WEB WOC OSTOMY CARE FINAL EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: During the first routine pouch change after an ileal conduit has been created,
which of the following observations is considered normal? Select one:
a. The stoma is dusky at the mucocutaneous junction.
b. The stoma is edematous and pink.
c. The stoma has no output.
d. A constant trickle of blood from the mucocutaneous junction is present.
Answer:
b. The stoma is edematous and pink.
Question 2: Which of the following foods is known to cause considerable odor for the
patient with a urinary diversion? Select one:
a. Beets.
b. Cheese.
c. Greasy, French fries.
d. Fish.
Answer:
d. Fish.
Question 3: The primary rationale for using a skin barrier paste is to: Select one:
a. Fill or "caulk" irregular surfaces at the base of the stoma.
b. Increase the tack of the adhesive surface of the abdomen.
c. Protect the stoma from mechanical trauma.
d. Reduce the burning sensation associated with the use of skin barrier powders.
Answer:
a. Fill or "caulk" irregular surfaces at the base of the stoma.
Question 4: The patient who has a soft abdomen and a budded ileal conduit stoma will
require what characteristic in the skin barrier surface of pouching system? Select one:
a. Flexibility - all flexible pouching system.
, b. Firm surface to provide support.
c. Can be either flexible or firm pouching system.
d. Need more information.
Answer:
b. Firm surface to provide support.
Question 5: The presence of mucus shreds in the urine after an Indiana pouch is: Select
one:
a. Indicative of a urinary tract infection.
b. Considered normal.
c. Typical of dehydration.
d. Associated with an anastomotic leak.
Answer:
b. Considered normal.
Question 6: Which of the statements about ostomy equipment is correct? Select one:
a. Skin barrier and pouch should be applied before the skin sealant (also known as a liquid skin
barrier) dries.
b. A skin barrier paste is essential to use for urinary and fecal ostomy care.
c. A skin barrier powder should be applied liberally to the peristomal skin to prevent moisture buildup.
d. A flexible skin barrier surface is usually indicated when the abdomen is firm.
Answer:
d. A flexible skin barrier surface is usually indicated when the abdomen is firm.
Question 7: Two of the MOST important assessments to make when determining the
pouching procedure and equipment to use postoperatively are: Select one:
a. The size of the stoma (height, size) and the softness or firmness of the abdomen in the peristomal
field.
b. Whether it is a permanent or temporary type of stoma construction and odor.
c. Pouching equipment most familiar to the patient and their manual dexterity.
d. Patient's hand preference (right versus left) and stoma size.
Answer:
a. The size of the stoma (height, size) and the softness or firmness of the abdomen in the peristomal field.
, Question 8: Stomal protrusion is an important assessment in ostomy management
because: Select one:
a. A protruding stoma will not develop a prolapse.
b. Flush stomas usually require convexity because effluent is exiting the stoma at skin level.
c. A protruding stoma on the abdomen can always be seen by the patient wherever it is placed.
d. A protruding stoma assures adequate vascularity is present.
Answer:
b. Flush stomas usually require convexity because effluent is exiting the stoma at skin level.
Question 9: The patient at greatest risk for dehydration and electrolyte imbalance is the
patient with a/an: Select one:
a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
b. Ileal conduit.
c. Perforated bowel and loop ileostomy.
d. Orthotopic neobladder.
Answer:
a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
Question 10: Six months postoperatively, you can expect the patient with which of the
following urinary diversions to be using bedside drainage at night? Select one:
a. Indiana pouch
b. Mitrofanoff procedure
c. Koch pouch
d. Ileal conduit
Answer:
d. Ileal conduit
Question 11: When can a patient with an Indiana pouch expect to begin catheterizing the
stoma for emptying? Select one:
a. When the reservoir attains a 500 mL capacity.
b. After a pouch-o-gram indicates the suture line is healed.
c. The Indiana pouch does not require catheterization to empty.
d. On the 5th day postop.
