NCWO Continence Care 2

Question 1

Fecal incontinence (FI) associated with loose or liquid stool is most commonly managed initially with:

Accepted Answer

Dietary fiber supplementation to add bulk and slow transit

Answer

Surgical sphincteroplasty

Answer

Permanent colostomy formation

Answer

Biofeedback therapy as the sole intervention

Question 2

The anal plug device is used in fecal incontinence management to:

Accepted Answer

Occlude the anal canal to prevent unintended stool passage

Answer

Stimulate sphincter contraction via electrical current

Answer

Deliver topical medication to the anal sphincter

Answer

Dilate a stenosed anal canal

Question 3

Intermittent catheterization (IC) is preferred over indwelling urethral catheterization for long-term bladder management because IC:

Accepted Answer

Significantly reduces the risk of catheter-associated urinary tract infection (CAUTI)

Answer

Requires less patient education and is easier to perform

Answer

Eliminates the need for fluid management

Answer

Can be performed without hand washing in community settings

Question 4

Urinary retention post-operatively is most commonly caused by:

Accepted Answer

Opioid analgesia and anesthetic effects inhibiting detrusor contractility

Answer

Excessive post-operative fluid intake

Answer

Compression dressings applied to the abdomen

Answer

Early ambulation causing sphincter spasm

Question 5

The recommended daily fluid intake for a continent adult to maintain normal voiding and prevent UTI is approximately:

Accepted Answer

1500–2000 mL/day

Answer

500–800 mL/day

Answer

1000–1200 mL/day

Answer

3000–4000 mL/day

Question 6

When catheterizing a female patient using clean intermittent catheterization (CIC), the catheter should be inserted:

Accepted Answer

2–4 cm or until urine flows, then advanced 1 cm more

Answer

8–10 cm or until resistance is felt

Answer

As far as the catheter will go

Answer

1 cm into the urethral meatus only