1. What is a Foley catheter used for?

A. Empty the bladder

B. Empty the stomach
C. Empty stool
D. Fill the bladder

2. When a female client with an indwelling urinary (Foley) catheter

insists on walking to the hospital lobby to visit with family members,
nurse Rose teaches how to do this without compromising the
catheter. Which client action indicates an accurate understanding of
this information?

A. The client sets the drainage bag on the floor while sitting down.
B. The client keeps the drainage bag below the bladder at all times.
C. The client clamps the catheter drainage tubing while visiting with the
family.
D. The client loops the drainage tubing below its point of entry into the
drainage bag.

3. A client is frustrated and embarrassed by urinary incontinence.

Which of the following measures should Nurse Ginny include in a
bladder retraining program?

A. Establishing a predetermined fluid intake pattern for the client

B. Encouraging the client to increase the time between voidings
C. Restricting fluid intake to reduce the need to void
D. Assessing present elimination patterns

4. Nurse Mary is inserting a urinary catheter into a client who is

extremely anxious about the procedure. The nurse can facilitate the
insertion by asking the client to:
 A. Initiate a stream of urine.
B. Breathe deeply.
C. Turn to the side.
D. Hold the labia or shaft of penis.

5. Nurse Gil is aware that the following statements describing urinary

incontinence in the elderly is true?

A. Urinary incontinence is a normal part of aging.

B. Urinary incontinence isn’t a disease.
C. Urinary incontinence in the elderly can’t be treated.
D. Urinary Incontinence is a disease.

6. A person with which condition may need a Foley

catheter?
A. Heartburn
B. Diarrhea
C. Spinal cord injury
D. Bone fracture

6. The urethra is cleaned to prevent?

A. Bladder spasms
B. Bladder rupture
C. Leakage of urine
D. Infection
7. Indications for Foley catheterization include all except
A. Collection of sterile urine sample
B. Measuring residual urine volumes
C. In preparation for a night of beer drinking
D. Urinary retention

8. Risks of catheterizations include

A. Trauma to urethral meatus
B. Urinary tract infections
C. Spasms and bladder pain
D. All of the above
9.  Typical size used to catheterize a male client with urinary incontinence is:
A. 16 fr.
B. 18
C. 22
D. 26

10. When the balloon on an indewling urinary catheter is blown up, the patient expresses discomfort.
You should:
A. Remove the catheter
B. Continue to blow up the balloon, because discomfort is expected
C. Aspirate the fluid from the balloon and advance the catheter
D. Pull back on the catheter slightly to determine tension

11. Inflating the balloon prior to seeing urine draining can result in:
A. Urethral trauma
B. Hematuria
C. Pain
D. All the above

12. What is the difference between a male and a female catheter?

A. Male and female catheters are different colours
B. Male catheters are longer than female catheters
C. Male catheters are bigger than female catheters.
D.  Female catheters are longer than male catheters
13. What size of urine drainage bag may be used at night?
A. 350ml
B. 500 ml.
C. 1Liter
D. 2 liters

14. What should be done after catheterization is carried out?

A. The patient should be thanked
B. The patient should be advised when to drink.
C. The patient should be washed.
D. Document catheterization in the patient's notes.

15. Mang Ambo was brought to emergency room of Tarlac

Provincial Hospital because of painful and difficult urination .This
term is called:
A. Urinary incontinence
B. Dysuria
C. Hematuria
D. Anuria
16. Aling Nena was admitted in Medical ward with the chief
complaints of hematuria for 3 days.Her condition is ,
A. Painful urination
B. Presence of pus in the urine
C. Presence of blood in the urine
D. Presence of infection
17. Norma who complain of difficulty of urination was advised by
her physician of the rules in normal urinary elimination ,which is
A. do not withhold fluids
B. allow time to void
C. assist the person to assume a normal voiding position
D. all of the above

18. Mrs Pilar a diabetic patient frequently goes to the toilet at night
.She is experiencing,
A. nocturia
B. anuria
C. hematuria
D. polyuria
19. When cleaning an indwelling catheter to a post operative
client.The nurse must
A. Start applying cotton balls with antiseptic solution from the
meatus downward
B. Clean the vagina with wash cloth and water
C. Use antiseptic solution in a cotton balls starting from the
rectum up to the urethral meatus
D. Use antiseptic solution in a cotton balls starting from the labia
majora down to the rectum

20.When inserting a foley catheter for a pregnant full term woman

for Ceasarian section ,the nurse must used, which size of the foley
catheter?
A. Size 6-8
B. Size 14 - 16
C. Size 20-22
D. Size 24-26

21. Lorie a student nurse is assigned toperform catheter care .During catheter care, gloves need to be
worn, if
A. you are emptying the urine drainage bag.
B. emptying the drainage bag,
C. collecting a urine sample.
D. All of the .

