WEB WOC OSTOMY CARE FINAL EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|EXPERT VERIFIED FOR GUARANTEED
PASS 2026-2027
A patient has a high output enterocutaneous fistula with a pouch seal that has no
leakage between changes (every 3-4 days). Removing the pouch skin barrier you notice
a solid patch of raised erythematous skin that matches the size of the skin barrier. The
patient is complaining of itching. What is the most likely etiology of this skin condition?
Select one:
a. Sensitivity or Allergy to the skin barrier.
b. Mechanical irritation during removal of adhesive.
c. Irritant dermatitis.
d. Folliculitis.
a. Sensitivity or Allergy to the skin barrier.
The PRIMARY intervention for the treatment and prevention of pseudoverrucous lesions
is:
Select one:
a. Resize the pouching system to the size of the base of the stoma to cover up the
lesions.
b. Apply an antifungal powder to the lesions.
c. Cauterize the lesions with silver nitrate.
d. Alkalinize the urine.
1|Page
,a. Resize the pouching system to the size of the base of the stoma to cover up the
lesions.
A fistula between the colon and skin is known as a/an:
Select one:
a. Colocutaneous fistula.
b. Colovesicle fistula.
c. Rectovaginal fistula.
d. Internal fistula.
a. Colocutaneous fistula.
Which of the following patients is at risk for fistula formation after a surgical procedure?
A patient who has:
Select one:
a. Experienced intraoperative hypothermia.
b. Had preoperative hyponatremia.
c. Undergone radiation therapy in the surgical area 20 years ago.
d. A preoperative serum prealbumin level of 18.0.
c. Undergone radiation therapy in the surgical area 20 years ago.
Which of the following complications is a contributing factor to the high mortality rate
associated with the patient who has a fistula?
Select one:
a. Sepsis
b. Dehydration
c. Thrombophlebitis
d. Pulmonary embolism
a. Sepsis
In which of the following situations would you normally expect to see intermittent, brief
episodes where the stoma becomes dusky, then "pinks up" again?
2|Page
,Select one:
a. 25-year-old with a loop temporary ileostomy who is dehydrated.
b. Infant with a transverse colostomy during crying episodes.
c. 50-year-old with a sigmoid colostomy and has had history of laxative abuse.
d. 55-year-old woman with an ileostomy and recurrence of Crohn's disease.
b. Infant with a transverse colostomy during crying episodes.
When selecting a pouching system for a patient who has an enterocutaneous fistula,
the PRIMARY feature of the system that should guide your selection is:
Select one:
a. A sizeable surface for cutting.
b. An opaque pouch film.
c. Built in convexity.
d. Anti-reflux valve.
a. A sizeable surface for cutting.
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.
d. Peristomal hernia.
Your outpatient presents with pseudoverrucous lesions. His stoma size is 1" and he is
wearing a 1 ¼" presized pouch. He is complaining of burning and itching. What is your
next step?
3|Page
, Select one:
a. Refit the pouch size opening to cover the lesions.
b. Apply alcohol to dry out the lesions on the peristomal skin.
c. Check the pH of the effluent.
d. Apply powder and paste to cover the lesions.
a. Refit the pouch size opening to cover the lesions.
You have a patient with a sigmoid colostomy who developed stomal stenosis 8 weeks
postoperatively. What is the key factor that increased your patient's risk for developing
this complication?
Select one:
a. A stomal necrosis.
b. A stomal prolapse.
c. A significant recent weight loss.
d. Performing sit-ups.
a. A stomal necrosis.
You have a 4-year-old child that needs his low-profile gastrostomy tube replaced. What
step would be MOST important when performing this procedure?
Select one:
a. Have parents give pain medication prior to procedure.
b. Cleanse the skin with soap & water.
c. Measure the length of the stoma tract with a measuring device.
d. Use sterile gloves.
c. Measure the length of the stoma tract with a measuring device.
