WEB WOC OSTOMY CARE EXAM 2026 LATEST
UPDATE QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
The surgical treatment of choice for the patient with a carcinoma in the upper and middle third
of the rectum is:
Select one:
a. Abdominoperineal resection (APR)
b. Low anterior resection (LAR)
c. Total proctocolectomy with ileostomy (TPC)
d. Ileal pouch anal anastomosis (IPAA) - ANS-b. Low anterior resection (LAR)
Your patient with diverticulosis is concerned about infection and the need for surgery. However,
through patient teaching you can to correct misinformation and tell him that diverticulosis is
very common and not an indication for surgery. Diverticulosis differs from diverticulitis in that
diverticulitis may require surgery because it involves:
Select one:
a. Formation of herniations in the intestinal wall.
b. High intraluminal pressures in the intestinal wall.
c. Inflammation or infection of sac-like pouches.
d. Low intraluminal pressures of the bowel wall. - ANS-c. Inflammation or infection of sac-like
pouches.
Which of the following signs or symptoms are associated with diverticulitis?
,Select one:
a. Fever, malaise, RUQ pain.
b. Nausea/vomiting, RLQ pain.
c. LLQ pain, fever, nausea/vomiting.
d. Dysuria, bowel obstruction. - ANS-c. LLQ pain, fever, nausea/vomiting.
A complication of diverticular disease that almost always requires surgical intervention.
Select one:
a. Intestinal inflammation.
b. Micro-perforation.
c. Diverticulum formation.
d. Bowel perforation. - ANS-d. Bowel perforation.
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. - ANS-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 - ANS-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. - ANS-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. - ANS-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. - ANS-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. - ANS-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. - ANS-d. Fish.
UPDATE QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
The surgical treatment of choice for the patient with a carcinoma in the upper and middle third
of the rectum is:
Select one:
a. Abdominoperineal resection (APR)
b. Low anterior resection (LAR)
c. Total proctocolectomy with ileostomy (TPC)
d. Ileal pouch anal anastomosis (IPAA) - ANS-b. Low anterior resection (LAR)
Your patient with diverticulosis is concerned about infection and the need for surgery. However,
through patient teaching you can to correct misinformation and tell him that diverticulosis is
very common and not an indication for surgery. Diverticulosis differs from diverticulitis in that
diverticulitis may require surgery because it involves:
Select one:
a. Formation of herniations in the intestinal wall.
b. High intraluminal pressures in the intestinal wall.
c. Inflammation or infection of sac-like pouches.
d. Low intraluminal pressures of the bowel wall. - ANS-c. Inflammation or infection of sac-like
pouches.
Which of the following signs or symptoms are associated with diverticulitis?
,Select one:
a. Fever, malaise, RUQ pain.
b. Nausea/vomiting, RLQ pain.
c. LLQ pain, fever, nausea/vomiting.
d. Dysuria, bowel obstruction. - ANS-c. LLQ pain, fever, nausea/vomiting.
A complication of diverticular disease that almost always requires surgical intervention.
Select one:
a. Intestinal inflammation.
b. Micro-perforation.
c. Diverticulum formation.
d. Bowel perforation. - ANS-d. Bowel perforation.
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. - ANS-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 - ANS-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. - ANS-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. - ANS-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. - ANS-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. - ANS-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. - ANS-d. Fish.
