WEB WOC OSTOMY CARE Final
Exam Newest Exam Preparation
With Complete Questions
Question 1
An end colostomy is created by:
A. Bringing a loop of bowel to the skin surface with a supporting rod
B. Transecting the bowel and bringing the proximal end to the skin as a
single stoma
C. Bringing both ends of transected bowel to the skin (functional end and
mucous fistula)
D. Creating an internal reservoir without an external stoma
Correct Answer: B
Rationale: An end colostomy is created by transecting the bowel and
bringing the proximal (functional) end to the skin surface as a single
stoma. The distal segment may be removed, oversewn (Hartmann's
pouch), or brought to skin as a mucous fistula (then called a double-
barrel colostomy, option C). A loop colostomy (option A) involves a loop
of bowel with a supporting rod. A continent diversion (option D) has no
external stoma, such as a Kock pouch.
Question 2
,A patient with a descending colostomy will most likely have stool that is:
A. Liquid to semi-liquid
B. Pasty to semi-formed
C. Formed solid stool (similar to pre-surgery)
D. Watery with high enzyme content
Correct Answer: C
Rationale: Descending and sigmoid colostomies are located in the left
colon, where most water absorption has already occurred. Output is
typically formed solid stool (similar to normal bowel movements). An
ascending colostomy produces liquid to semi-liquid output. A transverse
colostomy produces pasty to semi-formed output. An ileostomy
produces watery, enzyme-rich output.
Question 3
A Kock pouch (continent ileostomy) differs from a conventional
ileostomy because:
A. It has an external stoma with continuous drainage
B. It has an internal reservoir and a nipple valve that allows intermittent
catheterization (no external pouch needed)
C. It is not connected to the bowel
D. It is temporary only
Correct Answer: B
Rationale: A Kock pouch (continent ileostomy) uses an ileal reservoir
with a nipple valve (intussuscepted segment) that prevents leakage.
,Patients catheterize the stoma 3-6 times daily to drain the reservoir; no
external pouch is needed. This is different from a conventional ileostomy,
which continuously drains into an external pouch.
Question 4
An ileal conduit (urostomy) is constructed using:
A. Sigmoid colon
B. Terminal ileum (ileal segment)
C. Jejunum
D. Stomach
Correct Answer: B
Rationale: An ileal conduit (urostomy) is constructed using a segment of
the terminal ileum. The ureters are anastomosed to the ileal segment,
which is brought to the skin as a stoma. The sigmoid colon is used for a
colon conduit (less common). The jejunum is not typically used due to
electrolyte absorption issues.
Question 5
An abdominoperineal resection (APR) results in which type of ostomy?
A. Permanent end colostomy
B. Temporary loop ileostomy
, C. Permanent ileostomy
D. Continent ileostomy
Correct Answer: A
Rationale: An abdominoperineal resection (APR) involves removal of the
rectum and anal sphincters for low rectal cancer. This results in a
permanent end colostomy because the distal bowel is removed and the
proximal end is brought to the skin as a single stoma. A temporary loop
ileostomy may be created for protection following a low anterior
resection (LAR), not APR.
Question 6
A patient is scheduled for a low anterior resection (LAR) with a
temporary diverting loop ileostomy. The purpose of the temporary
ileostomy is to:
A. Allow the patient to eat normally during recovery
B. Protect the distal anastomosis by diverting fecal flow
C. Eliminate the need for postoperative pain medication
D. Allow the patient to return to work sooner
Correct Answer: B
Rationale: A temporary diverting loop ileostomy is created to protect a
distal anastomosis (surgical connection) by diverting fecal flow away
from the healing site. This reduces the risk of anastomotic leakage and
allows the anastomosis to heal without the stress of stool passage. It is
not intended to allow normal eating, eliminate pain, or expedite return to
work.
Exam Newest Exam Preparation
With Complete Questions
Question 1
An end colostomy is created by:
A. Bringing a loop of bowel to the skin surface with a supporting rod
B. Transecting the bowel and bringing the proximal end to the skin as a
single stoma
C. Bringing both ends of transected bowel to the skin (functional end and
mucous fistula)
D. Creating an internal reservoir without an external stoma
Correct Answer: B
Rationale: An end colostomy is created by transecting the bowel and
bringing the proximal (functional) end to the skin surface as a single
stoma. The distal segment may be removed, oversewn (Hartmann's
pouch), or brought to skin as a mucous fistula (then called a double-
barrel colostomy, option C). A loop colostomy (option A) involves a loop
of bowel with a supporting rod. A continent diversion (option D) has no
external stoma, such as a Kock pouch.
Question 2
,A patient with a descending colostomy will most likely have stool that is:
A. Liquid to semi-liquid
B. Pasty to semi-formed
C. Formed solid stool (similar to pre-surgery)
D. Watery with high enzyme content
Correct Answer: C
Rationale: Descending and sigmoid colostomies are located in the left
colon, where most water absorption has already occurred. Output is
typically formed solid stool (similar to normal bowel movements). An
ascending colostomy produces liquid to semi-liquid output. A transverse
colostomy produces pasty to semi-formed output. An ileostomy
produces watery, enzyme-rich output.
Question 3
A Kock pouch (continent ileostomy) differs from a conventional
ileostomy because:
A. It has an external stoma with continuous drainage
B. It has an internal reservoir and a nipple valve that allows intermittent
catheterization (no external pouch needed)
C. It is not connected to the bowel
D. It is temporary only
Correct Answer: B
Rationale: A Kock pouch (continent ileostomy) uses an ileal reservoir
with a nipple valve (intussuscepted segment) that prevents leakage.
,Patients catheterize the stoma 3-6 times daily to drain the reservoir; no
external pouch is needed. This is different from a conventional ileostomy,
which continuously drains into an external pouch.
Question 4
An ileal conduit (urostomy) is constructed using:
A. Sigmoid colon
B. Terminal ileum (ileal segment)
C. Jejunum
D. Stomach
Correct Answer: B
Rationale: An ileal conduit (urostomy) is constructed using a segment of
the terminal ileum. The ureters are anastomosed to the ileal segment,
which is brought to the skin as a stoma. The sigmoid colon is used for a
colon conduit (less common). The jejunum is not typically used due to
electrolyte absorption issues.
Question 5
An abdominoperineal resection (APR) results in which type of ostomy?
A. Permanent end colostomy
B. Temporary loop ileostomy
, C. Permanent ileostomy
D. Continent ileostomy
Correct Answer: A
Rationale: An abdominoperineal resection (APR) involves removal of the
rectum and anal sphincters for low rectal cancer. This results in a
permanent end colostomy because the distal bowel is removed and the
proximal end is brought to the skin as a single stoma. A temporary loop
ileostomy may be created for protection following a low anterior
resection (LAR), not APR.
Question 6
A patient is scheduled for a low anterior resection (LAR) with a
temporary diverting loop ileostomy. The purpose of the temporary
ileostomy is to:
A. Allow the patient to eat normally during recovery
B. Protect the distal anastomosis by diverting fecal flow
C. Eliminate the need for postoperative pain medication
D. Allow the patient to return to work sooner
Correct Answer: B
Rationale: A temporary diverting loop ileostomy is created to protect a
distal anastomosis (surgical connection) by diverting fecal flow away
from the healing site. This reduces the risk of anastomotic leakage and
allows the anastomosis to heal without the stress of stool passage. It is
not intended to allow normal eating, eliminate pain, or expedite return to
work.
