WEB WOC OSTOMY CARE FINAL EXAM | NEWEST
VERSION | 100 QUESTIONS WITH COMPLETE
ANSWERS AND RATIONALES | VERIFIED
SOLUTIONS|A+ GRADED.
1. Which of the following is the most common cause of peristomal skin
damage in a patient with an ostomy?
A) Frequent pouch emptying
B) Effluent leakage from an improperly fitted pouching system
C) Use of skin barrier wipes
D) Daily showering
Correct Answer: B
Peristomal skin damage is most often caused by contact with effluent from a
leaking or poorly fitted pouch. Digestive enzymes in effluent can quickly erode the
skin. The other options are appropriate practices or not harmful.
2. When cutting a skin barrier for a new ostomy, the opening should be:
A) Exactly the same size as the stoma
B) ⅛ inch larger than the stoma
C) ½ inch larger than the stoma
D) Twice the size of the stoma
Correct Answer: B
The skin barrier opening should be no more than ⅛ inch larger than the stoma to
prevent effluent from contacting the skin while avoiding pressure on the stoma. A
larger opening causes skin irritation; a too-small opening can cut or constrict the
stoma.
3. A healthy stoma should appear:
A) Pale and dry
, B) Dark purple and dusky
C) Pink or red and moist
D) Brown and flat
Correct Answer: C
A healthy stoma is pink or red and moist, with a shiny mucosa. Pallor or dusky,
purple, or black color indicates ischemia. Slight edema is common in the early
postoperative period.
4. Which stoma complication is characterized by an increase in stoma length?
A) Retraction
B) Stenosis
C) Prolapse
D) Necrosis
Correct Answer: C
Stoma prolapse is a lengthening or protrusion of the stoma. Retraction is sinking
below skin level; stenosis is narrowing; necrosis is tissue death indicated by dark
color.
5. A patient with an ileostomy is at greatest risk for which electrolyte
imbalance?
A) Hyperkalemia
B) Hypernatremia
C) Hypokalemia and hyponatremia
D) Hypocalcemia
Correct Answer: C
Ileostomy output is liquid and rich in sodium and potassium, so patients are at risk
for dehydration, hyponatremia, and hypokalemia. They need adequate fluid and
electrolyte replacement.
6. Which of the following foods is most likely to cause a food blockage in an
ileostomy?
A) Applesauce
B) Bananas
, C) Popcorn
D) White rice
Correct Answer: C
High-fiber, poorly digestible foods like popcorn, nuts, seeds, and raw vegetables
can obstruct an ileostomy. The other foods are generally safe and may thicken
output.
7. The correct technique for changing an ostomy pouch includes:
A) Using alcohol to cleanse the skin
B) Applying moisturizing lotion before the pouch
C) Gently cleansing the skin with warm water and drying thoroughly
D) Leaving old adhesive residue to protect the skin
Correct Answer: C
The peristomal skin should be cleansed gently with warm water and dried
completely before applying a new pouch. Alcohol, lotions, and residual adhesive
interfere with adhesion and can irritate the skin.
8. A patient with a urostomy should be instructed to:
A) Limit fluid intake to reduce urine output
B) Empty the pouch when it is one-third to one-half full
C) Remove the stents immediately if they are uncomfortable
D) Use the same pouch for more than a week
Correct Answer: B
The urostomy pouch should be emptied when one-third to one-half full. Fluid
intake should be adequate to maintain urine output and reduce infection risk.
Stents are removed by the provider as scheduled, and pouch wear time varies.
9. Which of the following is a sign of stomal ischemia?
A) Bright red, moist mucosa
B) Slight bleeding when touched
C) Pale, dusky, or dark red stoma
D) Mild edema
, Correct Answer: C
Ischemia presents as a pale, dusky, dark red, or black stoma, indicating
compromised blood supply. Bright red color, slight bleeding, and mild edema are
normal findings.
10.Mucocutaneous separation is best treated by:
A) Ignoring it until the next clinic visit
B) Filling the defect with skin barrier powder or an absorbent product and
covering with the pouching system
C) Pushing the stoma back into the abdomen
D) Applying a tight belt over the stoma
Correct Answer: B
Mucocutaneous separation should be managed by filling the defect with an
absorbent product such as skin barrier powder or an alginate, then covering with
the pouching system to promote healing. Ignoring or applying pressure can
worsen the condition.
11.Which of the following dietary recommendations is most appropriate for a
patient with a new ileostomy?
A) Eat a high-fiber diet to prevent diarrhea
B) Chew food thoroughly, eat smaller frequent meals, and gradually
introduce new foods
C) Limit fluid intake to less than 1 liter per day
D) Avoid all fruits and vegetables permanently
Correct Answer: B
Patients with a new ileostomy should chew food thoroughly, eat small frequent
meals, and introduce foods gradually while monitoring for obstruction and output
changes. Fluid intake should be adequate; a balanced diet is encouraged after
healing.
12.A patient with a colostomy asks about irrigation. The nurse’s best response
is:
A) “All colostomy patients should irrigate daily.”
