Nursing continuing education $3/hr

Exam & Evaluation (Bladder Management after Spinal Cord Injury)
Questions: Please respond to following statements.

This is a free course! Please note that when you register (with your name, address, user name and password, etc), you DO NOT need to enter a credit card number. Under "Method of Payment" , you can choose "Personal check" and you will NOT be required to enter credit card information. You can change your info anytime by logging into your account, and choosing "Edit My Information." Any further questions, please email us at
1 After SCI, problems with urinary and bladder function are common. Which of the following problems are associated with SCI?
  Urinary tract infections
  Bladder stones
  Kidney deterioration
  Kidney failure
  All of the above
2 Another name for the bladder muscle is:
3 Sympathetic stimulation inhibits voiding, while parasympathetic stimulation allows voiding to occur.
True     False
4 We normally become aware of the need to void when the bladder holds:
  50 cc
  100 cc
  150 cc
  200 cc
  250 cc
5 A bladder that is hyperreflexic is overactive. It tends to empty "automatically."
True     False
6 Suprasacral lesions (lesions above the sacrum) often are associated with detrusor sphincter dyssynergia (DSD).
True     False
7 The following statements about vesicoureteral reflux are correct, EXCEPT:
  It commonly occurs with suprasacral injuries.
  The bladder is more stretchable and compliant.
  Urine in the bladder returns to the ureters and kidneys.
  Potentially results in kidney damage.
8 Patients in spinal shock frequently require urinary catheterization.
True     False
9 Bladder management protocols stress that it's important the amount of urine in bladder not exceed:
  150 cc
  300 cc
  500 cc
  600 cc
10 Specific goals of a bladder training program after SCI include prevention of:
  bladder overdistention
  urinary tract infections
  kidney damage
  all of the above
11 The best time to perform urodynamic assessment testing after spinal cord injury is during the period of spinal shock.
True     False
12 If a patient has frequent UTIs using "clean" intermittent catheterization procedures, it may be necessary to switch to only using sterile equipment and aseptic technique.
True     False
13 For ideal bladder training, the 3 disciplines of nursing, physical therapy and occupational therapy work hand-in-hand.
True     False
14 The following statements about the medication Ditropan (oxybutynin chloride) are correct, EXCEPT.
  It is a medication that decreases bladder muscle tone.
  It is a cholinergic medication.
  It has a local anesthetic effect on the bladder.
  It tends to increase bladder capacity.
15 Autonomic Dysreflexia (AD) is associated with injuries at the spinal cord level:
  Sacral root
  T6 and above
  L1 through L12
16 Autonomic dysreflexia most often occurs within the first 6 months after SCI.
True     False
17 The first interventions to perform for an episode of autonomic dysreflexia include the following, EXCEPT:
  Place the patient in an upright position.
  Catheterize the bladder, and/or check for bladder distention.
  Administer medication to bring the blood pressure back up.
  Loosen restrictive clothing
  Check for pressure sores
18 According to the National Institute on Disability and Rehabilitation, the amount of bacteria found in urine cultures from patients with an indwelling urinary catheter that is considered significant is:
  100 CFU/ml is significant
  10,000 CFU/ml is significant
  100,000 organisms per high power field is significant
  Any detectable bacteria is significant
19 SCI patients with a lower urinary tract infection commonly display the following symptoms, EXCEPT:
  Cloudy, strong smelling urine
  New onset of urinary incontinence
  Extraordinary pain or burning on urination
  An episode of autonomic dysreflexia with lesions above T6
20 A urine culture should be repeated if it comes back with more than how many organisms present?
Please Evaluate the course. Choose the appropriate button to rate the following.

A The relationship of objectives to the overall purpose/goal of this interactive independent study activity.
Excellent   Very Good   Good   Fair   Poor  
C Rate the effectiveness of the teaching/learning resources used (i.e. text, graphics, animated graphics, video clips, Internet links, Instant Feedback).
Excellent   Very Good   Good   Fair   Poor  
D You are required to spend a total of 180 minutes studying this course, internet links, exam and evaluation. Please confirm by entering the number "180" in this box.
E Please tell us if you required MORE than 180 minutes to complete this course.  If so, how much TOTAL time did you spend?
F Please use this space for comments, or to report technical issues, etc. You can also email us (
G Where did you hear about the website?
Word of mouth
Search engine
Link from another website