WEB WOC OSTOMY CARE FINAL EXAM 2026 UPDATE
QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
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 essential to assure
proper fitting of her ostomy pouch?
Select one:
a. Use a skin cement to increase the adherence of the pouch.
b. Assess her abdominal topography and stoma with her in the sitting position and standing
position.
c. Trim the skin barrier to be 1/4 inch larger than the stoma.
d. Instruct her to begin using a belt. - ANS-b. Assess her abdominal topography and stoma with
her in the sitting position and standing position.
Vinegar soaks to the stoma is an appropriate intervention to reduce or remove:
Select one:
a. Peyer's patches on the mucosa.
b. Urine odor.
c. Encrustations.
d. Caput Medusa. - ANS-c. Encrustations.
Of the following individuals, who is MOST at risk for developing a stomal prolapse?
,Select one:
a. Infant with a loop transverse colostomy.
b. 20-year-old male with a temporary loop ileostomy.
c. 65-year-old male with an end sigmoid colostomy and significant ascites.
d. 55-year-old female with a transverse double barrel colostomy. - ANS-a. Infant with a loop
transverse colostomy.
Ms. Anderson has a diagnosis of Caput Medusae in the WOC Nursing chart. You would expect to
see protuberant veins in the peristomal field which are caused by:
Select one:
a. Chronic exposure to effluent.
b. Portal hypertension.
c. Stomal prolapse.
d. Parastomal hernia. - ANS-b. Portal hypertension.
An incarcerated bowel is an emergent complication associated with:
Select one:
a. Mucocutaneous separation.
b. Stomal stenosis.
c. Parastomal hernia.
d. Peristomal pyoderma granulosum. - ANS-c. Parastomal hernia.
A 28-year-old female has a permanent ileostomy and you notice ulceration at 9 o'clock in the
peristomal area 7 mm from the base of the stoma. The ulcer is producing fecal material.
Without knowing her history, what is this describing?
,Select one:
a. Candidiasis due to steroids.
b. Familial adenomatous polyposis.
c. Peristomal pyoderma gangrenosum.
d. Enterocutaneous fistula - ANS-d. Enterocutaneous fistula
The most effective pouching technique for the patient with an ileostomy and a small fistula
open on the skin about 5mm from the base of the stoma is to:
Select one:
a. Cover the fistula opening with a skin barrier paste and pouch over the fistula opening.
b. Apply a skin barrier powder into the fistula track to absorb drainage and pouch over the
fistula opening.
c. Resize the stoma opening in the pouch to include the fistula opening.
d. Place a catheter into the fistula opening, feed the catheter through the stoma opening on the
pouch and anchor the catheter to the front of the pouch. - ANS-c. Resize the stoma opening in
the pouch to include the fistula opening.
Mr. Hanson has an enterocutaneous fistula that you plan to pouch. What 4 criteria will be
essential when selecting a pouching system for him?
Select one:
a. Volume, consistency, need for access and pH of effluent.
b. Need for access, volume, odor, pH of effluent.
c. Size of fistula opening on the skin, odor, consistency of effluent and opaque pouch.
d. Volume of effluent, size of fistula opening on the skin, odor and need for access - ANS-d.
Volume of effluent, size of fistula opening on the skin, odor and need for access
, Moisture associated skin damage is a leading cause of peristomal skin breakdown. Which is the
best description of MASD in the peristomal area?
Select one:
a. Inflammation and erosion of the skin adjacent to the stoma.
b. Macular lesions in the presence of pruritus and pain.
c. Skin erythema in the pattern of the skin barrier.
d. Patches of skin loss under the adhesive of a pouching surface upon pouch removal. - ANS-a.
Inflammation and erosion of the skin adjacent to the stoma.
Eighteen hours after the creation of an end stoma, the nurse notes that the stoma mucosa is
black and flaccid. What would be the appropriate assessments and interventions?
Select one:
a. Check the hydration level of the patient and provide hydration, because the flaccid stoma
may be the result of dehydration.
b. Remove the stoma pouch and gently rub the stoma to note any surface bleeding. Notify the
surgical service and prepare to examine the stoma using a small, lubricated, glass tube and
flashlight.
c. Encourage the patient to ambulate since this activity may precipitate bowel function.
d. Remove the ostomy pouching system, cut a larger opening in the new pouching system and
place a gauze pad into the pouch to prevent that plastic from contacting the stoma. - ANS-b.
Remove the stoma pouch and gently rub the stoma to note any surface bleeding. Notify the
surgical service and prepare to examine the stoma using a small, lubricated, glass tube and
flashlight.
The nurse is changing a pouching system and doing a teaching session for a new patient on the
4th postoperative day. Upon pouch removal, a separation of the mucocutaneous juncture is
observed. What would you tell the nurse about why this complication may occur?
QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
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 essential to assure
proper fitting of her ostomy pouch?
Select one:
a. Use a skin cement to increase the adherence of the pouch.
b. Assess her abdominal topography and stoma with her in the sitting position and standing
position.
c. Trim the skin barrier to be 1/4 inch larger than the stoma.
d. Instruct her to begin using a belt. - ANS-b. Assess her abdominal topography and stoma with
her in the sitting position and standing position.
Vinegar soaks to the stoma is an appropriate intervention to reduce or remove:
Select one:
a. Peyer's patches on the mucosa.
b. Urine odor.
c. Encrustations.
d. Caput Medusa. - ANS-c. Encrustations.
Of the following individuals, who is MOST at risk for developing a stomal prolapse?
,Select one:
a. Infant with a loop transverse colostomy.
b. 20-year-old male with a temporary loop ileostomy.
c. 65-year-old male with an end sigmoid colostomy and significant ascites.
d. 55-year-old female with a transverse double barrel colostomy. - ANS-a. Infant with a loop
transverse colostomy.
Ms. Anderson has a diagnosis of Caput Medusae in the WOC Nursing chart. You would expect to
see protuberant veins in the peristomal field which are caused by:
Select one:
a. Chronic exposure to effluent.
b. Portal hypertension.
c. Stomal prolapse.
d. Parastomal hernia. - ANS-b. Portal hypertension.
An incarcerated bowel is an emergent complication associated with:
Select one:
a. Mucocutaneous separation.
b. Stomal stenosis.
c. Parastomal hernia.
d. Peristomal pyoderma granulosum. - ANS-c. Parastomal hernia.
A 28-year-old female has a permanent ileostomy and you notice ulceration at 9 o'clock in the
peristomal area 7 mm from the base of the stoma. The ulcer is producing fecal material.
Without knowing her history, what is this describing?
,Select one:
a. Candidiasis due to steroids.
b. Familial adenomatous polyposis.
c. Peristomal pyoderma gangrenosum.
d. Enterocutaneous fistula - ANS-d. Enterocutaneous fistula
The most effective pouching technique for the patient with an ileostomy and a small fistula
open on the skin about 5mm from the base of the stoma is to:
Select one:
a. Cover the fistula opening with a skin barrier paste and pouch over the fistula opening.
b. Apply a skin barrier powder into the fistula track to absorb drainage and pouch over the
fistula opening.
c. Resize the stoma opening in the pouch to include the fistula opening.
d. Place a catheter into the fistula opening, feed the catheter through the stoma opening on the
pouch and anchor the catheter to the front of the pouch. - ANS-c. Resize the stoma opening in
the pouch to include the fistula opening.
Mr. Hanson has an enterocutaneous fistula that you plan to pouch. What 4 criteria will be
essential when selecting a pouching system for him?
Select one:
a. Volume, consistency, need for access and pH of effluent.
b. Need for access, volume, odor, pH of effluent.
c. Size of fistula opening on the skin, odor, consistency of effluent and opaque pouch.
d. Volume of effluent, size of fistula opening on the skin, odor and need for access - ANS-d.
Volume of effluent, size of fistula opening on the skin, odor and need for access
, Moisture associated skin damage is a leading cause of peristomal skin breakdown. Which is the
best description of MASD in the peristomal area?
Select one:
a. Inflammation and erosion of the skin adjacent to the stoma.
b. Macular lesions in the presence of pruritus and pain.
c. Skin erythema in the pattern of the skin barrier.
d. Patches of skin loss under the adhesive of a pouching surface upon pouch removal. - ANS-a.
Inflammation and erosion of the skin adjacent to the stoma.
Eighteen hours after the creation of an end stoma, the nurse notes that the stoma mucosa is
black and flaccid. What would be the appropriate assessments and interventions?
Select one:
a. Check the hydration level of the patient and provide hydration, because the flaccid stoma
may be the result of dehydration.
b. Remove the stoma pouch and gently rub the stoma to note any surface bleeding. Notify the
surgical service and prepare to examine the stoma using a small, lubricated, glass tube and
flashlight.
c. Encourage the patient to ambulate since this activity may precipitate bowel function.
d. Remove the ostomy pouching system, cut a larger opening in the new pouching system and
place a gauze pad into the pouch to prevent that plastic from contacting the stoma. - ANS-b.
Remove the stoma pouch and gently rub the stoma to note any surface bleeding. Notify the
surgical service and prepare to examine the stoma using a small, lubricated, glass tube and
flashlight.
The nurse is changing a pouching system and doing a teaching session for a new patient on the
4th postoperative day. Upon pouch removal, a separation of the mucocutaneous juncture is
observed. What would you tell the nurse about why this complication may occur?
