50 Nursing Practice Questions: Pressure Care, Catheter Safety and Fluid Calculations

Answer B: Assess skin and mobility and plan assistance. Assessment connects the patient's actual limitations with an individual prevention plan.

Answer C: Assess colour, temperature, texture and pain. Pressure damage on dark skin may be detected through changes other than obvious redness.

Answer D: Left heel intact with local discolouration and tenderness. A specific site and observable findings allow the next clinician to understand the concern.

Answer A: Explore pain and coordinate a tolerable repositioning plan. Addressing the barrier makes the care plan more achievable and respects the patient's experience.

Answer B: One unable to move independently because of weakness. Inability to shift weight independently creates a specific need for assistance.

Answer C: Continue individual skin and mobility assessment. Equipment is part of prevention; it does not replace ongoing assessment and planned care.

Answer D: Relieve pressure and arrange prompt clinical review. Early recognition should lead to pressure relief, documentation and assessment before damage progresses.

Answer A: State skin findings, assistance needed and the next review plan. A useful handover tells the next nurse what was found, what support is needed and what happens next.

Answer B: When mobility or clinical condition changes. Changing ability or illness can alter risk and the assistance required.

Answer C: Can you show me how you change position and tell me if it hurts?. Demonstration and an open question reveal practical ability and barriers such as pain.

Answer D: Review and removal through the authorised pathway. The continuing need should be reviewed rather than allowing the device to remain by default.

Answer A: Below bladder level and off the floor. This position supports drainage while avoiding contact with the floor.

Answer B: Acute urinary retention. Acute retention can require bladder drainage; convenience alone is not an indication.

Answer C: From the disinfected sampling port using aseptic technique. A fresh aseptic port specimen reduces contamination associated with old drainage-bag urine.

Answer D: Keep the system closed and tubing unkinked. Maintaining a closed system and unobstructed drainage are core maintenance measures.

Answer A: Assess promptly and escalate persistent drainage problems. Pain and poor drainage require assessment; the cause and fluid plan must not be assumed.

Answer B: Whether a valid indication remains. A daily indication review helps avoid unnecessary duration of catheterisation.

Answer C: Colonisation is possible and treatment depends on clinical context. Asymptomatic bacteriuria differs from symptomatic infection and generally does not need antibiotics, with specific exceptions.

Answer D: I will report poor drainage with pain and avoid tugging the tubing. Reporting problems and avoiding traction support safe ongoing care.

Answer A: Ask the patient to demonstrate and explain the plan. Teach-back and demonstration reveal whether the instructions can be applied.

Answer B: Check the authorised local pathway and clarify with the team. Clarifying the applicable protocol supports safe action within competence and authorisation.

Answer C: Urine output 300 mL from 08:00 to 12:00. A measured volume over a defined interval is interpretable and can be compared with the care plan.

Answer D: Explain the documented indication and review plan. Patients should be included in understanding the reason and planned duration of the device.

Answer A: Who to contact for problems and when review is arranged. An actionable contact and review plan supports continuity after discharge.

Answer B: Align advice with their individual fluid plan. General hydration advice must be adapted to the patient's prescribed plan.

Answer C: Patient walked 5 metres with one-person assistance. The distance and assistance describe an observable event without judgement.

Answer D: Record the facts and arrange the outstanding assessment. Accurate records distinguish care actually performed from care still needed.

Answer A: Use an appropriate interpreter and check understanding. Appropriate language support allows meaningful explanation and verification of understanding.

Answer B: What worries you most about managing this at home?. An open question invites the patient to identify the concern in their own words.

Answer C: Who was contacted, the concern and the agreed plan. The communication and response provide a clear basis for follow-up.

Answer D: 125 mL/hour. 750 divided by 6 equals 125 mL/hour. Confirm the prescription and clinical suitability separately.

Answer A: 850 mL. 250 + 600 = 850 mL.

Answer B: +350 mL. Recorded balance is intake minus output: 1800 − 1450 = +350 mL; it is not a complete clinical assessment.

Answer C: 750 mL. One litre is 1000 mL, so 0.75 × 1000 = 750 mL.

Answer D: 240 mL/hour. 30 minutes is 0.5 hour; 120 ÷ 0.5 = 240 mL/hour.

Answer A: 5 hours. Time = volume ÷ rate = 250 ÷ 50 = 5 hours.

Answer B: 25 mL. 0.025 × 1000 = 25 mL.

Answer C: 360 mL. 90 + 120 + 150 = 360 mL.

Answer D: 50 drops/minute. (600 × 20) ÷ (4 × 60) = 50 drops/minute.

Answer A: 200 mL. Volume = rate × time = 80 × 2.5 = 200 mL.

Answer B: 1.5 hours. 90 ÷ 60 = 1.5 hours.

Answer C: 1300 mL. 400 + 150 + 750 = 1300 mL.

Answer D: −400 mL. 1200 − 1600 = −400 mL.

Answer A: 550 mL. 900 − 350 = 550 mL.

Answer B: 4 hours. 300 ÷ 75 = 4 hours.

Answer C: 1.25 L. 1250 ÷ 1000 = 1.25 litres.

Answer D: 100 drops/minute. (100 × 60) ÷ 60 = 100 drops/minute.

Answer A: 60 mL/hour. 480 ÷ 8 = 60 mL/hour. Clinical interpretation requires additional patient information.

Answer B: 12:00. 09:15 plus 2 hours is 11:15; another 45 minutes gives 12:00.

Answer C: 84%. 42 ÷ 50 × 100 = 84%. A practice score is not a clinical competency assessment.