BSN 205 Hallmark Final EXAM 2025-2026
QUESTIONS WITH CORRECT ANSWERS
Which of the following is an example of healing by secondary
|| || || || || || || || || ||
intention?
||
A. A Full thickness pressure injury
|| || || ||
B. A surgical incision || ||
C. A dog bite || ||
D. A burn ||
E. A skin tear - CORRECT ANSWER
|| || || || | | A Full thickness pressure
|| || ||
injury
||
A dog bite
| |
A burn
|| ||
To allow a pressure ulcer on the coccyx to heal in a patient with
|| || || || || || || || || || || || ||
urinary incontinence. - CORRECT ANSWER To determine
|| || || || || ||
urinary retention.
|| ||
A nurse is explaining the procedure for inserting an indwelling
|| || || || || || || || ||
urinary catheter. Which of the following explanations regarding
|| || || || || || || ||
anchoring of the catheter would be most accurate?
|| || || || || || || ||
An indwelling catheter tube is secured to a female patient's
|| || || || || || || || ||
abdomen to prevent accidental dislodgment.
|| || || || ||
An indwelling catheter tube is secured to the male patient's inner
|| || || || || || || || || ||
thigh with a strip of nonallergenic tape or a commercial tube
|| || || || || || || || || || ||
holder.
||
It is important to anchor the catheter tubing to minimize the risk for
|| || || || || || || || || || || ||
urethral trauma and bladder spasms from traction and to prevent
|| || || || || || || || || ||
accidental dislodgment.
|| ||
,When securing the catheter tubing, slack in the catheter should
|| || || || || || || || ||
be avoided to prevent movement and possible tissue injury. -
|| || || || || || || || || ||
CORRECT ANSWER It is important to anchor the catheter
|| | | || || || || || ||
tubing to minimize the risk for urethral trauma and bladder
|| || || || || || || || || ||
spasms from traction and to prevent accidental dislodgment.
|| || || || || || || ||
A nurse inserting an indwelling urinary catheter in a female patient
|| || || || || || || || || ||
advances the catheter and obtains clear yellow urine. What is the
|| || || || || || || || || || ||
next action the nurse should take?
|| || || || || ||
Inflate the balloon with the prefilled syringe of sterile water in the
|| || || || || || || || || || ||
balloon port.
|| ||
Pull gently back on the catheter approximately 1 inch or until
|| || || || || || || || || ||
resistance is met.
|| || ||
Advance catheter another 1 to 2 inches and inflate balloon.
|| || || || || || || || ||
Ask patient to bear down as if to void. - CORRECT ANSWER
|| || || || || || || || || || | |
Advance catheter another 1 to 2 inches and inflate balloon.
|| || || || || || || || || ||
The nurse has inserted a catheter 7.5 cm (3 inches) in a female
|| || || || || || || || || || || ||
patient and obtains no urine return even though her bladder is
|| || || || || || || || || || ||
distended. What action should the nurse take at this time?
|| || || || || || || || || ||
Remove the catheter and have another nurse attempt to
|| || || || || || || ||
catheterize the patient.
|| || ||
Leave the catheter in the vagina as a landmark and insert another
|| || || || || || || || || || ||
sterile catheter.
|| ||
Remove the catheter and reinsert into the urethra. The nurse may
|| || || || || || || || || ||
straighten the urethra by inserting one finger of a sterile-gloved
|| || || || || || || || || ||
hand inside the vagina and applying gentle pressure upward.
|| || || || || || || || ||
,Inflate the balloon and reassess in 1 hour for urine return in the
|| || || || || || || || || || || ||
bedside drainage bag - CORRECT ANSWER Leave the
|| || || || || | | ||
catheter in the vagina as a landmark and insert another sterile
|| || || || || || || || || || ||
catheter.
||
The nurse has a sterile urinary catheter and sterile gloves.
|| || || || || || || || ||
Choose the remaining equipment the nurse will need to insert a
|| || || || || || || || || || ||
straight urethral catheter: (Select all that apply.)
|| || || || || || ||
Sterile cotton balls.
|| ||
Antiseptic solution. |
Sterile urinary collection bag.
| || |
Water-soluble lubricant. ||
Sterile forceps. - CORRECT ANSWER
|| || || | | Sterile cotton balls. || ||
Antiseptic solution. |
Water-soluble lubricant. ||
Sterile forceps.
|
Reasons for lack of urine after inserting a straight catheter
|| || || || || || || || ||
include: (Select all that apply.)
