1|Page
WEB WOC Ostomy Care (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS A+
[2025] A+
WEB WOC Ostomy Car
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
C. Increased nail growth
D. Improved skin barrier adhesion over time
2026 2027 GRADED A+
,2|Page
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
7. Which of the following is TRUE regarding output of a new jejunostomy?
A. Output begins immediately with formed stool
B. Output begins in 24–48 hours, typically watery and may exceed 2000 mL/day
C. Output is solid, minimal, and requires no monitoring
D. Output is same as colostomy
Answer: B — A newly formed jejunostomy often produces high-output, watery effluent early
post-op. Stuvia+1
8. A patient with a high-output jejunostomy is at risk for which complication?
A. Dehydration and electrolyte imbalance
B. Hypercalcemia
C. Increased albumin
D. Constipation
Answer: A — High-output stomas can cause fluid and electrolyte losses leading to dehydration
and imbalances. WOCNCB+1
9. How often should an ostomy pouch be emptied?
A. When it is full
B. When it is one-third to one-half full
2026 2027 GRADED A+
,3|Page
C. Once per day
D. Once per week
Answer: B — Waiting until pouch is full may cause leakage or detachment. Emptying at 1/3–1/2
full improves seal and reduces risk of skin breakdown. Stuvia+1
10. What is the first priority when assessing a newly created stoma post-surgery?
A. Color, size, and viability of the stoma
B. Skin color of legs
C. Fluid intake only
D. Bowel sounds
Answer: A — Inspecting stoma viability (color, perfusion), stoma protrusion, and proper
placement is critical immediately post-op. WOCNCB+1
11. When educating a patient with a new ostomy, which teaching point is
essential?
A. They must never shower again
B. Stoma will never change in size
C. Regular pouch changes and skin monitoring are critical
D. They should change wafer only weekly
Answer: C — Patients need to know the importance of regular pouch changes, skin inspection,
and proper maintenance. WOCNCB+1
12. Which of the following complications is associated with continent urinary
diversions?
A. Pouchitis
B. Hypertension
C. Constipation
D. Migraine
Answer: A — Pouchitis is a known complication in continent urinary or fecal diversions.
WOCNCB+1
13. For a patient with a colostomy who is experiencing peristomal skin irritation
from adhesive leakage, what is an appropriate nursing intervention?
A. Advise patient to stop using the pouch
B. Recommend skin barrier powders or protective seals, ensure proper wafer fit
C. Suggest using regular band-aids around stoma
D. Ignore unless painful
Answer: B — Use of skin barrier products and correct wafer fit helps protect peristomal skin
from effluent irritation. Nursa+1
2026 2027 GRADED A+
, 4|Page
14. A peristomal skin assessment reveals redness, pain, and inability to maintain
pouch seal for over 24 hours. This indicates:
A. Normal skin variation
B. Intact skin — no issue
C. Skin damage requiring professional WOC nurse evaluation
D. Stoma protrusion
Answer: C — Persistent skin breakdown or irritation around stoma should trigger further
assessment and possibly change in pouch system. Peristomal Skin Assessment Guide+1
15. A patient with an ileostomy is concerned about odor control. What advice
should a nurse give?
A. There is nothing you can do — odor is permanent
B. Use a pouch with an odor-filtering charcoal filter and ensure proper seal
C. Empty the pouch once a week only
D. Reduce fluid intake drastically
Answer: B — Using appropriate pouch systems (with odor filter) and ensuring a secure seal
helps manage odor. WOCNCB+1
16. What is the role of a WOC/Ostomy nurse in care planning for a patient with
a new ostomy?
A. Solely to provide supplies
B. Assess stoma and peristomal skin, plan pouching system, educate patient and caregiver,
coordinate follow-up care
C. Prescribe high-protein diet only
D. Only consult when complications arise
Answer: B — WOC nurses perform comprehensive assessment, plan appropriate pouching,
educate patient/caregiver, and set follow-up care. WOCNCB+1
17. Which of the following fistula-related problems is relevant to ostomy care?
A. Alteration in skin integrity
B. Electrolyte imbalance
C. Fluid volume deficit
D. All of the above
Answer: D — Fistulas and percutaneous drains can cause skin breakdown, fluid and electrolyte
losses, and require careful management. WOCNCB+1
18. During pouch change, how should the skin barrier wafer be applied?
A. Peel and slap on quickly
B. Press gently from center outward and hold for 30–60 seconds to activate adhesive
C. Wet wafer and apply loosely
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] A+
WEB WOC Ostomy Car
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
C. Increased nail growth
D. Improved skin barrier adhesion over time
2026 2027 GRADED A+
,2|Page
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
7. Which of the following is TRUE regarding output of a new jejunostomy?
A. Output begins immediately with formed stool
B. Output begins in 24–48 hours, typically watery and may exceed 2000 mL/day
C. Output is solid, minimal, and requires no monitoring
D. Output is same as colostomy
Answer: B — A newly formed jejunostomy often produces high-output, watery effluent early
post-op. Stuvia+1
8. A patient with a high-output jejunostomy is at risk for which complication?
A. Dehydration and electrolyte imbalance
B. Hypercalcemia
C. Increased albumin
D. Constipation
Answer: A — High-output stomas can cause fluid and electrolyte losses leading to dehydration
and imbalances. WOCNCB+1
9. How often should an ostomy pouch be emptied?
A. When it is full
B. When it is one-third to one-half full
2026 2027 GRADED A+
,3|Page
C. Once per day
D. Once per week
Answer: B — Waiting until pouch is full may cause leakage or detachment. Emptying at 1/3–1/2
full improves seal and reduces risk of skin breakdown. Stuvia+1
10. What is the first priority when assessing a newly created stoma post-surgery?
A. Color, size, and viability of the stoma
B. Skin color of legs
C. Fluid intake only
D. Bowel sounds
Answer: A — Inspecting stoma viability (color, perfusion), stoma protrusion, and proper
placement is critical immediately post-op. WOCNCB+1
11. When educating a patient with a new ostomy, which teaching point is
essential?
A. They must never shower again
B. Stoma will never change in size
C. Regular pouch changes and skin monitoring are critical
D. They should change wafer only weekly
Answer: C — Patients need to know the importance of regular pouch changes, skin inspection,
and proper maintenance. WOCNCB+1
12. Which of the following complications is associated with continent urinary
diversions?
A. Pouchitis
B. Hypertension
C. Constipation
D. Migraine
Answer: A — Pouchitis is a known complication in continent urinary or fecal diversions.
WOCNCB+1
13. For a patient with a colostomy who is experiencing peristomal skin irritation
from adhesive leakage, what is an appropriate nursing intervention?
A. Advise patient to stop using the pouch
B. Recommend skin barrier powders or protective seals, ensure proper wafer fit
C. Suggest using regular band-aids around stoma
D. Ignore unless painful
Answer: B — Use of skin barrier products and correct wafer fit helps protect peristomal skin
from effluent irritation. Nursa+1
2026 2027 GRADED A+
, 4|Page
14. A peristomal skin assessment reveals redness, pain, and inability to maintain
pouch seal for over 24 hours. This indicates:
A. Normal skin variation
B. Intact skin — no issue
C. Skin damage requiring professional WOC nurse evaluation
D. Stoma protrusion
Answer: C — Persistent skin breakdown or irritation around stoma should trigger further
assessment and possibly change in pouch system. Peristomal Skin Assessment Guide+1
15. A patient with an ileostomy is concerned about odor control. What advice
should a nurse give?
A. There is nothing you can do — odor is permanent
B. Use a pouch with an odor-filtering charcoal filter and ensure proper seal
C. Empty the pouch once a week only
D. Reduce fluid intake drastically
Answer: B — Using appropriate pouch systems (with odor filter) and ensuring a secure seal
helps manage odor. WOCNCB+1
16. What is the role of a WOC/Ostomy nurse in care planning for a patient with
a new ostomy?
A. Solely to provide supplies
B. Assess stoma and peristomal skin, plan pouching system, educate patient and caregiver,
coordinate follow-up care
C. Prescribe high-protein diet only
D. Only consult when complications arise
Answer: B — WOC nurses perform comprehensive assessment, plan appropriate pouching,
educate patient/caregiver, and set follow-up care. WOCNCB+1
17. Which of the following fistula-related problems is relevant to ostomy care?
A. Alteration in skin integrity
B. Electrolyte imbalance
C. Fluid volume deficit
D. All of the above
Answer: D — Fistulas and percutaneous drains can cause skin breakdown, fluid and electrolyte
losses, and require careful management. WOCNCB+1
18. During pouch change, how should the skin barrier wafer be applied?
A. Peel and slap on quickly
B. Press gently from center outward and hold for 30–60 seconds to activate adhesive
C. Wet wafer and apply loosely
2026 2027 GRADED A+
