Fundamentals Hallmark Exam

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 urethral

catheter:

• Sterile cotton balls
• Antiseptic solution
• Sterile urinary collection bag
• Water-soluble lubricant
• Sterile forceps

Answer:

• Sterile cotton balls
• Antiseptic solution
• Water-soluble lubricant
• Sterile forceps

• / 4

Question:

Reasons for lack of urine after inserting a straight catheter include

• The catheter is outside of the bladder
• The catheter is inserted in the vagina rather than in the urethra of a female

PT

• The male PT's prostrate is preventing urine from exiting the bladder
• Urethral spasms are preventing urine from exiting the body
• The PT's bladder is distended

Answer:

• The catheter is outside of the bladder
• 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?

• 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

• The nurse lubricates the catheter and places it back into the sterile tray

when it uncoils and touches the bed

• After the nurse cleans the labia, the labia becomes slippery and closes as

the nurse attempts to obtain a clear view of the urethra

• The nurse advances the catheter another 2.5 to 5 cm (1 to 2 inches) after

urine appears 2 / 4

• 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:

• 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

• The nurse lubricates the catheter and places it back into the sterile tray

when it uncoils and touches the bed

• 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

• Fever
• Urinary discharge
• Complaints of pain with urination (dysuria)
• Hypothermia
• Lower abdominal pain
• Cloudiness of the urine

Answer:

• Fever
• Complaints of pain with urination (dysuria)
• Lower abdominal pain
• Cloudiness of the urine 3 / 4

Question:

Which of the following steps should you take before removing fluid from the balloon in an indwelling catheter?

• Attach a 2-mL syringe to the balloon port and aspirate the fluid
• Attach a 10 mL or larger syringe to the balloon port and allow the water to

passively fill the syringe

• 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

• Cut the balloon port and allow the water to slowly drain into a sterile basin

Answer:

• Attach a 10 mL or larger syringe to the balloon port and allow the water to

passively fill the syringe

• 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?

• This test requires the PT to follow fluid intake restrictions
• I will measure and record the PT's intake and output
• I will apply ultrasound gel above the PT's symphysis pubis
• I should point the scanner head downward toward the bladder

Answer:

• I will measure and record the PT's intake and output
• / 4