WEB WOC Ostomy Care Exam
Questions with All Answers and
Illustrations Given
jejunostomy location - ✔✔LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ✔✔ischemic bowel, crohn's, trauma,
necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without
small bowel resection, loop or end stoma
jejunostomy function and management - ✔✔*function begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - ✔✔*monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
1|Page
©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
,ileostomy location - ✔✔RUQ
ileostomy disease and procedure - ✔✔crohn's, ulcerative colitis, familial
adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic
bowel
total proctocolectomy with end ileostomy, total proctocolectomy with
continent ileostomy, temporary ileostomy, temporary loop ileostomy for ileal
pouch-anal anastomosis
ileostomy function and management - ✔✔*function begins in 24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - ✔✔*high risk for bowel obstruction-instruct pt to
chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - ✔✔RUQ or LUQ
2|Page
©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
, transverse colostomy disease and procedure - ✔✔diverticulitis, colon cancer,
crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy,
usually temporary loop stoma
transverse colostomy function and management - ✔✔*function begins within
48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
transverse colostomy complications - ✔✔*waistline location can be difficult to
manage
descending colostomy location - ✔✔LLQ
descending colostomy disease and procedure - ✔✔colorectal cancer, trauma,
bowel perforation, ischemic bowel
3|Page
©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
Questions with All Answers and
Illustrations Given
jejunostomy location - ✔✔LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ✔✔ischemic bowel, crohn's, trauma,
necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without
small bowel resection, loop or end stoma
jejunostomy function and management - ✔✔*function begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - ✔✔*monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
1|Page
©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
,ileostomy location - ✔✔RUQ
ileostomy disease and procedure - ✔✔crohn's, ulcerative colitis, familial
adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic
bowel
total proctocolectomy with end ileostomy, total proctocolectomy with
continent ileostomy, temporary ileostomy, temporary loop ileostomy for ileal
pouch-anal anastomosis
ileostomy function and management - ✔✔*function begins in 24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - ✔✔*high risk for bowel obstruction-instruct pt to
chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - ✔✔RUQ or LUQ
2|Page
©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
, transverse colostomy disease and procedure - ✔✔diverticulitis, colon cancer,
crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy,
usually temporary loop stoma
transverse colostomy function and management - ✔✔*function begins within
48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
transverse colostomy complications - ✔✔*waistline location can be difficult to
manage
descending colostomy location - ✔✔LLQ
descending colostomy disease and procedure - ✔✔colorectal cancer, trauma,
bowel perforation, ischemic bowel
3|Page
©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
