BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025 / 2026) Questions & Answers | 100% Correct | Grade A - Nightingale
Question:
The nurse has a sterile urinary catheter and sterile gloves. Choose the remaining equipment the nurse will need to insert a straight ure...
Question:
The nurse has a sterile urinary catheter and sterile gloves. Choose the
remaining equipment the nurse will need to insert a straight urethral
catheter:
A. Sterile cotton balls
B. Antiseptic solution
C. Sterile urinary collection bag
D. Water-soluble lubricant
E. Sterile forceps
Answer:
A. Sterile cotton balls
B. Antiseptic solution
D. Water-soluble lubricant
E. Sterile forceps
,Question:
Reasons for lack of urine after inserting a straight catheter include
A. The catheter is outside of the bladder
B. The catheter is inserted in the vagina rather than in the urethra of a female
PT
C. The male PT's prostrate is preventing urine from exiting the bladder
D. Urethral spasms are preventing urine from exiting the body
E. The PT's bladder is distended
Answer:
A. The catheter is outside of the bladder
B. The catheter is inserted in the vagina rather than in the urethra of a female
PT
Question:
A nursing student is watching a nurse catheterize a female PT with an
indwelling catheter. Which of the following, if it occurs indicates a break in a
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 becomes slippery and closes as
the nurse attempts to obtain a clear view of the urethra
D. The nurse advances the catheter another 2.5 to 5 cm (1 to 2 inches) after
urine appears
,E. The nurse uses forceps and a new cotton ball when cleansing the area,
wiping along the far labial fold, the near labial fold, and directly over the
center of the urethral meatus
Answer:
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 becomes slippery and closes as
the nurse attempts to obtain a clear view of the urethra
Question:
Indicators of a UTI
A. Fever
B. Urinary discharge
C. Complaints of pain with urination (dysuria)
D. Hypothermia
E. Lower abdominal pain
F. Cloudiness of the urine
Answer:
A. Fever
C. Complaints of pain with urination (dysuria)
E. Lower abdominal pain
F. Cloudiness of the urine
, Question:
Which of the following steps should you take before removing fluid from the
balloon in an indwelling catheter?
A. Attach a 2-mL syringe to the balloon port and aspirate the fluid
B. Attach a 10 mL or larger syringe to the balloon port and allow the water to
passively fill the syringe
C. Gently aspirate the syringe plunger if water remains in the balloon
D Attach a 10- or 20 mL syringe to the balloon port and forcibly aspirate the
water
E. Cut the balloon port and allow the water to slowly drain into a sterile basin
Answer:
B. Attach a 10 mL or larger syringe to the balloon port and allow the water to
passively fill the syringe
C. Gently aspirate the syringe plunger if water remains in the balloon
Question:
The nurse is reviewing how to perform a bladder scan for determining
postvoid residual (PVR) with nursing assistive personnel (NAP). Which of the
following statements, if made by the NAP, indicates understanding?
A. This test requires the PT to follow fluid intake restrictions
B. I will measure and record the PT's intake and output
C. I will apply ultrasound gel above the PT's symphysis pubis
D. I should point the scanner head downward toward the bladder
Answer:
B. I will measure and record the PT's intake and output
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