22. Mang Tado is wearing a leg bag . Leg bag can be used ,

A. to improve clients comfort, mobility, and/or dignity.

B. to put 2,000 ml in the drainage bag
C. to help a bedridden patient of his incontinent
D. none of the above

23. Which action should the nurse take when removing a patient indwelling urinary catheter?
A. Deflate the balloon completely before removal.
B. Inflate the balloon using 10cc distilled water
C. Ask the patient to bear down
D. Position patient on side lying position

24. This type of catheter is inserted into the bladder through a small incision above the pubic area.
A. Intermittent catheter
B. Indwelling catheter
C. Retention catheter
D. Suprapubic Catheter
25. When positioning a female patient for catheterization ,she should be in a ,
a. Dorsal recumbent position
b. Lithotomy position
c. Fowlers position
d. Supine position
26. Mang Ambo is for Urinary catheterization ,prior to the procedure the nurse should initially
Cleanse the genital and perineal areas with
a. warm soap and water
b. Distilled water
c. Hydrogen peroxide
d. Vinegar withnwater

27. Measurement of residual urine by catheterization after voiding

erifies which of the following conditions?
a. Urinary infection
b. Urinary retention
c. Urinary incontinence
d. Urinary suppression
28. Which of the following should be used to drain a patient’s
bladder for short periods within 5-10 minutes ?
a. Foley catheter
b. Suprapubic catheter
 c. Urinary incontinence
d. Urinary suppression.

29. Which of the following facts about lower urinary tract system
should be kept in mind when considering catheterization?
a. The bladder normally is a sterile cavity
b. The external opening to the urethra should always be sterilized .
c. Pathogens introduce in the bladder remains in the bladder
d. A normal bladder is susceptible to infection as an injured one

30. Which of the following collection devices is a nurse ‘s best

option when collecting urine from a non ambulatory male
patient ?
a. Specimen hat
b. Large urine collection bag
c. Bedpan
d. Urinal
31. Which of the following nursing intervention would be least
effective when trying to maintain safety for the patient with
indwelling catheter?
a. Maintain a close drainage system.
b. Restrict fluid intake
c. Apply a topical ointment to urinary meatus
d. Report signs of infection immediately.

32. The doctor has ordered the collection of a fresh urine sample
to Aling Loleng who has urinary tract infection. Which urine
sample would the nurse discard ?
a. The sample collected immediately after lunch
b. The bedtime voiding
c. The voiding collected at 4 pm
d. The first voiding of the day

33. The nurse recognizes that urinary elimination changes may occur
even in healthy older adults because of which of the following?
a. The bladder distends and its capacity increases
b. Older adults ignore the need to void
c. Urine becomes more concentrated
d. The amount of urine retained after voiding increases
34. During assessment of the client with urinary incontinence, the
nurse is most likely to assess for which of the following? Select all that
apply.
1. Perineal skin irritation
2. Fluid intake of less than 1,500 mL/d
3. History of antihistamine intake
4. Hx of UTI
5. A fecal impaction
a. 1,2,4,5
b. 2,3,4,5
c. 1,3,4,5
d. 1,2,3,4,5

35. Which action represents the appropriate nursing management of a

client wearing a condom catheter?
a. Ensure that the tip of the penis fits snugly against the end of the condom
b. Check the penis for adequate circulation 30 min after applying
c. Change the condom every 8 hours
d. Tape the collecting tube to the lower abdomen.

