,NSG 3800 Exam 3 Nursing Practice – Adult Health II Questions And
Answers 2026/2027 Galen College
Q1. Which type of urinary incontinence occurs when an involuntary
loss of urine follows a sudden, compelling urge to void?
A) Stress incontinence
B) Urge incontinence
C) Overflow incontinence
D) Functional incontinence
Correct Answer: B) Urge incontinence
Rationale: Urge incontinence results from involuntary detrusor contractions
that create a sudden, difficult-to-suppress need to urinate.
Q2. Which situation is most consistent with stress urinary
incontinence?
A) Leakage associated with coughing or sneezing
B) Leakage caused by urinary retention
C) Leakage occurring only because the patient cannot locate the bathroom
D) Leakage following a sudden strong urge without increased abdominal
pressure
Correct Answer: A) Leakage associated with coughing or sneezing
Rationale: Stress incontinence occurs when increased intra-abdominal
pressure exceeds urethral closing pressure, causing urine leakage during
coughing, sneezing, laughing, or lifting.
Q3. Which type of incontinence is associated with incomplete
bladder emptying and urinary retention?
A) Overflow incontinence
B) Urge incontinence
C) Stress incontinence
D) Functional incontinence
Correct Answer: A) Overflow incontinence
Rationale: Overflow incontinence occurs when the bladder becomes
chronically overdistended and leaks small amounts of urine because it
cannot empty effectively.
, Q4. An older adult has normal bladder control but cannot reach the
toilet because severe arthritis limits mobility. Which type of
incontinence is most likely?
A) Overflow
B) Urge
C) Functional
D) Stress
Correct Answer: C) Functional
Rationale: Functional incontinence occurs when physical, cognitive, or
environmental barriers prevent a person with otherwise adequate urinary
function from reaching or using the toilet.
Q5. Which intervention is appropriate for a patient with functional
urinary incontinence?
A) Encourage bladder irritants.
B) Establish regular toileting intervals and improve bathroom accessibility.
C) Restrict all oral fluids.
D) Insert an indwelling catheter routinely.
Correct Answer: B) Establish regular toileting intervals and improve bathroom
accessibility.
Rationale: Scheduled toileting and reducing physical barriers can address
the functional cause without unnecessarily using invasive devices.
Q6. Which instruction is appropriate for a patient with urinary
urgency?
A) Increase caffeine intake.
B) Void on a regular schedule and identify bladder irritants.
C) Delay every urge to void for as long as possible.
D) Reduce fluid intake to minimal amounts.
Correct Answer: B) Void on a regular schedule and identify bladder irritants.
Rationale: Scheduled voiding and reducing irritants such as caffeine can
decrease urgency and improve bladder control.
Q7. Which intervention can strengthen the pelvic floor and improve
stress urinary incontinence?
Answers 2026/2027 Galen College
Q1. Which type of urinary incontinence occurs when an involuntary
loss of urine follows a sudden, compelling urge to void?
A) Stress incontinence
B) Urge incontinence
C) Overflow incontinence
D) Functional incontinence
Correct Answer: B) Urge incontinence
Rationale: Urge incontinence results from involuntary detrusor contractions
that create a sudden, difficult-to-suppress need to urinate.
Q2. Which situation is most consistent with stress urinary
incontinence?
A) Leakage associated with coughing or sneezing
B) Leakage caused by urinary retention
C) Leakage occurring only because the patient cannot locate the bathroom
D) Leakage following a sudden strong urge without increased abdominal
pressure
Correct Answer: A) Leakage associated with coughing or sneezing
Rationale: Stress incontinence occurs when increased intra-abdominal
pressure exceeds urethral closing pressure, causing urine leakage during
coughing, sneezing, laughing, or lifting.
Q3. Which type of incontinence is associated with incomplete
bladder emptying and urinary retention?
A) Overflow incontinence
B) Urge incontinence
C) Stress incontinence
D) Functional incontinence
Correct Answer: A) Overflow incontinence
Rationale: Overflow incontinence occurs when the bladder becomes
chronically overdistended and leaks small amounts of urine because it
cannot empty effectively.
, Q4. An older adult has normal bladder control but cannot reach the
toilet because severe arthritis limits mobility. Which type of
incontinence is most likely?
A) Overflow
B) Urge
C) Functional
D) Stress
Correct Answer: C) Functional
Rationale: Functional incontinence occurs when physical, cognitive, or
environmental barriers prevent a person with otherwise adequate urinary
function from reaching or using the toilet.
Q5. Which intervention is appropriate for a patient with functional
urinary incontinence?
A) Encourage bladder irritants.
B) Establish regular toileting intervals and improve bathroom accessibility.
C) Restrict all oral fluids.
D) Insert an indwelling catheter routinely.
Correct Answer: B) Establish regular toileting intervals and improve bathroom
accessibility.
Rationale: Scheduled toileting and reducing physical barriers can address
the functional cause without unnecessarily using invasive devices.
Q6. Which instruction is appropriate for a patient with urinary
urgency?
A) Increase caffeine intake.
B) Void on a regular schedule and identify bladder irritants.
C) Delay every urge to void for as long as possible.
D) Reduce fluid intake to minimal amounts.
Correct Answer: B) Void on a regular schedule and identify bladder irritants.
Rationale: Scheduled voiding and reducing irritants such as caffeine can
decrease urgency and improve bladder control.
Q7. Which intervention can strengthen the pelvic floor and improve
stress urinary incontinence?
