BSN 206 – Foundations of Nursing Fundamentals (2025–
2026) Hallmark Exam Questions & Answers – 100% Correct,
Grade A (Nightingale College)
Introduction:
This complete and verified study resource contains the latest BSN
206: Foundations of Nursing Fundamentals Hallmark Exam
questions and answers for the 2025–2026 academic year at
Nightingale College. It includes detailed, accurate answers and
rationales for over 60 nursing fundamentals topics such as urinary
catheterization, catheter care, bladder scanning, infection prevention,
and patient assessment. Each question is accompanied by the correct
response and clinical reasoning, making this document an ideal
preparation guide for nursing students aiming for top grades on
practical and theory exams.
Exam Questions and Answers
12. When performing catheter care, how many inches of the
catheter will you cleanse after it exits the urinary meatus?
1 inch (2.5 cm)
2 inches (5 cm)
3 inches (7.5 cm)
4 inches (10 cm) --- correct precise answer --- 4 inches (10 cm)
This is the optimum distance to reduce the presence of secretions or
drainage on the exterior catheter surface.
,13. When providing indwelling catheter care, you should clean
around the an- chor tapes to prevent the catheter from slipping out
of the urethra.
True or False--- correct precise answer --- False
Anchor tapes must be changed daily and the skin inspected
carefully. The balloon in the bladder prevents the catheter from
falling out
14. At least 10 cm (4 inches) of an indwelling urinary catheter
that exits the meatus should be wiped with a clean washcloth
during routine care.
True or False--- correct precise answer --- True
Moving away from the body in a circular motion is the correct
procedure for cleaning the catheter.
15. The nurse is reviewing urinary catheter care with a newly
hired nursing assistive personnel (NAP). Which statement made by
the NAP indicates further instruction is needed?
- "Urinary catheter care is a clean procedure; sterile gloves are
unnecessary."
- "The bedside drainage bag should only be emptied when it is
full."
- "The securement device that anchors the catheter should be
reapplied."
- "Catheter care can be delegated to nursing assistive
personnel."--- correct precise answer --- "The bedside drainage bag
should only be emptied when it is full."
,Rationale: The bedside drainage bag should be emptied when 2/3s
full, or at least once every 8 hours. Clean technique is used to
perform catheter care, and sterile gloves are unnecessary. Moving
the securement device prevents the
skin from becoming irritated. After reviewing the signs of infection,
characteristics of normal urine, and the proper procedure, this task
can be delegated to NAP and/or family members.
16. The NAP documents "Peri-care given" next to "Urinary
Catheter" on a patient with an indwelling urinary catheter. What is
the best explanation of what the NAP did after application of clean
gloves? The NAP:
- washed the perineal area with soap and water and applied a
topical antimi- crobial ointment at the urethral meatus around the
catheter.
- stabilized the catheter and washed the catheter with soap and
water from where the catheter enters the meatus down 4 inches
toward the drainage tubing.
- inserted the hub of syringe into balloon port allowing the
sterile water to return passively into the syringe and slid the
catheter out into a waterproof pad.
- obtained a squirt bottle of warm water and had the patient
squirt it over their perineum while sitting on the toilet--- correct
precise answer --- - stabilized the catheter and washed the catheter
with soap and water from where the catheter enters the meatus
down 4 inches toward the drainage tubing.
, Rationale: After routine perineal care is given with soap and water,
the catheter is cleansed. Whiel stabilizing catheter with dominant
hand and using a clean washcloth, soap, and water, the catheter is
cleaned in a circular motion along its length for about 10 cm (4
inches). Cleansing starts where the catheter enters the meatus and
down toward the drainage tubing. The application of topic
antimicrobial products is not ettective in reducing meatal bacterial
flora and reducing risk for UTI. Do not include them as a a part of
routine catheter care.
17. Which of the following indicates a reason for notifying the
health care provider to get an order for removal of an indwelling
catheter?
- The patient states, "My bladder feels so full, it is starting to
hurt!"
- The catheter has been in place for 3 days.
- The patient's urine appears cloudy with a foul odor.
- The patient is drinking less than 1500 mL of fluids daily---
correct precise answer --- - The patient's urine appears cloudy with
a foul odor.
