NURS 620 CERTIFICATION EVALUATION
2026 EXAM QUESTIONS AND SOLUTIONS
◉ Urge, stress, mixed, or overflow.
Answer: Type of urinary incontinence
◉ -Complete H&P with pelvic exam
-Voiding diary
-UA/C&S
-urodynamics: Q-tip test & cystomyetrogram (CMG).
Answer: Assessment for urinary incontinence
◉ Diabetes
Congenital disorders.
Answer: What underlying disorders are associated with urinary
incontinence?
◉ Q-tip test.
Answer: Urodynamic test in which a Q-tip is swirled around the
urethra to test the reflex response.
,◉ -Kegals-40-60 contractions daily
-Pelvic floor muscle training
-Vaginal cones or pessaries
-Weight loss
-Limit fluids & diuretics in evening
-Dietary changes
-Quit smoking
-Vaginal estrogen (vaginal atrophy)
-Surgical intervention.
Answer: Recommended management of stress incontinence
◉ -10 @ a time (gradually increase pressure and holding with kegal
and slowly release the muscle relaxation.
Answer: How should you educate patients to perform kegal
excercises?
◉ Should feel tightness around finger during pelvic exam.
Answer: How do you assess that a patent is doing kegals properly
using the pelvic floor muscles rather than abdominal muscles?
◉ Decongestants (psuedophedrine-good 1st option if no htn)
, Anticholinergic medications
tricyclic antidepressants.
Answer: Medication management for urge incontinence.
◉ Overactive bladder.
Answer: Bladder contracts involuntarily; detrusor muscle
instability; unable to postpone;urgency.
◉ -Bladder training
-urgency control strategies..
Answer: What are behavioral therapy techniques for OAB?
◉ -Cold remedies (Sudafed)
-Chocolate
-Carbonation/colas
-Citrus
-Cranberry juice/pills
-Vitamin C
-Certain wines and beers
-Crystal light
-Candy and high sugar foods..
2026 EXAM QUESTIONS AND SOLUTIONS
◉ Urge, stress, mixed, or overflow.
Answer: Type of urinary incontinence
◉ -Complete H&P with pelvic exam
-Voiding diary
-UA/C&S
-urodynamics: Q-tip test & cystomyetrogram (CMG).
Answer: Assessment for urinary incontinence
◉ Diabetes
Congenital disorders.
Answer: What underlying disorders are associated with urinary
incontinence?
◉ Q-tip test.
Answer: Urodynamic test in which a Q-tip is swirled around the
urethra to test the reflex response.
,◉ -Kegals-40-60 contractions daily
-Pelvic floor muscle training
-Vaginal cones or pessaries
-Weight loss
-Limit fluids & diuretics in evening
-Dietary changes
-Quit smoking
-Vaginal estrogen (vaginal atrophy)
-Surgical intervention.
Answer: Recommended management of stress incontinence
◉ -10 @ a time (gradually increase pressure and holding with kegal
and slowly release the muscle relaxation.
Answer: How should you educate patients to perform kegal
excercises?
◉ Should feel tightness around finger during pelvic exam.
Answer: How do you assess that a patent is doing kegals properly
using the pelvic floor muscles rather than abdominal muscles?
◉ Decongestants (psuedophedrine-good 1st option if no htn)
, Anticholinergic medications
tricyclic antidepressants.
Answer: Medication management for urge incontinence.
◉ Overactive bladder.
Answer: Bladder contracts involuntarily; detrusor muscle
instability; unable to postpone;urgency.
◉ -Bladder training
-urgency control strategies..
Answer: What are behavioral therapy techniques for OAB?
◉ -Cold remedies (Sudafed)
-Chocolate
-Carbonation/colas
-Citrus
-Cranberry juice/pills
-Vitamin C
-Certain wines and beers
-Crystal light
-Candy and high sugar foods..
