Ostomy certification exam set 1 UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Chronic exposure to an irritant. - CORRECT ANSWER - Which of the following is the
most significant contributing factor to skin hyperplasia in a patient with fecal diversion?
Vitamin B and bile salts. - CORRECT ANSWER - Removal of part of the terminal ileum
results in decreased absorption of what?
Time-released cold tablets. - CORRECT ANSWER - A person with an ileostomy is likely
to have difficulty absorbing what type of medication?
Somatostatin. A natural hormone and classified as an octreotide acetate. It inhibits growth
hormone, insulin, and glucagon production. - CORRECT ANSWER - A patient has a high
output ECF. Although the patient has no PO intake, the output remains high. Which of the
following medications should be given to lower the output?
Specific suggestions. - CORRECT ANSWER - A female patient is 6 weeks post-op
abdominal perineal resection. She and her husband present to the outpatient ostomy clinic.
During her post-op visit, they share that they have been intimate a few times since surgery and
she experience dyspareunia. The nurse suggests alternative positions and lubrication. This is an
example of which level of the PLISSIT model?
Preserve anastomosis sites. - CORRECT ANSWER - The primary reason for the place of
ureteral stents during ileal conduit surgery is to do what?
Level of education. - CORRECT ANSWER - When teaching self-care to an elderly patient
with an ostomy, which of the following factors is LEAST important to consider?
, Increase fluid intake as the patient may be dehydrated. - CORRECT ANSWER - A patient
with a sigmoid colostomy who calls to report the water used for irrigation has not returned by
has no other complaints should be instructed to do what?
Refer to a surgeon for stoma revision. It is not necessary to remove this tissue. - CORRECT
ANSWER - For a patient with mucosal transplantation, the nurse should do all of the
following EXCEPT what?
Fluid and electrolyte imbalance. - CORRECT ANSWER - 45 year old patient was
hospitalized for 2 weeks for medical mgmt. of chronic UC. Medical mgmt. failed, and the patient
had a colectomy and standard Brooke ileostomy. 6 weeks later, he presents to the ostomy clinic.
he looks tired and his eyes are sunken. he complains of extreme weakness and tingling in his
hands and feet. His BP is 98/50, temp 98, and pulse is 110. His symptoms are most likely due to
what?
Play therapy for the child with the parents present. - CORRECT ANSWER - A 2 year old
child can best be prepared for ostomy surgery by using what method?
It is lower. - CORRECT ANSWER - How does the stoma site for a continent ileostomy
differ from the site for a conventional ileostomy?
Change his catheters used for intubation more frequently. - CORRECT ANSWER -A
patient with a well-established, continent urinary reservoir is receiving chemo for a newly
diagnosed malignancy. What changes to his routine care of the reservoir should be made?
Crystal formation. - CORRECT ANSWER - If individuals with urinary diversions are on
sulfa therapy, acidifying their urine may result in what?
Independent with ostomy care. - CORRECT ANSWER - 8 year old girl with a colonic
conduit for myelomeningocele should be what?
ACTUAL Exam Questions and CORRECT
Answers
Chronic exposure to an irritant. - CORRECT ANSWER - Which of the following is the
most significant contributing factor to skin hyperplasia in a patient with fecal diversion?
Vitamin B and bile salts. - CORRECT ANSWER - Removal of part of the terminal ileum
results in decreased absorption of what?
Time-released cold tablets. - CORRECT ANSWER - A person with an ileostomy is likely
to have difficulty absorbing what type of medication?
Somatostatin. A natural hormone and classified as an octreotide acetate. It inhibits growth
hormone, insulin, and glucagon production. - CORRECT ANSWER - A patient has a high
output ECF. Although the patient has no PO intake, the output remains high. Which of the
following medications should be given to lower the output?
Specific suggestions. - CORRECT ANSWER - A female patient is 6 weeks post-op
abdominal perineal resection. She and her husband present to the outpatient ostomy clinic.
During her post-op visit, they share that they have been intimate a few times since surgery and
she experience dyspareunia. The nurse suggests alternative positions and lubrication. This is an
example of which level of the PLISSIT model?
Preserve anastomosis sites. - CORRECT ANSWER - The primary reason for the place of
ureteral stents during ileal conduit surgery is to do what?
Level of education. - CORRECT ANSWER - When teaching self-care to an elderly patient
with an ostomy, which of the following factors is LEAST important to consider?
, Increase fluid intake as the patient may be dehydrated. - CORRECT ANSWER - A patient
with a sigmoid colostomy who calls to report the water used for irrigation has not returned by
has no other complaints should be instructed to do what?
Refer to a surgeon for stoma revision. It is not necessary to remove this tissue. - CORRECT
ANSWER - For a patient with mucosal transplantation, the nurse should do all of the
following EXCEPT what?
Fluid and electrolyte imbalance. - CORRECT ANSWER - 45 year old patient was
hospitalized for 2 weeks for medical mgmt. of chronic UC. Medical mgmt. failed, and the patient
had a colectomy and standard Brooke ileostomy. 6 weeks later, he presents to the ostomy clinic.
he looks tired and his eyes are sunken. he complains of extreme weakness and tingling in his
hands and feet. His BP is 98/50, temp 98, and pulse is 110. His symptoms are most likely due to
what?
Play therapy for the child with the parents present. - CORRECT ANSWER - A 2 year old
child can best be prepared for ostomy surgery by using what method?
It is lower. - CORRECT ANSWER - How does the stoma site for a continent ileostomy
differ from the site for a conventional ileostomy?
Change his catheters used for intubation more frequently. - CORRECT ANSWER -A
patient with a well-established, continent urinary reservoir is receiving chemo for a newly
diagnosed malignancy. What changes to his routine care of the reservoir should be made?
Crystal formation. - CORRECT ANSWER - If individuals with urinary diversions are on
sulfa therapy, acidifying their urine may result in what?
Independent with ostomy care. - CORRECT ANSWER - 8 year old girl with a colonic
conduit for myelomeningocele should be what?