VERSION | 100 QUESTIONS WITH COMPLETE
ANSWERS AND RATIONALES | VERIFIED
SOLUTIONS|A+ GRADED.
1. Which of the following is the most common cause of peristomal skin
damage in a patient with an ostomy?
A) Frequent pouch emptying
B) Effluent leakage from an improperly fitted pouching system
C) Use of skin barrier wipes
D) Daily showering
Correct Answer: B
Peristomal skin damage is most often caused by contact with effluent from a
leaking or poorly fitted pouch. Digestive enzymes in effluent can quickly erode the
skin. The other options are appropriate practices or not harmful.
2. When cutting a skin barrier for a new ostomy, the opening should be:
A) Exactly the same size as the stoma
B) ⅛ inch larger than the stoma
C) ½ inch larger than the stoma
D) Twice the size of the stoma
Correct Answer: B
The skin barrier opening should be no more than ⅛ inch larger than the stoma to
prevent effluent from contacting the skin while avoiding pressure on the stoma. A
larger opening causes skin irritation; a too-small opening can cut or constrict the
stoma.
3. A healthy stoma should appear:
A) Pale and dry
, B) Dark purple and dusky
C) Pink or red and moist
D) Brown and flat
Correct Answer: C
A healthy stoma is pink or red and moist, with a shiny mucosa. Pallor or dusky,
purple, or black color indicates ischemia. Slight edema is common in the early
postoperative period.
4. Which stoma complication is characterized by an increase in stoma length?
A) Retraction
B) Stenosis
C) Prolapse
D) Necrosis
Correct Answer: C
Stoma prolapse is a lengthening or protrusion of the stoma. Retraction is sinking
below skin level; stenosis is narrowing; necrosis is tissue death indicated by dark
color.
5. A patient with an ileostomy is at greatest risk for which electrolyte
imbalance?
A) Hyperkalemia
B) Hypernatremia
C) Hypokalemia and hyponatremia
D) Hypocalcemia
Correct Answer: C
Ileostomy output is liquid and rich in sodium and potassium, so patients are at risk
for dehydration, hyponatremia, and hypokalemia. They need adequate fluid and
electrolyte replacement.
6. Which of the following foods is most likely to cause a food blockage in an
ileostomy?
A) Applesauce
B) Bananas
, C) Popcorn
D) White rice
Correct Answer: C
High-fiber, poorly digestible foods like popcorn, nuts, seeds, and raw vegetables
can obstruct an ileostomy. The other foods are generally safe and may thicken
output.
7. The correct technique for changing an ostomy pouch includes:
A) Using alcohol to cleanse the skin
B) Applying moisturizing lotion before the pouch
C) Gently cleansing the skin with warm water and drying thoroughly
D) Leaving old adhesive residue to protect the skin
Correct Answer: C
The peristomal skin should be cleansed gently with warm water and dried
completely before applying a new pouch. Alcohol, lotions, and residual adhesive
interfere with adhesion and can irritate the skin.
8. A patient with a urostomy should be instructed to:
A) Limit fluid intake to reduce urine output
B) Empty the pouch when it is one-third to one-half full
C) Remove the stents immediately if they are uncomfortable
D) Use the same pouch for more than a week
Correct Answer: B
The urostomy pouch should be emptied when one-third to one-half full. Fluid
intake should be adequate to maintain urine output and reduce infection risk.
Stents are removed by the provider as scheduled, and pouch wear time varies.
9. Which of the following is a sign of stomal ischemia?
A) Bright red, moist mucosa
B) Slight bleeding when touched
C) Pale, dusky, or dark red stoma
D) Mild edema
, Correct Answer: C
Ischemia presents as a pale, dusky, dark red, or black stoma, indicating
compromised blood supply. Bright red color, slight bleeding, and mild edema are
normal findings.
10.Mucocutaneous separation is best treated by:
A) Ignoring it until the next clinic visit
B) Filling the defect with skin barrier powder or an absorbent product and
covering with the pouching system
C) Pushing the stoma back into the abdomen
D) Applying a tight belt over the stoma
Correct Answer: B
Mucocutaneous separation should be managed by filling the defect with an
absorbent product such as skin barrier powder or an alginate, then covering with
the pouching system to promote healing. Ignoring or applying pressure can
worsen the condition.
11.Which of the following dietary recommendations is most appropriate for a
patient with a new ileostomy?
A) Eat a high-fiber diet to prevent diarrhea
B) Chew food thoroughly, eat smaller frequent meals, and gradually
introduce new foods
C) Limit fluid intake to less than 1 liter per day
D) Avoid all fruits and vegetables permanently
Correct Answer: B
Patients with a new ileostomy should chew food thoroughly, eat small frequent
meals, and introduce foods gradually while monitoring for obstruction and output
changes. Fluid intake should be adequate; a balanced diet is encouraged after
healing.
12.A patient with a colostomy asks about irrigation. The nurse’s best response
is:
A) “All colostomy patients should irrigate daily.”
