COCN CERTIFICATION EXAM PREP (CERTIFIED OSTOMY
CARE NURSE) 2026 QUESTIONS AND ANSWERS
(SOLVED) 100% CORRECT
signs effects of radiation of GI mucosa Answer - delusion, bleeding, infection,
malabsorption, dehydration, electrolyte imbalance, proctitis
postoperative calorie recommendations Answer - 30-35 KCAL per kilogram per
day or 35 to 40 KCAL per kilogram per day if underweight
nutritional recommendations for short bowel syndrome with high output
ostomies Answer - 1. Avoid caffeine / alcohol
2 Chew food well
3 add salty meals and snacks
4 small frequent meals
5 consume Foods or supplements that contain soluble fiber
6 liquid or chewable vitamins and mineral supplements
Disadvantages of ureterosigmoidostomy Answer - development of Ca+ at
anastomotic site
Disadvantages of Ureterostomy Answer - stenosis, poor emptying, major
pouching difficulties
, Disadvantages of Ilial conduit Answer - not non-refluxing anastomosis between
ureters and ilial segment
Construction of ileocecal pouch (for continent urinary diversion) Answer - 1.
reconfigure cecum 2. Detubularization 3. Anastomose ureters to secal reservior
(in anti-refluxing fashion) 4. Plicate (or fold) cecum around 12Fr catheter to
support ileocecal valve. 5. Suture distal end of ileal segment to abd wall to
create catheterizable channel.
Definition and samples of water soluble fiber Answer - dissolves in water,
slows transition time, oats, dried beans, nuts, flaxseed, fruits
Definition and samples of water insoluble fiber Answer - moves bulk through
intestine, increases transit time, veges: green beans, dark green leafy veges,
whole wheat products, wheat bran
How often should you irrigate a continent ileosotmy? Answer - every 2 hours
with 20-30ml ns, drain by graviey, repeat until clear
Dressing for a continent ileostomy Answer - split gauze
Treatment for blockage for a continent ileostomy Answer - irrigate, milk tubing,
change tube
Conditions indicated and contraindicated for continent ileostomy Answer - UC,
FAP, failed IPAA, Poor spincter, Not crohns
Definition of a simple sump catheter Answer - Catheter inserted into abd
cavity following surgery. Can be connected to suction.
CARE NURSE) 2026 QUESTIONS AND ANSWERS
(SOLVED) 100% CORRECT
signs effects of radiation of GI mucosa Answer - delusion, bleeding, infection,
malabsorption, dehydration, electrolyte imbalance, proctitis
postoperative calorie recommendations Answer - 30-35 KCAL per kilogram per
day or 35 to 40 KCAL per kilogram per day if underweight
nutritional recommendations for short bowel syndrome with high output
ostomies Answer - 1. Avoid caffeine / alcohol
2 Chew food well
3 add salty meals and snacks
4 small frequent meals
5 consume Foods or supplements that contain soluble fiber
6 liquid or chewable vitamins and mineral supplements
Disadvantages of ureterosigmoidostomy Answer - development of Ca+ at
anastomotic site
Disadvantages of Ureterostomy Answer - stenosis, poor emptying, major
pouching difficulties
, Disadvantages of Ilial conduit Answer - not non-refluxing anastomosis between
ureters and ilial segment
Construction of ileocecal pouch (for continent urinary diversion) Answer - 1.
reconfigure cecum 2. Detubularization 3. Anastomose ureters to secal reservior
(in anti-refluxing fashion) 4. Plicate (or fold) cecum around 12Fr catheter to
support ileocecal valve. 5. Suture distal end of ileal segment to abd wall to
create catheterizable channel.
Definition and samples of water soluble fiber Answer - dissolves in water,
slows transition time, oats, dried beans, nuts, flaxseed, fruits
Definition and samples of water insoluble fiber Answer - moves bulk through
intestine, increases transit time, veges: green beans, dark green leafy veges,
whole wheat products, wheat bran
How often should you irrigate a continent ileosotmy? Answer - every 2 hours
with 20-30ml ns, drain by graviey, repeat until clear
Dressing for a continent ileostomy Answer - split gauze
Treatment for blockage for a continent ileostomy Answer - irrigate, milk tubing,
change tube
Conditions indicated and contraindicated for continent ileostomy Answer - UC,
FAP, failed IPAA, Poor spincter, Not crohns
Definition of a simple sump catheter Answer - Catheter inserted into abd
cavity following surgery. Can be connected to suction.
