RNSG 1430 EVALUATION EXAM 2025 QUESTIONS AND
ANSWERS RATED A+
✔✔Stress incontinence - ✔✔occurs after a sudden increase in intraabdominal pressure
causes loss of urine. Typically occurs during coughing, laughing, sneezing or heavy
lifting.
✔✔Urge incontinence - ✔✔Occurs when involuntary urination is preceded by urinary
leakage. Often referred to as overactive bladder
✔✔Overflow incontinence - ✔✔occurs when pressure of urine in overfull bladder
overcomes sphincter control.
✔✔Functional incontinence - ✔✔loss of urine resulting from cognitive, functional, or
environmental factors.
✔✔Reflex incontinence - ✔✔occurs when no warning or stress precedes periodic
involuntary urination.
✔✔Transient Urinary Incontinence - ✔✔Sudden arrival lasts 6 months or less and has --
---reversible causes
-Infection
-Pharmaceuticals
-Vaginitis
-Urethritis
-confusion
✔✔common causes of transient incontinence DIAPPERS - ✔✔D-elirium
I-nfection
A-trophic Urethra
P-harmaceuticals
P-sychologic
E-xcess Urine Output
R-estricted Mobility
S-tool Impaction
✔✔Diagnostic studies of urinary incontinance - ✔✔Urinalysis
Renal function test
Post-void residual (PVR) measurement
-(Normal PVR 50-75 mL)
Urine culture
✔✔Nursing interventions for Urinary elimination - ✔✔Promote bladder health
Encourage adequate hydration
Prevent infection, skin breakdown, fluid and electrolyte imbalance
, Avoid substances that irritate bladder
Pharmacologic agents
Incontinence management
Invasive procedures
✔✔Nursing Interventions for Urinary Incontinence - ✔✔-Focused history and physical
assessment
-Teach patient lifestyle modifications
-Prevent infection, skin breakdown, fluid and electrolyte imbalance
-Bladder or voiding log documenting time of urinations, episodes of urinary leakage, and
frequency of nocturia for 1-7 days.
-Teach kegel exercises
-Incontinence management
-Maximize toilet access
✔✔Teachings of lifestyle modifications for incontinence - ✔✔Encourage Smoking
cessation
Reduce Weight
Avoid substances that irritate bladder (caffeine, aspartame, citric juices)
Provide adequate hydration
✔✔Incontinence management - ✔✔Use scheduled voiding regimens
Bladder retraining - scheduled toileting with increasing voiding intervals
✔✔Pharmacologic Interventions for Urinary incontinence - ✔✔Antibiotics
Diuretics
Antispasmodics
Analgesics
✔✔Kegel Exercises - ✔✔First, as you are sitting or lying down, try to contract the
muscles you would use to stop urinating. You should feel your pelvic muscles
squeezing your urethra and anus. If your stomach or buttocks muscles tighten, you are
not exercising the right muscles.
Repeat this exercise 10 to 15 times per session. Try to do this at least 3 times a day.
✔✔acute Urinary Retention - ✔✔MEDICAL EMERGENCY-total inability to pass urine
via micturition
-prevent bladder rupture
✔✔chronic Urinary Retention - ✔✔an incomplete bladder emptying despite urination
✔✔urinary retention is caused by two different dysfunctions - ✔✔Bladder outlet
obstruction
Deficient detrusor contraction
ANSWERS RATED A+
✔✔Stress incontinence - ✔✔occurs after a sudden increase in intraabdominal pressure
causes loss of urine. Typically occurs during coughing, laughing, sneezing or heavy
lifting.
✔✔Urge incontinence - ✔✔Occurs when involuntary urination is preceded by urinary
leakage. Often referred to as overactive bladder
✔✔Overflow incontinence - ✔✔occurs when pressure of urine in overfull bladder
overcomes sphincter control.
✔✔Functional incontinence - ✔✔loss of urine resulting from cognitive, functional, or
environmental factors.
✔✔Reflex incontinence - ✔✔occurs when no warning or stress precedes periodic
involuntary urination.
✔✔Transient Urinary Incontinence - ✔✔Sudden arrival lasts 6 months or less and has --
---reversible causes
-Infection
-Pharmaceuticals
-Vaginitis
-Urethritis
-confusion
✔✔common causes of transient incontinence DIAPPERS - ✔✔D-elirium
I-nfection
A-trophic Urethra
P-harmaceuticals
P-sychologic
E-xcess Urine Output
R-estricted Mobility
S-tool Impaction
✔✔Diagnostic studies of urinary incontinance - ✔✔Urinalysis
Renal function test
Post-void residual (PVR) measurement
-(Normal PVR 50-75 mL)
Urine culture
✔✔Nursing interventions for Urinary elimination - ✔✔Promote bladder health
Encourage adequate hydration
Prevent infection, skin breakdown, fluid and electrolyte imbalance
, Avoid substances that irritate bladder
Pharmacologic agents
Incontinence management
Invasive procedures
✔✔Nursing Interventions for Urinary Incontinence - ✔✔-Focused history and physical
assessment
-Teach patient lifestyle modifications
-Prevent infection, skin breakdown, fluid and electrolyte imbalance
-Bladder or voiding log documenting time of urinations, episodes of urinary leakage, and
frequency of nocturia for 1-7 days.
-Teach kegel exercises
-Incontinence management
-Maximize toilet access
✔✔Teachings of lifestyle modifications for incontinence - ✔✔Encourage Smoking
cessation
Reduce Weight
Avoid substances that irritate bladder (caffeine, aspartame, citric juices)
Provide adequate hydration
✔✔Incontinence management - ✔✔Use scheduled voiding regimens
Bladder retraining - scheduled toileting with increasing voiding intervals
✔✔Pharmacologic Interventions for Urinary incontinence - ✔✔Antibiotics
Diuretics
Antispasmodics
Analgesics
✔✔Kegel Exercises - ✔✔First, as you are sitting or lying down, try to contract the
muscles you would use to stop urinating. You should feel your pelvic muscles
squeezing your urethra and anus. If your stomach or buttocks muscles tighten, you are
not exercising the right muscles.
Repeat this exercise 10 to 15 times per session. Try to do this at least 3 times a day.
✔✔acute Urinary Retention - ✔✔MEDICAL EMERGENCY-total inability to pass urine
via micturition
-prevent bladder rupture
✔✔chronic Urinary Retention - ✔✔an incomplete bladder emptying despite urination
✔✔urinary retention is caused by two different dysfunctions - ✔✔Bladder outlet
obstruction
Deficient detrusor contraction
