WEB WOC OSTOMY CARE FINAL EXAM
STUDY GUIDE 2026 COMPLETE REVIEW
PRACTICE QUESTIONS ANSWER KEY
AND RATIONALES
You are caring for a 7-month-old infant experiencing repeated bouts of
constipation. The abdomen is quite distended and the surgeon suspects
Hirschsprung's disease. What type of surgery is most likely to occur
following a positive rectal suction biopsy for Hirschsprung's?
Select one:
a. Classic pull-through procedure.
b. Diverting colostomy to decompress the bowel.
c. End ileostomy.
d. Loop ileostomy. - CORRECT ANSWER-b. Diverting colostomy to
decompress the bowel.
Patients with acute radiation-induced enteritis would likely demonstrate
the following symptom:
Select one:
a. Constipation
b. Temperature above 101F
c. Lack of appetite
d. Diarrhea - CORRECT ANSWER-d. Diarrhea
,Your myelomeningocele or spina bifida patient has problems with
constipation because of a neurogenic bowel. It has been managed with oral
laxatives, suppositories, and/or enemas but the problem is not resolved.
Which of the following surgical procedures may be indicated for this
patient?
Select one:
a. Loop ileostomy with IPAA.
b. Permanent ileostomy.
c. ACE Procedure.
d. Mitrofanoff procedure. - CORRECT ANSWER-c. ACE Procedure.
A patient with a low rectal cancer who had preoperative radiation followed
by a low anterior resection with subsequent stoma takedown is at risk for
what complication over the long term:
Select one:
a. Bloody diarrhea and low rectal pain.
b. Urgency, clustering of stooling, frequency, incontinence.
c. Problems with scar formation and obstruction from the previous stoma
site.
d. Recurrence of the cancer and need for additional therapy. - CORRECT
ANSWER-b. Urgency, clustering of stooling, frequency, incontinence.
As an Ostomy Nurse Specialist, you know that Crohn's Disease (CD)
typically originates at the terminal ileum, is a recurring disease and not
cured by surgery. However, your Crohn's Disease patient may need surgical
management because the disease is not responding to medical therapy.
What is the most common surgical procedure for Crohn's Disease?
Select one:
a. Anoplasty.
,b. Segmental intestinal resection.
c. Temporary ileostomy and mucus fistula.
d. Sphincteroplasty. - CORRECT ANSWER-b. Segmental intestinal
resection.
During the first routine pouch change after an ileal conduit has been
created, which of the following observations is considered normal?
Select one:
a. The stoma is dusky at the mucocutaneous junction.
b. The stoma is edematous and pink.
c. The stoma has no output.
d. A constant trickle of blood from the mucocutaneous junction is present. -
CORRECT ANSWER-b. The stoma is edematous and pink.
Which of the following foods is known to cause considerable odor for the
patient with a urinary diversion?
Select one:
a. Beets.
b. Cheese.
c. Greasy, French fries.
d. Fish. - CORRECT ANSWER-d. Fish.
The primary rationale for using a skin barrier paste is to:
, Select one:
a. Fill or "caulk" irregular surfaces at the base of the stoma.
b. Increase the tack of the adhesive surface of the abdomen.
c. Protect the stoma from mechanical trauma.
d. Reduce the burning sensation associated with the use of skin barrier
powders. - CORRECT ANSWER-a. Fill or "caulk" irregular surfaces at
the base of the stoma.
The patient who has a soft abdomen and a budded ileal conduit stoma will
require what characteristic in the skin barrier surface of pouching system?
Select one:
a. Flexibility - all flexible pouching system.
b. Firm surface to provide support.
c. Can be either flexible or firm pouching system.
d. Need more information. - CORRECT ANSWER-b. Firm surface to
provide support.
The presence of mucus shreds in the urine after an Indiana pouch is:
Select one:
a. Indicative of a urinary tract infection.
b. Considered normal.
c. Typical of dehydration.
d. Associated with an anastomotic leak. - CORRECT ANSWER-b.
