Foley Catheter Insertion: NCLEX Practice Quiz

1. What is the maximum time a Foley catheter should remain in place before consideration of removal or replacement?

3-5 days

1-2 weeks

3-4 weeks

As long as needed indefinitely

2. If resistance is felt during Foley catheter insertion in a male patient, what should you do immediately?

Apply firm pressure to advance the catheter

Stop, notify the provider, and reassess

Rotate the catheter and try again

Remove and reinsert with a larger catheter

3. Which action best prevents catheter-associated urinary tract infection (CAUTI)?

Using the largest catheter size available

Minimizing catheter duration and maintaining aseptic technique

Changing the catheter daily

Instilling antibiotics into the catheter

4. True or False: Betadine solution is safe for all patients during Foley catheter insertion site preparation.

True

False

5. In male patients, the Foley catheter should be advanced further than in females because the male urethra is longer. How much farther?

2-3 inches farther

4-6 inches farther

Until urine flows, then 1 inch more

To the level of the prostate

6. What is the appropriate action if you contaminate the sterile field during Foley catheter insertion preparation?

Continue with the insertion

Discard contaminated items and restart with sterile supplies

Wipe the area with alcohol

Proceed but inform the patient afterward

7. True or False: The Foley catheter drainage bag should be positioned above the level of the bladder to prevent reflux.

True

False

8. When should you obtain a urine specimen from a Foley catheter for culture?

From the drainage bag

From the catheter tubing using aseptic technique

From a fresh void after catheter removal

Any time without special precautions

9. Which complication is most common with prolonged Foley catheter use?

Urinary tract infection

Bladder perforation

Urethral stricture

Acute kidney injury

10. True or False: Routine catheter care includes daily cleansing of the perineal area around the catheter insertion site.

True

False

11. What is the primary purpose of using sterile technique during Foley catheter insertion?

To reduce patient discomfort

To prevent urinary tract infections

To speed up the procedure

To decrease catheter costs

12. After Foley catheter insertion, how should the catheter be secured to prevent migration and tissue trauma?

Tape to the thigh (female) or abdomen (male)

Tie loosely around the patient's leg

Leave it unsecured to allow movement

Tape tightly to restrict any movement

13. Which finding indicates that the Foley catheter has been inserted into the bladder correctly?

No urine output

Urine flows freely before balloon inflation

Patient reports sharp pain

Resistance felt during insertion

14. True or False: Lubrication with sterile, water-soluble lubricant is essential for Foley catheter insertion.

True

False

15. What volume of sterile water or saline should you use to inflate a standard 16 Fr catheter balloon?

5 mL

10 mL

15 mL

20 mL

16. After inserting the catheter into the urethra, how far should you advance it before inflating the balloon in a female patient?

2-3 inches

4-6 inches

8-10 inches

Until urine flows, then 1 more inch

17. True or False: You may use non-sterile gloves when inserting a Foley catheter if you work quickly.

True

False

18. When preparing the insertion site for a female patient, which solution is recommended for cleansing?

Normal saline or antiseptic solution

Hydrogen peroxide

Tap water

Alcohol only

19. Before inserting a Foley catheter, you must perform hand hygiene. What is the recommended technique?

Wash with soap and water only

Use alcohol-based hand sanitizer only

Wash with soap and water, then apply sanitizer

Wear sterile gloves without hand hygiene

20. Which catheter size is most commonly used for adult female patients?

8-10 Fr

12-14 Fr

16-18 Fr

20-24 Fr

Foley Quiz: Can You Insert It Sterilely?

1. What is the maximum time a Foley catheter should remain in place before consideration of removal or replacement?

2.

What first name or nickname would you like us to use?

2. If resistance is felt during Foley catheter insertion in a male patient, what should you do immediately?

3. Which action best prevents catheter-associated urinary tract infection (CAUTI)?

4. True or False: Betadine solution is safe for all patients during Foley catheter insertion site preparation.

5. In male patients, the Foley catheter should be advanced further than in females because the male urethra is longer. How much farther?

6. What is the appropriate action if you contaminate the sterile field during Foley catheter insertion preparation?

7. True or False: The Foley catheter drainage bag should be positioned above the level of the bladder to prevent reflux.

8. When should you obtain a urine specimen from a Foley catheter for culture?

9. Which complication is most common with prolonged Foley catheter use?

10. True or False: Routine catheter care includes daily cleansing of the perineal area around the catheter insertion site.

11. What is the primary purpose of using sterile technique during Foley catheter insertion?

12. After Foley catheter insertion, how should the catheter be secured to prevent migration and tissue trauma?

13. Which finding indicates that the Foley catheter has been inserted into the bladder correctly?

14. True or False: Lubrication with sterile, water-soluble lubricant is essential for Foley catheter insertion.

15. What volume of sterile water or saline should you use to inflate a standard 16 Fr catheter balloon?

16. After inserting the catheter into the urethra, how far should you advance it before inflating the balloon in a female patient?

17. True or False: You may use non-sterile gloves when inserting a Foley catheter if you work quickly.

18. When preparing the insertion site for a female patient, which solution is recommended for cleansing?

19. Before inserting a Foley catheter, you must perform hand hygiene. What is the recommended technique?

20. Which catheter size is most commonly used for adult female patients?