OSTOMY CARE (EXAM 3) COMPLETE ACCURATE
EXAM REAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS
1. A patient is scheduled for an abdominoperineal resection. What type of ostomy will the
patient require?
A) Permanent ileostomy
B) Temporary ileostomy
C) Permanent colostomy
D) Temporary colostomy
Correct Answer: C
Rationale: An abdominoperineal resection involves the removal of the rectum, anus, and
sphincter mechanism with formation of a permanent end colostomy. A permanent ileostomy is
unnecessary as the remainder of the colon above the rectum is intact .
2. The most appropriate surgical treatment for a young person with active ulcerative colitis is:
A) Proctocolectomy with ileal pouch anal anastomosis
B) Subtotal colectomy with permanent colostomy
C) Low anterior resection with temporary ileostomy
D) Total colectomy with an ileoanal anastomosis
Correct Answer: A
Rationale: Proctocolectomy with ileal pouch anal anastomosis (IPAA) is the preferred treatment
for ulcerative colitis and allows the person to resume life without a permanent ostomy. Subtotal
colectomy with permanent colostomy would not be recommended as the disease may recur .
3. A patient with rectal adenocarcinoma is having surgery and may need either a temporary
or permanent ostomy depending on tumor location. How should the WOC nurse mark the
stoma site?
A) Right lower quadrant only
B) Left lower quadrant only
,C) Right and left lower quadrants
D) All four quadrants
Correct Answer: C
Rationale: If a permanent colostomy is needed, the stoma is typically in the left lower quadrant.
If a temporary loop ileostomy is needed for a low anterior resection, the stoma is in the right
lower quadrant. Therefore, two possible sites should be marked .
4. While performing an abdominal assessment on an unconscious patient, the nurse notes a
stoma in the upper right quadrant with liquid, pungent fecal output. What type of ostomy
does this describe?
A) Descending colostomy
B) Ureterostomy
C) Ileostomy
D) Ascending colostomy
Correct Answer: D
Rationale: An ascending colostomy produces liquid output with a pungent odor and is located
in the upper right quadrant. Descending colostomies produce increasingly formed stool. An
ileostomy produces liquid stool but with less odor because enzyme activity is not present.
Ureterostomies drain urine .
5. Which procedure would a patient with muscle-invasive bladder cancer be expected to
undergo?
A) Simple cystectomy
B) ACE procedure
C) Ileal vesicostomy
D) Radical cystectomy
Correct Answer: D
Rationale: Radical cystectomy involves removing the bladder, surrounding fatty tissue, lymph
glands, and pelvic organs. Once bladder cancer invades the muscle, a radical cystectomy is
recommended for those healthy enough to undergo major surgery .
6. What is a common complication following Ileal Pouch Anal Anastomosis (IPAA)?
A) Pouchitis
B) Pneumonia
, C) Sepsis
D) Constipation
Correct Answer: A
Rationale: Pouchitis is the most common complication following IPAA. It presents with
symptoms including fever, pouch pain, and bacteriuria, and is typically treated with antibiotics
such as ciprofloxacin or metronidazole .
7. A patient who had treatment for prostate cancer 10 years ago presents with diarrhea and
rectal bleeding. Dietary changes have not helped. What is the most likely diagnosis?
A) Neuroendocrine tumor of the small intestine
B) Radiation enteritis
C) Large hemorrhoids
D) Irritable bowel syndrome
Correct Answer: B
Rationale: Radiation enteritis is a complication of radiation therapy used to treat pelvic
malignancies. This condition can occur as early as 2 weeks after treatment or as late as 30 years
later. Symptoms include nausea, vomiting, pain, diarrhea, urgency, bleeding, or fecal
incontinence .
8. An infant born with imperforate anus will likely require what type of surgical procedure?
A) Appendectomy
B) Colostomy placement
C) Gastrostomy tube
D) Hemorrhoidectomy
Correct Answer: B
Rationale: A newborn who does not pass meconium within 24 hours or has an unusual-
appearing anal dimple may have imperforate anus requiring colostomy placement. The family
will need education about skin care and appliances .
