COCN Exam Review 1 With Question And
Answer 2025
Methotrexate - correct answers ✅✅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 - correct answers ✅✅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
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 - correct answers ✅✅__________________ should never
be used by a person with an ileostomy because of the potential
for severe dehydration and electrolyte imbalance.
peristomal pyoderma gangrenosum - correct answers
✅✅idiopathic, inflammatory ulcerative condition of the
peristomal skin. It is thought to start as one or more pustules that
,COCN Exam Review 1 With Question And
Answer 2025
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) -
correct answers ✅✅Which of the following treatments is
appropriate for a patient with a full-thickness lesions from
peristomal pyoderma gangrenosum?
a. topical steroids
b. topical antifungals
c. topical antibiotics
d. silver nitrate cauterization
vesicovaginal fistula - correct answers ✅✅an abnormal
connection between the bladder and the vagina
60 - correct answers ✅✅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.
, COCN Exam Review 1 With Question And
Answer 2025
self-efficacy - correct answers ✅✅Focusing on promoting
________________ with individuals with psychological problems has
been shown to improve self-care.
viral gastroenteritis - correct answers ✅✅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
6-8 weeks - correct answers ✅✅Gastrostomy and jejunostomy
devices are placed when enteral nutritional support (tube feeding)
is required long-term, generally more than ________________.
jejunostomy - correct answers ✅✅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 - correct answers ✅✅Your patient has had an
orthotopic bladder replacement. This procedure is done for
_________________.
electric razor - correct answers ✅✅If the abdomen has a lot of
hair, which can cause pain with pouch changes and folliculitis,
hair removal with a(n) ______________________________ is
recommended.
Answer 2025
Methotrexate - correct answers ✅✅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 - correct answers ✅✅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
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 - correct answers ✅✅__________________ should never
be used by a person with an ileostomy because of the potential
for severe dehydration and electrolyte imbalance.
peristomal pyoderma gangrenosum - correct answers
✅✅idiopathic, inflammatory ulcerative condition of the
peristomal skin. It is thought to start as one or more pustules that
,COCN Exam Review 1 With Question And
Answer 2025
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) -
correct answers ✅✅Which of the following treatments is
appropriate for a patient with a full-thickness lesions from
peristomal pyoderma gangrenosum?
a. topical steroids
b. topical antifungals
c. topical antibiotics
d. silver nitrate cauterization
vesicovaginal fistula - correct answers ✅✅an abnormal
connection between the bladder and the vagina
60 - correct answers ✅✅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.
, COCN Exam Review 1 With Question And
Answer 2025
self-efficacy - correct answers ✅✅Focusing on promoting
________________ with individuals with psychological problems has
been shown to improve self-care.
viral gastroenteritis - correct answers ✅✅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
6-8 weeks - correct answers ✅✅Gastrostomy and jejunostomy
devices are placed when enteral nutritional support (tube feeding)
is required long-term, generally more than ________________.
jejunostomy - correct answers ✅✅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 - correct answers ✅✅Your patient has had an
orthotopic bladder replacement. This procedure is done for
_________________.
electric razor - correct answers ✅✅If the abdomen has a lot of
hair, which can cause pain with pouch changes and folliculitis,
hair removal with a(n) ______________________________ is
recommended.