36. The catheter slips into the vagina during a

straight catheterization of a female client. The nurse does which
action?
a. Leaves the catheter in place and gets a new sterile catheter
b. Leaves the catheter in place and asks another nurse to attempt the procedure
c. Removes the catheter and redirects it to the urinary meatus
d. Removes the catheter, wipes it with a sterile gauze, and redirects it to the urinary meatus

37. Which statement indicates a need for further teaching of a home

care client with a long term indwelling catheter?
a. “I will keep the collecting bag below the level of the bladder at all times”
b. “Intake of cranberry juice may help decrease the risk of infection”
c. “Soaking in a warm tub bath may ease the irritation associated with the catheter”
d. “I should use clean tech. when emptying the collecting bag”

38. During shift report, the nurse learns that an older female client is

unable to maintain continence after she senses the urge to void and
becomes incontinent on the way to the bathroom. Which nursing
diagnosis is most appropriate?
a. stress urinary incontinence
b. reflex urinary incontinence
c. functional urinary incontinence
d. urge urinary incontinence

39. A female client has a urinary tract infection. Which teaching points
by the nurse should be helpful to the client?
a. Limit fluids to avoid the burning sensation on urination
b. Wipe the perineal area from back to front
c. Wear cotton underclothes
d. Take baths rather than showers

40. Which focus is the nurse most likely to teach for a client with a
flaccid bladder?
a. Habit training: attempt voiding at specific time periods
b. Bladder training: delay voiding according to a pre-schedule timetable
c. Crede’s maneuver: apply gentle manual pressure to the lower abdomen
d. Kegel exercises: contract the pelvic muscles

41. Which of the following behaviors indicates that the client on a

bladder training program has met the expected outcomes? Select all
that apply.
a. Voids each time there is an urge
b. Practices slow, deep breathing until the urge decreases
c. Uses adult diapers, for “just in case”
d. Drinks citrus juices and carbonated beverages

42. A nurse must measure the intake and output (I&O) for a patient who
has a urinary retention catheter. Which equipment is most appropriate
to use to accurately measure urine output from a urinary retention
catheter?
a. Urinal
b. Graduated cylinder
c. Large syringe
d. Urine collection bag

43. A patient’s urine is cloudy, is amber, and has an unpleasant odor.

What problem may this information indicate that requires the nurse to
make a focused assessment?
a. Urinary retention
b. Urinary tract infection
c. Ketone bodies in the urine
d. High urinary calcium level
44. A nurse is caring for a debilitated female patient with nocturia.
Which nursing intervention is the priority when planning to meet this
patient’s needs?
a. Encouraging the use of bladder training exercises
b. Providing assistance with toileting every four hours
c. Positioning a bedside commode near the bed
d. Teaching the avoidance of fluid after 5 PM

45. A practitioner uses a urine specimen for culture and sensitivity via a
straight catheter for a patient. What should the nurse do when
collecting this urine specimen?
a. Use a sterile specimen container.
b. Collect urine from the catheter port.
c. Inflate the balloon with 10 mL of sterile water.
d. Have the patient void before collecting the specimen.
46. A nurse in a provider’s office is assessing a client who reports losing
control of urine when ever she coughs, laughs, or sneezes. The client
relates a history of three vaginal births, but no serious accidents or
illnesses. Which of the following interventions are appropriate for
helping to control or eliminate the clients incontinence?
a. Limit total daily fluid intake
b. Decrease or avoid caffeine
c. Increase the intake of calcium supplements
d. Use Crede maneuver

47. A client who has an indwelling catheter reports I need to urinate.

Which of the following interventions should the nurse perform?
a. Check to see whether the catheter is patent
b. Reassure the client that it is not possible for her to urinate
c. Re-catheterize the bladder with a larger gauge catheter
d. Collect a urine specimen for analysis

48. A provider prescribes a 24 hour urine collection for a client. Which of

the following actions should the nurse take?
a. Discard the first voiding
b. Keep all voidings in a container at room temperature
c. Ask the client to urinate and pour the urine into a specimen container
d. Ask the client to urinate into the toilet, stop midstream, and finish urinating into the specimen
container
49. A nurse is preparing to initiate a bladder training program for a
client who has a voiding disorder. Which of the following actions should
the nurse take? Select all that apply.
1. Establish a schedule of voiding prior to meal times
2. Have the client record voiding times
3. Gradually increase the voiding intervals
4. Reminded client to hold urine until next scheduled voiding time
5. Provide a sterile container for voiding
a. 1,2,3
b.2,3,4
c.1,3,4
d.1,2,3,4

