COCN Latest Actual Exam Review 1
Questions with Verified Detailed
Answers | 100% Guaranteed Pass!!
Methotrexate - ✔✔This drug is used in steroid-dependent, active Crohn's
disease and in Crohn's disease remission maintenance. There is no
evidence to support its use for ulcerative colitis.
c - ✔✔Mr. F. has returned to the outpatient clinic for follow-up two weeks
after discharge. He has an enterocutaneous fistula to his upper abdomen.
The fistula is 1 cm in diameter and drains 500-600 ml of liquid green
effluent every 24 hours. He is achieving a 3-day wear time using a standard
ostomy pouching system. Upon removal of the pouching system there is
denudement at the 6 o'clock position where the patient has a small but
deeply scarred defect. Your recommendation would be to:
a. Cut the skin barrier opening to slightly less than 1cm
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,b. Change to a high output pouching system
c. Level the skin defect with skin barrier paste or ring
d. Continue his current plan of care without modifications
Laxatives - ✔✔__________________ should never be used by a person
with an ileostomy because of the potential for severe dehydration and
electrolyte imbalance.
peristomal pyoderma gangrenosum - ✔✔idiopathic, inflammatory ulcerative
condition of the peristomal skin. It is thought to start as one or more
pustules that break open and form full-thickness ulcers. The surrounding
skin becomes red and purple.
a (The principles of PG wound care include pain management, moisture
control and maintenance of a clean wound base, protection of the wound
base, delivery of topical anti-inflammatory/immunosuppressive
preparations, and achieving a predictable pouching system wear time of at
least 24 hours) - ✔✔Which of the following treatments is appropriate for a
patient with a full-thickness lesions from peristomal pyoderma
gangrenosum?
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,a. topical steroids
b. topical antifungals
c. topical antibiotics
d. silver nitrate cauterization
vesicovaginal fistula - ✔✔an abnormal connection between the bladder and
the vagina
60 - ✔✔An important aspect of caring for a neobladder is the prevention of
the accumulation of mucous in the pouch. Individuals should be taught to
instill _____ ml of normal saline and allow it to drain. Repeat until clear.
self-efficacy - ✔✔Focusing on promoting ________________ with
individuals with psychological problems has been shown to improve self-
care.
viral gastroenteritis - ✔✔Small meals of bland, low residue foods and
adequate fluids are recommended for acute
_________________________________ to meet the patient's dietary
needs. Ideal food choices include boiled starches (rice, wheat, oats) and
vegetables, crackers, bananas, soup and yogurt
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, 6-8 weeks - ✔✔Gastrostomy and jejunostomy devices are placed when
enteral nutritional support (tube feeding) is required long-term, generally
more than ________________.
jejunostomy - ✔✔A _________________ tube is superior to a gastrostomy
tube in patients with high aspiration risk; esophageal or gastric cancer;
previous gastric, duodenal, or pancreatic surgery; or severe gastric paresis
bladder cancer - ✔✔Your patient has had an orthotopic bladder
replacement. This procedure is done for _________________.
electric razor - ✔✔If the abdomen has a lot of hair, which can cause pain
with pouch changes and folliculitis, hair removal with a(n)
______________________________ is recommended.
Turnbull blowhole colostomy - ✔✔The ____________________________
is occasionally indicated for extremely ill patients with severe toxic
megacolon. It is done for simplicity and its ability to rapidly reduce sepsis.
True - ✔✔True or False: A Turnbull blowhole colostomy procedure leaves
the diseased colon behind, leading to persistent toxicity.
4
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
Questions with Verified Detailed
Answers | 100% Guaranteed Pass!!
Methotrexate - ✔✔This drug is used in steroid-dependent, active Crohn's
disease and in Crohn's disease remission maintenance. There is no
evidence to support its use for ulcerative colitis.
c - ✔✔Mr. F. has returned to the outpatient clinic for follow-up two weeks
after discharge. He has an enterocutaneous fistula to his upper abdomen.
The fistula is 1 cm in diameter and drains 500-600 ml of liquid green
effluent every 24 hours. He is achieving a 3-day wear time using a standard
ostomy pouching system. Upon removal of the pouching system there is
denudement at the 6 o'clock position where the patient has a small but
deeply scarred defect. Your recommendation would be to:
a. Cut the skin barrier opening to slightly less than 1cm
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,b. Change to a high output pouching system
c. Level the skin defect with skin barrier paste or ring
d. Continue his current plan of care without modifications
Laxatives - ✔✔__________________ should never be used by a person
with an ileostomy because of the potential for severe dehydration and
electrolyte imbalance.
peristomal pyoderma gangrenosum - ✔✔idiopathic, inflammatory ulcerative
condition of the peristomal skin. It is thought to start as one or more
pustules that break open and form full-thickness ulcers. The surrounding
skin becomes red and purple.
a (The principles of PG wound care include pain management, moisture
control and maintenance of a clean wound base, protection of the wound
base, delivery of topical anti-inflammatory/immunosuppressive
preparations, and achieving a predictable pouching system wear time of at
least 24 hours) - ✔✔Which of the following treatments is appropriate for a
patient with a full-thickness lesions from peristomal pyoderma
gangrenosum?
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,a. topical steroids
b. topical antifungals
c. topical antibiotics
d. silver nitrate cauterization
vesicovaginal fistula - ✔✔an abnormal connection between the bladder and
the vagina
60 - ✔✔An important aspect of caring for a neobladder is the prevention of
the accumulation of mucous in the pouch. Individuals should be taught to
instill _____ ml of normal saline and allow it to drain. Repeat until clear.
self-efficacy - ✔✔Focusing on promoting ________________ with
individuals with psychological problems has been shown to improve self-
care.
viral gastroenteritis - ✔✔Small meals of bland, low residue foods and
adequate fluids are recommended for acute
_________________________________ to meet the patient's dietary
needs. Ideal food choices include boiled starches (rice, wheat, oats) and
vegetables, crackers, bananas, soup and yogurt
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, 6-8 weeks - ✔✔Gastrostomy and jejunostomy devices are placed when
enteral nutritional support (tube feeding) is required long-term, generally
more than ________________.
jejunostomy - ✔✔A _________________ tube is superior to a gastrostomy
tube in patients with high aspiration risk; esophageal or gastric cancer;
previous gastric, duodenal, or pancreatic surgery; or severe gastric paresis
bladder cancer - ✔✔Your patient has had an orthotopic bladder
replacement. This procedure is done for _________________.
electric razor - ✔✔If the abdomen has a lot of hair, which can cause pain
with pouch changes and folliculitis, hair removal with a(n)
______________________________ is recommended.
Turnbull blowhole colostomy - ✔✔The ____________________________
is occasionally indicated for extremely ill patients with severe toxic
megacolon. It is done for simplicity and its ability to rapidly reduce sepsis.
True - ✔✔True or False: A Turnbull blowhole colostomy procedure leaves
the diseased colon behind, leading to persistent toxicity.
4
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
