NURSING LAB 2- TEST 1 STUDY
QUESTIONS WITH ANSWERS 2026/2027
LATEST UPDATE
The unregulated care provider (UCP) reports leakage around a patient's urinary
catheter. What action should the nurse take first?
A. Attempt to reinflate the balloon.
B. Increase the patient's fluid intake and reassess in one hour.
C. Remove the catheter and replace with a smaller size.
D. Obtain a urine specimen.
a
A nursing student is watching a nurse catheterize a female patient with an
indwelling catheter. Which of the following, if it occurs, indicates a break in
sterile technique?
A. The nurse inserts the urinary catheter, and when urine does not return,
removes the catheter and makes a second attempt to locate the urethra with the
same catheter.
B. The nurse lubricates the catheter and places it back into the sterile tray when
it uncoils and touches the bed.
C. After the nurse cleans the labia, the labia become slippery and close as the
nurse attempts to obtain a clear view of the urethra.
Page 1 of 57
,D. All of the above
d
Identify the reasons why a patient with an indwelling catheter may have less
than 30 mL per hour of urine in the collection bag:
A. The catheter has slipped out of the bladder.
B. The patient is severely dehydrated.
C. The patient's kidneys are damaged or injured
D. All of the above
d
The nurse has inserted a catheter 7.5 cm in a female patient and obtains no urine
return, even though her bladder is distended. What action should the nurse take
at this time?
A. Remove the catheter and have another nurse attempt to catheterize the
patient.
B. Leave the catheter in the vagina as a landmark and insert another sterile
catheter
C. Remove the catheter and reinsert into the urethra. The nurse may straighten
the urethra by inserting one finger of sterile gloved hand inside the vagina and
applying gentle pressure upward.
Page 2 of 57
,D. Inflate the balloon and reassess in one hour for urine return in the bedside
drainage bag.
b
A nurse inserting an indwelling Foley catheter in a female patient advances the
catheter and obtains clear yellow urine. What is the next action the nurse should
take?
A. Inflate the balloon with the prefilled syringe of sterile water in the balloon
port.
B. Pull gently back on the catheter approximately 2.5 cm or until resistance is
met.
C. Advance catheter another 2.5 to 5 cm and inflate balloon
D. Ask patient to bear down as if to void.
c
20. A nurse is explaining the procedure for inserting an indwelling urinary
catheter. Which of the following explanations regarding anchoring of the
catheter would be most accurate?
A. An indwelling catheter tube is secured to a female patient's abdomen to
prevent accidental dislodgment.
B. An indwelling catheter tube is secured to the male's inner thigh with a strip of
nonallergenic tape or a commercial tube holder.
Page 3 of 57
, C. It is important to anchor the catheter tubing to minimize the risk for urethral
trauma and bladder spasms from traction and to prevent accidental dislodgment.
D. When securing the catheter tubing, slack in the catheter should be avoided to
prevent movement and possible tissue injury.
c
The nurse is inserting an indwelling Foley catheter in a male patient. The nurse
asks the patient to bear down as if to void, and slowly inserts the catheter
through the urethral meatus. The nurse advances the catheter and meets
resistance. What is the nurse's best initial action at this time?
A. Ask the patient to take slow, deep breaths while the nurse inserts the catheter
slowly.
B. Withdraw the catheter and notify the health care provider.
C. Apply more force to insert the catheter inward.
D. Remove the catheter, apply more lubricant, and reinsert.
a
The nurse is performing a dressing change on a patient who is postoperative
from a laparotomy. The patient coughs and the nurse sees a few loops of
intestine uncoiling from the wound. What is the nurse's best action at this time?
A. Assess the wound to determine the extent of evisceration
B. Apply sterile saline-soaked towels to the area.
Page 4 of 57
QUESTIONS WITH ANSWERS 2026/2027
LATEST UPDATE
The unregulated care provider (UCP) reports leakage around a patient's urinary
catheter. What action should the nurse take first?
A. Attempt to reinflate the balloon.
B. Increase the patient's fluid intake and reassess in one hour.
C. Remove the catheter and replace with a smaller size.
D. Obtain a urine specimen.
a
A nursing student is watching a nurse catheterize a female patient with an
indwelling catheter. Which of the following, if it occurs, indicates a break in
sterile technique?
A. The nurse inserts the urinary catheter, and when urine does not return,
removes the catheter and makes a second attempt to locate the urethra with the
same catheter.
B. The nurse lubricates the catheter and places it back into the sterile tray when
it uncoils and touches the bed.
C. After the nurse cleans the labia, the labia become slippery and close as the
nurse attempts to obtain a clear view of the urethra.
Page 1 of 57
,D. All of the above
d
Identify the reasons why a patient with an indwelling catheter may have less
than 30 mL per hour of urine in the collection bag:
A. The catheter has slipped out of the bladder.
B. The patient is severely dehydrated.
C. The patient's kidneys are damaged or injured
D. All of the above
d
The nurse has inserted a catheter 7.5 cm in a female patient and obtains no urine
return, even though her bladder is distended. What action should the nurse take
at this time?
A. Remove the catheter and have another nurse attempt to catheterize the
patient.
B. Leave the catheter in the vagina as a landmark and insert another sterile
catheter
C. Remove the catheter and reinsert into the urethra. The nurse may straighten
the urethra by inserting one finger of sterile gloved hand inside the vagina and
applying gentle pressure upward.
Page 2 of 57
,D. Inflate the balloon and reassess in one hour for urine return in the bedside
drainage bag.
b
A nurse inserting an indwelling Foley catheter in a female patient advances the
catheter and obtains clear yellow urine. What is the next action the nurse should
take?
A. Inflate the balloon with the prefilled syringe of sterile water in the balloon
port.
B. Pull gently back on the catheter approximately 2.5 cm or until resistance is
met.
C. Advance catheter another 2.5 to 5 cm and inflate balloon
D. Ask patient to bear down as if to void.
c
20. A nurse is explaining the procedure for inserting an indwelling urinary
catheter. Which of the following explanations regarding anchoring of the
catheter would be most accurate?
A. An indwelling catheter tube is secured to a female patient's abdomen to
prevent accidental dislodgment.
B. An indwelling catheter tube is secured to the male's inner thigh with a strip of
nonallergenic tape or a commercial tube holder.
Page 3 of 57
, C. It is important to anchor the catheter tubing to minimize the risk for urethral
trauma and bladder spasms from traction and to prevent accidental dislodgment.
D. When securing the catheter tubing, slack in the catheter should be avoided to
prevent movement and possible tissue injury.
c
The nurse is inserting an indwelling Foley catheter in a male patient. The nurse
asks the patient to bear down as if to void, and slowly inserts the catheter
through the urethral meatus. The nurse advances the catheter and meets
resistance. What is the nurse's best initial action at this time?
A. Ask the patient to take slow, deep breaths while the nurse inserts the catheter
slowly.
B. Withdraw the catheter and notify the health care provider.
C. Apply more force to insert the catheter inward.
D. Remove the catheter, apply more lubricant, and reinsert.
a
The nurse is performing a dressing change on a patient who is postoperative
from a laparotomy. The patient coughs and the nurse sees a few loops of
intestine uncoiling from the wound. What is the nurse's best action at this time?
A. Assess the wound to determine the extent of evisceration
B. Apply sterile saline-soaked towels to the area.
Page 4 of 57
