NURS 242 FINAL EXAM NEWEST 2024 -2025 ACTUAL

• | P a g e

NURS 242 FINAL EXAM NEWEST 2024 -2025 ACTUAL

EXAM COMPLETE 75 QUEST IONS AND CORRECT

DETAILED ANSWERS ( VERIFIED ANSWERS )

|ALREADY GRADED A+

Four nurses are inserting catheters on their clients. Which nurse's statement related to this intervention is incorrect? I am inserting this catheter to - a. Empty your bladder prior to your procedure

• Treat your problem of leaking urine
• Obtain a sterile specimen
• Measure the amount of urine left after your emptied your

bladder

ANS: B

Why does the nurse cleanse a female patient's perineum before inserting an intermittent urinary catheter? - a. To encourage the bladder to drain fully b. To encourage spontaneous voiding

• To prevent bowel elimination during the procedure
• To reduce the patient's risk of urinary tract infection

While setting up the sterile field in preparation for inserting an indwelling urinary catheter, a male patient is incontinent of urine over most of the supplies. What action would the nurse take to 1 / 4

• | P a g e

reduce the patient's risk for infection? - a. Rinse off the supplies that were contaminated with urine

• Cleanse the patient's urinary meatus
• Replace all contaminated supplies, and begin the process

again

• Change the patient's bed linens

ANS:C

Which action(s) would minimize the patient's risk for injury during insertion of an indwelling urinary catheter? - a. Assessing the patient for allergies related to latex, antiseptic, tape, and/or iodine

• Thoroughly cleansing the patient's perineal area with

povidone-iodine solution before inserting the catheter

• Performing proper hand hygiene and applying gloves before

inserting the catheter

• Terminating the insertion if the patient reports pain at any

time during the procedure.

ANS:A

How does the nurse properly measure intake and output? - a.Recording 50% of ice chip consumption b. Checking urinary output once every 24 hours

• Do not count chest tube drainage 2 / 4

• | P a g e

• Subtracting liquid medications from the total intake

At approximately what rate do kidneys produce urine? - a. 10-15 mL/hr

• 25-30 mL/hr
• 50-60 mL/hr
• 90-100 mL/hr

ANS:B

Your patient is incontinent of urine and also has an order for strict I&O to be recorded. She is in stable condition, on a general hospital unit. How should you proceed? - a. Tell the physician it is not possible to record accurate urine output on this patient

• Weigh your patient's brief and bed pad after each episode of

incontinence, since 1g = 1mL of urine

• Use intermittent straight catheterization Q4 hours to empty

patient's bladder

• Insert an indwelling catheter (Foley)

When inserting a urinary catheter into a female patient, how far should the nurse initially insert the catheter? - a. 1 to 2 inches

• 2 to 3 inches
• 4 to 6 inches 3 / 4

• | P a g e

• 7 to 9 inches

Resistance is encountered during urinary catheterization of a male patient. What should the nurse do? (Select all that apply) -

• Force the catheter through
• Do NOT force the catheter through
• Try twisting the catheter slightly
• Apply gentle pressure

Which of the following actions indicates that the nurse has performed the insertion of an indwelling urinary catheter on a female patient appropriately? (select all that apply) - a. Applied the waterproof sterile drape before donning sterile gloves

• Tested the balloon with fluid from the prefilled sterile water

syringe

• Opened the labia with the nondominant hand and expose the

urethral meatus

• kept labial folds open after cleansing the urethral meatus

When the balloon on an indwelling urinary catheter is blown up, the patient expresses discomfort. What should the nurse do? - a.Remove the catheter

• Continue to blow up the balloon because discomfort is

expected

• / 4