CERTIFICATION EXAM — COMPREHENSIVE
QUESTION BANK
Certification: Ostomy Management Specialist (OMS®)
Certifying Body: National Alliance of Wound Care and Ostomy®
(NAWCO®)
Exam Format: Multiple Choice (Single Correct Answer)
Total Questions: 1,000
Coverage: All Content Domains
Answer Key: Provided immediately after each question with detailed
rationales
INSTRUCTIONS TO CANDIDATES
1. This question bank contains 1,000 multiple-choice questions
covering all content areas of the OMS certification examination.
2. Each question has four options (A–D). Select the best possible
answer.
3. The correct answer appears immediately after each question,
followed by a detailed rationale.
4. Questions are sequentially numbered from 1 to 1,000.
5. Topics are organized by content domain for structured revision.
TABLE OF CONTENTS
,Section Topic Question Range
1 Gastrointestinal System Anatomy & Physiology 1–60
2 Genitourinary System Anatomy & Physiology 61–100
3 Principles of Wound Healing 101–140
4 Indications for Fecal Diversion Surgery 141–190
5 Indications for Urinary Diversion Surgery 191–230
6 Types of Gastrointestinal Ostomies 231–300
7 Continent Gastrointestinal Diversions 301–340
8 Urinary Ostomies & Diversions 341–390
9 Stoma Assessment & Characteristics 391–450
10 Peristomal Skin Complications 451–520
11 Stoma & Stomal Complications 521–570
12 Pouching Systems & Appliances 571–640
13 Patient Education & Counseling 641–700
14 Psychosocial Effects & Quality of Life 701–740
15 Preoperative Assessment & Stoma Site Marking 741–790
16 Postoperative Management & Discharge Planning 791–840
17 Nutrition, Fluid & Electrolyte Management 841–880
18 Medications & Ostomy Care 881–920
,Section Topic Question Range
19 Special Populations & Lifespan Considerations 921–960
20 Professional Practice, Ethics & Credentialing 961–1000
SECTION 1: GASTROINTESTINAL SYSTEM
ANATOMY & PHYSIOLOGY
1. The alimentary canal begins at the:
A. Esophagus
B. Mouth
C. Stomach
D. Pharynx
Answer: B
Rationale: The alimentary canal begins in the mouth and ends in the anus.
It is the continuous tube through which food passes during digestion.
2. The accessory organs of the digestive system include:
A. Salivary glands, liver, gallbladder, and pancreas
B. Stomach, small intestine, and large intestine
, C. Esophagus, pharynx, and mouth
D. Rectum, anus, and appendix
Answer: A
Rationale: Accessory organs assist with the digestive process but are not
part of the alimentary canal itself. These include the salivary glands, liver,
gallbladder, and pancreas.
3. The four layers of the GI tract, from innermost to outermost, are:
A. Serosa, muscularis, submucosa, mucosa
B. Mucosa, submucosa, muscularis, serosa
C. Submucosa, mucosa, serosa, muscularis
D. Muscularis, serosa, mucosa, submucosa
Answer: B
Rationale: The GI tract wall consists of four layers: mucosa (innermost),
submucosa, muscularis, and serosa (outermost).
4. Which nervous system controls the alimentary canal?
A. Somatic nervous system
B. Autonomic nervous system
C. Central nervous system
D. Peripheral nervous system
Answer: B
Rationale: The autonomic nervous system controls the alimentary canal,