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NUR 325 Exam 2: Comprehensive 400-Question
Study Guide & Practice Bank (2026/2027)
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?
a. Recommend she be evaluated for an OAB medication.
b. Start a scheduled toileting program.
c. Recommend she be evaluated for an indwelling catheter.
d. Start a bladder retraining program ......ANSWER......B (An appropriate
first action would be to assess the patency of the drainage system.
Urine output in the drainage bag should be more than the volume of
the irritant solution infused. If the system is not draining urine and
irritant, the irritant should be stopped immediately, the catheter may
be occluded and the bladder distended.)
Which nursing assessment question would best indicate that an
incontinent man with a history of prostate enlargement might not be
emptying his bladder adequately?
a. Do you leak urine when you cough or sneeze?
b. Do you need help getting to the toilet?
c. Do you dribble urine constantly?
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d. Does it burn when you pass your urine? ......ANSWER......C
(Incontinence characterized by constant dribbling of urine is associated
with incontinence associated with urinary retention. . The other options
point to stress incontinence, functional incontinence or a UTI.)
The NAP reports to the nurse that a patient's catheter drainage bag has
been empty for 4 hours. What is a priority nursing intervention?
a. Implement the "as needed" order to irrigate the catheter.
b. Assess the catheter and drainage tubing for obvious occlusion.
c. Notify the health care provider immediately.
d. Assess the vital signs and intake and output record. ......ANSWER......B
(The priority nursing intervention is to ensure that there is not an
occlusion in the catheter or drainage tubing.)
What nursing intervention decreases the risk for catheter associated
urinary tract infection (CAUTI)?
a. Cleanse the urinary meatus 3-4 times daily with antiseptic solution.
b. Hang the urinary drainage bag below the level with the bladder.
c. Empty the urinary drainage bag daily.
d. Irrigate the urinary catheter with sterile water. ......ANSWER......B
(Evidenced based interventions shown to decrease the risk for CAUTI
include ensuring that there is a free flow of urine from the catheter to
the drainage bag.)
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What should the nurse teach a young woman with a history of urinary
tract infections about UTI prevention? (Select all that apply.)
a. Keep the bowels regular.
b. Limit water intake to 1-2 glasses a day
c. Wear cotton underwear
d. Cleanse the perineum from front to back.
e. Practice pelvic muscle exercise (Kegel) daily. ......ANSWER......A C D
(All are interventions that lead to healthy bladder habits. Adequate
hydration will ensure that the bladder is regularly flushed out and will
help prevent a UTI. Pelvic muscle exercises promote pelvic health but
not necessarily prevent UTI.)
When a patient has fecal incontinence as a result of cognitive
impairment, it may be helpful to teach caregivers to do which of the
following interventions?
a. Cleanse the skin with antibacterial soap and apply talcum powder to
the buttocks
b. Use diapers and heavy padding on the bed
c. Initiate bowel or habit training program to promote continence
d. Help the patient to toilet once every hour ......ANSWER......C (A
cognitively impaired patient may have forgotten how to respond to the
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urge to defecate and benefit from a structured program of bowel
retraining.)
The nurse is taking a health history of a newly admitted patient with a
diagnosis of possible fecal impaction. Which of the following is the
priority question to ask the patient or caregiver?
a. Have you eaten more high-fiber foods lately?
b. Are your bowel movements soft and formed?
c. Have you experienced frequent, small liquid stools recently?
d. Have you taken antibiotics recently? ......ANSWER......C (Frequent or
continuous oozing of liquid stools occurs when liquid fecal matter above
the impacted stool seeps around the fecal impaction.)
An elderly patient comes to the hospital with a complaint of severe
weakness and diarrhea for several days. Of the following problems,
which is the most important to assess initially?
a. Malnutrition
b. Dehydration
c. Skin breakdown
d. Incontinence ......ANSWER......B (Dehydration caused by fluid loss
from the intestinal tract is an immediate and possibly dangerous
consequence of diarrhea.)
pg. 4
NUR 325 Exam 2: Comprehensive 400-Question
Study Guide & Practice Bank (2026/2027)
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?
a. Recommend she be evaluated for an OAB medication.
b. Start a scheduled toileting program.
c. Recommend she be evaluated for an indwelling catheter.
d. Start a bladder retraining program ......ANSWER......B (An appropriate
first action would be to assess the patency of the drainage system.
