Free Elimination and Catheterisation MCQs with Answers

• A. Pale yellow urine with a mild odour
• B. Cloudy urine with a strong odour
• C. Bright red urine with small clots
• D. Dark brown urine with a sweet odour

Explanation: Adequate hydration commonly produces pale yellow urine with a mild odour.

• A. Check the tubing for kinks and dependent loops
• B. Remove the catheter and insert another one
• C. Irrigate the catheter with sterile water immediately
• D. Restrict the patient's oral fluids until review

Explanation: The nurse first checks for simple mechanical obstruction, such as a kinked tube or a dependent loop.

• A. From the catheter sampling port using aseptic technique
• B. From the drainage bag after allowing urine to collect
• C. From the catheter tubing after disconnecting the system
• D. From the first urine emptied into a clean bedpan

Explanation: A sterile specimen is collected from the disinfected sampling port using aseptic technique.

• A. A patient with temporary inability to empty the bladder
• B. A patient who prefers not to use a bedpan
• C. A patient with mild stress incontinence on coughing
• D. A patient who needs routine urine monitoring at home

Explanation: Intermittent catheterisation can empty the bladder when a patient has temporary or chronic difficulty voiding.

• A. A small amount of liquid stool leaking around hard stool
• B. Soft formed stool passed every morning
• C. Mild abdominal sounds after eating a meal
• D. One day without a bowel movement in an adult

Explanation: Liquid stool may seep around an impacted mass and is called overflow or paradoxical diarrhoea.

• A. Report the finding promptly to the surgical team
• B. Apply petroleum jelly and reassess it tomorrow
• C. Cover the stoma tightly with a dry dressing
• D. Encourage oral fluids and continue routine care

Explanation: A healthy stoma is moist and pink to red, while a dusky, purple, or cool stoma may indicate impaired blood supply.

• A. Monitor fluid balance and signs of dehydration
• B. Encourage a large serving of raw vegetables
• C. Expect the output to be formed within the first day
• D. Limit all oral fluids to reduce the output

Explanation: An ileostomy commonly produces liquid output, which can cause substantial fluid and electrolyte loss.

• A. Cleanse gently, dry the skin, and apply a moisture barrier
• B. Scrub the perineal area with strong antiseptic after each stool
• C. Leave the skin exposed to stool until the next scheduled bath
• D. Apply talcum powder to all moist skin after each episode

Explanation: Gentle cleansing, careful drying, and a moisture barrier reduce contact with irritating stool and protect the skin.

• A. Leave it as a landmark and insert a new sterile catheter
• B. Remove it, clean the catheter, and use it again
• C. Advance it further and inflate the balloon in the vagina
• D. Withdraw it slightly and redirect the same catheter

Explanation: A catheter placed in the vagina is contaminated and should remain there as a landmark while a new sterile catheter is obtained.

• A. Clean the meatus and catheter from the urethra outward
• B. Pull the catheter gently while cleaning the meatus
• C. Clean from the drainage bag toward the urethral opening
• D. Disconnect the catheter from the bag before cleaning the area

Explanation: Perineal and catheter care is performed from the urethral opening outward, using clean technique according to facility policy.

• A. One bowel movement every two weeks
• B. Three bowel movements daily to three weekly
• C. One bowel movement after every meal
• D. Five bowel movements every morning

Explanation: Normal bowel frequency varies widely, from about three movements per day to three per week.

• A. Encourage fluids, fibre, and regular activity
• B. Restrict fluids until the stool becomes formed
• C. Administer an antidiarrhoeal medicine routinely
• D. Encourage bed rest until bowel sounds increase

Explanation: Opioids slow intestinal motility and commonly cause constipation. Fluids, dietary fibre, activity, and a prescribed bowel regimen help…

• A. Offer regular toileting and provide privacy
• B. Limit oral fluids to reduce bowel movements
• C. Keep the patient in bed until the episode stops
• D. Delay cleansing until the scheduled bath time

Explanation: Regular toileting, privacy, and prompt assistance reduce accidents while preserving dignity.

• A. When it is completely full and heavy
• B. When it is about one-third to one-half full
• C. Only when the patient changes the appliance
• D. When the stoma stops producing output

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

• A. Moist pink stoma with liquid output
• B. Urine output of 20 mL in the last hour
• C. Mild gas passing into the pouch
• D. Small amount of mucus from the rectum

Explanation: An ileostomy can cause substantial fluid and electrolyte loss, so urine output of 20 mL in one hour may indicate hypovolaemia or reduced…

• A. Save the first urine and end with the next morning urine
• B. Discard the first urine and save every specimen afterward
• C. Collect only the urine passed after meals
• D. Stop collecting whenever the container becomes half full

Explanation: The first void is discarded to mark the start time, and all urine passed during the following 24 hours is collected, including the final…

• A. Increase the flow rate to complete the procedure
• B. Stop or slow the flow and assess the patient
• C. Continue the procedure without speaking to the patient
• D. Add more solution to overcome the cramping

Explanation: Severe cramping may result from rapid instillation or excessive bowel stimulation.

• A. A three-lumen indwelling catheter
• B. A single-lumen straight catheter
• C. An external urine collection device
• D. A small feeding tube used as a catheter

Explanation: A three-lumen catheter provides channels for urine drainage, irrigation inflow, and irrigation outflow.

• A. Disconnect the tubing to make transfer easier
• B. Keep the tubing connected and prevent dependent loops
• C. Place the drainage bag on the patient's abdomen
• D. Clamp the catheter for the entire transfer

Explanation: Keeping the system connected reduces contamination, and the tubing should remain free of kinks and dependent loops so urine drains by…

• A. A small amount of burning with the first void
• B. No urine output and increasing lower abdominal discomfort
• C. The patient asks for help walking to the toilet
• D. The patient voids 150 mL four hours later

Explanation: Absent urine with increasing suprapubic discomfort after catheter removal suggests recurrent urinary retention and requires prompt…