Page 1 of 55
All ATI Comprehensive RN Bundle with
NGN FREE Ultimate Test Prep Package
1. A nurse is preparing to insert an indwelling urinary catheter
for a female patient. Which action demonstrates proper sterile
technique?
A) Opening the sterile kit and placing the supplies on the
patient’s bedside table
B) Using sterile gloves to handle the catheter and
maintaining the sterile field at waist level
C) Cleaning the meatus with the same cotton swab in a
front-to-back motion
D) Inflating the balloon before insertion to check for leaks
<details> <summary><b>Answer &
Rationale</b></summary> <b>Answer: B) Using sterile gloves
,Page 2 of 55
to handle the catheter and maintaining the sterile field at waist
level.</b><br> <i>Rationale:</i> Sterile technique requires
that the sterile field be kept above waist level and that only
sterile gloves touch the catheter. Option A is incorrect because
supplies must be placed on the sterile field, not directly on the
table. Option C is incorrect because each swab should be used
once and discarded. Option D is incorrect because inflating the
balloon before insertion can cause a crease, leading to trauma.
</details>
2. A nurse is caring for a patient who has an order for “enemas
until clear” before a colonoscopy. After the first two enemas, the
return fluid is brown, thick, and contains fecal material. Which
action should the nurse take next?
A) Administer the third enema as ordered
B) Notify the healthcare provider that the bowel is clear
,Page 3 of 55
C) Change the patient’s position to left lateral
D) Stop the enemas and document “bowel not clear”
<details> <summary><b>Answer &
Rationale</b></summary> <b>Answer: A) Administer the third
enema as ordered.</b><br> <i>Rationale:</i> The order
“until clear” means enemas should be repeated until the return is
clear or light yellow with no fecal matter. Since the return
remains brown and thick, additional enemas are required. B is
incorrect because clear not achieved. C (position change) may
help but is not a substitute for continuing. D is incorrect because
the order is not fulfilled. </details>
3. A nurse is performing a straight catheterization on a male
patient. After cleansing the meatus, the nurse notes that the
catheter will not advance despite gentle pressure. The patient
reports pain. What is the nurse’s priority action?
, Page 4 of 55
A) Apply more force to advance the catheter
B) Remove the catheter and notify the provider of possible
obstruction
C) Inflate the balloon to help guide the catheter
D) Ask the patient to bear down as if to void
<details> <summary><b>Answer &
Rationale</b></summary> <b>Answer: B) Remove the
catheter and notify the provider of possible
obstruction.</b><br> <i>Rationale:</i> Resistance during
catheterization could indicate stricture, prostate enlargement, or
false passage. Forcing the catheter can cause trauma. The nurse
should stop, withdraw, and notify the provider. Option D
(bearing down) is not helpful. Option A is dangerous. Option C is
incorrect because the balloon is not inflated until the catheter is in
the bladder. </details>
All ATI Comprehensive RN Bundle with
NGN FREE Ultimate Test Prep Package
1. A nurse is preparing to insert an indwelling urinary catheter
for a female patient. Which action demonstrates proper sterile
technique?
A) Opening the sterile kit and placing the supplies on the
patient’s bedside table
B) Using sterile gloves to handle the catheter and
maintaining the sterile field at waist level
C) Cleaning the meatus with the same cotton swab in a
front-to-back motion
D) Inflating the balloon before insertion to check for leaks
<details> <summary><b>Answer &
Rationale</b></summary> <b>Answer: B) Using sterile gloves
,Page 2 of 55
to handle the catheter and maintaining the sterile field at waist
level.</b><br> <i>Rationale:</i> Sterile technique requires
that the sterile field be kept above waist level and that only
sterile gloves touch the catheter. Option A is incorrect because
supplies must be placed on the sterile field, not directly on the
table. Option C is incorrect because each swab should be used
once and discarded. Option D is incorrect because inflating the
balloon before insertion can cause a crease, leading to trauma.
</details>
2. A nurse is caring for a patient who has an order for “enemas
until clear” before a colonoscopy. After the first two enemas, the
return fluid is brown, thick, and contains fecal material. Which
action should the nurse take next?
A) Administer the third enema as ordered
B) Notify the healthcare provider that the bowel is clear
,Page 3 of 55
C) Change the patient’s position to left lateral
D) Stop the enemas and document “bowel not clear”
<details> <summary><b>Answer &
Rationale</b></summary> <b>Answer: A) Administer the third
enema as ordered.</b><br> <i>Rationale:</i> The order
“until clear” means enemas should be repeated until the return is
clear or light yellow with no fecal matter. Since the return
remains brown and thick, additional enemas are required. B is
incorrect because clear not achieved. C (position change) may
help but is not a substitute for continuing. D is incorrect because
the order is not fulfilled. </details>
3. A nurse is performing a straight catheterization on a male
patient. After cleansing the meatus, the nurse notes that the
catheter will not advance despite gentle pressure. The patient
reports pain. What is the nurse’s priority action?
, Page 4 of 55
A) Apply more force to advance the catheter
B) Remove the catheter and notify the provider of possible
obstruction
C) Inflate the balloon to help guide the catheter
D) Ask the patient to bear down as if to void
<details> <summary><b>Answer &
Rationale</b></summary> <b>Answer: B) Remove the
catheter and notify the provider of possible
obstruction.</b><br> <i>Rationale:</i> Resistance during
catheterization could indicate stricture, prostate enlargement, or
false passage. Forcing the catheter can cause trauma. The nurse
should stop, withdraw, and notify the provider. Option D
(bearing down) is not helpful. Option A is dangerous. Option C is
incorrect because the balloon is not inflated until the catheter is in
the bladder. </details>
