NR 601 ACTUAL EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ What is urge UI? Answer: Feeling of needing to go right away.
Rush to the bathroom.
◉ What is stress UI? Answer: Sneezing, coughing, laughing, pressure.
◉ What is mixed incontinence? Answer: Both stress and urgency
◉ Risk factors for UI? Answer: Female, obesity, dm, depression,
stroke, fecal incontinence, hysterectomy.
◉ What is the first line therapy for most older patients with UI?
Answer: Behavioral therapy
◉ What does behavioral therapy include for UI? Answer: Weightloss,
stop caffeinated beverages and alcohol, minimize fluid intake at
night, stop smoking,loop diuretics should be taken in afternoon.
Bladder trainings, kegal exercises, and prompted voiding.
◉ Which med can be used for OAB? S/e? Answer: Myrbetriq; can
cause high BP.
,◉ What medications can be used for urge incontinence and OAB?
What are their class? Answer: Detrol (tolterodine), ditropan
(oxybutinin)
These are anticholinergics/antimuscarinics
◉ Antimuscarinics and anticholinergics should be avoided in which
patients?according to BEERS criteria Answer: Patients with
dementia or cognitive impairment
◉ What is the gold standard treatment for women with stress
incontinence? Answer: Surgery
◉ What is the only evidenced based lifetsyle intervention for for
moderately obese younger older women with UI? Answer: Weight
loss
◉ Treatment of UI in older persons should be be proceeded how?
Answer: Step wise process. Stating with addressing first
comorbidities and medications, then lifestyle interventions,
behavioral treatment, pharmacological treatment, minimally
invasive procedures or surgeries.
◉ Management of UI should focus on what? Answer: The most
bothersome factors
,◉ All patients with UI should be screened for?ex? Answer:
Functional status and depression.
Functional impairment can be assessed by timed up and go and
minicog test
◉ Urinary frequency may reflect what ? Answer: High fluid intake,
and or use of caffeinated drinks or alcohol.
◉ Acute onset of UI or the presence of Suprapubic, lower abdominal,
or pelvic pain are what kind of symptoms? What should be done?
Answer: Red flag symptoms. For underlying neurologic or neoplastic
disease. Requires immediate referral to neuro, uro, gyno.
◉ What is the key difference between UI in younger and older
persons? Answer: UI may be precipitated or worsened by outside
factors of urinary tract, including meds, mobility, environment,
mentation, manual dexterity.
◉ What is an assessment tool for UI bother and quality of life? And
can be used to assess for the effect of treatment? Answer: Urogenital
distress index 6, min dif in score is 5/11
◉ What kind of therapy is most efficacious for UI? Answer: Both
behavioral and drug therapy. Than either alone
, ◉ Morbidity with UI are? Answer: Skin breakdown, falls. Fractures
◉ Symptoms of UTI? Answer: Dysuria, frequency, urgency,
hematuria
◉ UTI is the most common infection seen in who? Answer: Older
adults in nursing homes, or hospitals.
◉ Asymptomatic bacteriuria increases with? Answer: Age and
debility
◉ For older adults, treatment should not be initiated only based on
symptoms... why? Answer: Common symptoms can mimic other
diseases
◉ Post menopausal women may also complain of? Answer: Low
back pain, nocturia, incontinence, and constipation.
◉ Why is bacteruria and UTI so common in older adults? Answer:
There are conditions or diseases that lead to alterations in normal
flora, urinary stasis and obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency occurs.
QUESTIONS WITH ANSWERS GRADED A+
◉ What is urge UI? Answer: Feeling of needing to go right away.
Rush to the bathroom.
◉ What is stress UI? Answer: Sneezing, coughing, laughing, pressure.
◉ What is mixed incontinence? Answer: Both stress and urgency
◉ Risk factors for UI? Answer: Female, obesity, dm, depression,
stroke, fecal incontinence, hysterectomy.
◉ What is the first line therapy for most older patients with UI?
Answer: Behavioral therapy
◉ What does behavioral therapy include for UI? Answer: Weightloss,
stop caffeinated beverages and alcohol, minimize fluid intake at
night, stop smoking,loop diuretics should be taken in afternoon.
Bladder trainings, kegal exercises, and prompted voiding.
◉ Which med can be used for OAB? S/e? Answer: Myrbetriq; can
cause high BP.
,◉ What medications can be used for urge incontinence and OAB?
What are their class? Answer: Detrol (tolterodine), ditropan
(oxybutinin)
These are anticholinergics/antimuscarinics
◉ Antimuscarinics and anticholinergics should be avoided in which
patients?according to BEERS criteria Answer: Patients with
dementia or cognitive impairment
◉ What is the gold standard treatment for women with stress
incontinence? Answer: Surgery
◉ What is the only evidenced based lifetsyle intervention for for
moderately obese younger older women with UI? Answer: Weight
loss
◉ Treatment of UI in older persons should be be proceeded how?
Answer: Step wise process. Stating with addressing first
comorbidities and medications, then lifestyle interventions,
behavioral treatment, pharmacological treatment, minimally
invasive procedures or surgeries.
◉ Management of UI should focus on what? Answer: The most
bothersome factors
,◉ All patients with UI should be screened for?ex? Answer:
Functional status and depression.
Functional impairment can be assessed by timed up and go and
minicog test
◉ Urinary frequency may reflect what ? Answer: High fluid intake,
and or use of caffeinated drinks or alcohol.
◉ Acute onset of UI or the presence of Suprapubic, lower abdominal,
or pelvic pain are what kind of symptoms? What should be done?
Answer: Red flag symptoms. For underlying neurologic or neoplastic
disease. Requires immediate referral to neuro, uro, gyno.
◉ What is the key difference between UI in younger and older
persons? Answer: UI may be precipitated or worsened by outside
factors of urinary tract, including meds, mobility, environment,
mentation, manual dexterity.
◉ What is an assessment tool for UI bother and quality of life? And
can be used to assess for the effect of treatment? Answer: Urogenital
distress index 6, min dif in score is 5/11
◉ What kind of therapy is most efficacious for UI? Answer: Both
behavioral and drug therapy. Than either alone
, ◉ Morbidity with UI are? Answer: Skin breakdown, falls. Fractures
◉ Symptoms of UTI? Answer: Dysuria, frequency, urgency,
hematuria
◉ UTI is the most common infection seen in who? Answer: Older
adults in nursing homes, or hospitals.
◉ Asymptomatic bacteriuria increases with? Answer: Age and
debility
◉ For older adults, treatment should not be initiated only based on
symptoms... why? Answer: Common symptoms can mimic other
diseases
◉ Post menopausal women may also complain of? Answer: Low
back pain, nocturia, incontinence, and constipation.
◉ Why is bacteruria and UTI so common in older adults? Answer:
There are conditions or diseases that lead to alterations in normal
flora, urinary stasis and obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency occurs.
