WEB WOC OSTOMY CARE ACTUAL EXAM WITH 100
QUESTIONS AND CORRECT ANSWERS 2026
Exam coverage for WEB WOC Ostomy Care Actual Exam includes the core clinical
and professional concepts tested for ostomy-focused specialty nursing
preparation. It focuses on ostomy anatomy and physiology, stoma types
(colostomy, ileostomy, urostomy), pre-op and post-op care, stoma site marking
principles, pouching systems, peristomal skin protection, patient/family
education, and complication recognition/management. It also commonly
evaluates understanding of nutrition and hydration, medication considerations,
psychosocial adaptation, documentation, discharge teaching, fistula/peritube
basics, and evidence-based troubleshooting for leakage, skin breakdown,
retraction, prolapse, stenosis, and high-output issues. Emphasis is placed on
applying safe, patient-centered ostomy care, clinical judgment, and preparation
for Wound, Ostomy and Continence Nursing Certification Board (WOCNCB)-
aligned specialty practice and certification expectations. Accredited programs
such as WEB WOC Programs are designed to prepare learners for ostomy
specialty knowledge and national certification pathways.
A 21-year-old woman is on her 5th day on the orthopedic unit following a motor
vehicle accident. She suddenly develops ischemic colitis from a blood clot in the
inferior mesenteric artery. Which type of stoma will she most likely have following
surgery?
Select one:
a. Ileostomy
b. Jejunostomy
c. Descending Colostomy
,d. Sigmoid Colostomy - correct answer-a. Ileostomy
During a preoperative consultation for EMERGENCY ostomy surgery, the two
PRIMARY objectives for the WOC Nurse are stoma site selection and:
Select one:
a. Explanation of how to empty the pouch.
b. Demonstration of ostomy equipment.
c. Decrease patient's anxiety about the ostomy surgery.
d. Identification of discharge plans. - correct answer-c. Decrease patient's anxiety
about the ostomy surgery.
When selecting an abdominal stoma site, evidence-based practice states that the
stoma should be located:
Select one:
a. lateral to the rectus muscle.
b. above the beltline.
c. on the apex of the infraumbilical bulge.
d. near the umbilicus. - correct answer-c. on the apex of the infraumbilical bulge.
You are selecting a stoma site pre-op for a patient having an ileal pouch anal
anastomosis (IPAA) and temporary loop ileostomy. The patient has no abdominal
scars but you notice the abdomen to be soft and slightly protruding. With the
patient in the supine position, you palpate for the rectus muscle, make an
indelible ink mark in the RLQ, confirm they can see the site while lying down and
cover the mark with a transparent dressing. What step have you omitted?
,Select one:
a. To check the potential stoma site with the patient in a sitting and standing
position.
b. To ask the patient if they prefer the right side or the left side.
c. To consult with the surgeon to verify the site selected would be appropriate.
d. To apply a sample pouch to confirm the site is away from scars and the
umbilicus. - correct answer-a. To check the potential stoma site with the patient
in a sitting and standing position.
Mr. Moore is having surgery for a low rectal cancer located below the dentate
line. During your pre-op visit you utilize the PLISSIT model to introduce the topic
of sexuality. What might you say to the patient that is an example of giving
Permission to the patient to discuss this topic?
Select one:
a. Most people have questions about routine issues of living prior to surgery: diet,
exercise, sexual activity, clothing, etc.
b. Most patients wonder about sexual function after APR and there are numerous
things for us to discuss that could happen to impact your sexual function.
c. Counseling the patient to see a counselor for sexual dysfunction issues.
d. The stoma should not be used for sexual intimacy as it may be damaged and
has no feeling. - correct answer-a. Most people have questions about routine
issues of living prior to surgery: diet, exercise, sexual activity, clothing, etc.
Which of the following surgical procedures involves a wide resection of the
sigmoid colon, rectum and anus?
, Select one:
a. Abdominoperineal Resection (APR)
b. Total Proctocolectomy (TPC)
c. Ileal Pouch Anal Anastomosis (IPAA)
d. Low Anterior Resection (LAR) - correct answer-a. Abdominoperineal Resection
(APR)
Preoperative care of the neonate undergoing ostomy surgery is best described by
saying that:
Select one:
a. Teaching parents about the ostomy and what is to occur helps with family
adaptation.
b. 75% of stomas are performed when the neonate is under 1 year of life. Preop
care is minimal for the WOC nurse in pediatrics.
c. The WOC Nurse will be marking stomas in surgery as pediatric surgeons
determine the stoma is necessary.
d. Abdominal assessment in pediatrics will be more difficult than in the adult as
the abdomen is smaller. - correct answer-b. 75% of stomas are performed when
the neonate is under 1 year of life. Preop care is minimal for the WOC nurse in
pediatrics.
You are providing a preoperative visit for a patient about to undergo a temporary
loop stoma and low anterior resection (LAR). Why is a temporary loop stoma
usually utilized in these procedures?
Select one:
a. To decrease the incidence of bleeding.
b. Decrease the potential of diarrhea within the gut following this procedure.
