10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CCCN-AP exam has 120 questions and runs 2 hours.
These 10 free CCCN-AP questions are organized by exam domain, so you can see how each part of the Certified Continence Care Nurse - Advanced Practice blueprint is tested. Reveal the answer and explanation under each question.
A 46-year-old runner reports urine loss with coughing and jumping, but no urgency. Urinalysis is normal. Her cough stress test is negative when performed immediately after she voids; the post-void residual is 25 mL. What is the most useful next step to determine whether stress leakage can be demonstrated?
Correct answer: B - Repeat the cough stress test standing with a comfortably full bladder.
A 70-year-old man's representative bladder diary records 2,000 mL of urine in 24 hours, including all the following voids: 200 mL immediately before sleep, 180 mL and 220 mL during two overnight awakenings, and 400 mL on final morning awakening. Which interpretation of his nocturnal polyuria index should guide further assessment?
Correct answer: B - 40%; investigate contributors to excessive nighttime urine production.
A 73-year-old receiving oxycodone and senna after a hip fracture develops watery fecal leakage despite passing very little stool all week. Rectal examination reveals a large, hard mass surrounded by liquid stool. What accounts for the leakage?
Correct answer: D - Fecal impaction with overflow incontinence
Video urodynamics in a woman with multiple sclerosis shows a sustained detrusor contraction during attempted voiding. At the same time, external urethral sphincter electromyographic activity increases and fluoroscopy shows narrowing at that sphincter. Flow is interrupted and a substantial residual remains. The pressure and electromyographic recordings have been checked for artifact. These findings identify:
Correct answer: D - Detrusor-sphincter dyssynergia during attempted voiding
An 8-year-old who has never remained dry at night also has daytime urgency, holding maneuvers, and occasional wetting at school. She passes two painful, hard stools weekly. Growth, neurologic examination, and urinalysis are normal. Her parents request treatment for bedwetting before an overnight school trip. The initial plan should prioritize:
Correct answer: C - Treating constipation and establishing regular daytime voiding before reassessing bedwetting.
A woman seeking relief from a vaginal bulge has a most distal POP-Q point of +3 cm and a total vaginal length of 9 cm. The prolapse is reducible, vaginal tissue is intact, and post-void residual is 40 mL. She prefers a pessary and can attend follow-up. Which classification and counseling statement fit her findings?
Correct answer: C - Stage III; a pessary trial with planned vaginal examinations is reasonable.
During a clinic visit, a man with a complete T4 spinal cord injury develops a pounding headache and facial flushing. His blood pressure is 138/82 mmHg, compared with his usual 102/60 mmHg. His indwelling catheter has stopped draining. While another team member repeats the blood pressure, which action takes priority?
Correct answer: A - Sit him upright, loosen constrictive clothing, and promptly restore bladder drainage.
"The stool is soft now. I just cannot get it out." Despite polyethylene glycol, a patient still strains and uses vaginal splinting to evacuate. No significant rectocele is found. Testing shows adequate rectal propulsion, paradoxical anal contraction, and inability to expel the test balloon. Select the intervention that addresses the persisting dysfunction.
Correct answer: A - Provide biofeedback that retrains coordinated rectal propulsion and anal relaxation.
"I can walk farther now, but I still need pads. Have the exercises failed?" asks a man four months after radical prostatectomy. With supervised pelvic-floor training, his leakage has fallen from six pads to two daily. The remaining leakage occurs with exertion, without urgency; his stream is satisfactory and post-void residual is 30 mL. Which follow-up plan fits this stage of recovery?
Correct answer: B - Continue pelvic-floor rehabilitation, monitoring both leakage and daily activities.
After introducing a nurse-driven urinary catheter removal protocol, a hospital unit reports fewer catheter-days and a lower catheter-associated urinary tract infection rate. The continence APRN wants a balancing measure before judging the change a net benefit. Which additional measure belongs in that review?
Correct answer: C - Rate of symptomatic retention requiring unplanned catheterization
The full bank has 1,020 more CCCN-AP questions with explanations.
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