Question 1

A patient being assessed by the physician states, "I wet my pants every time I cough." The nurse recognizes this as which type of incontinence?

Accepted Answer

A)  Reflex 
B)  Overflow 
C)  Urge 
D)  Stress 
A)  Reflex 
B)  Overflow 
C)  Urge 
D)  Stress D

Question 2

A nurse is asked to instruct a patient on performing Kegel exercises to improve muscle endurance.The patient should be instructed to contract the muscles normally used to stop the flow of urine.Which proper technique should the nurse explain?

Accepted Answer

A)  Contract for 3 to 4 seconds and relax for 10 seconds. 
B)  Contract for 10 seconds and relax for 10 seconds. 
C)  Contract for 10 seconds and relax for 3 to 4 seconds. 
D)  Contract for 3 to 4 seconds and relax for 3 to 4 seconds. 
A)  Contract for 3 to 4 seconds and relax for 10 seconds. 
B)  Contract for 10 seconds and relax for 10 seconds. 
C)  Contract for 10 seconds and relax for 3 to 4 seconds. 
D)  Contract for 3 to 4 seconds and relax for 3 to 4 seconds. B

Question 3

What should the nurse include in the plan of care to protect the skin integrity of an incontinent patient? (Select all that apply.)

Accepted Answer

A)  Immediately remove wet garments and linens. 
B)  Wash skin with an antiseptic and towel dry. 
C)  Inspect for areas of redness and breakdown every morning. 
D)  Apply cornstarch to the perineum to absorb moisture. 
E)  Apply protective creams per agency policy. 
A)  Immediately remove wet garments and linens. 
B)  Wash skin with an antiseptic and towel dry. 
C)  Inspect for areas of redness and breakdown every morning. 
D)  Apply cornstarch to the perineum to absorb moisture. 
E)  Apply protective creams per agency policy. A, E

Question 4

Which result of postvoid catheterization would indicate adequate bladder emptying?

Accepted Answer

A)  Less than 125 mL 
B)  Less than 100 mL 
C)  Less than 75 mL 
D)  Less than 50 mL 
A)  Less than 125 mL 
B)  Less than 100 mL 
C)  Less than 75 mL 
D)  Less than 50 mL

Question 5

A home health nurse is performing an evaluation of the home of an older adult patient to assess for any safety issues.What should the nurse recognize as an environmental factor that could lead to functional incontinence?

Accepted Answer

A)  Night-light in the bathroom 
B)  Patient's room located on the opposite end of the house from the bathroom 
C)  Handrails located around the toilet and bathtub 
D)  Caregiver's room located close to the patient's room 
A)  Night-light in the bathroom 
B)  Patient's room located on the opposite end of the house from the bathroom 
C)  Handrails located around the toilet and bathtub 
D)  Caregiver's room located close to the patient's room

Question 6

What instruction should a nurse provide to a patient who has been diagnosed with stress incontinence?

Accepted Answer

A)  "Restrict fluid intake to less than 1000 mL/day." 
B)  "Avoid fluids such as tea, coffee, and cola." 
C)  "Delay voiding until you feel the urge to void." 
D)  "Void no more often than every 4 hours." 
A)  "Restrict fluid intake to less than 1000 mL/day." 
B)  "Avoid fluids such as tea, coffee, and cola." 
C)  "Delay voiding until you feel the urge to void." 
D)  "Void no more often than every 4 hours."

Question 7

A patient with fecal incontinence should be taught the importance of maintaining good skin integrity.What should be the focus of a nurse's teaching?

Accepted Answer

A)  Cleanse the perianal area thoroughly after each stool. 
B)  Use a fecal pouch. 
C)  Change incontinence undergarments once a day. 
D)  Take an over-the-counter laxative daily. 
A)  Cleanse the perianal area thoroughly after each stool. 
B)  Use a fecal pouch. 
C)  Change incontinence undergarments once a day. 
D)  Take an over-the-counter laxative daily.

Question 8

A nurse is instructing a patient on the procedure for a clean-catch urine specimen.The patient has tried several times but is having difficulty understanding the instructions.What is the best action for the nurse to implement?

