Answer: C

Explanation:
During the planning phase, a healthcare organization defines its mission, which states its purpose and fundamental aims to achieve in the long term. The mission statement outlines the organization's core purpose, target population, and primary objectives. It provides direction and guides decision-makingand strategic planning. Vision, on the other hand, describes what the organization aspires to become in the future. Strategy refers to the specific actions and plans to achieve the mission and vision, while values are the principles and beliefs that guide the organization's behavior.

NEW QUESTION # 33
An 11-year-old child with beta-thalassemia major is admitted for blood transfusion. The child underwent splenectomy last month.
Which of the following is a PRIORITY nursing intervention?

A. Encourage frequent voiding
B. Promote high-fat intake
C. Maintain adequate hydration
D. Prevent infections

Answer: D

Explanation:
* Beta-Thalassemia Major and Splenectomy:
* Patients with beta-thalassemia major often require frequent blood transfusions.
* Splenectomy increases the risk of infections due to loss of the spleen's immune function.
* Priority Nursing Interventions:
* Prevent Infections:The highest priority post-splenectomy due to the increased risk of sepsis and other infections.
* High-Fat Intake, Frequent Voiding, Hydration:Important but secondary to infection prevention.
References:
* Centers for Disease Control and Prevention (CDC) guidelines on post-splenectomy care
* National Institutes of Health (NIH) on Thalassemia Management

NEW QUESTION # 34
A nurse is preparing to give health education for a client on hemodialysis.
What instruction the nurse will include in the teaching plan regarding dietary restriction?

A. Sodium intake is restricted to 4-5 g/kg
B. Protein intake is restricted to 1.2-1.3 g/kg
C. Potassium intake is restricted to 3-4 g/kg
D. Fluid intake is restricted to 2000 ml/day

Answer: B

Explanation:
For clients on hemodialysis, protein intake is usually restricted to 1.2-1.3 g/kg of body weight to prevent the accumulation of waste products while still providing enough protein to maintain muscle mass and overall health. Sodium intake, fluid intake, and potassium intake are also important to monitor, but the specific restrictions for sodium and potassium vary based on individual needs and lab results. Fluid intake is typically individualized and may be more restrictive than 2000 ml/day.

NEW QUESTION # 35
The nurse cares for a 60-year-old patient who is post renal transplant and on Sandimmune (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. History of medication sensitivity
C. Multiple surgeries
D. Immunosuppression

Answer: D

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

NEW QUESTION # 36
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