NCHP LATEST 2025 EXAM 3
PRACTICE ACTUAL QUESTIONS
WITH 100% VERIFIED
SOLUTIONS- GRADED A+
,A patient is scheduled to have an intravenous pyelogram (IVP) the next morning. Which nursing
measures should be implemented before the test? (Select all that apply.)
1. Ask the patient about any allergies and reactions.
2. Instruct the patient that a full bladder is required for the test.
3. Instruct the patient to save all urine in a special container.
4. Ensure that informed consent has been obtained.
5. Instruct the patient that facial flushing can occur when the contrast media is given.
1. Ask the patient about any allergies and reactions.
4. Ensure that informed consent has been obtained.
5. Instruct the patient that facial flushing can occur when the contrast media is given.
What is a critical step when inserting an indwelling catheter into a male patient?
1. Slowly inflate the catheter balloon with sterile saline.
2. Secure the catheter drainage tubing to the bedsheets.
3. Advance the catheter to the bifurcation of the drainage and balloon ports.
4. Advance the catheter until urine flows, then insert ¼ inch more.
3. Advance the catheter to the bifurcation of the drainage and balloon ports.
Which instruction should the nurse give the assistive personnel (AP) concerning a patient who has had
an indwelling urinary catheter removed that day?
1. Limit oral fluid intake to avoid possible urinary incontinence.
2. Expect patient complaints of suprapubic fullness and discomfort.
3. Report the time and amount of first voiding.
4. Instruct patient to stay in bed and use a urinal or bedpan.
3. Report the time and amount of first voiding.
A postoperative patient with a three-way indwelling urinary catheter and continuous bladder irrigation
(CBI) complains of lower abdominal pain and distention. What should be the nurse's initial
intervention(s)? (Select all that apply.)
1. Increase the rate of the CBI.
,2. Assess the patency of the drainage system.
3. Measure urine output.
4. Assess vital signs.
5. Administer ordered pain medication.
2. Assess the patency of the drainage system.
3. Measure urine output.
An ambulatory elderly woman with dementia is incontinent of urine. She has poor short-term memory
and has not been seen toileting independently. What is the best nursing intervention for this patient?
1. Recommend that she be evaluated for an overactive bladder (OAB) medication.
2. Establish a toileting schedule.
3. Recommend that she be evaluated for an indwelling catheter.
4. Start a bladder-retraining program.
2. Establish a toileting schedule.
What should the nurse teach a young woman with a history of urinary tract infections (UTIs) about UTI
prevention? (Select all that apply.)
1. Maintain regular bowel elimination.
2. Limit water intake to 1 to 2 glasses a day.
3. Wear cotton underwear.
4. Cleanse the perineum from front to back.
5. Practice pelvic muscle exercise (Kegel) daily.
1. Maintain regular bowel elimination.
3. Wear cotton underwear.
4. Cleanse the perineum from front to back.
Place the following steps for insertion of an indwelling catheter in a female patient in appropriate order.
1. Insert and advance catheter.
2. Lubricate catheter.
3. Inflate catheter balloon.
, 4. Cleanse urethral meatus with antiseptic solution.
5. Drape patient with the sterile square and fenestrated drapes.
6. When urine appears, advance another 2.5 to 5 cm.
7. Prepare sterile field and supplies.
8. Gently pull catheter until resistance is felt.
9. Attach drainage tubing.
5, 7, 2, 4, 1, 6, 3, 8, 9
5. Drape patient with the sterile square and fenestrated drapes.
7. Prepare sterile field and supplies.
2. Lubricate catheter.
4. Cleanse urethral meatus with antiseptic solution.
1. Insert and advance catheter.
6. When urine appears, advance another 2.5 to 5 cm.
3. Inflate catheter balloon.
8. Gently pull catheter until resistance is felt.
9. Attach drainage tubing.
Which nursing interventions should a nurse implement when removing an indwelling urinary catheter in
an adult patient? (Select all that apply.)
1. Attach a 3-mL syringe to the inflation port.
2. Allow the balloon to drain into the syringe by gravity.
3. Initiate a voiding record/bladder diary.
4. Pull the catheter quickly.
5. Clamp the catheter before removal.
2. Allow the balloon to drain into the syringe by gravity.
3. Initiate a voiding record/bladder diary.
Which nursing intervention decreases the risk for catheter-associated urinary tract infection (CAUTI)?
1. Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution
2. Hanging the urinary drainage bag below the level of the bladder
3 Emptying the urinary drainage bag daily
4. Irrigating the urinary catheter with sterile water
2. Hanging the urinary drainage bag below the level of the bladder
PRACTICE ACTUAL QUESTIONS
WITH 100% VERIFIED
SOLUTIONS- GRADED A+
,A patient is scheduled to have an intravenous pyelogram (IVP) the next morning. Which nursing
measures should be implemented before the test? (Select all that apply.)
1. Ask the patient about any allergies and reactions.
2. Instruct the patient that a full bladder is required for the test.
3. Instruct the patient to save all urine in a special container.
4. Ensure that informed consent has been obtained.
5. Instruct the patient that facial flushing can occur when the contrast media is given.
1. Ask the patient about any allergies and reactions.
4. Ensure that informed consent has been obtained.
5. Instruct the patient that facial flushing can occur when the contrast media is given.
What is a critical step when inserting an indwelling catheter into a male patient?
1. Slowly inflate the catheter balloon with sterile saline.
2. Secure the catheter drainage tubing to the bedsheets.
3. Advance the catheter to the bifurcation of the drainage and balloon ports.
4. Advance the catheter until urine flows, then insert ¼ inch more.
3. Advance the catheter to the bifurcation of the drainage and balloon ports.
Which instruction should the nurse give the assistive personnel (AP) concerning a patient who has had
an indwelling urinary catheter removed that day?
1. Limit oral fluid intake to avoid possible urinary incontinence.
2. Expect patient complaints of suprapubic fullness and discomfort.
3. Report the time and amount of first voiding.
4. Instruct patient to stay in bed and use a urinal or bedpan.
3. Report the time and amount of first voiding.
A postoperative patient with a three-way indwelling urinary catheter and continuous bladder irrigation
(CBI) complains of lower abdominal pain and distention. What should be the nurse's initial
intervention(s)? (Select all that apply.)
1. Increase the rate of the CBI.
,2. Assess the patency of the drainage system.
3. Measure urine output.
4. Assess vital signs.
5. Administer ordered pain medication.
2. Assess the patency of the drainage system.
3. Measure urine output.
An ambulatory elderly woman with dementia is incontinent of urine. She has poor short-term memory
and has not been seen toileting independently. What is the best nursing intervention for this patient?
1. Recommend that she be evaluated for an overactive bladder (OAB) medication.
2. Establish a toileting schedule.
3. Recommend that she be evaluated for an indwelling catheter.
4. Start a bladder-retraining program.
2. Establish a toileting schedule.
What should the nurse teach a young woman with a history of urinary tract infections (UTIs) about UTI
prevention? (Select all that apply.)
1. Maintain regular bowel elimination.
2. Limit water intake to 1 to 2 glasses a day.
3. Wear cotton underwear.
4. Cleanse the perineum from front to back.
5. Practice pelvic muscle exercise (Kegel) daily.
1. Maintain regular bowel elimination.
3. Wear cotton underwear.
4. Cleanse the perineum from front to back.
Place the following steps for insertion of an indwelling catheter in a female patient in appropriate order.
1. Insert and advance catheter.
2. Lubricate catheter.
3. Inflate catheter balloon.
, 4. Cleanse urethral meatus with antiseptic solution.
5. Drape patient with the sterile square and fenestrated drapes.
6. When urine appears, advance another 2.5 to 5 cm.
7. Prepare sterile field and supplies.
8. Gently pull catheter until resistance is felt.
9. Attach drainage tubing.
5, 7, 2, 4, 1, 6, 3, 8, 9
5. Drape patient with the sterile square and fenestrated drapes.
7. Prepare sterile field and supplies.
2. Lubricate catheter.
4. Cleanse urethral meatus with antiseptic solution.
1. Insert and advance catheter.
6. When urine appears, advance another 2.5 to 5 cm.
3. Inflate catheter balloon.
8. Gently pull catheter until resistance is felt.
9. Attach drainage tubing.
Which nursing interventions should a nurse implement when removing an indwelling urinary catheter in
an adult patient? (Select all that apply.)
1. Attach a 3-mL syringe to the inflation port.
2. Allow the balloon to drain into the syringe by gravity.
3. Initiate a voiding record/bladder diary.
4. Pull the catheter quickly.
5. Clamp the catheter before removal.
2. Allow the balloon to drain into the syringe by gravity.
3. Initiate a voiding record/bladder diary.
Which nursing intervention decreases the risk for catheter-associated urinary tract infection (CAUTI)?
1. Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution
2. Hanging the urinary drainage bag below the level of the bladder
3 Emptying the urinary drainage bag daily
4. Irrigating the urinary catheter with sterile water
2. Hanging the urinary drainage bag below the level of the bladder
