WEB WOC OSTOMY CARE SAMPLE QUESTIONS
AND ANSWERS
1. A nurse is replacing the ostomy appliance for a client whose newly created
colostomy is functioning. After removing the pouch, which of the following
actions should the nurse take first?: Cleanse the stoma and the peritomal skin
2. A nurse is teaching a client who has bladder cancer about urinary diversion
options. The nurse should inform the client that which of the following options
will allow them to have some control over urinary elimination?: Kock's pouch
3. A nurse is obtaining health history from a client who has a colostomy. The
client reports frequent episodes of loose stools over the last month but has no
signs of infection or bowl obstruction. The client tells the nurse that they have
avoided participation in social activities because they are concerned about
leakage. Which of the following should the nurse recommend?: Consume foods that
are low in fiber content
4. A nurse is teaching a client who has a new ileostomy about preventing the
excoriation and breakdown of the peristomal skin after they have returned
home. Which of the following instructions should the nurse include?: Empty the
pouch when it is less than half full
5. A nurse is teaching a client about extended-wear skin barriers. Which of the
following strategies should the nurse instruct the client to use for maximal
adherence?: Press gently around the barrier for 30 seconds to 1 min
6. A nurse is reinforcing teaching with a client who has colon cancer and is
scheduled for a procedure to remove their entire large intestine and rectum.
The nurse should reinforce with the client that they are scheduled for which
of the following types of ostomy procedure?: Ileostomy
7. A nurse is reinforcing teaching with a client about replacing an ostomy
pouching system. The client reports that they occasionally experience pain
when removing the skin barrier. Which of the following techniques should the
nurse suggest?: Push the skin away from the barrier while removing it
AND ANSWERS
1. A nurse is replacing the ostomy appliance for a client whose newly created
colostomy is functioning. After removing the pouch, which of the following
actions should the nurse take first?: Cleanse the stoma and the peritomal skin
2. A nurse is teaching a client who has bladder cancer about urinary diversion
options. The nurse should inform the client that which of the following options
will allow them to have some control over urinary elimination?: Kock's pouch
3. A nurse is obtaining health history from a client who has a colostomy. The
client reports frequent episodes of loose stools over the last month but has no
signs of infection or bowl obstruction. The client tells the nurse that they have
avoided participation in social activities because they are concerned about
leakage. Which of the following should the nurse recommend?: Consume foods that
are low in fiber content
4. A nurse is teaching a client who has a new ileostomy about preventing the
excoriation and breakdown of the peristomal skin after they have returned
home. Which of the following instructions should the nurse include?: Empty the
pouch when it is less than half full
5. A nurse is teaching a client about extended-wear skin barriers. Which of the
following strategies should the nurse instruct the client to use for maximal
adherence?: Press gently around the barrier for 30 seconds to 1 min
6. A nurse is reinforcing teaching with a client who has colon cancer and is
scheduled for a procedure to remove their entire large intestine and rectum.
The nurse should reinforce with the client that they are scheduled for which
of the following types of ostomy procedure?: Ileostomy
7. A nurse is reinforcing teaching with a client about replacing an ostomy
pouching system. The client reports that they occasionally experience pain
when removing the skin barrier. Which of the following techniques should the
nurse suggest?: Push the skin away from the barrier while removing it