|| || || || ||
The catheter is outside of the bladder.
|| || || || || ||
The catheter is inserted in the vagina rather than in the urethra of a
|| || || || || || || || || || || || ||
female patient.
|| ||
The male patient's prostate is preventing urine from exiting the
|| || || || || || || || ||
bladder.
||
, Urethral spasms are preventing urine from exiting the body.
|| || || || || || || ||
The patient's bladder is distended. - CORRECT ANSWER
|| || || || || || | | The
catheter is outside of the bladder.
|| || || || || ||
The catheter is inserted in the vagina rather than in the urethra of a
|| || || || || || || || || || || || ||
female patient.
|| ||
A nursing student is watching a nurse catheterize a female patient
|| || || || || || || || || ||
with an indwelling catheter. Which of the following, if it occurs,
|| || || || || || || || || || ||
indicates a break in sterile technique? (Select all that apply.)
|| || || || || || || || || ||
The nurse inserts the urinary catheter, and when urine does not
|| || || || || || || || || ||
return, removes the catheter and makes a second attempt to
|| || || || || || || || || ||
locate the urethra with the same catheter.
|| || || || || || ||
The nurse lubricates the catheter and places it back into the
|| || || || || || || || || ||
sterile tray when it uncoils and touches the bed.
|| || || || || || || || ||
After the nurse cleans the labia, the labia become slippery and
|| || || || || || || || || ||
closed as the nurse attempts to obtain a clear view of the urethra.
|| || || || || || || || || || || || ||
The nurse advances the catheter another 2.5 to 5 cm (1 to 2
|| || || || || || || || || || || ||
inches) after urine appears, releases the labia, and holds on to
|| || || || || || || || || || ||
the catheter with the nondominant hand.
|| || || || || ||
The nurse uses forceps and a new cotton ball when cleansing the
|| || || || || || || || || || ||
area, wiping along the far labial fold, the near labial fold, and
|| || || || || || || || || || || ||
directly over the ce - CORRECT ANSWER The nurse inserts
|| || || || || || | | || ||
the urinary catheter, and when urine does not return, removes the
|| || || || || || || || || || ||
catheter and makes a second attempt to locate the urethra with
|| || || || || || || || || || ||
the same catheter.
|| || ||
QUESTIONS WITH CORRECT ANSWERS
Which of the following is an example of healing by secondary
|| || || || || || || || || ||
intention?
||
A. A Full thickness pressure injury
|| || || ||
B. A surgical incision || ||
C. A dog bite || ||
D. A burn ||
E. A skin tear - CORRECT ANSWER
|| || || || | | A Full thickness pressure
|| || ||
injury
||
A dog bite
| |
A burn
|| ||
To allow a pressure ulcer on the coccyx to heal in a patient with
|| || || || || || || || || || || || ||
urinary incontinence. - CORRECT ANSWER To determine
|| || || || || ||
urinary retention.
|| ||
A nurse is explaining the procedure for inserting an indwelling
|| || || || || || || || ||
urinary catheter. Which of the following explanations regarding
|| || || || || || || ||
anchoring of the catheter would be most accurate?
|| || || || || || || ||
An indwelling catheter tube is secured to a female patient's
|| || || || || || || || ||
abdomen to prevent accidental dislodgment.
|| || || || ||
An indwelling catheter tube is secured to the male patient's inner
|| || || || || || || || || ||
thigh with a strip of nonallergenic tape or a commercial tube
|| || || || || || || || || || ||
holder.
||
It is important to anchor the catheter tubing to minimize the risk for
|| || || || || || || || || || || ||
urethral trauma and bladder spasms from traction and to prevent
|| || || || || || || || || ||
accidental dislodgment.
|| ||
,When securing the catheter tubing, slack in the catheter should
|| || || || || || || || ||
be avoided to prevent movement and possible tissue injury. -
|| || || || || || || || || ||
CORRECT ANSWER It is important to anchor the catheter
|| | | || || || || || ||
tubing to minimize the risk for urethral trauma and bladder
|| || || || || || || || || ||
spasms from traction and to prevent accidental dislodgment.
|| || || || || || || ||
A nurse inserting an indwelling urinary catheter in a female patient
|| || || || || || || || || ||
advances the catheter and obtains clear yellow urine. What is the
|| || || || || || || || || || ||
next action the nurse should take?
|| || || || || ||
Inflate the balloon with the prefilled syringe of sterile water in the
|| || || || || || || || || || ||
balloon port.
