CNA Catheter Care and Urinary Management

Question 1

What is the PRIMARY purpose of an indwelling urinary (Foley) catheter?

Accepted Answer

To drain urine continuously from the bladder

Answer

To treat urinary tract infections

Answer

To measure blood pressure

Answer

To administer medications

Question 2

When caring for a resident with an indwelling catheter, the drainage bag should ALWAYS be kept:

Accepted Answer

Below the level of the bladder

Answer

At the level of the resident's bladder

Answer

Higher than the level of the bladder

Answer

At any height as long as it is draining

Question 3

A CNA is transferring a catheterized resident from the bed to a wheelchair. What should be done with the catheter bag?

Accepted Answer

Secure the bag below the bladder level on the wheelchair frame, not on the floor

Answer

Clamp the tubing and leave the bag on the bed rail

Answer

Hang the bag on the IV pole above the resident's waist

Answer

Disconnect the bag and reconnect after transfer

Question 4

Catheter tubing should NEVER be kinked or compressed because:

Accepted Answer

It blocks urine flow, causing bladder distension and risk of infection

Answer

It can cause the catheter to be expelled

Answer

It increases the risk of bladder spasms only

Answer

It makes ambulation more difficult

Question 5

How often should perineal care be performed for a resident with an indwelling catheter?

Accepted Answer

At least once daily and after each bowel movement

Answer

Once a week

Answer

Only when visible soiling occurs

Answer

Once every 8-hour shift, regardless of soiling

Question 6

When performing catheter perineal care, the CNA should clean:

Accepted Answer

From the meatus outward along the catheter tubing

Answer

In a circular motion around the meatus

Answer

From the perineum toward the catheter

Answer

From distal to proximal along the tubing toward the body

Question 7

Which of the following is a sign of a urinary tract infection (UTI) in a catheterized resident?

Accepted Answer

Cloudy, dark, or foul-smelling urine and fever

Answer

Clear, pale yellow urine with no odor

Answer

Increased urine output with normal color

Answer

Transparent urine with no sediment

Question 8

The CNA notes that the catheter bag has not had any drainage for two hours. The BEST first action is to:

Accepted Answer

Check the tubing for kinks, clamps, or compression, then report to the nurse

Answer

Irrigate the catheter immediately

Answer

Document the finding and wait until shift change

Answer

Ask the resident if they feel the urge to urinate

Question 9

A catheterized resident complains of pain and pressure in the lower abdomen. The CNA should:

Accepted Answer

Check catheter tubing and drainage, then report to the nurse promptly

Answer

Reassure the resident it is normal discomfort

Answer

Administer a pain reliever from the medication cart

Answer

Apply a heating pad to the abdomen

Question 10

When should the CNA wear gloves during catheter care?

Accepted Answer

During all catheter care and when handling the drainage bag or tubing

Answer

Only if the resident has a known infection

Answer

Only when emptying the drainage bag

Answer

Gloves are optional if hands are washed beforehand