New fundamentals exam 3 practice
questions and answers
1.
The nurse, along with a NAP, is catheterizing a pt with a neurogenic bladder. What are the
responsibilities of the NAP? SATA
A. Maintain the privacy of the pt
B. Provide perineal care
C. Assisting in positioning the pt
D. Insert catheter into the urinary meatus
E. Inflate the balloon fully as per manufacturer's direction - correct answers: ABC
2. The nurse is caring for a pt who has a indwelling urinary catheter. Which actions by the
nurse increases the risk for pt complications?
A. Allowing the drainage bag to get full before emptying
B. Keeping the urinary drainage system closed
C. Preventing urine back flow from the tubing and bag into the bladder
D. Performing perineal care after each bowel movement - correct answers: A
3. A patient complains of diminished urinary output. The nurse finds that the patient also
has diminished fluid intake. What is the medical term for this condition
A. Dysuria
B. Oliguria
C. Polyuria
D. Nocturia - correct answers: B Oliguria is The medical term used for low urinary output in
relation to the fluid intake
4. What is the use of double lumen catheters?
A. Straight catheterization
B. Intermittent catheterization
C. Continuous bladder irrigation
D. Urinary drainage and inflation of a balloon - correct answers: D
5. What rhythm is this client in?
A. Sinus tachycardia
B. Sinus Bradycardia
C. Normal Sinus
D. Atrial fibrillation - correct answers: B
,What rhythms are shockable in cardiac arrest? - correct answers: V-Fib and V-Tach.
What is the priority action by the nurse when seeing V Tach on a client?
A. Early defibrillation
B. Check for a pulse
C. Start emergency peripheral intravenous access
D. Notify provider - correct answers: B
What should the nurse do next after seeing V Fib on a heart monitor?
A. Attach AED or debrillator pads
B. Reposition leads to remove artifact (electrical interference)
C. Obtain 12 lead EKG - correct answers: A
What rhythm is this?
A. Normal sinus
B. Atrial Fibrillation
C. Ventricular Fibrillation
D. Ventricular Tachycardia - correct answers: B
The client has never had A fib before. What should the nurse do next?
A. Notify provider
B. Reposition the leads
C. Perform a focused cardiac and PV assessment - correct answers: C
The client has a failed resuscitation. Before time of death is called, what should the nurse do
next?
A. Begin CPR
B. Check another lead
C. Notify the morgue - correct answers: B
Which nursing intervention decreases the risk for catheter-associated urinary tract infection
(CAUTI)?
A. Hanging the urinary drainage bag below the level of the bladder
B. Changing the urinary drainage bag daily
C. Daily cleansing of the urinary meatus with antiseptic solution
D. Irrigating the urinary catheter with sterile water - correct answers: A. -Evidence-based
interventions shown to decrease the risk for CAUTI include ensuring a free flow of urine in the
catheter to the bag. None of the other options have evidence to support their use, and option "D"
will increase the risk for CAUTI through repeated opening of the sterile catheter drainage
system.
The nurse is providing education to the student nurse. Which of these would the nurse include as
appropriate uses for an indwelling catheter?
A. Severe urinary tract infection
B. Urinary incontinence
C. End of life care
, D. Standard postoperative care - correct answers: C
enlarged prostate - correct answers: Overflow incontinence
Coughing causing small amount of urine to leak - correct answers: Stress incontinence
Spinal cord injury - correct answers: Reflex incontinence
Cognitive deficit - correct answers: functional Incontinence
Which of these nursing actions would the nurse use to promote urinary elimination in a client
who has urinary retention? SATA
A. Run the water in the sink
B. Provide privacy while the female uses the bedpan
C. Encourage oral fluids
D. Intermittent catheterization
E. Bladder scan - correct answers: AC
Diminished urinary output in relation to fluid intake - correct answers: Oliguria
The nurse is caring for a client with a urinary catheter. The urinary output for the 12 hour shift is
240ml. What is the priority nursing action?
A. Call the healthcare provider
B. Increase IVF for 30ml/hr to 100ml/hr
C. Encourage oral fluids
D. Change out the catheter with a new one - correct answers: A
Mr. Clark has not voided since he returned from surgery 5 hours ago. What priority assessment
should the nurse perform?
A. Intermittent catheterization to determine urine output
B. Assessment of intake and output
C. Palpate over the lower abdomen for distention
D. Bladder scan the upper abdomen area - correct answers: C
What factors are contributing to its with urinary retention? SATA
A. Pain medication
B. History of degenerative arthritis
C. General anesthesia
D. History of benign prostatic hyperplasia
E. Taking low dose aspirin at home - correct answers: ACD
A patient is still unable to void for 8 hours. There is a prescription for intermittent
catheterization. What is the most important nursing action when preforming this procedure?
A. Use of sterile technique
B. Provide privacy
C. Document volume of urine obtained
questions and answers
1.