Urine output in the drainage bag should be more than the volume of
the irritant solution infused. If the system is not draining urine and
irritant, the irritant should be stopped immediately, the catheter may
be occluded and the bladder distended.)
Which nursing assessment question would best indicate that an
incontinent man with a history of prostate enlargement might not be
emptying his bladder adequately?
a. Do you leak urine when you cough or sneeze?
b. Do you need help getting to the toilet?
c. Do you dribble urine constantly?
pg. 1
,2|Page
d. Does it burn when you pass your urine? ......ANSWER......C
(Incontinence characterized by constant dribbling of urine is associated
with incontinence associated with urinary retention. . The other options
point to stress incontinence, functional incontinence or a UTI.)
The NAP reports to the nurse that a patient's catheter drainage bag has
been empty for 4 hours. What is a priority nursing intervention?
a. Implement the "as needed" order to irrigate the catheter.
b. Assess the catheter and drainage tubing for obvious occlusion.
c. Notify the health care provider immediately.
d. Assess the vital signs and intake and output record. ......ANSWER......B
(The priority nursing intervention is to ensure that there is not an
occlusion in the catheter or drainage tubing.)
What nursing intervention decreases the risk for catheter associated
urinary tract infection (CAUTI)?
a. Cleanse the urinary meatus 3-4 times daily with antiseptic solution.
b. Hang the urinary drainage bag below the level with the bladder.
c. Empty the urinary drainage bag daily.
d. Irrigate the urinary catheter with sterile water. ......ANSWER......B
(Evidenced based interventions shown to decrease the risk for CAUTI
include ensuring that there is a free flow of urine from the catheter to
the drainage bag.)
pg. 2
,3|Page
What should the nurse teach a young woman with a history of urinary
tract infections about UTI prevention? (Select all that apply.)
a. Keep the bowels regular.
b. Limit water intake to 1-2 glasses a day
c. Wear cotton underwear
d. Cleanse the perineum from front to back.
e. Practice pelvic muscle exercise (Kegel) daily. ......ANSWER......A C D
(All are interventions that lead to healthy bladder habits. Adequate
hydration will ensure that the bladder is regularly flushed out and will
help prevent a UTI. Pelvic muscle exercises promote pelvic health but
not necessarily prevent UTI.)
When a patient has fecal incontinence as a result of cognitive
impairment, it may be helpful to teach caregivers to do which of the
following interventions?
a. Cleanse the skin with antibacterial soap and apply talcum powder to
the buttocks
b. Use diapers and heavy padding on the bed
c. Initiate bowel or habit training program to promote continence
d. Help the patient to toilet once every hour ......ANSWER......C (A
cognitively impaired patient may have forgotten how to respond to the
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urge to defecate and benefit from a structured program of bowel
retraining.)
The nurse is taking a health history of a newly admitted patient with a
diagnosis of possible fecal impaction. Which of the following is the
priority question to ask the patient or caregiver?
a. Have you eaten more high-fiber foods lately?
b. Are your bowel movements soft and formed?
c. Have you experienced frequent, small liquid stools recently?
d. Have you taken antibiotics recently? ......ANSWER......C (Frequent or
continuous oozing of liquid stools occurs when liquid fecal matter above
the impacted stool seeps around the fecal impaction.)
An elderly patient comes to the hospital with a complaint of severe
weakness and diarrhea for several days. Of the following problems,
which is the most important to assess initially?
a. Malnutrition
b. Dehydration
c. Skin breakdown
d. Incontinence ......ANSWER......B (Dehydration caused by fluid loss
from the intestinal tract is an immediate and possibly dangerous
consequence of diarrhea.)
pg. 4
