Fundamentals Exam 3: Urinary and Bowel Elimination, Skin Integrity and
Wounds Exam Questions and Answers (Verified Answers) Updated (Actual
Exam) LATEST VERSION!!
An ambulatory elderly woman with dementia is incontinent of urine. She has poor short term memory
and has not been seen toileting independently. What is the best nursing intervention for this patient? -
(answer)Start a scheduled toileting program.
When assessing a patient's first voided urine of the day, which finding should be reported to the health
care provider? - (answer)Light pink urine
What instructions should the nurse give the NAP concerning a patient who has had an indwelling urinary
catheter removed that day? - (answer)Report the time and amount of first voiding.
Which nursing assessment question would best indicate that an incontinent man with a history of
prostate enlargement might not be emptying his bladder adequately? - (answer)Do you dribble urine
constantly?
A patient is scheduled to have an intravenous pyelogram (IVP) the next morning. Which nursing
measures should be implemented prior to the test? - (answer)Ask the patient about any allergies and
reactions.
Ensure that informed consent has been obtained.
Which nursing interventions should the nurse implement when removing an indwelling urinary catheter
in an adult patient? - (answer)Allow the balloon to drain into the syringe by gravity.
Allow the balloon to drain into the syringe by gravity.
Which nursing intervention minimizes the risk for trauma and infection when applying an
external/condom catheter? - (answer)Wash with soap and water prior to applying the condom type
catheter.
What should the nurse teach a young woman with a history of urinary tract infections about UTI
prevention? - (answer)Keep the bowels regular.
, Fundamentals Exam 3: Urinary and Bowel Elimination, Skin Integrity and
Wounds Exam Questions and Answers (Verified Answers) Updated (Actual
Exam) LATEST VERSION!!
Wear cotton underwear
Cleanse the perineum from front to back.
What best describes the measurement of post-void residual (PVR)? - (answer)Bladder scan the patient
immediately after voiding.
A post-operative patient with a three-way indwelling urinary catheter and continuous bladder irrigation
(CBI) complains of lower abdominal pain and distention. What should be the nurse's initial intervention?
- (answer)Assess the intake and output
The NAP reports to the nurse that a patient's catheter drainage bag has been empty for 4 hours. What is
a priority nursing intervention? - (answer)Assess the catheter and drainage tubing for obvious occlusion
What is a critical step when inserting an indwelling catheter into a male patient? - (answer)Advance the
catheter to the bifurcation of the drainage and balloon ports.
What nursing intervention decreases the risk for catheter associated urinary tract infection (CAUTI)? -
(answer)Hang the urinary drainage bag below the level with the bladder.
There is no urine when a catheter is inserted into a female's urethra. What should the nurse do next? -
(answer)Leave the catheter there and start over with a new catheter.
Which of the following is the correct order for insertion of an indwelling catheter in a female patient?1.
Insert and advance catheter.2. Lubricate catheter. 3. Inflate catheter balloon. 4. Cleanse urethral
meatus. 5. Drape the patient with the sterile square and fenestrated drapes. 6. When urine appears
advance another 2.5 to 5 cm. 7. Prepare sterile field and supplies. 8. Gently pull catheter until resistance
is felt. 9. Attach drainage tubing. - (answer)5, 7, 2, 4, 1, 6, 3, 8, 9
Wounds Exam Questions and Answers (Verified Answers) Updated (Actual
Exam) LATEST VERSION!!
An ambulatory elderly woman with dementia is incontinent of urine. She has poor short term memory
and has not been seen toileting independently. What is the best nursing intervention for this patient? -
(answer)Start a scheduled toileting program.
When assessing a patient's first voided urine of the day, which finding should be reported to the health
care provider? - (answer)Light pink urine
What instructions should the nurse give the NAP concerning a patient who has had an indwelling urinary
catheter removed that day? - (answer)Report the time and amount of first voiding.
Which nursing assessment question would best indicate that an incontinent man with a history of
prostate enlargement might not be emptying his bladder adequately? - (answer)Do you dribble urine
constantly?
A patient is scheduled to have an intravenous pyelogram (IVP) the next morning. Which nursing
measures should be implemented prior to the test? - (answer)Ask the patient about any allergies and
reactions.
Ensure that informed consent has been obtained.
Which nursing interventions should the nurse implement when removing an indwelling urinary catheter
in an adult patient? - (answer)Allow the balloon to drain into the syringe by gravity.
Allow the balloon to drain into the syringe by gravity.
Which nursing intervention minimizes the risk for trauma and infection when applying an
external/condom catheter? - (answer)Wash with soap and water prior to applying the condom type
catheter.
What should the nurse teach a young woman with a history of urinary tract infections about UTI
prevention? - (answer)Keep the bowels regular.
, Fundamentals Exam 3: Urinary and Bowel Elimination, Skin Integrity and
Wounds Exam Questions and Answers (Verified Answers) Updated (Actual
Exam) LATEST VERSION!!
Wear cotton underwear
Cleanse the perineum from front to back.
What best describes the measurement of post-void residual (PVR)? - (answer)Bladder scan the patient
immediately after voiding.
A post-operative patient with a three-way indwelling urinary catheter and continuous bladder irrigation
(CBI) complains of lower abdominal pain and distention. What should be the nurse's initial intervention?
- (answer)Assess the intake and output
The NAP reports to the nurse that a patient's catheter drainage bag has been empty for 4 hours. What is
a priority nursing intervention? - (answer)Assess the catheter and drainage tubing for obvious occlusion
What is a critical step when inserting an indwelling catheter into a male patient? - (answer)Advance the
catheter to the bifurcation of the drainage and balloon ports.
What nursing intervention decreases the risk for catheter associated urinary tract infection (CAUTI)? -
(answer)Hang the urinary drainage bag below the level with the bladder.
There is no urine when a catheter is inserted into a female's urethra. What should the nurse do next? -
(answer)Leave the catheter there and start over with a new catheter.
Which of the following is the correct order for insertion of an indwelling catheter in a female patient?1.
Insert and advance catheter.2. Lubricate catheter. 3. Inflate catheter balloon. 4. Cleanse urethral
meatus. 5. Drape the patient with the sterile square and fenestrated drapes. 6. When urine appears
advance another 2.5 to 5 cm. 7. Prepare sterile field and supplies. 8. Gently pull catheter until resistance
is felt. 9. Attach drainage tubing. - (answer)5, 7, 2, 4, 1, 6, 3, 8, 9