QUESTIONS AND CORRECT ANSWERS 2026
Exam coverage for WEB WOC Ostomy Care Actual Exam includes the core clinical
and professional concepts tested for ostomy-focused specialty nursing
preparation. It focuses on ostomy anatomy and physiology, stoma types
(colostomy, ileostomy, urostomy), pre-op and post-op care, stoma site marking
principles, pouching systems, peristomal skin protection, patient/family
education, and complication recognition/management. It also commonly
evaluates understanding of nutrition and hydration, medication considerations,
psychosocial adaptation, documentation, discharge teaching, fistula/peritube
basics, and evidence-based troubleshooting for leakage, skin breakdown,
retraction, prolapse, stenosis, and high-output issues. Emphasis is placed on
applying safe, patient-centered ostomy care, clinical judgment, and preparation
for Wound, Ostomy and Continence Nursing Certification Board (WOCNCB)-
aligned specialty practice and certification expectations. Accredited programs
such as WEB WOC Programs are designed to prepare learners for ostomy
specialty knowledge and national certification pathways.
A 21-year-old woman is on her 5th day on the orthopedic unit following a motor
vehicle accident. She suddenly develops ischemic colitis from a blood clot in the
inferior mesenteric artery. Which type of stoma will she most likely have following
surgery?
Select one:
a. Ileostomy
b. Jejunostomy
c. Descending Colostomy
,d. Sigmoid Colostomy - correct answer-a. Ileostomy
During a preoperative consultation for EMERGENCY ostomy surgery, the two
PRIMARY objectives for the WOC Nurse are stoma site selection and:
Select one:
a. Explanation of how to empty the pouch.
b. Demonstration of ostomy equipment.
c. Decrease patient's anxiety about the ostomy surgery.
d. Identification of discharge plans. - correct answer-c. Decrease patient's anxiety
about the ostomy surgery.
When selecting an abdominal stoma site, evidence-based practice states that the
stoma should be located:
Select one:
a. lateral to the rectus muscle.
b. above the beltline.
c. on the apex of the infraumbilical bulge.
d. near the umbilicus. - correct answer-c. on the apex of the infraumbilical bulge.
You are selecting a stoma site pre-op for a patient having an ileal pouch anal
anastomosis (IPAA) and temporary loop ileostomy. The patient has no abdominal
scars but you notice the abdomen to be soft and slightly protruding. With the
patient in the supine position, you palpate for the rectus muscle, make an
indelible ink mark in the RLQ, confirm they can see the site while lying down and
cover the mark with a transparent dressing. What step have you omitted?
,Select one:
a. To check the potential stoma site with the patient in a sitting and standing
position.
b. To ask the patient if they prefer the right side or the left side.
c. To consult with the surgeon to verify the site selected would be appropriate.
d. To apply a sample pouch to confirm the site is away from scars and the
umbilicus. - correct answer-a. To check the potential stoma site with the patient
in a sitting and standing position.
Mr. Moore is having surgery for a low rectal cancer located below the dentate
line. During your pre-op visit you utilize the PLISSIT model to introduce the topic
of sexuality. What might you say to the patient that is an example of giving
Permission to the patient to discuss this topic?
Select one:
a. Most people have questions about routine issues of living prior to surgery: diet,
exercise, sexual activity, clothing, etc.
b. Most patients wonder about sexual function after APR and there are numerous
things for us to discuss that could happen to impact your sexual function.
c. Counseling the patient to see a counselor for sexual dysfunction issues.
d. The stoma should not be used for sexual intimacy as it may be damaged and
has no feeling. - correct answer-a. Most people have questions about routine
issues of living prior to surgery: diet, exercise, sexual activity, clothing, etc.
Which of the following surgical procedures involves a wide resection of the
sigmoid colon, rectum and anus?
, Select one:
a. Abdominoperineal Resection (APR)
b. Total Proctocolectomy (TPC)
c. Ileal Pouch Anal Anastomosis (IPAA)
d. Low Anterior Resection (LAR) - correct answer-a. Abdominoperineal Resection
(APR)
Preoperative care of the neonate undergoing ostomy surgery is best described by
saying that:
Select one:
a. Teaching parents about the ostomy and what is to occur helps with family
adaptation.
b. 75% of stomas are performed when the neonate is under 1 year of life. Preop
care is minimal for the WOC nurse in pediatrics.
c. The WOC Nurse will be marking stomas in surgery as pediatric surgeons
determine the stoma is necessary.
d. Abdominal assessment in pediatrics will be more difficult than in the adult as
the abdomen is smaller. - correct answer-b. 75% of stomas are performed when
the neonate is under 1 year of life. Preop care is minimal for the WOC nurse in
pediatrics.
You are providing a preoperative visit for a patient about to undergo a temporary
loop stoma and low anterior resection (LAR). Why is a temporary loop stoma
usually utilized in these procedures?
Select one:
a. To decrease the incidence of bleeding.
b. Decrease the potential of diarrhea within the gut following this procedure.
