URINARY ELIMINATION ATI EXAM LATEST 2023-2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a group of newly admitted clients. For which of the following clients should the
nurse suspect to receive a prescription for urinary catheterization?
- A client who has a persistent urinary tract infection.
- A client who has urge incontinence.
- A client who is in the ICU for a gastrointestinal bleed.
- A client who has incontinence due to cognitive decline. - (answer) A client who is in the ICU for a GI
bleed.
A nurse is planning to obtain a urinary specimen from a client's closed urinary system. Identify the
correct sequence of steps that the nurse should take. - (answer) 1. Wipe the port with an alcohol swab
or agency specified antiseptic.
2. Attach a syringe to the collection port of the indwelling catheter.
3. Withdraw 3 to 30 ml of urine.
4. Transfer the urine to a sterile specimen container.
5. Transport the specimen to the lab.
A nurse is preparing a male client for intermittent urethral catheterization. Which of the following
actions should the nurse take?
- Grasp the penis at its base.
- Lift the penis perpendicular to the body.
- Hold the penis parallel to the client's body.
- Lift the penis to a 45° angle to the client's body. - (answer) Lift the penis perpendicular to the body.
A nurse is assessing a client's indwelling urinary catheter drainage at the end of the shift and notes the
output is considerably less than the fluid intake. Which of the following actions should the nurse take
first?
- Irrigate the catheter.
, URINARY ELIMINATION ATI EXAM LATEST 2023-2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
- Assess for peripheral edema.
- Palpate for bladder distention.
- Check the catheter for kinks. - (answer) Check the catheter for kinks.
A nurse is providing perineal care for a female client who has an indwelling urinary catheter. Which of
the following areas should the nurse cleanse last?
- Urethral meatus
- Labia minora
- Perineum
- Anus - (answer) Anus
A nurse is preparing to insert an indwelling urinary catheter. Which of the following actions should the
nurse instruct the client to perform during the insertion procedure?
- Bear down
- Take deep breaths
- Sip water
- Tighten the perineum - (answer) Bear down
(The nurse should instruct the client to bear down as if to void because this relaxes the external
sphincter and aids in the insertion procedure)
A nurse is preparing to remove a client's indwelling urinary catheter. Which of the following actions
should the nurse take?
- Pull the catheter out as quickly as possible.
- Deflate the balloon completely before removal.
- Cut the inflation port to deflate the balloon.
CORRECT DETAILED ANSWERS
A nurse is caring for a group of newly admitted clients. For which of the following clients should the
nurse suspect to receive a prescription for urinary catheterization?
- A client who has a persistent urinary tract infection.
- A client who has urge incontinence.
- A client who is in the ICU for a gastrointestinal bleed.
- A client who has incontinence due to cognitive decline. - (answer) A client who is in the ICU for a GI
bleed.
A nurse is planning to obtain a urinary specimen from a client's closed urinary system. Identify the
correct sequence of steps that the nurse should take. - (answer) 1. Wipe the port with an alcohol swab
or agency specified antiseptic.
2. Attach a syringe to the collection port of the indwelling catheter.
3. Withdraw 3 to 30 ml of urine.
4. Transfer the urine to a sterile specimen container.
5. Transport the specimen to the lab.
A nurse is preparing a male client for intermittent urethral catheterization. Which of the following
actions should the nurse take?
- Grasp the penis at its base.
- Lift the penis perpendicular to the body.
- Hold the penis parallel to the client's body.
- Lift the penis to a 45° angle to the client's body. - (answer) Lift the penis perpendicular to the body.
A nurse is assessing a client's indwelling urinary catheter drainage at the end of the shift and notes the
output is considerably less than the fluid intake. Which of the following actions should the nurse take
first?
- Irrigate the catheter.
, URINARY ELIMINATION ATI EXAM LATEST 2023-2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
- Assess for peripheral edema.
- Palpate for bladder distention.
- Check the catheter for kinks. - (answer) Check the catheter for kinks.
A nurse is providing perineal care for a female client who has an indwelling urinary catheter. Which of
the following areas should the nurse cleanse last?
- Urethral meatus
- Labia minora
- Perineum
- Anus - (answer) Anus
A nurse is preparing to insert an indwelling urinary catheter. Which of the following actions should the
nurse instruct the client to perform during the insertion procedure?
- Bear down
- Take deep breaths
- Sip water
- Tighten the perineum - (answer) Bear down
(The nurse should instruct the client to bear down as if to void because this relaxes the external
sphincter and aids in the insertion procedure)
A nurse is preparing to remove a client's indwelling urinary catheter. Which of the following actions
should the nurse take?
- Pull the catheter out as quickly as possible.
- Deflate the balloon completely before removal.
- Cut the inflation port to deflate the balloon.
