Ostomy Certification Exam Questions and
Answers
Which of the following is the most appropriate mgmt. for a 3 year old child with a
urinary diversion?
Correct Answer
Select an appropriate pouch.
Question 2
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?
Correct Answer
Increase fluid intake as the patient may be dehydrated.
Question 3
Which of the following describes a fistula between the bladder and the skin?
Correct Answer
Vesicocutaneous.
Question 4
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?
Correct Answer
Fluid and electrolyte imbalance.
Page 1 of 22
,Question 5
When teaching self-care to an elderly patient with an ostomy, which of the following
factors is LEAST important to consider?
Correct Answer
Level of education.
Question 6
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?
Correct Answer
Somatostatin. A natural hormone and classified as an octreotide acetate. It inhibits
growth hormone, insulin, and glucagon production.
Question 7
16 year old female has had the first stage of an ileal pouch anal anastomosis
procedure 3 weeks ago. She calls the nurse to report that there has been no
ileostomy output for 12 hours. Now she has abdominal pain and a feeling of fullness
that she describes as a 5 on a scale of 0-10. Her last meal on the previous evening
was chicken, a banana, and potato chips with a drink. Which of the following should
the nurse advise?
Correct Answer
Take a warm bath, massage the abdomen, and come to the ER if no relief of
symptoms.
Question 8
Which of the following is appropriate for management of peristomal skin denudation
secondary to leakage of fecal effluent?
Correct Answer
Modify pouching system to obtain an effective seal.
Page 2 of 22
, Question 9
How does the stoma site for a continent ileostomy differ from the site for a
conventional ileostomy?
Correct Answer
It is lower.
Question 10
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?
Correct Answer
Specific suggestions.
Question 11
A 2 year old child can best be prepared for ostomy surgery by using what method?
Correct Answer
Play therapy for the child with the parents present.
Question 12
6 months after successful ileal pouch anal anastomosis surgery, patient should be
instructed to expect how many BMs per day?
Correct Answer
4 to 6
Question 13
Removal of part of the terminal ileum results in decreased absorption of what?
Correct Answer
Vitamin B and bile salts.
Page 3 of 22
Answers
Which of the following is the most appropriate mgmt. for a 3 year old child with a
urinary diversion?
Correct Answer
Select an appropriate pouch.
Question 2
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?
Correct Answer
Increase fluid intake as the patient may be dehydrated.
Question 3
Which of the following describes a fistula between the bladder and the skin?
Correct Answer
Vesicocutaneous.
Question 4
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?
Correct Answer
Fluid and electrolyte imbalance.
Page 1 of 22
,Question 5
When teaching self-care to an elderly patient with an ostomy, which of the following
factors is LEAST important to consider?
Correct Answer
Level of education.
Question 6
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?
Correct Answer
Somatostatin. A natural hormone and classified as an octreotide acetate. It inhibits
growth hormone, insulin, and glucagon production.
Question 7
16 year old female has had the first stage of an ileal pouch anal anastomosis
procedure 3 weeks ago. She calls the nurse to report that there has been no
ileostomy output for 12 hours. Now she has abdominal pain and a feeling of fullness
that she describes as a 5 on a scale of 0-10. Her last meal on the previous evening
was chicken, a banana, and potato chips with a drink. Which of the following should
the nurse advise?
Correct Answer
Take a warm bath, massage the abdomen, and come to the ER if no relief of
symptoms.
Question 8
Which of the following is appropriate for management of peristomal skin denudation
secondary to leakage of fecal effluent?
Correct Answer
Modify pouching system to obtain an effective seal.
Page 2 of 22
, Question 9
How does the stoma site for a continent ileostomy differ from the site for a
conventional ileostomy?
Correct Answer
It is lower.
Question 10
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?
Correct Answer
Specific suggestions.
Question 11
A 2 year old child can best be prepared for ostomy surgery by using what method?
Correct Answer
Play therapy for the child with the parents present.
Question 12
6 months after successful ileal pouch anal anastomosis surgery, patient should be
instructed to expect how many BMs per day?
Correct Answer
4 to 6
Question 13
Removal of part of the terminal ileum results in decreased absorption of what?
Correct Answer
Vitamin B and bile salts.
Page 3 of 22