|| ||
Pull gently back on the catheter approximately 1 inch or until
|| || || || || || || || || ||
resistance is met.
|| || ||
Advance catheter another 1 to 2 inches and inflate balloon.
|| || || || || || || || ||
Ask patient to bear down as if to void. - CORRECT ANSWER
|| || || || || || || || || || | |
Advance catheter another 1 to 2 inches and inflate balloon.
|| || || || || || || || || ||
The nurse has inserted a catheter 7.5 cm (3 inches) in a female
|| || || || || || || || || || || ||
patient and obtains no urine return even though her bladder is
|| || || || || || || || || || ||
distended. What action should the nurse take at this time?
|| || || || || || || || || ||
Remove the catheter and have another nurse attempt to
|| || || || || || || ||
catheterize the patient.
|| || ||
Leave the catheter in the vagina as a landmark and insert another
|| || || || || || || || || || ||
sterile catheter.
|| ||
Remove the catheter and reinsert into the urethra. The nurse may
|| || || || || || || || || ||
straighten the urethra by inserting one finger of a sterile-gloved
|| || || || || || || || || ||
hand inside the vagina and applying gentle pressure upward.
|| || || || || || || || ||
,Inflate the balloon and reassess in 1 hour for urine return in the
|| || || || || || || || || || || ||
bedside drainage bag - CORRECT ANSWER Leave the
|| || || || || | | ||
catheter in the vagina as a landmark and insert another sterile
|| || || || || || || || || || ||
catheter.
||
The nurse has a sterile urinary catheter and sterile gloves.
|| || || || || || || || ||
Choose the remaining equipment the nurse will need to insert a
|| || || || || || || || || || ||
straight urethral catheter: (Select all that apply.)
|| || || || || || ||
Sterile cotton balls.
|| ||
Antiseptic solution. |
Sterile urinary collection bag.
| || |
Water-soluble lubricant. ||
Sterile forceps. - CORRECT ANSWER
|| || || | | Sterile cotton balls. || ||
Antiseptic solution. |
Water-soluble lubricant. ||
Sterile forceps.
|
Reasons for lack of urine after inserting a straight catheter
|| || || || || || || || ||
include: (Select all that apply.)
|| || || || ||
The catheter is outside of the bladder.
|| || || || || ||
The catheter is inserted in the vagina rather than in the urethra of a
|| || || || || || || || || || || || ||
female patient.
|| ||
The male patient's prostate is preventing urine from exiting the
|| || || || || || || || ||
bladder.
||
, Urethral spasms are preventing urine from exiting the body.
|| || || || || || || ||
The patient's bladder is distended. - CORRECT ANSWER
|| || || || || || | | The
catheter is outside of the bladder.
|| || || || || ||
The catheter is inserted in the vagina rather than in the urethra of a
|| || || || || || || || || || || || ||
female patient.
|| ||
A nursing student is watching a nurse catheterize a female patient
|| || || || || || || || || ||
with an indwelling catheter. Which of the following, if it occurs,
|| || || || || || || || || || ||
indicates a break in sterile technique? (Select all that apply.)
|| || || || || || || || || ||
The nurse inserts the urinary catheter, and when urine does not
|| || || || || || || || || ||
return, removes the catheter and makes a second attempt to
|| || || || || || || || || ||
locate the urethra with the same catheter.
|| || || || || || ||
The nurse lubricates the catheter and places it back into the
|| || || || || || || || || ||
sterile tray when it uncoils and touches the bed.
|| || || || || || || || ||
After the nurse cleans the labia, the labia become slippery and
|| || || || || || || || || ||
closed as the nurse attempts to obtain a clear view of the urethra.
|| || || || || || || || || || || || ||
The nurse advances the catheter another 2.5 to 5 cm (1 to 2
|| || || || || || || || || || || ||
inches) after urine appears, releases the labia, and holds on to
|| || || || || || || || || || ||
the catheter with the nondominant hand.
|| || || || || ||
The nurse uses forceps and a new cotton ball when cleansing the
|| || || || || || || || || || ||
area, wiping along the far labial fold, the near labial fold, and
|| || || || || || || || || || || ||
directly over the ce - CORRECT ANSWER The nurse inserts
|| || || || || || | | || ||
the urinary catheter, and when urine does not return, removes the
|| || || || || || || || || || ||
catheter and makes a second attempt to locate the urethra with
|| || || || || || || || || || ||
the same catheter.
|| || ||