Answer:
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: During the first routine pouch change after an ileal conduit has been created,
which of the following observations is considered normal? Select one:
a. The stoma is dusky at the mucocutaneous junction.
b. The stoma is edematous and pink.
c. The stoma has no output.
d. A constant trickle of blood from the mucocutaneous junction is present.
Answer:
b. The stoma is edematous and pink.
Question 2: Which of the following foods is known to cause considerable odor for the
patient with a urinary diversion? Select one:
a. Beets.
b. Cheese.
c. Greasy, French fries.
d. Fish.
Answer:
d. Fish.
Question 3: The primary rationale for using a skin barrier paste is to: Select one:
a. Fill or "caulk" irregular surfaces at the base of the stoma.
b. Increase the tack of the adhesive surface of the abdomen.
c. Protect the stoma from mechanical trauma.
d. Reduce the burning sensation associated with the use of skin barrier powders.
Answer:
a. Fill or "caulk" irregular surfaces at the base of the stoma.
Question 4: The patient who has a soft abdomen and a budded ileal conduit stoma will
require what characteristic in the skin barrier surface of pouching system? Select one:
a. Flexibility - all flexible pouching system.
, b. Firm surface to provide support.
c. Can be either flexible or firm pouching system.
d. Need more information.
Answer:
b. Firm surface to provide support.
Question 5: The presence of mucus shreds in the urine after an Indiana pouch is: Select
one:
a. Indicative of a urinary tract infection.
b. Considered normal.
c. Typical of dehydration.
d. Associated with an anastomotic leak.
Answer:
b. Considered normal.
Question 6: Which of the statements about ostomy equipment is correct? Select one:
a. Skin barrier and pouch should be applied before the skin sealant (also known as a liquid skin
barrier) dries.
b. A skin barrier paste is essential to use for urinary and fecal ostomy care.
c. A skin barrier powder should be applied liberally to the peristomal skin to prevent moisture buildup.
d. A flexible skin barrier surface is usually indicated when the abdomen is firm.
Answer:
d. A flexible skin barrier surface is usually indicated when the abdomen is firm.
Question 7: Two of the MOST important assessments to make when determining the
pouching procedure and equipment to use postoperatively are: Select one:
a. The size of the stoma (height, size) and the softness or firmness of the abdomen in the peristomal
field.
b. Whether it is a permanent or temporary type of stoma construction and odor.
c. Pouching equipment most familiar to the patient and their manual dexterity.
d. Patient's hand preference (right versus left) and stoma size.
Answer:
a. The size of the stoma (height, size) and the softness or firmness of the abdomen in the peristomal field.
, Question 8: Stomal protrusion is an important assessment in ostomy management
because: Select one:
a. A protruding stoma will not develop a prolapse.
b. Flush stomas usually require convexity because effluent is exiting the stoma at skin level.
c. A protruding stoma on the abdomen can always be seen by the patient wherever it is placed.
d. A protruding stoma assures adequate vascularity is present.
Answer:
b. Flush stomas usually require convexity because effluent is exiting the stoma at skin level.
Question 9: The patient at greatest risk for dehydration and electrolyte imbalance is the
patient with a/an: Select one:
a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
b. Ileal conduit.
c. Perforated bowel and loop ileostomy.
d. Orthotopic neobladder.
Answer:
a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
Question 10: Six months postoperatively, you can expect the patient with which of the
following urinary diversions to be using bedside drainage at night? Select one:
a. Indiana pouch
b. Mitrofanoff procedure
c. Koch pouch
d. Ileal conduit
Answer:
d. Ileal conduit
Question 11: When can a patient with an Indiana pouch expect to begin catheterizing the
stoma for emptying? Select one:
a. When the reservoir attains a 500 mL capacity.
b. After a pouch-o-gram indicates the suture line is healed.
c. The Indiana pouch does not require catheterization to empty.
d. On the 5th day postop.
Answer:
