PNP 301 FINAL QUIZZES QUESTIONS & ANSWERS
Which statement is correct about non-tunneled central venous access devices
(CVADs)?
1. Non-Tunneled Catheters have a lower chance of infection than tunneled lines
2. Non-Tunneled Catheters are permitted for use over 6 months
3. Non-Tunneled Catheters are inserted peripherally
4. Non-Tunneled Catheters are appropriate for short term administration (under 1 week)
- Answers - 4. Non-Tunneled Catheters are appropriate for short term administration
(under 1 week)
What is the benefit of using multi-lumen catheters for venous access?
1. If one lumen is blocked the nurse can avoid that lumen and use another
2. The nurse is able to administer multiple incompatible drugs at the same time
3. The nurse has the use of multiple lumens but only has to flush and check patency of
one
4. The line has a lower incidence of infection - Answers - 2. The nurse is able to
administer multiple incompatible drugs at the same time
Which statement is true about central venous access devices (CVADs)?
1. They have fewer potential complications then a peripheral catheter
2. They increase the need for multiple IV starts
3. They decrease the risk of extravasation injuries
4. They provide immediate central venous system access - Answers - 4. They provide
immediate central venous system access
The highest rate of infection among CVADs (Central Vascular Access Devices) is with
a:
1. Non-tunnelled CVAD
2. Tunnelled CVAD
3. Implanted port
4. PICC - Answers - 1. Non-tunnelled CVAD
The nurse is caring for a patient who underwent a transurethral resection of the prostate
(TURP) and who has a continuous bladder irrigation (CBI) running. The nurse has
orders for CBI maintenance and irrigation as well as a variety of pain medications.
Appropriate care for this client includes:
1. Manually irrigating the catheter if urine outflow decreases
2. Teaching the Valsalva maneuver to patients with excessive bleeding
3. Encouraging the patient to try to urinate around the catheter if the patient experiences
painful bladder spasms
4. Stopping the bladder irrigation if the urine contains blood clots - Answers - 1.
Manually irrigating the catheter if urine outflow decreases
, The nurse is caring for a male patient with urinary retention. There is a doctor's order to
insert a Foley catheter. What size catheter is a general starting size for a patient with no
catheterization history?
1. 22-24 Fr.
2. 8-10 Fr.
3. 14-16 Fr.
4. 6-8 Fr. - Answers - 3. 14-16 Fr.
For which of the following patients should the nurse consider using a coudé tip
catheter?
1. Patient requires a long-term indwelling catheter
2. Continuous bladder irrigation is required for the patient
3. Patient is expected to have bladder surgery
4. Catheterization of a man with an enlarged prostate - Answers - 4. Catheterization of
a man with an enlarged prostate
The nurse is caring for a patient who has a 3-way indwelling catheter with bladder
irrigation following prostate surgery. The patient suddenly complains of severe lower
abdominal pain. What should the nurse do first?
1. Administer an analgesic
2. Perform a bladder scan
3. Assess the patency of the catheter
4. Notify the surgeon - Answers - 3. Assess the patency of the catheter
Which of the following statements is true?
1. when inserting a catheter into a female, you cleanse from inside to outside
2. constipation is not a cause related to issues with urinary catheters
3. a Stat Lock helps to limit irritation to the urinary meatus
4. during insertion of a catheter into a female, it touches the vagina, it is still considered
sterile - Answers - 3. a Stat Lock helps to limit irritation to the urinary meatus
Following a transurethral resection of the prostate (TURP), the client has a PRN order
for a belladonna and opium suppository on the medication administration record (MAR).
What clinical manifestation would lead the nurse to administer this medication?
1. Pain from bladder spasms
2. Constipation
3. Pain at the site of the abdominal incision
4. A fever due to a urinary tract infection - Answers - 1. Pain from bladder spasms
A 3-way (30 ml) foley catheter is used for clients that: (Select all that apply)
1. need to be monitored more closely for output
2. have a previous history of bladder cancer
3. have had a transurethral prostate resection procedure done
4. are obese
5. are passing a lot of blood clots - Answers - 3. have had a transurethral prostate
resection procedure done
Which statement is correct about non-tunneled central venous access devices
(CVADs)?
1. Non-Tunneled Catheters have a lower chance of infection than tunneled lines
2. Non-Tunneled Catheters are permitted for use over 6 months
3. Non-Tunneled Catheters are inserted peripherally
4. Non-Tunneled Catheters are appropriate for short term administration (under 1 week)
- Answers - 4. Non-Tunneled Catheters are appropriate for short term administration
(under 1 week)
What is the benefit of using multi-lumen catheters for venous access?
1. If one lumen is blocked the nurse can avoid that lumen and use another
2. The nurse is able to administer multiple incompatible drugs at the same time
3. The nurse has the use of multiple lumens but only has to flush and check patency of
one
4. The line has a lower incidence of infection - Answers - 2. The nurse is able to
administer multiple incompatible drugs at the same time
Which statement is true about central venous access devices (CVADs)?
1. They have fewer potential complications then a peripheral catheter
2. They increase the need for multiple IV starts
3. They decrease the risk of extravasation injuries
4. They provide immediate central venous system access - Answers - 4. They provide
immediate central venous system access
The highest rate of infection among CVADs (Central Vascular Access Devices) is with
a:
1. Non-tunnelled CVAD
2. Tunnelled CVAD
3. Implanted port
4. PICC - Answers - 1. Non-tunnelled CVAD
The nurse is caring for a patient who underwent a transurethral resection of the prostate
(TURP) and who has a continuous bladder irrigation (CBI) running. The nurse has
orders for CBI maintenance and irrigation as well as a variety of pain medications.
Appropriate care for this client includes:
1. Manually irrigating the catheter if urine outflow decreases
2. Teaching the Valsalva maneuver to patients with excessive bleeding
3. Encouraging the patient to try to urinate around the catheter if the patient experiences
painful bladder spasms
4. Stopping the bladder irrigation if the urine contains blood clots - Answers - 1.
Manually irrigating the catheter if urine outflow decreases
, The nurse is caring for a male patient with urinary retention. There is a doctor's order to
insert a Foley catheter. What size catheter is a general starting size for a patient with no
catheterization history?
1. 22-24 Fr.
2. 8-10 Fr.
3. 14-16 Fr.
4. 6-8 Fr. - Answers - 3. 14-16 Fr.
For which of the following patients should the nurse consider using a coudé tip
catheter?
1. Patient requires a long-term indwelling catheter
2. Continuous bladder irrigation is required for the patient
3. Patient is expected to have bladder surgery
4. Catheterization of a man with an enlarged prostate - Answers - 4. Catheterization of
a man with an enlarged prostate
The nurse is caring for a patient who has a 3-way indwelling catheter with bladder
irrigation following prostate surgery. The patient suddenly complains of severe lower
abdominal pain. What should the nurse do first?
1. Administer an analgesic
2. Perform a bladder scan
3. Assess the patency of the catheter
4. Notify the surgeon - Answers - 3. Assess the patency of the catheter
Which of the following statements is true?
1. when inserting a catheter into a female, you cleanse from inside to outside
2. constipation is not a cause related to issues with urinary catheters
3. a Stat Lock helps to limit irritation to the urinary meatus
4. during insertion of a catheter into a female, it touches the vagina, it is still considered
sterile - Answers - 3. a Stat Lock helps to limit irritation to the urinary meatus
Following a transurethral resection of the prostate (TURP), the client has a PRN order
for a belladonna and opium suppository on the medication administration record (MAR).
What clinical manifestation would lead the nurse to administer this medication?
1. Pain from bladder spasms
2. Constipation
3. Pain at the site of the abdominal incision
4. A fever due to a urinary tract infection - Answers - 1. Pain from bladder spasms
A 3-way (30 ml) foley catheter is used for clients that: (Select all that apply)
1. need to be monitored more closely for output
2. have a previous history of bladder cancer
3. have had a transurethral prostate resection procedure done
4. are obese
5. are passing a lot of blood clots - Answers - 3. have had a transurethral prostate
resection procedure done
