Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is caring for a client who reports difficulty urinating after surgery. Which action should
the nurse take first?
A. Insert a urinary catheter
✔✔B. Assess the bladder for distention
C. Increase oral fluid intake
D. Administer a diuretic
A client is scheduled for a clean-catch urine specimen. What instruction should the nurse give
first?
✔✔A. "Clean the perineal area from front to back."
B. "Void directly into the cup immediately."
C. "Do not touch the inside of the container lid."
D. "Place the sample in the refrigerator after collection."
A nurse is inserting an indwelling urinary catheter for a female client. Which action maintains
sterile technique?
1
,A. Lubricating the catheter 5 inches from the tip
✔✔B. Keeping gloves sterile while handling the catheter
C. Cleaning the area with a circular motion
D. Holding the catheter with the nondominant hand
After removal of an indwelling catheter, the nurse should monitor the client for
A. Increased appetite
✔✔B. Urinary retention
C. Skin breakdown
D. Elevated blood pressure
What is the best method to prevent a catheter-associated urinary tract infection (CAUTI)?
A. Encourage use of bedpans
B. Use antiseptic soap for perineal care
✔✔C. Remove catheter as soon as possible
D. Clamp catheter intermittently
Which finding indicates a need to notify the provider after catheter insertion?
2
, A. Clear yellow urine draining
✔✔B. No urine output for 2 hours
C. Small air bubbles in tubing
D. Client reports mild burning
The nurse is collecting a 24-hour urine specimen. Which action is correct?
✔✔A. Discard the first void and collect all subsequent urine
B. Store the specimen in a warm place
C. Add antiseptic to the container
D. Begin timing after 12 hours
Which food promotes regular bowel elimination?
A. Cheese
B. White rice
✔✔C. Fresh fruits
D. Ice cream
A nurse is caring for a client with a fecal impaction. Which intervention is appropriate?
3