Section 2: Stoma Assessment & Normal Findings (Questions 41-70)
9. A healthy stoma should appear:
A) Dark purple and cool to touch
B) Pale and dry
EXAM REAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS
1. A patient is scheduled for an abdominoperineal resection. What type of ostomy will the
patient require?
A) Permanent ileostomy
B) Temporary ileostomy
C) Permanent colostomy
D) Temporary colostomy
Correct Answer: C
Rationale: An abdominoperineal resection involves the removal of the rectum, anus, and
sphincter mechanism with formation of a permanent end colostomy. A permanent ileostomy is
unnecessary as the remainder of the colon above the rectum is intact .
2. The most appropriate surgical treatment for a young person with active ulcerative colitis is:
A) Proctocolectomy with ileal pouch anal anastomosis
B) Subtotal colectomy with permanent colostomy
C) Low anterior resection with temporary ileostomy
D) Total colectomy with an ileoanal anastomosis
Correct Answer: A
Rationale: Proctocolectomy with ileal pouch anal anastomosis (IPAA) is the preferred treatment
for ulcerative colitis and allows the person to resume life without a permanent ostomy. Subtotal
colectomy with permanent colostomy would not be recommended as the disease may recur .
3. A patient with rectal adenocarcinoma is having surgery and may need either a temporary
or permanent ostomy depending on tumor location. How should the WOC nurse mark the
stoma site?
A) Right lower quadrant only
B) Left lower quadrant only
,C) Right and left lower quadrants
D) All four quadrants
Correct Answer: C
Rationale: If a permanent colostomy is needed, the stoma is typically in the left lower quadrant.
If a temporary loop ileostomy is needed for a low anterior resection, the stoma is in the right
lower quadrant. Therefore, two possible sites should be marked .
4. While performing an abdominal assessment on an unconscious patient, the nurse notes a
stoma in the upper right quadrant with liquid, pungent fecal output. What type of ostomy
does this describe?
A) Descending colostomy
B) Ureterostomy
C) Ileostomy
D) Ascending colostomy
Correct Answer: D
Rationale: An ascending colostomy produces liquid output with a pungent odor and is located
in the upper right quadrant. Descending colostomies produce increasingly formed stool. An
ileostomy produces liquid stool but with less odor because enzyme activity is not present.
Ureterostomies drain urine .
5. Which procedure would a patient with muscle-invasive bladder cancer be expected to
undergo?
A) Simple cystectomy
B) ACE procedure
C) Ileal vesicostomy
D) Radical cystectomy
Correct Answer: D
Rationale: Radical cystectomy involves removing the bladder, surrounding fatty tissue, lymph
glands, and pelvic organs. Once bladder cancer invades the muscle, a radical cystectomy is
recommended for those healthy enough to undergo major surgery .
6. What is a common complication following Ileal Pouch Anal Anastomosis (IPAA)?
A) Pouchitis
B) Pneumonia
, C) Sepsis
D) Constipation
Correct Answer: A
Rationale: Pouchitis is the most common complication following IPAA. It presents with
symptoms including fever, pouch pain, and bacteriuria, and is typically treated with antibiotics
such as ciprofloxacin or metronidazole .
7. A patient who had treatment for prostate cancer 10 years ago presents with diarrhea and
rectal bleeding. Dietary changes have not helped. What is the most likely diagnosis?
A) Neuroendocrine tumor of the small intestine
B) Radiation enteritis
C) Large hemorrhoids
D) Irritable bowel syndrome
Correct Answer: B
Rationale: Radiation enteritis is a complication of radiation therapy used to treat pelvic
malignancies. This condition can occur as early as 2 weeks after treatment or as late as 30 years
later. Symptoms include nausea, vomiting, pain, diarrhea, urgency, bleeding, or fecal
incontinence .
8. An infant born with imperforate anus will likely require what type of surgical procedure?
A) Appendectomy
B) Colostomy placement
C) Gastrostomy tube
D) Hemorrhoidectomy
Correct Answer: B
Rationale: A newborn who does not pass meconium within 24 hours or has an unusual-
appearing anal dimple may have imperforate anus requiring colostomy placement. The family
will need education about skin care and appliances .
Section 2: Stoma Assessment & Normal Findings (Questions 41-70)
9. A healthy stoma should appear:
A) Dark purple and cool to touch
B) Pale and dry
