NCWO Continence Care 1

Question 1

Stress urinary incontinence (SUI) is caused by:

Accepted Answer

Inadequate urethral sphincter resistance during increased intra-abdominal pressure

Answer

SUI results from weakened urethral sphincter or pelvic floor muscles that cannot maintain continence when intra-abdominal pressure suddenly rises with coughing, sneezing, or exercise.

Question 2

Overactive bladder (OAB) is characterized by:

Accepted Answer

Urgency, with or without urgency incontinence, usually with frequency and nocturia

Answer

OAB is defined by urgency—a sudden, compelling desire to void—occurring with or without leakage, typically accompanied by urinary frequency and nocturia.

Question 3

The first-line conservative treatment for stress urinary incontinence in women is:

Accepted Answer

Pelvic floor muscle training (Kegel exercises)

Answer

Pelvic floor muscle training (PFMT) strengthens the urethral sphincter and pelvic floor, reducing SUI leakage and is the first-line evidence-based intervention.

Question 4

Bladder training for urge incontinence involves:

Accepted Answer

Gradually increasing the interval between voids to re-establish normal bladder capacity

Answer

Bladder training systematically extends the voiding interval—teaching the patient to suppress urgency—thereby gradually increasing bladder capacity and reducing leakage episodes.

Question 5

Prompted voiding is a continence intervention primarily used for:

Accepted Answer

Cognitively impaired or dependent residents who lack independent voiding awareness

Answer

Prompted voiding is designed for cognitively impaired or physically dependent individuals who cannot initiate voiding independently but can respond to caregiver prompts.

NCWO - National Certified Wound Ostomy Practice Test

NCWO - National Certified Wound Ostomy Practice Test

NCWO Continence Care 1