BSN 205-10 (URINARY CATHETERIZATION) UPDATED
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
Question 1.
Which of the following demonstrate that further teaching is required to prevent an infection
related to being catheterized? (Select all that apply.)
A. An elderly female patient carries her
urinary drainage bag like a purse under her arm as she ambulates.
B. A patient drinks an entire pitcher of
water over the period of 1 day.
C. As a patient is being transferred in
a wheelchair, he places the drainage bag in his lap.
D. The NAP places a patient's drainage
bag on a lowered side rail or on the floor.
E. A female patient keeps her catheter
secured to her thigh with tape.
ANSWER
ACD The urinary drainage bag should be kept below the level of the bladder to prevent reflux of urine
into the bladder. Patients should be instructed to carry the drainage bag below the level of the
bladder and to secure the drainage bag to the side of the wheelchair below the level of the bladder
during transfer. The urinary drainage bag should never be placed on a bedside rail because it could
accidentally be raised to a height higher than the level of the bladder and urine could reflux into the
bladder. The urinary drainage bag should never be placed on the floor; this is to avoid having bacteria
enter the system through the drainage port. If allowed, fluids should be encouraged. The catheter
should be secured to the patient to prevent trauma to the urethra. Swelling of tissues can impair
urine flow and place the patient at further risk for urinary tract infection.
1
,Question 2.
Which of the following are true regarding the impact of aging related to urinary elimination?
(Select all that apply.)
A. The elderly are better able to concentrate urine than the middle-aged adult.
B. Aging can affect continence if the
patient experiences impaired mobility or decreased muscle tone. perience urinary frequency
than middle-aged adults because they tend to drink less.
D. The elderly are at increased risk for
urinary tract infection because of retained urine in the bladder.
E. It is part of the normal aging
process for elderly patients to become incontinent.
ANSWER
BD The very young and very old are less able to concentrate urine, placing them at risk for
dehydration. The elderly are at an increased risk of urinary incontinence if they have impaired
mobility that prevents them from getting to the bathroom in time or from manipulating buttons and
zippers. Weak abdominal and pelvic floor muscles impair bladder contraction. Decreased muscle tone
increases the risk for urinary incontinence. However, urinary inthe aging process. Urination frequency
increases with age with decreased bladder tone. Because the bladder cannot contract as effectively,
an older person often retains urine in the bladder after voiding (residual urine). This places the
patient at increased risk for bacterial growth and development of urinary tract infections (UTIs).
Question 3.
During change-of-shift report the nurse states that a patient has early renal failure and to be
alert to this when administering medications. Why would this be a concern? The kidneys assist
in the detoxification of medication metabolites. The patient may not be able to absorb all of the
medications. The bladder acts as a filter to remove wastes and form urine. The kidneys are the
primary site for medication metabolism.
ANSWER
The kidneys assist in the detoxification of medication metabolites. The kidneys detoxify and eliminate
by products of medication metabolism. If the kidneys are unable to perform this function, medication
toxicity can develop. The nephron, the functional unit of the kidney, forms the urine. The bladder
holds the urine until it is excreted. The liver is a primary site for medication metabolism.
2
, Question 4.
The nursing instructor is reviewing the renal system and urinary catheterization with her
students. Which statement, if made by a nursing student, indicates that further instruction is
needed?
A. "The urinary tract is considered to
be sterile."
B. "The nurse may use clean technique
to insert an indwelling catheter."
C. "The urge to void is felt when the
bladder contains 150 to 200 mL in an adult."
D. "The minimum average hourly
urine output is 30 mL."
ANSWER
B
Question 5.
_________________________ is used whether inserting a straight or in- dwelling urinary catheter.
ANSWER
Sterile technique
Question 6.
Patients may use ___________________________ in the home setting for intermittent
catheterization.
ANSWER
clean insertion technique
Question 7.
When the patient is in an acute care or long-term care setting, _______________________________
technique is required because of the high risk for nosocomial infections.
ANSWER
sterile insertion
Question 8.
The urinary tract is ____________.