Accepted Answer

A)  Take whatever specimen the patient can obtain. 
B)  Provide the patient with a clean bedpan to obtain the specimen. 
C)  Ask the laboratory personnel to come and obtain a urine specimen. 
D)  Call the physician for a catheterization order. 
A)  Take whatever specimen the patient can obtain. 
B)  Provide the patient with a clean bedpan to obtain the specimen. 
C)  Ask the laboratory personnel to come and obtain a urine specimen. 
D)  Call the physician for a catheterization order.

Question 9

A patient who is scheduled for an urodynamic test asks the nurse why he is having this test.What is the nurse's best response?

Accepted Answer

A)  "To test the capacity of the bladder." 
B)  "To see how much urine is left in the bladder after you have voided." 
C)  "To test the function of the nerves and muscles of the bladder." 
D)  "To detect involuntary passage of urine." 
A)  "To test the capacity of the bladder." 
B)  "To see how much urine is left in the bladder after you have voided." 
C)  "To test the function of the nerves and muscles of the bladder." 
D)  "To detect involuntary passage of urine."

Question 10

A patient complains, "My allergies make me sneeze and urinate in my pants.I take my allergy drug and I urinate in my pants even more." The nurse assesses that the drug the patient is referring to is an ______.

Accepted Answer

The answer of A patient complains, "My allergies make me...

Question 11

A nurse is cleaning a patient with fecal incontinence when the patient says, "This is so embarrassing, and it makes me really angry." What is the nurse's best response?

Accepted Answer

A)  "Don't worry about it; it's my job to clean you up." 
B)  "If you would have called me sooner, this wouldn't have happened." 
C)  "Do you feel angry and embarrassed?" 
D)  "Would you rather let your family clean you up?" 
A)  "Don't worry about it; it's my job to clean you up." 
B)  "If you would have called me sooner, this wouldn't have happened." 
C)  "Do you feel angry and embarrassed?" 
D)  "Would you rather let your family clean you up?"

Question 12

What does the uroflowmetry diagnostic tool measure?

Accepted Answer

A)  Voiding duration 
B)  Specific gravity of urine 
C)  Effectiveness of the detrusor muscle 
D)  General bladder tone 
A)  Voiding duration 
B)  Specific gravity of urine 
C)  Effectiveness of the detrusor muscle 
D)  General bladder tone

Question 13

A male patient with urinary incontinence has been using an external (condom)catheter.A nurse is assessing the patient's technique of applying the device.What techniques demonstrated by the patient would indicate the need for further instruction?

Accepted Answer

A)  Washes the penis with warm soapy water and dries the area well before applying the device. 
B)  Encircles the penis with tape to secure the device. 
C)  Uses elastic tape and wraps in a spiral pattern to secure the device. 
D)  Carefully assesses the penis for any signs of irritation before applying the device. 
A)  Washes the penis with warm soapy water and dries the area well before applying the device. 
B)  Encircles the penis with tape to secure the device. 
C)  Uses elastic tape and wraps in a spiral pattern to secure the device. 
D)  Carefully assesses the penis for any signs of irritation before applying the device.

Question 14

What education should a nurse provide to a patient diagnosed with anorectal incontinence?

Accepted Answer

A)  Take a daily laxative. 
B)  Increase fiber in the diet. 
C)  Perform pelvic muscle exercises. 
D)  Administer daily enemas. 
A)  Take a daily laxative. 
B)  Increase fiber in the diet. 
C)  Perform pelvic muscle exercises. 
D)  Administer daily enemas.

Question 15

A physician's admission report states that a patient has a history of tarry stools.What should the nurse anticipate when assessing characteristics of this patient's stool?

Accepted Answer

A)  Brown and formed 
B)  Bright red and liquid 
C)  Black and sticky 
D)  Clay colored and pasty 
A)  Brown and formed 
B)  Bright red and liquid 
C)  Black and sticky 
D)  Clay colored and pasty

Question 16

What foods should a nurse explain to a patient can cause diarrhea?

Accepted Answer

A)  Cheese 
B)  Cabbage 
C)  Rice 
D)  Yogurt 
A)  Cheese 
B)  Cabbage 
C)  Rice 
D)  Yogurt

Question 17

What condition should a nurse specifically ask a patient about when taking the medical history to reveal clues to the potential cause of urinary incontinence?

