WEB WOC OSTOMY CARE FINAL EXAM
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {105 Q & A}
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Mr. Rooke worked in a rubber plant for over 30 years. He was
found to have bladder cancer involving the muscle layer and
peri-vesical fat of his bladder. What type of treatment will he
MOST likely have for this invasive carcinoma?
Select one:
a. Radical cystectomy and urinary diversion
b. Intravesical treatment
c. Radiation therapy
d. Watchful waiting - ✔✔✔ Correct Answer > a. Radical cystectomy and
urinary diversion
The typical site to mark for the Indiana Pouch is:
Select one:
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a. RUQ.
b. RLQ.
c. Umbilicus.
d. LLQ. - ✔✔✔ Correct Answer > b. RLQ.
Mr. Smith has had a sigmoid colostomy that he irrigates every
day with regular results. Lately, he has noticed a bulging around
the stoma and consistently poor returns of the irrigation fluid
and feces. What complication is Mr. Smith likely experiencing?
Select one:
a. Stoma prolapse.
b. Pseudoverucous lesions.
c. Stoma necrosis.
d. Peristomal hernia. - ✔✔✔ Correct Answer > d. Peristomal hernia.
A 60-year-old male is 6 weeks postop following a sigmoid
colostomy for rectal cancer. During a follow-up visit, he states
that he has read about colostomy irrigation and is eager to start.
What should your NEXT step be?
Select one:
a. Ask the patient if chemotherapy or radiation therapy is
planned.
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b. Set up an appointment to begin teaching the irrigation
technique as soon as possible.
c. Instruct the patient to ask again at his 6 months postop visit.
d. Ask him if he prefers using a cone tip or a catheter for the
procedure. - ✔✔✔ Correct Answer > a. Ask the patient if chemotherapy
or radiation therapy is planned.
Later in the postop recovery process it is important to provide
instructions on pelvic muscle exercises to the patient with which
of the following surgical procedures?
Select one:
a. Indiana pouch.
b. Mitrofanoff procedure.
c. Vesicostomy.
d. Orthotopic neobladder. - ✔✔✔ Correct Answer > d. Orthotopic
neobladder.
Of the following urinary diversions, which procedure is always
considered permanent?
Select one:
a. Pyelostomy.
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b. Ileal conduit.
c. Vesicostomy.
d. Ureterostomy. - ✔✔✔ Correct Answer > b. Ileal conduit.
Following the surgical construction of the Indiana Pouch, the
nurse should expect:
Select one:
a. To begin teaching intermittent catheterization of the pouch on
Day 3 or 4.
b. The placement of ureteral stents in the renal pelvis that exit
through the skin.
c. The need for an external ostomy pouch for the first 3-4 weeks
to contain urine while the nipple valve heals.
d. Irrigation of the percutaneous urinary drainage tube every 3-4
hours to remove mucus and ensure free flow of urine. - ✔✔✔
Correct Answer > d. Irrigation of the percutaneous urinary drainage
tube every 3-4 hours to remove mucus and ensure free flow of
urine.
Several of these surgical urinary diversions are permanent.
Which urinary diversion is usually TEMPORARY?
Select one:
a. Nephrostomy.