Basic Nursing Skills Urinary & Bowel Elimination 2

Question 1

What is the priority nursing action when caring for a patient with an indwelling urinary catheter to prevent infection?

Accepted Answer

Maintain a closed drainage system

Answer

Maintaining a closed, sterile drainage system is the most important intervention to prevent catheter-associated urinary tract infections (CAUTIs).

Question 2

Dark, tarry (melena) stools are most commonly associated with:

Accepted Answer

Upper gastrointestinal bleeding

Answer

Melena results from digested blood and typically indicates bleeding in the upper GI tract (esophagus, stomach, or proximal small intestine).

Question 3

The normal range for urine specific gravity is:

Accepted Answer

1.005–1.030

Answer

Normal urine specific gravity ranges from 1.005 to 1.030, reflecting the kidney's ability to concentrate or dilute urine based on hydration status.

Question 4

When collecting a clean-catch midstream urine specimen from a female patient, the nurse should instruct the patient to:

Accepted Answer

Cleanse the urethral area front to back, then collect midstream urine

Answer

Cleansing front to back prevents contamination with perineal flora, and collecting midstream urine reduces urethral meatal contamination.

Question 5

Which assessment finding is most consistent with urinary retention?

Accepted Answer

Bladder distension with inability to void

Answer

Urinary retention is characterized by the inability to empty the bladder, leading to bladder distension, suprapubic discomfort, and urge without output.

Basic Nursing Skills Practice Test

Basic Nursing Skills Practice Test

Basic Nursing Skills Urinary & Bowel Elimination 2