Accepted Answer

A)  Diabetes mellitus 
B)  Impetigo 
C)  Hypotension 
D)  Trigeminal neuralgia 
A)  Diabetes mellitus 
B)  Impetigo 
C)  Hypotension 
D)  Trigeminal neuralgia

Question 18

A patient tells a nurse that his bowel movements normally occur every morning after breakfast.What should the nurse understand as the rationale for this occurrence?

Accepted Answer

A)  Fecal overflow 
B)  Gastrocolic reflex 
C)  Autonomic dysreflexia 
D)  Lack of sphincter control 
A)  Fecal overflow 
B)  Gastrocolic reflex 
C)  Autonomic dysreflexia 
D)  Lack of sphincter control

Question 19

Bladder training instructions are being given to a patient who has a history of urinary incontinence.What initial instructions should the nurse give to the patient?

Accepted Answer

A)  "Wait until you feel the urge to void." 
B)  "Don't void any more often than every 4 to 6 hours." 
C)  "Void every 2 to 3 hours while awake." 
D)  "Void any time you feel the urge." 
A)  "Wait until you feel the urge to void." 
B)  "Don't void any more often than every 4 to 6 hours." 
C)  "Void every 2 to 3 hours while awake." 
D)  "Void any time you feel the urge."

Question 20

What instruction should a nurse provide to a patient scheduled for a postvoid residual (PVR)test?

Accepted Answer

A)  Call the nurse immediately after voiding. 
B)  After voiding, wait 10 minutes and void again. 
C)  Void into a flowmeter. 
D)  Avoid fluid intake for 8 hours before the test. 
A)  Call the nurse immediately after voiding. 
B)  After voiding, wait 10 minutes and void again. 
C)  Void into a flowmeter. 
D)  Avoid fluid intake for 8 hours before the test.

Exam 14: Incontinence

A patient being assessed by the physician states, "I wet my pants every time I cough." The nurse recognizes this as which type of incontinence?

A nurse is asked to instruct a patient on performing Kegel exercises to improve muscle endurance.The patient should be instructed to contract the muscles normally used to stop the flow of urine.Which proper technique should the nurse explain?

What should the nurse include in the plan of care to protect the skin integrity of an incontinent patient? (Select all that apply.)

Which result of postvoid catheterization would indicate adequate bladder emptying?

A home health nurse is performing an evaluation of the home of an older adult patient to assess for any safety issues.What should the nurse recognize as an environmental factor that could lead to functional incontinence?

What instruction should a nurse provide to a patient who has been diagnosed with stress incontinence?

A patient with fecal incontinence should be taught the importance of maintaining good skin integrity.What should be the focus of a nurse's teaching?

A nurse is instructing a patient on the procedure for a clean-catch urine specimen.The patient has tried several times but is having difficulty understanding the instructions.What is the best action for the nurse to implement?

A patient who is scheduled for an urodynamic test asks the nurse why he is having this test.What is the nurse's best response?

A patient complains, "My allergies make me sneeze and urinate in my pants.I take my allergy drug and I urinate in my pants even more." The nurse assesses that the drug the patient is referring to is an ______.

A nurse is cleaning a patient with fecal incontinence when the patient says, "This is so embarrassing, and it makes me really angry." What is the nurse's best response?

What does the uroflowmetry diagnostic tool measure?

A male patient with urinary incontinence has been using an external (condom)catheter.A nurse is assessing the patient's technique of applying the device.What techniques demonstrated by the patient would indicate the need for further instruction?

What education should a nurse provide to a patient diagnosed with anorectal incontinence?

A physician's admission report states that a patient has a history of tarry stools.What should the nurse anticipate when assessing characteristics of this patient's stool?

What foods should a nurse explain to a patient can cause diarrhea?

What condition should a nurse specifically ask a patient about when taking the medical history to reveal clues to the potential cause of urinary incontinence?

A patient tells a nurse that his bowel movements normally occur every morning after breakfast.What should the nurse understand as the rationale for this occurrence?

Bladder training instructions are being given to a patient who has a history of urinary incontinence.What initial instructions should the nurse give to the patient?

What instruction should a nurse provide to a patient scheduled for a postvoid residual (PVR)test?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders