CONT580 Quiz 1-3 Questions with
Correct Answers Graded A (100%
Perfect Score Guaranteed)
A 54 yo M reports occasional episodes of difficulty controlling his stool. In the last year he has undergone
pelvic radiation for prostate cancer. Which of the following essential mechanisms for bowel continence is
most likely disrupted:
A- Functioning of the pelvic floor musculature
B- Compliance of the rectum
C- Integrity of neural pathways
D- Quality of IAS - Answer -B- Compliance of the rectum;A clinic patient reports experiencing
involuntary urine loss that is associated with increased intra-abdominal pressure when sneezing. Your
plan of care is developed based upon the determination that this is most likely what type of
incontinence?
A- Overflow that develops because the bladder is not completely emptying
B- Mixed urge and stress which occurs because the bladder is irritated and unstable contractions are
present
C- Stress which develops due to decreased bladder outlet resistance
D- Urge and occurs with increased bladder outlet resistance - Answer -C- Stress which develops
due to decreased bladder outlet resistance;A friend who just returned from a missionary trip in a third
world country complains of sever large volume diarrhea. She is most likely experiencing which of the
following types of diarrhea?
A- Secretory
B- Absorptive
C- Motility
D- Mixed - Answer -A-Secretory
Due to contaminated water supply , the gut secretes water and electrolytes into the lumen of the bowel
that overwhelms the bowels absorptive function. The body's way of flushing the system!;A patient
complains of occasional constipation. Your initial recommendations included fluid, increase activity, and
a gradual daily intake of how much fiber?
A- 10-14g
B- 15-20g
,C- 21-24g
D- 25-38G - Answer -D- 25-38G
25 grams for women and 38 grams for men
children age +5 = grams of fiber;A patient describes losing small amounts of urine during an exercise
routine. They deny any loss of urine during the night. This history is typical of:
A- Reflex incontinence
B-Mixed stress-urge incontinence
C- Stress incontinence
D- Urge incontinence - Answer -C- Stress incontinence;A patient has sustained considerable
damage to his sacral spine(S2-S4) due to repeat laminectomies. What kind of bowel dysfunction can you
anticipate for him?
A- Chronic constipation
B- Chronic diarrhea
C- Rapid transit of bowel contents
D- No bowel dysfunction - Answer -A- Chronic constipation
Parasympathetic nervous system arises from S2-S4, which is responsible in stimulating peristalsis;A
patient recently admitted to the nursing home is experiencing frequent oozing of stool. The patient has
no neurological defects of pathologies, is not diabetic and is not taking any medications that cause
diarrhea. Before you go any further in your physical examination, what is your initial assessment of the
most likely etiology?
A- Inadequate fluid intake
B- Insufficient fiber intake
C- Fecal impaction
D- Reaction to the stress of a new environment - Answer -C- Fecal impaction;A prompted voiding
program is characterized as:
A- The least studied of all 3 scheduled toileting programs
B- Effective at reducing the frequency of bladder contractions
C- A program that is individualized to the patient's previous voiding pattern
D- A form of behavioral modification using much praise when the patient is dry - Answer -D- A
form of behavioral modification using much praise when the patient is dry;A routine dipstick of a urine
, specimen form a patient with urinary incontinence contains WBCs and numerous epithelial calls. What
should your next step be?
A- Refer the patient to a urologist
B- Send the urine for a culture and sensitivity test
C- Nothing, because a few WBCs and epithelial cells are to be expected
D- Ask the patient to clean peri-genital area, repeat the dipstick with a clean catch urine specimen -
Answer -D- Ask the patient to clean peri-genital area, repeat the dipstick with a clean catch urine
specimen;A stimulated defecation program is indicated for the patient with:
A- Sensory or cognitive defects
B- Normal transit constipation
C- Weak pelvic floor musculature
D- Hypersensitivity to rectal filling - Answer -A- Sensory or cognitive defects;A voiding Program in
which the patient voids on a specific time schedule with time intervals that are gradually increased is
known as:
A- Double voiding
B- Prompted voiding
C- Bladder training
D- Habit training - Answer -C- Bladder training;According to best practice guidelines, what is the
BEST option in the management of a patient who has recurrent catheter encrustation that leads to
blockage?
A- Increase fluid intake
B- Acidify the urine
C- Change the catheter before the catheter normally blocks
D- Dissolve encrustations with a citric acid solution - Answer -C- Change the catheter before the
catheter normally blocks;According to the CDC an indication for long term use of an indwelling catheter
includes the management of the
A- Patient with chronic urinary incontinence in the skilled care setting
B- Patient with a stage 2 pressure ulcer
C- Terminally ill
D- Homebound patient whose caregiver can catheterize the patient intermittently - Answer -C-
Terminally ill;After a very thorough physical assessment and examination, you have determined your
patient has Urge UI. Of the following data, which is supportive of a diagnosis of Urge UI?
