NCWO Continence Care 3

Question 1

Sacral neuromodulation (SNM) is indicated for which type of urinary incontinence?

Accepted Answer

Refractory overactive bladder or urge incontinence not responding to conservative therapy

Answer

Stress incontinence due to intrinsic sphincter deficiency

Answer

Overflow incontinence from acontractile bladder

Answer

Incontinence due to vesicovaginal fistula

Question 2

A pessary is used in women primarily to manage:

Accepted Answer

Pelvic organ prolapse and related stress urinary incontinence

Answer

Urge urinary incontinence from detrusor overactivity

Answer

Fecal incontinence associated with rectocele

Answer

Interstitial cystitis pain

Question 3

Nocturia (two or more nighttime voids) in older adults is most commonly caused by:

Accepted Answer

Nocturnal polyuria (overproduction of urine at night) due to fluid redistribution and reduced ADH

Answer

Bladder infection in all cases

Answer

Decreased oral fluid intake before bedtime

Answer

Excessive caffeine intake during the day only

Question 4

The most common bacteria causing catheter-associated urinary tract infections (CAUTIs) in hospitalized patients is:

Accepted Answer

Escherichia coli

Answer

Staphylococcus aureus

Answer

Pseudomonas aeruginosa

Answer

Candida albicans

Question 5

A structured skin care program for IAD prevention includes which three components?

Accepted Answer

Cleanse, protect, and restore (structured skin care regimen)

Answer

Debridement, antibiotics, and compression

Answer

Dressing, irrigation, and packing

Answer

Culture, swab, and biopsy

Question 6

Double incontinence (combined urinary and fecal incontinence) significantly increases the risk of:

Accepted Answer

Severe incontinence-associated dermatitis (IAD) and pressure injury

Answer

Stomal prolapse

Answer

Bladder cancer

Answer

Autonomic dysreflexia in non-SCI patients