WEB WOC OSTOMY CARE EXAM SCRIPT
VERIFIED QUESTIONS WITH ACCURATE
ANSWERS
●● The patient who is NPO for several days is at risk for atrophy of
which of the following structures in the mucosal surface of the small
bowel?
Select one:
a. Ligament of Treitz.
b. Villi.
c. Ampulla of Vater.
d. Sphincter of Oddi.
Answer: b. Villi.
●● A bowel prep preoperatively for ostomy surgery is routinely utilized
to decrease bacteria in the bowel. The section of the bowel with the
greatest level of bacteria is:
Select one:
a. Distal portion of the colon.
b. Proximal portion of the colon.
c. Distal portion of the small bowel.
,d. Proximal portion of the small bowel.
Answer: a. Distal portion of the colon.
●● An Ileal pouch anal anastomosis (IPAA) which is also referred to as
the ileoanal reservoir is indicated for which of the following disease
processes?
Select one:
a. Irritable bowel syndrome and Crohn's Disease.
b. Colorectal cancer and chronic ulcerative colitis.
c. Crohn's Disease and chronic ulcerative colitis.
d. Ulcerative colitis and familial adenomatous polyposis.
Answer: d. Ulcerative colitis and familial adenomatous polyposis.
●● The preferred abdominal location for an ileostomy in the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ.
Answer: c. RLQ.
,●● Gary is experiencing a recurrence of his Crohn's Disease. Which of
the following symptoms is Gary most likely experiencing?
Select one:
a. Obstructive abdominal pain.
b. Absence of perianal disease.
c. Bloody stools with proctitis.
d. Vomiting.
Answer: a. Obstructive abdominal pain.
●● The patient with ulcerative colitis will commonly exhibit:
Select one:
a. Oral ulcerations.
b. Significant abdominal pain.
c. Superficial mucosal involvement.
d. Fistula formation.
Answer: c. Superficial mucosal involvement.
●● When you read in the postoperative surgical report that the stoma
was primarily matured, you can expect which of the following?
, Select one:
a. The stoma will be opened at the bedside with electrocautery.
b. The stoma has been present for at least 3 months.
c. The stoma is ready for sutures at the mucocutaneous junction to be
removed.
d. The bowel was everted and sutured to the dermal surface during
surgery.
Answer: d. The bowel was everted and sutured to the dermal surface
during surgery.
●● Which of the following groups of medications is used in the medical
management of Crohn's disease?
Select one:
a. Corticosteroids and immune suppressants.
b. Anticholinergics and anti-emetics.
c. Antidepressants and antibiotics.
d. Immune suppressants and antidepressants.
Answer: a. Corticosteroids and immune suppressants.
●● Which of the following statements about Crohn's disease and/or
ulcerative colitis is true?
VERIFIED QUESTIONS WITH ACCURATE
ANSWERS
●● The patient who is NPO for several days is at risk for atrophy of
which of the following structures in the mucosal surface of the small
bowel?
Select one:
a. Ligament of Treitz.
b. Villi.
c. Ampulla of Vater.
d. Sphincter of Oddi.
Answer: b. Villi.
●● A bowel prep preoperatively for ostomy surgery is routinely utilized
to decrease bacteria in the bowel. The section of the bowel with the
greatest level of bacteria is:
Select one:
a. Distal portion of the colon.
b. Proximal portion of the colon.
c. Distal portion of the small bowel.
,d. Proximal portion of the small bowel.
Answer: a. Distal portion of the colon.
●● An Ileal pouch anal anastomosis (IPAA) which is also referred to as
the ileoanal reservoir is indicated for which of the following disease
processes?
Select one:
a. Irritable bowel syndrome and Crohn's Disease.
b. Colorectal cancer and chronic ulcerative colitis.
c. Crohn's Disease and chronic ulcerative colitis.
d. Ulcerative colitis and familial adenomatous polyposis.
Answer: d. Ulcerative colitis and familial adenomatous polyposis.
●● The preferred abdominal location for an ileostomy in the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ.
Answer: c. RLQ.
,●● Gary is experiencing a recurrence of his Crohn's Disease. Which of
the following symptoms is Gary most likely experiencing?
Select one:
a. Obstructive abdominal pain.
b. Absence of perianal disease.
c. Bloody stools with proctitis.
d. Vomiting.
Answer: a. Obstructive abdominal pain.
●● The patient with ulcerative colitis will commonly exhibit:
Select one:
a. Oral ulcerations.
b. Significant abdominal pain.
c. Superficial mucosal involvement.
d. Fistula formation.
Answer: c. Superficial mucosal involvement.
●● When you read in the postoperative surgical report that the stoma
was primarily matured, you can expect which of the following?
, Select one:
a. The stoma will be opened at the bedside with electrocautery.
b. The stoma has been present for at least 3 months.
c. The stoma is ready for sutures at the mucocutaneous junction to be
removed.
d. The bowel was everted and sutured to the dermal surface during
surgery.
Answer: d. The bowel was everted and sutured to the dermal surface
during surgery.
●● Which of the following groups of medications is used in the medical
management of Crohn's disease?
Select one:
a. Corticosteroids and immune suppressants.
b. Anticholinergics and anti-emetics.
c. Antidepressants and antibiotics.
d. Immune suppressants and antidepressants.
Answer: a. Corticosteroids and immune suppressants.
●● Which of the following statements about Crohn's disease and/or
ulcerative colitis is true?