Rationale: These are symptoms of a UTI. A UTI may be cause for an
indwelling catheter to be removed. The health care provider should
be notified as a sterile urine specimen may be ordered before
removing the catheter. An indwelling catheter should be removed
as soon as possible after insertion because of the risk for catheter-
associated UTI (CAUTI). If the patient states that his bladder feels
very full and is starting to hurt it may indicate that the tubing is
2026) Hallmark Exam Questions & Answers – 100% Correct,
Grade A (Nightingale College)
Introduction:
This complete and verified study resource contains the latest BSN
206: Foundations of Nursing Fundamentals Hallmark Exam
questions and answers for the 2025–2026 academic year at
Nightingale College. It includes detailed, accurate answers and
rationales for over 60 nursing fundamentals topics such as urinary
catheterization, catheter care, bladder scanning, infection prevention,
and patient assessment. Each question is accompanied by the correct
response and clinical reasoning, making this document an ideal
preparation guide for nursing students aiming for top grades on
practical and theory exams.
Exam Questions and Answers
12. When performing catheter care, how many inches of the
catheter will you cleanse after it exits the urinary meatus?
1 inch (2.5 cm)
2 inches (5 cm)
3 inches (7.5 cm)
4 inches (10 cm) --- correct precise answer --- 4 inches (10 cm)
This is the optimum distance to reduce the presence of secretions or
drainage on the exterior catheter surface.
,13. When providing indwelling catheter care, you should clean
around the an- chor tapes to prevent the catheter from slipping out
of the urethra.
True or False--- correct precise answer --- False
Anchor tapes must be changed daily and the skin inspected
carefully. The balloon in the bladder prevents the catheter from
falling out
14. At least 10 cm (4 inches) of an indwelling urinary catheter
that exits the meatus should be wiped with a clean washcloth
during routine care.
True or False--- correct precise answer --- True
Moving away from the body in a circular motion is the correct
procedure for cleaning the catheter.
15. The nurse is reviewing urinary catheter care with a newly
hired nursing assistive personnel (NAP). Which statement made by
the NAP indicates further instruction is needed?
- "Urinary catheter care is a clean procedure; sterile gloves are
unnecessary."
- "The bedside drainage bag should only be emptied when it is
full."
- "The securement device that anchors the catheter should be
reapplied."
- "Catheter care can be delegated to nursing assistive
personnel."--- correct precise answer --- "The bedside drainage bag
should only be emptied when it is full."
,Rationale: The bedside drainage bag should be emptied when 2/3s
full, or at least once every 8 hours. Clean technique is used to
perform catheter care, and sterile gloves are unnecessary. Moving
the securement device prevents the
skin from becoming irritated. After reviewing the signs of infection,
characteristics of normal urine, and the proper procedure, this task
can be delegated to NAP and/or family members.
16. The NAP documents "Peri-care given" next to "Urinary
Catheter" on a patient with an indwelling urinary catheter. What is
the best explanation of what the NAP did after application of clean
gloves? The NAP:
- washed the perineal area with soap and water and applied a
topical antimi- crobial ointment at the urethral meatus around the
catheter.
- stabilized the catheter and washed the catheter with soap and
water from where the catheter enters the meatus down 4 inches
toward the drainage tubing.
- inserted the hub of syringe into balloon port allowing the
sterile water to return passively into the syringe and slid the
catheter out into a waterproof pad.
- obtained a squirt bottle of warm water and had the patient
squirt it over their perineum while sitting on the toilet--- correct
precise answer --- - stabilized the catheter and washed the catheter
with soap and water from where the catheter enters the meatus
down 4 inches toward the drainage tubing.
, Rationale: After routine perineal care is given with soap and water,
the catheter is cleansed. Whiel stabilizing catheter with dominant
hand and using a clean washcloth, soap, and water, the catheter is
cleaned in a circular motion along its length for about 10 cm (4
inches). Cleansing starts where the catheter enters the meatus and
down toward the drainage tubing. The application of topic
antimicrobial products is not ettective in reducing meatal bacterial
flora and reducing risk for UTI. Do not include them as a a part of
routine catheter care.
17. Which of the following indicates a reason for notifying the
health care provider to get an order for removal of an indwelling
catheter?
- The patient states, "My bladder feels so full, it is starting to
hurt!"
- The catheter has been in place for 3 days.
- The patient's urine appears cloudy with a foul odor.
- The patient is drinking less than 1500 mL of fluids daily---
correct precise answer --- - The patient's urine appears cloudy with
a foul odor.
Rationale: These are symptoms of a UTI. A UTI may be cause for an
indwelling catheter to be removed. The health care provider should
be notified as a sterile urine specimen may be ordered before
removing the catheter. An indwelling catheter should be removed
as soon as possible after insertion because of the risk for catheter-
associated UTI (CAUTI). If the patient states that his bladder feels
very full and is starting to hurt it may indicate that the tubing is
