Question 1: A 68-year-old woman reports involuntary urine leakage when coughing or laughing. Which type of urinary incontinence is most likely?
Answer: B
Rationale: Stress incontinence occurs due to weak pelvic muscles, causing urine leakage when intra-abdominal pressure increases during coughing, sneezing, or laughing.
Rationale: Stress incontinence occurs due to weak pelvic muscles, causing urine leakage when intra-abdominal pressure increases during coughing, sneezing, or laughing.
Question 2: A patient with Parkinson’s disease frequently experiences sudden strong urges to urinate. What is the most likely cause?
Answer: C
Rationale: Urge incontinence results from detrusor muscle overactivity, often seen in neurological conditions like Parkinson’s disease, leading to an intense urge to void.
Rationale: Urge incontinence results from detrusor muscle overactivity, often seen in neurological conditions like Parkinson’s disease, leading to an intense urge to void.
Question 3: A male patient with an enlarged prostate reports dribbling urine and incomplete bladder emptying. Which type of incontinence is this?
Answer: A
Rationale: Overflow incontinence occurs when the bladder cannot empty completely due to obstruction or weak detrusor muscles, leading to dribbling.
Rationale: Overflow incontinence occurs when the bladder cannot empty completely due to obstruction or weak detrusor muscles, leading to dribbling.
Question 4: A 75-year-old with dementia frequently wets the bed because he cannot find the toilet on time. Which type of incontinence does this represent?
Answer: B
Rationale: Functional incontinence occurs when the urinary system is normal but cognitive or mobility problems prevent timely toilet use.
Rationale: Functional incontinence occurs when the urinary system is normal but cognitive or mobility problems prevent timely toilet use.
Question 5: During bladder training, the nurse teaches the patient to urinate every 2 hours regardless of urge. What is the purpose of this intervention?
Answer: C
Rationale: Scheduled voiding or bladder training helps retrain bladder muscles to hold urine longer, improving bladder capacity and control.
Rationale: Scheduled voiding or bladder training helps retrain bladder muscles to hold urine longer, improving bladder capacity and control.
Question 6: A nurse teaches a patient Kegel exercises to manage urinary incontinence. What is the main purpose of this exercise?
Answer: B
Rationale: Kegel exercises strengthen the pelvic floor muscles that support the bladder and urethra, reducing urine leakage.
Rationale: Kegel exercises strengthen the pelvic floor muscles that support the bladder and urethra, reducing urine leakage.
Question 7: A nurse is caring for a client on diuretics who complains of frequent urination and leakage. Which type of incontinence should the nurse suspect?
Answer: C
Rationale: Diuretics increase urine production, leading to urgency and potential urge incontinence due to sudden bladder contractions.
Rationale: Diuretics increase urine production, leading to urgency and potential urge incontinence due to sudden bladder contractions.
Question 8: Which of the following interventions is a priority for a patient with urinary incontinence?
Answer: B
Rationale: Maintaining good perineal hygiene prevents skin breakdown and infection, which are major complications of urinary incontinence.
Rationale: Maintaining good perineal hygiene prevents skin breakdown and infection, which are major complications of urinary incontinence.
Question 9: A nurse instructs a patient with urge incontinence to avoid coffee, alcohol, and citrus drinks. Why are these restricted?
Answer: B
Rationale: Caffeine, alcohol, and citrus drinks irritate the bladder lining and can trigger bladder contractions, worsening urge incontinence.
Rationale: Caffeine, alcohol, and citrus drinks irritate the bladder lining and can trigger bladder contractions, worsening urge incontinence.
Question 10: A nurse evaluates a patient’s progress after bladder training. Which finding indicates improvement?
Answer: B
Rationale: Increased intervals between voiding show improved bladder control and successful bladder training outcomes.
Rationale: Increased intervals between voiding show improved bladder control and successful bladder training outcomes.
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