Question 1

Prompted voiding is a habit training technique that: (Select all that apply.)

Accepted Answer

A)  Is useful with cognitively impaired persons. 
B)  Helps the patient to recognize incontinence. 
C)  Is based on giving praise for staying dry. 
D)  Strengthens the pelvic floor. 
E)  Uses the Valsalva maneuver to force urine from bladder. 
A)  Is useful with cognitively impaired persons. 
B)  Helps the patient to recognize incontinence. 
C)  Is based on giving praise for staying dry. 
D)  Strengthens the pelvic floor. 
E)  Uses the Valsalva maneuver to force urine from bladder.

Question 2

The nurse informs the patient that the uroflowmetry diagnostic tool measures:

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 3

The patient who is scheduled for a postvoid residual (PVR)test should be instructed by the nurse to:

Accepted Answer

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

Question 4

The nurse explains that the normal bladder will empty when it reaches the capacity of ____________________ to ____________________ ml.

Accepted Answer

200; 250
The urge to

Question 5

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

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 6

The physician's admission report states that the patient has a history of tarry stools.The nurse knows that this means the stools are:

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 7

Because medical history can be reveal clues to urinary incontinence,the nurse should be sure to ask the patient specifically about:

Accepted Answer

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

Question 8

The patient asks the home health nurse if the periurethral bulking procedure will be a permanent remedy to urinary incontinence.The nurse bases the answer on the knowledge that the effects of this procedure:

Accepted Answer

A)  Are permanent 
B)  Are only helpful to men 
C)  Usually last for approximately 6 months 
D)  Remain for 2 or 3 years 
A)  Are permanent 
B)  Are only helpful to men 
C)  Usually last for approximately 6 months 
D)  Remain for 2 or 3 years

Question 9

The patient who is scheduled for an urodynamic test asks the nurse why he is having this test.The nurse's best response would be:

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 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

Question 11

The patient who has been diagnosed with stress incontinence should be instructed by the nurse to:

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 12

The patient diagnosed with anorectal incontinence should be taught by the nurse to:

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 13

The nurse uses the knowledge that symptomatic incontinence is probably having symptoms as a result of:

Accepted Answer

A)  Colorectal disease 
B)  Gastrocolic reflex 
C)  Constipation 
D)  Nerve damage 
A)  Colorectal disease 
B)  Gastrocolic reflex 
C)  Constipation 
D)  Nerve damage

Question 14

The nurse instructs a patient that diarrhea can be caused by the inclusion in the diet of such foods as:

Accepted Answer

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

Exam 23: Incontinence

Prompted voiding is a habit training technique that: (Select all that apply.)

The nurse informs the patient that the uroflowmetry diagnostic tool measures:

The patient who is scheduled for a postvoid residual (PVR)test should be instructed by the nurse to:

The nurse explains that the normal bladder will empty when it reaches the capacity of ____________________ to ____________________ ml.

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

The physician's admission report states that the patient has a history of tarry stools.The nurse knows that this means the stools are:

Because medical history can be reveal clues to urinary incontinence,the nurse should be sure to ask the patient specifically about:

The patient asks the home health nurse if the periurethral bulking procedure will be a permanent remedy to urinary incontinence.The nurse bases the answer on the knowledge that the effects of this procedure:

The patient who is scheduled for an urodynamic test asks the nurse why he is having this test.The nurse's best response would be:

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?

The patient who has been diagnosed with stress incontinence should be instructed by the nurse to:

The patient diagnosed with anorectal incontinence should be taught by the nurse to:

The nurse uses the knowledge that symptomatic incontinence is probably having symptoms as a result of:

The nurse instructs a patient that diarrhea can be caused by the inclusion in the diet of such foods as:

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The nurse explains that the normal bladder will empty when it reaches the capacity of to ml.