1|Page
WEB WOC Ostomy Care (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS A+
[2025]
WEB WOC Ostomy Care
WOC-Style Ostomy Care Practice Exam — 50 Questions
1. Which of the following describes a stoma?
A. The surgical pouch attached to the outside of the abdomen
B. The surgically created opening of the intestine/urinary tract on the abdominal wall
C. The adhesive wafer of an ostomy pouch
D. The peristomal skin area
Answer: B — A stoma is the surgically created opening brought to the abdominal surface.
2. For a newly created stoma, how often should the stoma be measured to ensure
proper pouch fit?
A. Only at the first pouch change
B. Weekly during the first 6–8 weeks
C. Every 6 months
D. Once a year
Answer: B — Because stoma size may shrink as swelling subsides in the postoperative period.
Nursa+1
3. What is the recommended difference between the wafer opening and the stoma
edge for a new pouch?
A. Exact size — no gap
B. 1–2 mm larger than stoma
C. 3–4 mm larger than stoma base
D. 10 mm larger than stoma
Answer: C — The wafer opening should be slightly larger (about 3–4 mm) than the stoma to
prevent pressure, friction, and peristomal skin irritation. Nursa
4. Which of the following is a common complication in ostomy patients that must
be assessed during follow-up?
A. Peristomal skin irritation or breakdown
B. Excessive hair growth around the stoma
2026 2027 GRADED A+
,2|Page
C. Increased nail growth
D. Improved skin barrier adhesion over time
Answer: A — Skin irritation or skin barrier failure around the stoma is among the most common
ostomy-related complications. WOCN+1
5. A patient with an ileostomy reports frequent leaking under the wafer. The
stoma is flush and abdomen is soft. What is the MOST likely intervention?
A. Switch to a larger wafer opening
B. Use a convex wafer system
C. Remove wafer adhesive
D. Use a smaller pouch
Answer: B — A firm convex wafer can help with seal and better adhesion for flush or retracted
stomas to improve wear time and prevent leaks. Lippincott Journals+1
6. Which of these statements regarding stoma skin cleansing before applying a
new pouch is correct?
A. Use oily soap and damp cloth
B. Soap residue does not matter for adhesion
C. Use gentle, mild soap, rinse thoroughly, and pat skin dry before applying wafer
D. Always use antiseptic scrub around stoma
Answer: C — The peristomal skin must be clean and completely dry. Using oily soaps or
leaving residue can interfere with adhesive. Cleveland Clinic+1
jejunostomy location - CORRECT ANSWER LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - CORRECT ANSWER ischemic bowel,
crohn's, trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without small
bowel resection, loop or end stoma
jejunostomy function and management - CORRECT ANSWER *function begins in
24-48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
2026 2027 GRADED A+
, 3|Page
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - CORRECT ANSWER *monitor for electrolyte
imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2 -3 days
ileostomy location - CORRECT ANSWER RUQ
ileostomy disease and procedure - CORRECT ANSWER crohn's, ulcerative
colitis, familial adenomatous polyposis, trauma, necrotizing enterocolitis, cancer,
ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with continent
ileostomy, temporary ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
ileostomy function and management - CORRECT ANSWER *function begins in
24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - CORRECT ANSWER *high risk for bowel obstructi on-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - CORRECT ANSWER RUQ or LUQ
2026 2027 GRADED A+
WEB WOC Ostomy Care (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS A+
[2025]
WEB WOC Ostomy Care
WOC-Style Ostomy Care Practice Exam — 50 Questions
1. Which of the following describes a stoma?
A. The surgical pouch attached to the outside of the abdomen
B. The surgically created opening of the intestine/urinary tract on the abdominal wall
C. The adhesive wafer of an ostomy pouch
D. The peristomal skin area
Answer: B — A stoma is the surgically created opening brought to the abdominal surface.
2. For a newly created stoma, how often should the stoma be measured to ensure
proper pouch fit?
A. Only at the first pouch change
B. Weekly during the first 6–8 weeks
C. Every 6 months
D. Once a year
Answer: B — Because stoma size may shrink as swelling subsides in the postoperative period.
Nursa+1
3. What is the recommended difference between the wafer opening and the stoma
edge for a new pouch?
A. Exact size — no gap
B. 1–2 mm larger than stoma
C. 3–4 mm larger than stoma base
D. 10 mm larger than stoma
Answer: C — The wafer opening should be slightly larger (about 3–4 mm) than the stoma to
prevent pressure, friction, and peristomal skin irritation. Nursa
4. Which of the following is a common complication in ostomy patients that must
be assessed during follow-up?
A. Peristomal skin irritation or breakdown
B. Excessive hair growth around the stoma
2026 2027 GRADED A+
,2|Page
C. Increased nail growth
D. Improved skin barrier adhesion over time
Answer: A — Skin irritation or skin barrier failure around the stoma is among the most common
ostomy-related complications. WOCN+1
5. A patient with an ileostomy reports frequent leaking under the wafer. The
stoma is flush and abdomen is soft. What is the MOST likely intervention?
A. Switch to a larger wafer opening
B. Use a convex wafer system
C. Remove wafer adhesive
D. Use a smaller pouch
Answer: B — A firm convex wafer can help with seal and better adhesion for flush or retracted
stomas to improve wear time and prevent leaks. Lippincott Journals+1
6. Which of these statements regarding stoma skin cleansing before applying a
new pouch is correct?
A. Use oily soap and damp cloth
B. Soap residue does not matter for adhesion
C. Use gentle, mild soap, rinse thoroughly, and pat skin dry before applying wafer
D. Always use antiseptic scrub around stoma
Answer: C — The peristomal skin must be clean and completely dry. Using oily soaps or
leaving residue can interfere with adhesive. Cleveland Clinic+1
jejunostomy location - CORRECT ANSWER LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - CORRECT ANSWER ischemic bowel,
crohn's, trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without small
bowel resection, loop or end stoma
jejunostomy function and management - CORRECT ANSWER *function begins in
24-48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
2026 2027 GRADED A+
, 3|Page
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - CORRECT ANSWER *monitor for electrolyte
imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2 -3 days
ileostomy location - CORRECT ANSWER RUQ
ileostomy disease and procedure - CORRECT ANSWER crohn's, ulcerative
colitis, familial adenomatous polyposis, trauma, necrotizing enterocolitis, cancer,
ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with continent
ileostomy, temporary ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
ileostomy function and management - CORRECT ANSWER *function begins in
24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - CORRECT ANSWER *high risk for bowel obstructi on-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - CORRECT ANSWER RUQ or LUQ
2026 2027 GRADED A+
