NCWO Continence Care 3

Question 1

Sacral neuromodulation (SNM) is indicated for which type of urinary incontinence?

Accepted Answer

Refractory overactive bladder or urge incontinence not responding to conservative therapy

Answer

SNM modulates sacral nerve activity to normalize detrusor function and is FDA-approved for refractory OAB and urge urinary incontinence that fails conservative and pharmacological treatment.

Question 2

A pessary is used in women primarily to manage:

Accepted Answer

Pelvic organ prolapse and related stress urinary incontinence

Answer

A pessary is a vaginal support device inserted to reduce pelvic organ prolapse and restore urethrovesical angle, which often alleviates associated stress urinary incontinence.

Question 3

Nocturia (two or more nighttime voids) in older adults is most commonly caused by:

Accepted Answer

Nocturnal polyuria (overproduction of urine at night) due to fluid redistribution and reduced ADH

Answer

Nocturnal polyuria—disproportionate urine production at night from fluid redistribution and age-related decline in ADH secretion—is the most prevalent cause of nocturia in older adults.

Question 4

The most common bacteria causing catheter-associated urinary tract infections (CAUTIs) in hospitalized patients is:

Accepted Answer

Escherichia coli

Answer

Escherichia coli is the most frequent pathogen in CAUTIs, accounting for approximately 25–30% of cases, consistent with its prevalence in the perineal flora.

Question 5

A structured skin care program for IAD prevention includes which three components?

Accepted Answer

Cleanse, protect, and restore (structured skin care regimen)

Answer

IAD prevention follows a cleanse–protect–restore framework: gentle pH-balanced cleansing, application of a moisture barrier, and skin restoration with emollients or barrier creams.

NCWO - National Certified Wound Ostomy Practice Test

NCWO - National Certified Wound Ostomy Practice Test

NCWO Continence Care 3