ANSWER
sterile
3
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
Question 1.
Which of the following demonstrate that further teaching is required to prevent an infection
related to being catheterized? (Select all that apply.)
A. An elderly female patient carries her
urinary drainage bag like a purse under her arm as she ambulates.
B. A patient drinks an entire pitcher of
water over the period of 1 day.
C. As a patient is being transferred in
a wheelchair, he places the drainage bag in his lap.
D. The NAP places a patient's drainage
bag on a lowered side rail or on the floor.
E. A female patient keeps her catheter
secured to her thigh with tape.
ANSWER
ACD The urinary drainage bag should be kept below the level of the bladder to prevent reflux of urine
into the bladder. Patients should be instructed to carry the drainage bag below the level of the
bladder and to secure the drainage bag to the side of the wheelchair below the level of the bladder
during transfer. The urinary drainage bag should never be placed on a bedside rail because it could
accidentally be raised to a height higher than the level of the bladder and urine could reflux into the
bladder. The urinary drainage bag should never be placed on the floor; this is to avoid having bacteria
enter the system through the drainage port. If allowed, fluids should be encouraged. The catheter
should be secured to the patient to prevent trauma to the urethra. Swelling of tissues can impair
urine flow and place the patient at further risk for urinary tract infection.
1
,Question 2.
Which of the following are true regarding the impact of aging related to urinary elimination?
(Select all that apply.)
A. The elderly are better able to concentrate urine than the middle-aged adult.
B. Aging can affect continence if the
patient experiences impaired mobility or decreased muscle tone. perience urinary frequency
than middle-aged adults because they tend to drink less.
D. The elderly are at increased risk for
urinary tract infection because of retained urine in the bladder.
E. It is part of the normal aging
process for elderly patients to become incontinent.
ANSWER
BD The very young and very old are less able to concentrate urine, placing them at risk for
dehydration. The elderly are at an increased risk of urinary incontinence if they have impaired
mobility that prevents them from getting to the bathroom in time or from manipulating buttons and
zippers. Weak abdominal and pelvic floor muscles impair bladder contraction. Decreased muscle tone
increases the risk for urinary incontinence. However, urinary inthe aging process. Urination frequency
increases with age with decreased bladder tone. Because the bladder cannot contract as effectively,
an older person often retains urine in the bladder after voiding (residual urine). This places the
patient at increased risk for bacterial growth and development of urinary tract infections (UTIs).
Question 3.
During change-of-shift report the nurse states that a patient has early renal failure and to be
alert to this when administering medications. Why would this be a concern? The kidneys assist
in the detoxification of medication metabolites. The patient may not be able to absorb all of the
medications. The bladder acts as a filter to remove wastes and form urine. The kidneys are the
primary site for medication metabolism.
ANSWER
The kidneys assist in the detoxification of medication metabolites. The kidneys detoxify and eliminate
by products of medication metabolism. If the kidneys are unable to perform this function, medication
toxicity can develop. The nephron, the functional unit of the kidney, forms the urine. The bladder
holds the urine until it is excreted. The liver is a primary site for medication metabolism.
2
, Question 4.
The nursing instructor is reviewing the renal system and urinary catheterization with her
students. Which statement, if made by a nursing student, indicates that further instruction is
needed?
A. "The urinary tract is considered to
be sterile."
B. "The nurse may use clean technique
to insert an indwelling catheter."
C. "The urge to void is felt when the
bladder contains 150 to 200 mL in an adult."
D. "The minimum average hourly
urine output is 30 mL."
ANSWER
B
Question 5.
_________________________ is used whether inserting a straight or in- dwelling urinary catheter.
ANSWER
Sterile technique
Question 6.
Patients may use ___________________________ in the home setting for intermittent
catheterization.
ANSWER
clean insertion technique
Question 7.
When the patient is in an acute care or long-term care setting, _______________________________
technique is required because of the high risk for nosocomial infections.
ANSWER
sterile insertion
Question 8.
The urinary tract is ____________.
ANSWER
sterile
3