Considered normal.
STUDY GUIDE 2026 COMPLETE REVIEW
PRACTICE QUESTIONS ANSWER KEY
AND RATIONALES
You are caring for a 7-month-old infant experiencing repeated bouts of
constipation. The abdomen is quite distended and the surgeon suspects
Hirschsprung's disease. What type of surgery is most likely to occur
following a positive rectal suction biopsy for Hirschsprung's?
Select one:
a. Classic pull-through procedure.
b. Diverting colostomy to decompress the bowel.
c. End ileostomy.
d. Loop ileostomy. - CORRECT ANSWER-b. Diverting colostomy to
decompress the bowel.
Patients with acute radiation-induced enteritis would likely demonstrate
the following symptom:
Select one:
a. Constipation
b. Temperature above 101F
c. Lack of appetite
d. Diarrhea - CORRECT ANSWER-d. Diarrhea
,Your myelomeningocele or spina bifida patient has problems with
constipation because of a neurogenic bowel. It has been managed with oral
laxatives, suppositories, and/or enemas but the problem is not resolved.
Which of the following surgical procedures may be indicated for this
patient?
Select one:
a. Loop ileostomy with IPAA.
b. Permanent ileostomy.
c. ACE Procedure.
d. Mitrofanoff procedure. - CORRECT ANSWER-c. ACE Procedure.
A patient with a low rectal cancer who had preoperative radiation followed
by a low anterior resection with subsequent stoma takedown is at risk for
what complication over the long term:
Select one:
a. Bloody diarrhea and low rectal pain.
b. Urgency, clustering of stooling, frequency, incontinence.
c. Problems with scar formation and obstruction from the previous stoma
site.
d. Recurrence of the cancer and need for additional therapy. - CORRECT
ANSWER-b. Urgency, clustering of stooling, frequency, incontinence.
As an Ostomy Nurse Specialist, you know that Crohn's Disease (CD)
typically originates at the terminal ileum, is a recurring disease and not
cured by surgery. However, your Crohn's Disease patient may need surgical
management because the disease is not responding to medical therapy.
What is the most common surgical procedure for Crohn's Disease?
Select one:
a. Anoplasty.
,b. Segmental intestinal resection.
c. Temporary ileostomy and mucus fistula.
d. Sphincteroplasty. - CORRECT ANSWER-b. Segmental intestinal
resection.
During the first routine pouch change after an ileal conduit has been
created, which of the following observations is considered normal?
Select one:
a. The stoma is dusky at the mucocutaneous junction.
b. The stoma is edematous and pink.
c. The stoma has no output.
d. A constant trickle of blood from the mucocutaneous junction is present. -
CORRECT ANSWER-b. The stoma is edematous and pink.
Which of the following foods is known to cause considerable odor for the
patient with a urinary diversion?
Select one:
a. Beets.
b. Cheese.
c. Greasy, French fries.
d. Fish. - CORRECT ANSWER-d. Fish.
The primary rationale for using a skin barrier paste is to:
, Select one:
a. Fill or "caulk" irregular surfaces at the base of the stoma.
b. Increase the tack of the adhesive surface of the abdomen.
c. Protect the stoma from mechanical trauma.
d. Reduce the burning sensation associated with the use of skin barrier
powders. - CORRECT ANSWER-a. Fill or "caulk" irregular surfaces at
the base of the stoma.
The patient who has a soft abdomen and a budded ileal conduit stoma will
require what characteristic in the skin barrier surface of pouching system?
Select one:
a. Flexibility - all flexible pouching system.
b. Firm surface to provide support.
c. Can be either flexible or firm pouching system.
d. Need more information. - CORRECT ANSWER-b. Firm surface to
provide support.
The presence of mucus shreds in the urine after an Indiana pouch is:
Select one:
a. Indicative of a urinary tract infection.
b. Considered normal.
c. Typical of dehydration.
d. Associated with an anastomotic leak. - CORRECT ANSWER-b.
Considered normal.
