Take the Test

1. In which way does incontinence adversely affect the lives of people with this condition?

• a. Overeating and refusing regular mealtimes
• b. Less physical activity and social isolation
• c. Reluctance to wear tight-fitting clothing
• d. Fewer visits to a healthcare provider

2. For which reason is early diagnosis of urinary incontinence essential?

• a. Can be a symptom of a serious underlying medical condition
• b. Fewer interventions are required
• c. Statistical data about incontinence rates can be gathered
• d. Clinicians can suggest effective treatments

3. In which way does stool impaction contribute to urinary incontinence?

• a. Individuals with bowel problems are more susceptible to urinary incontinence.
• b. An overdistended bowel can lead to urinary tract infection.
• c. Fecal impaction and bowel distention can lead to bladder neck obstruction.
• d. Straining during defecation blocks the flow of urine.

4. Which conditions can lead to secondary enuresis in children?

• a. Chronic constipation because of poor fluid intake
• b. Recurrent urinary tract infections that are not adequately treated
• c. An unusually stressful event, such as the birth of a sibling or parents divorcing
• d. Undetected urethra malformation and shortening

5. For which reason should an endocrine assessment be completed when evaluating a patient with urinary incontinence?

• a. Endocrine problems are likely to increase the risk for bladder cancer.
• b. Congenital problems of the urethra are associated with endocrine problems.
• c. Poorly controlled diabetes can increase urine production and the risk for incontinence.
• d. Diabetes increases the risk of diminished fluid intake.

6. Which response should the nurse make when asked if urinary incontinence will develop after a vaginal delivery?

• a. “Most women who give birth do not develop problems with urinary incontinence.”
• b. “The risk of urinary incontinence depends on the length of time in labor.”
• c. “The likelihood of developing postdelivery urinary incontinence depends on weight gain during pregnancy.”
• d. “Is there a history of urinary incontinence among your immediate relatives?”

7. Which measurement is determined during filling cystometry testing?

• a. Flow rate of urine and the patient’s ability to empty the bladder
• b. Functioning of the pelvic muscles during the different stages of voiding
• c. Urethral sphincter compliance and urine leakage
• d. Pressure within the bladder

8. Which actions are the first line of treatment for urinary incontinence?

• a. Using incontinence pads and pessaries
• b. Decreasing fluid intake throughout the day and limiting salt intake
• c. Smoking cessation and weight loss
• d. Limiting out-of-home activities and increasing rest periods

9. Which physiologic benefit does pelvic floor muscle training provide to promote continence?

• a. Tightening the anal sphincter
• b. Strengthening the abdomen
• c. Decreasing bladder spasms
• d. Supporting the bladder neck and proximal urethra

10. Which information should be gathered when assessing a patient for fecal incontinence?

• a. Willingness to answer questions
• b. Use or misuse of laxatives
• c. History of out-of-state travel
• d. Prebedtime routine

11. Which time is optimal for a patient participating in a bowel retraining program to be taken to the bathroom for toileting?

• a. Before going to bed at night
• b. One hour before lunch
• c. Thirty minutes after breakfast
• d. Whenever the patient feels the urge to defecate