Certification Questions & Answers
Urinary system - ANSWER-Bladder, kidneys, sphincter
Kidneys - ANSWER-Make urine
Bladder - ANSWER-Stores urine
Sphincter - ANSWER-Controls flow - ring of muscle
1000-1500 cc - ANSWER-Normal urine output in 24 hours
1 ounce - ANSWER-30cc or 30 mil
24cc - ANSWER-8 ounces, 1 cup
Voiding - ANSWER-Releasing urine
Incontinence - ANSWER-Cannot control output
Signs of urinary retention - ANSWER-Men - because of prostate
Difficulty passing urine
Feeling of fullness in bladder
Urinating in small amounts
Bladder muscle irritability - ANSWER-Contract with no warning
Brain signals damage
Muscle weakness
UTI - ANSWER-Irritable bladder
Neurogenic bladder - spinal cord damage
Types of incontinence - ANSWER-Urge incontinence
Dribble incontinence
Stress incontinence
How much water to drink in day - ANSWER-1500-2500 cc, 8-10 glasses
Dehydration - ANSWER-Confused, sleepy, lethargic, tented skin, dry eyes, mouth
, Causes of dehydration - ANSWER-Increase sweat, increased urine, bleeding,
decreased intake, vomiting, diarrhea
Urine input output measure = graduate
Bowel, colostomy care - ANSWER-Because of obstruction (tumor, adhesions), paralysis
of bowel (spinal cord injury)
Psychological effect of colostomy - ANSWER-Feel ruined, loss of control, embarrassing
effects, change of routine, diet, habits, and dress, can be loud and have odor
Caregiver approach to colostomy - ANSWER-Matter of fact, do not show disapproval,
kind, supportive, helpful
Re colostomy, aide should report: - ANSWER-Change in stool, bleeding, lack of
circulation, no stools, no flats, abdominal distention, change in size, shape, and color of
stoma, pain (general, abdominal, rectal, vomiting)
Stoma should be - ANSWER-Reed, moist, and bright
Stoma - ANSWER-Opening from intestine out through abdominal wall
How to empty a drainage bag - ANSWER-Empty a drainage bag, use the clamp at the
bottom. Use gloves, waterproof pad, graduate, alcohol pad. Measure the urine in the
graduate. Open clamp. Close one empty. Wipe the end of the tubing. Measure the year
and in the bathroom. Take off gloves. Wash hands. Record and report
Respiratory system - ANSWER-14-20 breaths per minute = normal
Bronchus = air passage
Bronchiole = branches
Alveoli = gas exchange
Shortness of breath - ANSWER-Assist w unexpected SOB: Layne down or sit, raise
side of bed, raise head off bed
Get nurse immediately
Stay w resident and encourage to relax and breathe slowly
Common cold - ANSWER-Drink liquids
Rest
Encourage patient to get out of bed for short periods, if not, move position frequently, at
least every two hours
Lung infections - ANSWER-Pneumonia bronchitis
Acute breathing problems - ANSWER-Increased respiratory rate
Complaint of feeling SOB
Nervous / Anxious