Free Elimination and Catheterisation MCQs with Answers

• A. Involuntary urine leakage during coughing
• B. Inability to empty the bladder with lower abdominal distension
• C. Continuous dribbling of urine after urgency
• D. Loss of urine before reaching the toilet

Explanation: Urinary retention is the inability to empty the bladder and may cause suprapubic distension, discomfort, and frequent small voids.

• A. Disconnecting the tubing to measure urine separately
• B. Keeping the drainage bag below bladder level
• C. Clamping the catheter every two hours
• D. Placing the drainage bag on the floor

Explanation: The drainage bag stays below bladder level so urine does not flow back into the bladder.

• A. Foley catheter
• B. Suprapubic catheter
• C. Straight catheter
• D. Three-way catheter

Explanation: A straight catheter is inserted to drain the bladder and then removed, so it has no retention balloon.

• A. Increase fibre and fluids gradually
• B. Remain in bed after each meal
• C. Use stimulant laxatives every day
• D. Restrict fluids to prevent abdominal fullness

Explanation: Gradually increasing dietary fibre with adequate fluids and regular activity helps soften stool and improve bowel movement.

• A. Offer a high-fibre meal
• B. Assess hydration and vital signs
• C. Administer an antidiarrhoeal immediately
• D. Encourage the patient to walk independently

Explanation: The findings suggest fluid volume deficit, so assessment of vital signs, hydration status, and possible orthostatic changes is the…

• A. Right lateral position with legs straight
• B. Left lateral position with the right knee flexed
• C. Supine position with both legs extended
• D. Prone position with the head turned sideways

Explanation: The left lateral, or Sims, position follows the natural direction of the lower colon and helps the solution flow more easily.

• A. Collect the first urine without cleaning the area
• B. Collect a midstream sample in a sterile container
• C. Pour urine from the bedpan into a clean container
• D. Touch the inside of the container lid before closing it

Explanation: For a clean-catch culture, the patient cleans the urinary opening, begins voiding, collects the midstream urine in a sterile container…

• A. It indicates expected healthy tissue
• B. It indicates early bowel obstruction
• C. It indicates excessive fluid loss
• D. It indicates impaired arterial circulation

Explanation: A healthy stoma is moist and pink to red because it has a good blood supply.

• A. I will delay urination until severe pain occurs
• B. I will follow a planned voiding schedule
• C. I will reduce all fluids during the daytime
• D. I will remain in bed to prevent urine leakage

Explanation: Scheduled voiding helps establish a regular pattern and reduces episodes of urgency and leakage.

• A. Use clean gloves and touch the catheter freely
• B. Maintain sterile technique during insertion
• C. Apply antiseptic only after the catheter enters the urethra
• D. Inflate the balloon before urine appears

Explanation: Sterile technique during insertion prevents introducing microorganisms into the urinary tract.

• A. Soft, formed brown stool passed without straining
• B. Hard, dry stool passed every three days
• C. Loose watery stool passed after each meal
• D. Small pellet-like stool passed with cramping

Explanation: Normal stool is usually soft, formed, and brown, and it passes without excessive straining.

• A. Encourage the patient to drink two glasses of water
• B. Assess the bladder for distension and use a bladder scanner
• C. Insert an indwelling catheter without further assessment
• D. Document the finding as expected after surgery

Explanation: Lower abdominal pressure with scant urine suggests possible urinary retention, so bladder assessment is the priority.

• A. Inject sterile water in the amount printed on the catheter
• B. Inject normal saline until the patient feels pressure
• C. Inject tap water to maintain balloon flexibility
• D. Inject air to make the balloon easier to identify

Explanation: The balloon is inflated with sterile water according to the volume marked on the catheter or device instructions.

• A. On the bed beside the patient's hip
• B. Below bladder level and off the floor
• C. On the mattress above the patient's bladder
• D. On the intravenous stand above the waist

Explanation: Keeping the bag below bladder level allows gravity drainage and reduces backflow of urine.

• A. Suprapubic catheter inserted through the lower abdomen
• B. Condom catheter placed over the penis
• C. Intermittent straight catheter inserted every four hours
• D. Incontinence pad applied beneath the patient

Explanation: A suprapubic catheter drains urine through an opening created above the pubic area and may be used when urethral drainage is unsuitable.

• A. The patient has mild anxiety about the procedure
• B. The patient has suspected intestinal obstruction
• C. The patient asks to use the bathroom afterward
• D. The patient reports a bowel movement yesterday

Explanation: An enema may worsen a suspected intestinal obstruction and can cause complications, so the finding must be reported before the procedure.

• A. I will empty the pouch when it is about one-third to one-half full
• B. I will wait until the pouch is completely full before emptying it
• C. I will clean the stoma with strong antiseptic after every output
• D. I will scrub the stoma firmly to remove its natural mucus

Explanation: Emptying the pouch when it is one-third to one-half full prevents excessive weight and pulling on the appliance seal.

• A. Collect stool after it contacts toilet water
• B. Place the specimen in a clean, dry container without urine
• C. Mix the specimen with disinfectant before sending it
• D. Collect the sample from a bedpan containing urine

Explanation: A stool specimen should be placed in a clean, dry container and kept free from urine, water, and cleaning chemicals.

• A. Clean gently, pat dry, and apply a moisture barrier
• B. Rub the area vigorously with dry gauze after each stool
• C. Apply talcum powder to the moist skin after cleansing
• D. Limit fluid intake to reduce the number of stools

Explanation: Gentle cleansing, patting dry, and a moisture barrier reduce contact with irritating stool and prevent further skin breakdown.

• A. Cut the catheter before deflating the balloon
• B. Deflate the balloon fully before gentle removal
• C. Pull the catheter out while the balloon remains inflated
• D. Clamp the catheter for several hours before removal

Explanation: The retention balloon must be completely deflated before the catheter is gently withdrawn to prevent urethral injury.