Free Elimination and Catheterisation MCQs with Answers
50 Elimination and Catheterisation MCQs from Fundamentals of Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.
Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.
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50 questions · page 3 of 3
- A. Perform pelvic floor muscle exercises regularly
- B. Restrict all fluids after breakfast
- C. Use an indwelling catheter during the day
- D. Delay urination until the bladder feels full
Explanation: Coughing raises intra-abdominal pressure and causes stress incontinence when pelvic floor support is weak.
Correct answer: Perform pelvic floor muscle exercises regularly- A. External condom catheter
- B. Three-way indwelling catheter
- C. Suprapubic catheter
- D. Intermittent straight catheter
Explanation: An external condom catheter collects urine without entering the urethra and can be used when a man voids adequately.
Correct answer: External condom catheter43. Which nursing action is correct when caring for a urethral catheter that is secured to a patient?
- A. Allow the tubing to pull gently during movement
- B. Secure the catheter without tension
- C. Place the catheter tubing under the patient
- D. Disconnect the tubing for each position change
Explanation: The catheter should be secured without tension to prevent urethral traction and tissue injury.
Correct answer: Secure the catheter without tension- A. Wash gently, dry thoroughly, and apply a barrier product
- B. Scrub the skin firmly with antiseptic solution
- C. Leave the skin exposed to urine until the next bath
- D. Apply talcum powder over the moist skin
Explanation: Gentle cleansing, careful drying, and a moisture barrier protect the skin from urine and friction.
Correct answer: Wash gently, dry thoroughly, and apply a barrier product- A. Right lateral with the upper leg straight
- B. Left lateral with the upper leg flexed
- C. Supine with both legs extended
- D. Prone with the head turned sideways
Explanation: The left lateral position with the upper leg flexed provides access to the rectum and follows the natural direction of the lower bowel.
Correct answer: Left lateral with the upper leg flexed- A. Administer a cleansing enema immediately
- B. Offer a high-fibre meal and oral fluids
- C. Keep the patient fasting and notify the prescriber
- D. Encourage vigorous walking around the ward
Explanation: These findings suggest possible intestinal obstruction, so oral intake and enemas may be unsafe.
Correct answer: Keep the patient fasting and notify the prescriber- A. It is routinely required for every ileostomy
- B. It may be prescribed for selected descending colostomies
- C. It should be performed whenever the stoma looks pink
- D. It replaces the need for a properly fitted pouch
Explanation: Colostomy irrigation may be prescribed for selected patients with a descending or sigmoid colostomy to establish a predictable evacuation…
Correct answer: It may be prescribed for selected descending colostomies- A. The ileostomy usually produces little fluid loss
- B. Watery output can cause dehydration and electrolyte loss
- C. Extra fluids prevent all episodes of bowel obstruction
- D. Fluids make the stoma permanently smaller
Explanation: An ileostomy may produce frequent liquid output, leading to loss of water and electrolytes.
Correct answer: Watery output can cause dehydration and electrolyte loss- A. Discuss the problem openly at the bedside
- B. Provide privacy and offer a regular toileting schedule
- C. Limit assistance so the patient gains independence quickly
- D. Tell the patient that incontinence is unavoidable with ageing
Explanation: Privacy, respectful communication, and scheduled toileting promote dignity and may reduce episodes by anticipating elimination needs.
Correct answer: Provide privacy and offer a regular toileting schedule- A. Mild straining during a bowel movement
- B. Passing flatus once during the morning
- C. Increasing abdominal distension with vomiting
- D. Preferring to use the toilet after breakfast
Explanation: Distension with vomiting may indicate obstruction or another acute abdominal problem, so a laxative could be harmful before assessment.
Correct answer: Increasing abdominal distension with vomiting