Mrs. Owens arrives in your Ostomy Clinic complaining that the pouch leaks within a few
hours even though she puts it on exactly how she was instructed. The stoma protrudes
2 cm and her abdomen is soft; she is slightly overweight. Which of the following steps is
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|EXPERT VERIFIED FOR GUARANTEED
PASS 2026-2027
A patient has a high output enterocutaneous fistula with a pouch seal that has no
leakage between changes (every 3-4 days). Removing the pouch skin barrier you notice
a solid patch of raised erythematous skin that matches the size of the skin barrier. The
patient is complaining of itching. What is the most likely etiology of this skin condition?
Select one:
a. Sensitivity or Allergy to the skin barrier.
b. Mechanical irritation during removal of adhesive.
c. Irritant dermatitis.
d. Folliculitis.
a. Sensitivity or Allergy to the skin barrier.
The PRIMARY intervention for the treatment and prevention of pseudoverrucous lesions
is:
Select one:
a. Resize the pouching system to the size of the base of the stoma to cover up the
lesions.
b. Apply an antifungal powder to the lesions.
c. Cauterize the lesions with silver nitrate.
d. Alkalinize the urine.
1|Page
,a. Resize the pouching system to the size of the base of the stoma to cover up the
lesions.
A fistula between the colon and skin is known as a/an:
Select one:
a. Colocutaneous fistula.
b. Colovesicle fistula.
c. Rectovaginal fistula.
d. Internal fistula.
a. Colocutaneous fistula.
Which of the following patients is at risk for fistula formation after a surgical procedure?
A patient who has:
Select one:
a. Experienced intraoperative hypothermia.
b. Had preoperative hyponatremia.
c. Undergone radiation therapy in the surgical area 20 years ago.
d. A preoperative serum prealbumin level of 18.0.
c. Undergone radiation therapy in the surgical area 20 years ago.
Which of the following complications is a contributing factor to the high mortality rate
associated with the patient who has a fistula?
Select one:
a. Sepsis
b. Dehydration
c. Thrombophlebitis
d. Pulmonary embolism
a. Sepsis
In which of the following situations would you normally expect to see intermittent, brief
episodes where the stoma becomes dusky, then "pinks up" again?
2|Page
,Select one:
a. 25-year-old with a loop temporary ileostomy who is dehydrated.
b. Infant with a transverse colostomy during crying episodes.
c. 50-year-old with a sigmoid colostomy and has had history of laxative abuse.
d. 55-year-old woman with an ileostomy and recurrence of Crohn's disease.
b. Infant with a transverse colostomy during crying episodes.
When selecting a pouching system for a patient who has an enterocutaneous fistula,
the PRIMARY feature of the system that should guide your selection is:
Select one:
a. A sizeable surface for cutting.
b. An opaque pouch film.
c. Built in convexity.
d. Anti-reflux valve.
a. A sizeable surface for cutting.
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.
d. Peristomal hernia.
Your outpatient presents with pseudoverrucous lesions. His stoma size is 1" and he is
wearing a 1 ¼" presized pouch. He is complaining of burning and itching. What is your
next step?
3|Page
, Select one:
a. Refit the pouch size opening to cover the lesions.
b. Apply alcohol to dry out the lesions on the peristomal skin.
c. Check the pH of the effluent.
d. Apply powder and paste to cover the lesions.
a. Refit the pouch size opening to cover the lesions.
You have a patient with a sigmoid colostomy who developed stomal stenosis 8 weeks
postoperatively. What is the key factor that increased your patient's risk for developing
this complication?
Select one:
a. A stomal necrosis.
b. A stomal prolapse.
c. A significant recent weight loss.
d. Performing sit-ups.
a. A stomal necrosis.
You have a 4-year-old child that needs his low-profile gastrostomy tube replaced. What
step would be MOST important when performing this procedure?
Select one:
a. Have parents give pain medication prior to procedure.
b. Cleanse the skin with soap & water.
c. Measure the length of the stoma tract with a measuring device.
d. Use sterile gloves.
c. Measure the length of the stoma tract with a measuring device.
Mrs. Owens arrives in your Ostomy Clinic complaining that the pouch leaks within a few
hours even though she puts it on exactly how she was instructed. The stoma protrudes
2 cm and her abdomen is soft; she is slightly overweight. Which of the following steps is
4|Page