The nurse, along with a NAP, is catheterizing a pt with a neurogenic bladder. What are the
responsibilities of the NAP? SATA
A. Maintain the privacy of the pt
B. Provide perineal care
C. Assisting in positioning the pt
D. Insert catheter into the urinary meatus
E. Inflate the balloon fully as per manufacturer's direction - correct answers: ABC
2. The nurse is caring for a pt who has a indwelling urinary catheter. Which actions by the
nurse increases the risk for pt complications?
A. Allowing the drainage bag to get full before emptying
B. Keeping the urinary drainage system closed
C. Preventing urine back flow from the tubing and bag into the bladder
D. Performing perineal care after each bowel movement - correct answers: A
3. A patient complains of diminished urinary output. The nurse finds that the patient also
has diminished fluid intake. What is the medical term for this condition
A. Dysuria
B. Oliguria
C. Polyuria
D. Nocturia - correct answers: B Oliguria is The medical term used for low urinary output in
relation to the fluid intake
4. What is the use of double lumen catheters?
A. Straight catheterization
B. Intermittent catheterization
C. Continuous bladder irrigation
D. Urinary drainage and inflation of a balloon - correct answers: D
5. What rhythm is this client in?
A. Sinus tachycardia
B. Sinus Bradycardia
C. Normal Sinus
D. Atrial fibrillation - correct answers: B
,What rhythms are shockable in cardiac arrest? - correct answers: V-Fib and V-Tach.
What is the priority action by the nurse when seeing V Tach on a client?
A. Early defibrillation
B. Check for a pulse
C. Start emergency peripheral intravenous access
D. Notify provider - correct answers: B
What should the nurse do next after seeing V Fib on a heart monitor?
A. Attach AED or debrillator pads
B. Reposition leads to remove artifact (electrical interference)
C. Obtain 12 lead EKG - correct answers: A
What rhythm is this?
A. Normal sinus
B. Atrial Fibrillation
C. Ventricular Fibrillation
D. Ventricular Tachycardia - correct answers: B
The client has never had A fib before. What should the nurse do next?
A. Notify provider
B. Reposition the leads
C. Perform a focused cardiac and PV assessment - correct answers: C
The client has a failed resuscitation. Before time of death is called, what should the nurse do
next?
A. Begin CPR
B. Check another lead
C. Notify the morgue - correct answers: B
Which nursing intervention decreases the risk for catheter-associated urinary tract infection
(CAUTI)?
A. Hanging the urinary drainage bag below the level of the bladder
B. Changing the urinary drainage bag daily
C. Daily cleansing of the urinary meatus with antiseptic solution
D. Irrigating the urinary catheter with sterile water - correct answers: A. -Evidence-based
interventions shown to decrease the risk for CAUTI include ensuring a free flow of urine in the
catheter to the bag. None of the other options have evidence to support their use, and option "D"
will increase the risk for CAUTI through repeated opening of the sterile catheter drainage
system.
The nurse is providing education to the student nurse. Which of these would the nurse include as
appropriate uses for an indwelling catheter?
A. Severe urinary tract infection
B. Urinary incontinence
C. End of life care
, D. Standard postoperative care - correct answers: C
enlarged prostate - correct answers: Overflow incontinence
Coughing causing small amount of urine to leak - correct answers: Stress incontinence
Spinal cord injury - correct answers: Reflex incontinence
Cognitive deficit - correct answers: functional Incontinence
Which of these nursing actions would the nurse use to promote urinary elimination in a client
who has urinary retention? SATA
A. Run the water in the sink
B. Provide privacy while the female uses the bedpan
C. Encourage oral fluids
D. Intermittent catheterization
E. Bladder scan - correct answers: AC
Diminished urinary output in relation to fluid intake - correct answers: Oliguria
The nurse is caring for a client with a urinary catheter. The urinary output for the 12 hour shift is
240ml. What is the priority nursing action?
A. Call the healthcare provider
B. Increase IVF for 30ml/hr to 100ml/hr
C. Encourage oral fluids
D. Change out the catheter with a new one - correct answers: A
Mr. Clark has not voided since he returned from surgery 5 hours ago. What priority assessment
should the nurse perform?
A. Intermittent catheterization to determine urine output
B. Assessment of intake and output
C. Palpate over the lower abdomen for distention
D. Bladder scan the upper abdomen area - correct answers: C
What factors are contributing to its with urinary retention? SATA
A. Pain medication
B. History of degenerative arthritis
C. General anesthesia
D. History of benign prostatic hyperplasia
E. Taking low dose aspirin at home - correct answers: ACD
A patient is still unable to void for 8 hours. There is a prescription for intermittent
catheterization. What is the most important nursing action when preforming this procedure?
A. Use of sterile technique
B. Provide privacy
C. Document volume of urine obtained