50. A nurse educator on a medical unit is reviewing factors that

increase the risk of urinary tract infections with a group of assistive
personnel. Which of the following should be included in the review?
Select all that apply.
1. Having sexual intercourse on a frequent basis
2. Lowering of testosterone levels
3. Wiping from front to back
4. The location of the vagina in relation to the anus
5. Undergoing frequent catheterization
a. 1,2,3
b.2,3,4,
c.1,4,5
d.3,4,5
Answers and Rationale
1. Answer: 4. The amount of urine retained after voiding increases
The capacity of the bladder may decrease with age but the muscle is weaker and can cause urine to be
retained (Option 4). Older adults don’t ignore the urge to void and may have difficulty getting to the
toilet in time (Option 2). The kidney becomes less able to concentrate urine with age (Option3).
2. Answer: 1, 2, 4, and 5
The perineum may become irritated by the frequent contact with urine (Opt1). Normal fluid intake is at
least 1,500 mL/d and clients often decrease their intake to try to minimize urine leakage (Opt2). UTIs can
contribute to incontinence (Opt4). A fecal impaction can compress the urethra, which results in sm.
amts of urine leakage (Opt5). Antihistamines can cause urinary retention rather than urinary
incontinence (Opt3).
3. Answer: 2. Check the penis for adequate circulation 30 min after
applying
The penis and condom should be checked 1/2 hour after application to ensure that it’s not too tight. A 1
in. space should be left btw the penis and the end of the condom (opt1). The condom is changed every
24h (opt3) and the tubing is taped to the leg or attached to a leg bag. An indwelling catheter is taped to
the lower abdomen or upper thigh (opt4).
4. Answer: 1. Leaves the catheter in place and gets a new sterile
catheter
The catheter in the vagina is contaminated and can’t be reused.If left in place, it may help avoid
mistaking the vaginal opening for the urinary meatus. A single failure to catheterize the meatus doesn’t
indicate that another nurse is needed although sometimes a second nurse can assist in visualization of
the meatus (opt2).
5. Answer: 3. “Soaking in a warm tub bath may ease the irritation
associated with the catheter”
Soaking in a bathtub can increase the risk of exposure to bacteria. The bag should be below the level of
the bladder to promote proper drainage (opt1). Intake of cranberry juice creates an environment
nonconducive to infection (opt2). Clean technique is appropriate for touching the exterior portions of
the system (opt4).
6. Answer: 4. urge urinary incontinence
The key phrase is “the urge to void” option one occurs when the client coughs, sneezes, or jars the body,
resulting in accidental loss of urine. Option two occurs with involuntary loss of urine at somewhat
predictable intervals when a specific bladder volume is reached. Option three is involuntary loss of urine
related to impaired function.
7. Answer: 2, 4
Option two validates the diagnosis. Cotton underwear promotes appropriate exposure to air, resulting in
decreased bacterial growth (opt4). Increased fluids decrease concentration and irritation (opt1). The
client should wipe the perineal area from front to back to prevent spread of bacteria from the rectal
area to the urethra (opt3). Showers reduce exposure of area to bacteria (opt5).
8. Answer: 2. Kock pouch
The ileal conduit and vesicostomy (opt1,4) are in continent urinary diversions, and clients are required
to use an external ostomy appliance to contain the urine. Clients with a neobladder can control their
voiding (opt3).
9. Answer: 3. Crede’s maneuver: apply gentle manual pressure to the
lower abdomen
Because the bladder muscles will not contract to increase the intra-bladder pressure to promote
urination, the process is initiated manually. Options one, two, and four: to promote continence bladder
contractions are required for habit training, bladder training, and increasing the tone of the pelvic
muscles.
10. Answer: 2, 5
It is important for the client to inhibit the urge to void sensation when a premature urge is experienced.
Some clients may need diapers; this is not the best indicator of a successful program (opt3). Citrus juices
may irritate the bladder (opt4). Carbonated beverages increase diuresis and the risk of incontinence
(opt4).
11. Answer: 3. Prostate enlargement
An enlarged prostate compresses the urethra and interferes with the outflow of urine, resulting in
urinary retention. With urinary retention, the pressure within the bladder builds until the external
urethral sphincter temporarily opens to allow a small volume (25-60mL) of urine to escape (overflow
incontinence). Coughing, which raises the intro abdominal pressure, is related to stress incontinence,
not overflow incontinence (opt1). Mobility deficits, such as spinal cord injuries, are related to reflex
incontinence, not overflow incontinence (opt2). Urinary tract infections are related to urge
incontinence, not overflow incontinence (opt4).
12. Answer: 2. Graduate
A graduate is a collection container with volume markings usually at 25 mL increments that promote
accurate measurements of urine volume. Although urinals have volume markings on the side, usually
