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1. What is the primary purpose of urinary catheterization? A. To
increase blood pressure B. To drain urine from the bladder C.
To improve hearing D. To reduce body temperature
Answer: B. To drain urine from the bladder
Rationale: Urinary catheterization is performed to drain urine from
the bladder when a patient cannot void independently, requires
accurate urine output monitoring, or needs bladder decompression. It
is not intended to affect blood pressure, hearing, or body temperature.
2. Which type of catheter is inserted for short-term bladder
drainage and then removed immediately after the bladder is
emptied? A. Indwelling catheter B. Suprapubic catheter C.
Intermittent catheter D. Triple-lumen catheter
Answer: C. Intermittent catheter
Rationale: An intermittent catheter is temporarily inserted into the
bladder to drain urine and then removed. It is commonly used for
,specimen collection or temporary urinary retention management.
Indwelling catheters remain in place for continuous drainage.
3. What is the most common size range for adult Foley catheters?
A. 4–6 Fr B. 8–10 Fr C. 12–16 Fr D. 24–30 Fr
Answer: C. 12–16 Fr
Rationale: Adult Foley catheters commonly range from 12 to 16
French in size. These sizes provide adequate drainage while
minimizing urethral trauma. Larger catheters are used only for special
indications such as hematuria or clot irrigation.
4. Which action is most important before inserting a urinary
catheter? A. Raising the bed rails B. Assessing bowel sounds C.
Performing hand hygiene D. Administering oxygen
Answer: C. Performing hand hygiene
Rationale: Hand hygiene is essential before any invasive procedure to
reduce the risk of infection. Catheter-associated urinary tract
infections are commonly linked to poor aseptic technique.
5. Which solution is commonly used to cleanse the urinary
meatus before catheter insertion? A. Hydrogen peroxide B.
Sterile antiseptic solution C. Tap water only D. Alcohol-based
lotion
Answer: B. Sterile antiseptic solution
Rationale: A sterile antiseptic solution is used to cleanse the urinary
meatus to reduce bacterial contamination and prevent infection during
catheter insertion.
6. Which type of catheter has an inflatable balloon to keep it in
place? A. Straight catheter B. Foley catheter C. Coude catheter
D. External catheter
, Answer: B. Foley catheter
Rationale: A Foley catheter is an indwelling catheter with an
inflatable balloon near the tip that helps secure it inside the bladder
for continuous drainage.
7. What should the nurse do if no urine appears after catheter
insertion? A. Inflate the balloon immediately B. Remove the
catheter forcefully C. Advance the catheter slightly farther D.
Clamp the tubing
Answer: C. Advance the catheter slightly farther
Rationale: If no urine appears, the catheter may not yet be fully inside
the bladder. Advancing it slightly farther can help ensure proper
placement before balloon inflation.
8. Why should sterile gloves be worn during catheter insertion?
A. To improve comfort B. To maintain sterile technique C. To
reduce lighting glare D. To stabilize blood pressure
Answer: B. To maintain sterile technique
Rationale: Sterile gloves help maintain aseptic technique and reduce
the risk of introducing microorganisms into the urinary tract during
catheterization.
9. Which complication is most commonly associated with urinary
catheterization? A. Pneumonia B. Urinary tract infection C.
Migraine headache D. Hypertension
Answer: B. Urinary tract infection
Rationale: Catheter-associated urinary tract infections are the most
common complication of urinary catheterization due to the
introduction of bacteria into the urinary system.