Correct Answers Graded A (100%
Perfect Score Guaranteed)
A 54 yo M reports occasional episodes of difficulty controlling his stool. In the last year he has undergone
pelvic radiation for prostate cancer. Which of the following essential mechanisms for bowel continence is
most likely disrupted:
A- Functioning of the pelvic floor musculature
B- Compliance of the rectum
C- Integrity of neural pathways
D- Quality of IAS - Answer -B- Compliance of the rectum;A clinic patient reports experiencing
involuntary urine loss that is associated with increased intra-abdominal pressure when sneezing. Your
plan of care is developed based upon the determination that this is most likely what type of
incontinence?
A- Overflow that develops because the bladder is not completely emptying
B- Mixed urge and stress which occurs because the bladder is irritated and unstable contractions are
present
C- Stress which develops due to decreased bladder outlet resistance
D- Urge and occurs with increased bladder outlet resistance - Answer -C- Stress which develops
due to decreased bladder outlet resistance;A friend who just returned from a missionary trip in a third
world country complains of sever large volume diarrhea. She is most likely experiencing which of the
following types of diarrhea?
A- Secretory
B- Absorptive
C- Motility
D- Mixed - Answer -A-Secretory
Due to contaminated water supply , the gut secretes water and electrolytes into the lumen of the bowel
that overwhelms the bowels absorptive function. The body's way of flushing the system!;A patient
complains of occasional constipation. Your initial recommendations included fluid, increase activity, and
a gradual daily intake of how much fiber?
A- 10-14g
B- 15-20g
,C- 21-24g
D- 25-38G - Answer -D- 25-38G
25 grams for women and 38 grams for men
children age +5 = grams of fiber;A patient describes losing small amounts of urine during an exercise
routine. They deny any loss of urine during the night. This history is typical of:
A- Reflex incontinence
B-Mixed stress-urge incontinence
C- Stress incontinence
D- Urge incontinence - Answer -C- Stress incontinence;A patient has sustained considerable
damage to his sacral spine(S2-S4) due to repeat laminectomies. What kind of bowel dysfunction can you
anticipate for him?
A- Chronic constipation
B- Chronic diarrhea
C- Rapid transit of bowel contents
D- No bowel dysfunction - Answer -A- Chronic constipation
Parasympathetic nervous system arises from S2-S4, which is responsible in stimulating peristalsis;A
patient recently admitted to the nursing home is experiencing frequent oozing of stool. The patient has
no neurological defects of pathologies, is not diabetic and is not taking any medications that cause
diarrhea. Before you go any further in your physical examination, what is your initial assessment of the
most likely etiology?
A- Inadequate fluid intake
B- Insufficient fiber intake
C- Fecal impaction
D- Reaction to the stress of a new environment - Answer -C- Fecal impaction;A prompted voiding
program is characterized as:
A- The least studied of all 3 scheduled toileting programs
B- Effective at reducing the frequency of bladder contractions
C- A program that is individualized to the patient's previous voiding pattern
D- A form of behavioral modification using much praise when the patient is dry - Answer -D- A
form of behavioral modification using much praise when the patient is dry;A routine dipstick of a urine
, specimen form a patient with urinary incontinence contains WBCs and numerous epithelial calls. What
should your next step be?
A- Refer the patient to a urologist
B- Send the urine for a culture and sensitivity test
C- Nothing, because a few WBCs and epithelial cells are to be expected
D- Ask the patient to clean peri-genital area, repeat the dipstick with a clean catch urine specimen -
Answer -D- Ask the patient to clean peri-genital area, repeat the dipstick with a clean catch urine
specimen;A stimulated defecation program is indicated for the patient with:
A- Sensory or cognitive defects
B- Normal transit constipation
C- Weak pelvic floor musculature
D- Hypersensitivity to rectal filling - Answer -A- Sensory or cognitive defects;A voiding Program in
which the patient voids on a specific time schedule with time intervals that are gradually increased is
known as:
A- Double voiding
B- Prompted voiding
C- Bladder training
D- Habit training - Answer -C- Bladder training;According to best practice guidelines, what is the
BEST option in the management of a patient who has recurrent catheter encrustation that leads to
blockage?
A- Increase fluid intake
B- Acidify the urine
C- Change the catheter before the catheter normally blocks
D- Dissolve encrustations with a citric acid solution - Answer -C- Change the catheter before the
catheter normally blocks;According to the CDC an indication for long term use of an indwelling catheter
includes the management of the
A- Patient with chronic urinary incontinence in the skilled care setting
B- Patient with a stage 2 pressure ulcer
C- Terminally ill
D- Homebound patient whose caregiver can catheterize the patient intermittently - Answer -C-
Terminally ill;After a very thorough physical assessment and examination, you have determined your
patient has Urge UI. Of the following data, which is supportive of a diagnosis of Urge UI?