they occur in 100 mL increments that do not promote accurate measurements (opt1). Option 3 is
impractical. A large syringe is used to obtain a sterile specimen from a retention catheter (Foley
catheter). A urine collection bag is flexible and balloons outward as urine collects. In addition, the
volume markings are at 100 mL increments that do not promote accurate measurements (opt4).
13. Answer: 2. Urinary tract infection
The urine appears concentrated (amber)and cloudy because of the presence of bacteria,
white blood cells, and red blood cells. The unpleasant odor is caused by pus in the urine (pyuria).
These clinical manifestations do not reflect urinary retention. Urinary retention is evidenced by supra
pubic distention and lack of voiding or small, frequent voiding (overflow incontinence) (opt1). These
clinical manifestations do not reflect Ketone bodies in the urine. A reagent strip dipped in urine will
measure the presence of Ketone bodies (opt3). These clinical manifestations do not reflect excessive
calcium in the urine. Urine calcium levels are measured by assessing a 24 hour urine specimen (opt4).
14. Answer: 3. Positioning a bedside commode near the bed
The use of a commode requires less energy than using a bedpan and is safer than walking to the
bathroom. Sitting on the commode uses gravity to empty the bladder fully and thus prevent urinary
stasis. Although option 1 should be done, it is not the priority. Option 2 may be too often or not often
enough for the patient. Care should be individualized for the patient. Fluids may be decreased during
the last two hours before bedtime, but they should not be avoided completely after 5 PM (opt4). Some
fluid intake is necessary for adequate renal perfusion.
15. Answer: 1. Use a sterile specimen container.
A culture attempts to identify the microorganisms present in the urine, and a sensitivity study identifies
the antibiotics that are effective against the isolated micro organisms. A sterile specimen container is
used to prevent contamination of the specimen by micro organisms outside the body (exogenous). The
urine from straight catheter flows directly into the specimen container. Collecting a urine specimen from
a catheter port is necessary when the patient has a urinary retention catheter (opt2). A straight catheter
has a single lumen for draining urine from the bladder. A straight catheter does not remain in the
bladder and therefore does not have a 2nd lumen for water to be inserted into a balloon (opt3). This
may result in no urine left in the bladder for the straight catheter to collect. A minimum of 3 mL of urine
is necessary for a specimen for urine culture and sensitivity (opt4).
16. Answer: 2 and 4
ADVERTISEMENTS
Caffeine and alcohol are bladder irritants and can worsen stress incontinence. Alcohol is a bladder
irritant and can worsen stress incontinence. Because stress incontinence results from weak pelvic
muscles and other structures, limiting fluid will not resolve the problem (opt1). Calcium has no effect on
stress incontinence (opt3). The Crede maneuver helps manage reflex incontinence, not stress
incontinence (opt5).
17. Answer: 1. Check to see whether the catheter is patent
A clogged or kinked catheter causes the bladder to fill and stimulates the need to urinate. Reassuring
the client that is not possible to urinate is a non-therapeutic response because it diminishes the client’s
concern (opt2). There are less invasive approaches the nurse can take before replacing the catheter
(opt3). Although it may become necessary to collect a urine specimen, there is a simpler approach the
nurse can take to assess and possibly resolve the client’s problem (opt4).
18. Answer: 1. Discard the first voiding
The nurse should discard the first voiding of the 24 hour urine specimen, and note the time. The nurse
should collect all voidings after that and keep them in a refrigerated container (opt2). For a urinalysis,
the nurse should ask the client to urinate and pour the urine into a specimen container (opt3). For a
culture, the nurse should ask the client to urinate first into the toilet, then stop midstream, and finish
urinating in the specimen container (opt4).
19. Answer: 2, 3, and 4
Ask the client to keep track of voiding times is an appropriate nursing action. Gradually increasing the
voiding interval is an appropriate nursing action. The client should be reminded to hold urine until the
next scheduled voiding time. Bladder training involves voiding at scheduled in frequent intervals and
gradually increasing these intervals to four hours. Mealtimes are not regular, and the intervals may be
longer than every four hours (opt1). A sterile container is not used in a bladder training program (opt5).
20. Answer: 1, 4, and 5
Having sexual intercourse on a frequent basis is a factor that increases the risk of UTI in both males and
females. The close proximity of the female urethra to the anus is a factor that increases the risk of UTIs.
Undergoing frequent catheterization and the use of indwelling catheters are risk factors for UTIs. The
decrease in estrogen levels during menopause increases a woman’s susceptibility to UTIs (opt2).
Wiping from front to back decreases a woman’s risk of UTIs (opt3).