2026/2027 WITH ACTUAL CORRECT
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For the patient with a urinary or fecal diversion, a well-constructed stoma and a good location,
the normal wear time for an adult would be:
Select one:
a. 1-2 days.
b. 3-4 days.
c. No schedule, change when suspected leakage.
d. Depends on the patient's schedule.
b. 3-4 days.
What is the purpose of the support bridge that may be placed under the loop stoma?
Select one:
a. It assists the surgeon to know where both ends of the bowel are located in anticipation for
stoma takedown.
b. It takes pouching the stoma easier.
c. It provides an easy access to the stoma for irrigation.
d. It supports the bowel until the stoma heals to the abdominal skin.
d. It supports the bowel until the stoma heals to the abdominal skin.
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,Three (3) primary concerns of the ostomy patient include:
Select one:
a. Independence, self-care and returning to previous lifestyle.
b. Work, returning to social activities and finding someone to assist with ostomy care.
c. Family issues, work and independence in care.
d. Sexuality, management of noise and odor and locating ostomy suppliers when traveling.
a. Independence, self-care and returning to previous lifestyle.
Mr. Moore had an APR (abdominoperineal resection) for colorectal cancer 3 days ago. He is on a
low-residue diet and taking pain medication for postoperative surgical pain. The WOC nurse
notes that his stool is formed. What would be MOST appropriate to recommend for this
patient?
Select one:
a. Dried fruit i.e. Prunes
b. Stool softeners i.e. Colace
c. Bulking agents i.e. Metamucil
d. Stimulants i.e. Senna
b. Stool softeners i.e. Colace
When the ostomy patient is taking corticosteroids and immunosuppressive agents, they are at
risk for developing which of the following peristomal skin complications?
Select one:
a. Pyoderma gangrenosum.
b. Pseudoverrucous lesions.
c. Peristomal candidiasis.
d. Caput medusae.
c. Peristomal candidiasis.
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, Spontaneous closure of an enterocutaneous fistula is unlikely to occur when:
Select one:
a. The patient's albumin level is 3.4.
b. A distal bowel obstruction exists.
c. The fistula output is less than 100 mL.
d. The patient is on antibiotics.
b. A distal bowel obstruction exists.
You have applied a liquid skin barrier under the adhesive surface of a fistula pouch. You indicate
to the nursing staff that the rationale for this intervention is to protect the skin from:
Select one:
a. Chemical injury.
b. Allergy to adhesives.
c. Contact with skin barrier pastes.
d. Mechanical injury.
d. Mechanical injury.
In general, the infant is so small in weight that they have more skin surface through which to
absorb chemicals placed on the skin (transepidermal absorption). Which of the following
nursing interventions demonstrates an understanding of that information?
Select one:
a. Generous use of liquid skin barrier products to reduce the risk of epidermal stripping.
b. Avoiding the use of solvents on the skin.
c. Minimal use of solid wafer skin barriers.
d. Using EMLA or lidocaine topically to reduce the discomfort of perineal dermatitis.
b. Avoiding the use of solvents on the skin.
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