PCT Urinary Catheterization

Question 1

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

Accepted Answer

To provide continuous drainage of urine from the bladder

Answer

To administer IV fluids directly into the bladder

Answer

To collect a clean-catch midstream urine specimen

Answer

To irrigate the bladder with antibiotics

Question 2

Before performing urinary catheterization, which of the following is the most important initial action?

Accepted Answer

Explain the procedure to the patient and obtain consent

Answer

Open all sterile supplies and set up the sterile field

Answer

Perform hand hygiene and don gloves

Answer

Position the patient in the dorsal recumbent position

Question 3

How should the urinary drainage bag be positioned relative to the patient's bladder?

Accepted Answer

Below the level of the bladder to allow gravity drainage

Answer

At the same level as the bladder to prevent backflow

Answer

Above the level of the bladder to promote drainage

Answer

Clipped to the side rail at any convenient height

Question 4

Which catheter size (French) is most commonly used for an adult female patient?

Accepted Answer

14–16 Fr

Answer

8–10 Fr

Answer

20–22 Fr

Answer

24–26 Fr

Question 5

What technique is required when inserting an indwelling urinary catheter?

Accepted Answer

Sterile technique to prevent urinary tract infection

Answer

Clean technique using non-sterile gloves

Answer

Surgical aseptic technique requiring a scrub nurse

Answer

Standard precautions with alcohol-based hand rub only

Question 6

What solution is used to clean the urethral meatus before catheter insertion?

Accepted Answer

Normal saline or antiseptic solution per facility protocol

Answer

Hydrogen peroxide

Answer

Isopropyl alcohol 70%

Answer

Sterile water only

Question 7

After the balloon of an indwelling catheter is inflated, what should the PCT do next?

Accepted Answer

Gently pull back on the catheter until resistance is felt to seat the balloon against the bladder neck

Answer

Immediately remove the catheter if the patient reports discomfort

Answer

Deflate the balloon and re-insert the catheter 2 cm deeper

Answer

Document the procedure and leave the room