CRRN Bowel and Bladder Management in Rehabilitation 2

Question 1

A patient with stroke has urge urinary incontinence due to neurogenic detrusor overactivity. Which pharmacological intervention is most commonly used?

Accepted Answer

Anticholinergic medication such as oxybutynin

Answer

Anticholinergic medications such as oxybutynin reduce involuntary detrusor contractions, decreasing urge incontinence in patients with neurogenic overactive bladder.

Question 2

A rehabilitation patient is being evaluated for a urinary tract infection. Which clinical finding is a reliable indicator of UTI in a patient with SCI who has no bladder sensation?

Accepted Answer

Increased spasticity, autonomic dysreflexia, cloudy urine with foul odor, and fever

Answer

In patients with SCI who lack bladder sensation, UTI presents with systemic and indirect signs including increased spasticity, AD, cloudy/foul urine, and fever rather than dysuria.

Question 3

A patient post-prostatectomy has stress urinary incontinence. Which non-pharmacological intervention is the FIRST LINE treatment?

Accepted Answer

Pelvic floor muscle training (Kegel exercises)

Answer

Pelvic floor muscle training (PFMT) is the first-line non-pharmacological intervention for stress urinary incontinence post-prostatectomy, strengthening the external urethral sphincter.

Question 4

A rehabilitation nurse is reviewing a clean intermittent catheterization technique with a patient for home use. Which modification distinguishes CLEAN from sterile technique for home IC?

Accepted Answer

Reusable catheters cleaned with soap and water; handwashing and clean technique are acceptable

Answer

Clean IC at home uses clean (not sterile) technique with reusable catheters washed with soap and water, which is safe and evidence-based for outpatient neurogenic bladder management.

Question 5

A patient with a neurogenic bowel is experiencing constipation despite a scheduled bowel program. Which dietary intervention is MOST appropriate?

Accepted Answer

Increase dietary fiber to 25–38 grams per day and ensure adequate fluid intake

Answer

Adequate dietary fiber (25–38 g/day) combined with sufficient fluid intake (1.5–2 L/day) promotes stool bulk and motility, improving constipation in neurogenic bowel.

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN Bowel and Bladder Management in Rehabilitation 2