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

Dietary fiber bulks the stool and slows intestinal transit, making fecal incontinence associated with loose stools easier to control before escalating to procedural interventions.

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

An anal plug is a disposable device inserted into the anal canal to physically block passage of stool, providing a continence barrier for patients with FI.

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

IC eliminates the continuous foreign body in the urethra and bladder, dramatically lowering CAUTI risk compared to indwelling urethral catheters.

Question 4

Urinary retention post-operatively is most commonly caused by:

Accepted Answer

Opioid analgesia and anesthetic effects inhibiting detrusor contractility

Answer

Opioids and anesthetic agents inhibit the detrusor muscle and increase urethral sphincter tone, commonly causing post-operative urinary retention.

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

An intake of 1500–2000 mL/day maintains adequate urine output, dilutes urinary irritants, and reduces UTI risk without overloading the bladder.

NCWO - National Certified Wound Ostomy Practice Test

NCWO - National Certified Wound Ostomy Practice Test

NCWO Continence Care 2