Ostomy certification exam set 1
Questions Fully Solved.
Chronic exposure to an irritant. - Answer Which of the following is the most significant
contributing factor to skin hyperplasia in a patient with fecal diversion?
Vitamin B and bile salts. - Answer Removal of part of the terminal ileum results in decreased
absorption of what?
Time-released cold tablets. - Answer A person with an ileostomy is likely to have difficulty
absorbing what type of medication?
Somatostatin. A natural hormone and classified as an octreotide acetate. It inhibits growth
hormone, insulin, and glucagon production. - Answer A patient has a high output ECF.
Although the patient has no PO intake, the output remains high. Which of the following
medications should be given to lower the output?
Specific suggestions. - Answer A female patient is 6 weeks post-op abdominal perineal
resection. She and her husband present to the outpatient ostomy clinic. During her post-op
visit, they share that they have been intimate a few times since surgery and she experience
dyspareunia. The nurse suggests alternative positions and lubrication. This is an example of
which level of the PLISSIT model?
Preserve anastomosis sites. - Answer The primary reason for the place of ureteral stents
during ileal conduit surgery is to do what?
Level of education. - Answer When teaching self-care to an elderly patient with an ostomy,
which of the following factors is LEAST important to consider?
Increase fluid intake as the patient may be dehydrated. - Answer A patient with a sigmoid
colostomy who calls to report the water used for irrigation has not returned by has no other
complaints should be instructed to do what?
Refer to a surgeon for stoma revision. It is not necessary to remove this tissue. - Answer For a
patient with mucosal transplantation, the nurse should do all of the following EXCEPT what?
Fluid and electrolyte imbalance. - Answer 45 year old patient was hospitalized for 2 weeks for
medical mgmt. of chronic UC. Medical mgmt. failed, and the patient had a colectomy and
standard Brooke ileostomy. 6 weeks later, he presents to the ostomy clinic. he looks tired and
his eyes are sunken. he complains of extreme weakness and tingling in his hands and feet. His
BP is 98/50, temp 98, and pulse is 110. His symptoms are most likely due to what?
Questions Fully Solved.
Chronic exposure to an irritant. - Answer Which of the following is the most significant
contributing factor to skin hyperplasia in a patient with fecal diversion?
Vitamin B and bile salts. - Answer Removal of part of the terminal ileum results in decreased
absorption of what?
Time-released cold tablets. - Answer A person with an ileostomy is likely to have difficulty
absorbing what type of medication?
Somatostatin. A natural hormone and classified as an octreotide acetate. It inhibits growth
hormone, insulin, and glucagon production. - Answer A patient has a high output ECF.
Although the patient has no PO intake, the output remains high. Which of the following
medications should be given to lower the output?
Specific suggestions. - Answer A female patient is 6 weeks post-op abdominal perineal
resection. She and her husband present to the outpatient ostomy clinic. During her post-op
visit, they share that they have been intimate a few times since surgery and she experience
dyspareunia. The nurse suggests alternative positions and lubrication. This is an example of
which level of the PLISSIT model?
Preserve anastomosis sites. - Answer The primary reason for the place of ureteral stents
during ileal conduit surgery is to do what?
Level of education. - Answer When teaching self-care to an elderly patient with an ostomy,
which of the following factors is LEAST important to consider?
Increase fluid intake as the patient may be dehydrated. - Answer A patient with a sigmoid
colostomy who calls to report the water used for irrigation has not returned by has no other
complaints should be instructed to do what?
Refer to a surgeon for stoma revision. It is not necessary to remove this tissue. - Answer For a
patient with mucosal transplantation, the nurse should do all of the following EXCEPT what?
Fluid and electrolyte imbalance. - Answer 45 year old patient was hospitalized for 2 weeks for
medical mgmt. of chronic UC. Medical mgmt. failed, and the patient had a colectomy and
standard Brooke ileostomy. 6 weeks later, he presents to the ostomy clinic. he looks tired and
his eyes are sunken. he complains of extreme weakness and tingling in his hands and feet. His
BP is 98/50, temp 98, and pulse is 110. His symptoms are most likely due to what?
