WEB WOC Ostomy Care Final Exam – Newest 2025 Actual Exam (Verified & Updated)

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WEB WOC OSTOMY CARE FINAL EXAM NEWEST ss s s s s s




s2025 ACTUAL EXAM COMPLET QUESTIONS AND s s s s ss




CORRECTDETAILEDANSWERS(VERIFIED
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87 Multiple choice questions
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Term 1 of 87
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pseudoverrucous lesions s NH




a type of PMASD caused by exposure to effluent, lotions, creams, and skin care
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a type of PMASD caused by prolonged and/or chronic exposure of peristomal skin to
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effluent
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causes thick, raised, bumpy, irregular lesions around the stoma
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Located at the posterior base of the bladder, the (UVJ) prevents retrograde urine flow
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sfrom the lower to the upper urinary tract
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detachment of the stomal tissue from surrounding peristomal tissue s NH s NH s NH s NH s NH s NH s NH s NH




managed with wound care, larger separations may need antimicrobial dressings or systemic
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s N H antibiotics

Definition 2 of 87
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*functions immediately with clear to blood-tinged urine NH
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*diaper, catheterize, or pouching system s NH s NH s NH s NH




s N H jejunostomy function and management s NH s NH s NH




s N H vesicostomy/ileovesicostomy/appendicovesicostomy disease and s NH s N H s N H procedure


s N H vesicostomy/ileovesicostomy/appendicovesicostomy function and management s NH s NH s N H




s N H s N H vesicostomy/ileovesicostomy/appendicovesicostomy s N H location
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Term 3 of 87
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kock pouch location s NH s N H




s N H LUQ


s N H LLQ


s N H RLQ


s N H RUQ

Definition 4 of 87
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bladder exstrophy, s N H s N H bladder
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ureters are implanted into the sigmoid colon where urine is mixed with feces and expelled from
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*pediatric procedure s NH




s N H ureterostomy function and management s NH s NH s N H




s N H s N H ureterosigmoidostomy disease s NH s N H and s N H procedure


s N H orthotopic neobladder disease and procedure
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s N H ureterostomy disease and procedure s NH s N H s N H




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sMaterial
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Term 5 of 87
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necrotizing enterocolitis s NH




Pre-term infants have lower immune function, bacteria proliferate in s NH s NH s NH s NH s NH s NH s NH s NH




sbowel and cause ischemia and air in the bowel.
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imaging will show PNEUMATOSIS INTESTINALIS s NH s NH s NH s NH




removal of the distal colon and rectum through both abdominal NH
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sand perineal approaches
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*for low rectal tumorsNH
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*creates permanent sigmoid or descending colostomy s NH s NH s NH s NH s NH




*wide resection done = risk for sexual dysfunction
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Resection of the lower colon and proximal rectum with an anastomosis s NH s NH s NH s NH s NH s NH s NH s NH s NH s NH




sof the remaining colon to the distal rectum
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*for tumors classified at the mid to high level of the rectum
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*2 stage procedure with temporary loop ileostomy
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wide surgical resection done = risk for sexual dysfunction
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internal, no stoma s NH s NH




Term 6 of 87
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indiana pouch location NH
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s N H RUQ


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s N H LUQ


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sMaterial
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Term 7 of 87
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ileostomy complications NH
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crohn's, ulcerative colitis, familial adenomatous polyposis, trauma, necrotizing enterocolitis,
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s cancer, ischemic bowel
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total proctocolectomy with end ileostomy, total proctocolectomy with continent ileostomy,
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stemporary ileostomy, temporary loop ileostomy for ileal pouch-anal anastomosis
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*hyperchloremic hypokalemic metabolic acidosis s NH s NH s NH NH
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s *pyelonephritis or long term kidney damage
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*late onset vitamin B12 deficiency s NH NH
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*high risk for bowel obstruction-instruct pt to chew food thoroughly and drink lots of
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swater
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*potential risk for vitamin B12 deficiency s NH s NH NH
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*poor stoma management s NH s NH




*pouching difficulties s NH




*stomal stenosis s NH




*pyelonephritis

Definition 8 of 87
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*post-op similar to indiana pouch, will have Malecot catheter in place and removed once pt can
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s NH empty bladder through urethra s NH s NH s NH




*will need pelvic flood muscle exercises
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*pt will need to perform valsalva while voiding
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*need to teach straight catheterization incase inability to empty bladder occurs
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s N H transverse colostomy function and management s NH s NH s NH s N H




s N H orthotopic neobladder function and management s NH NH
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s N H ileostomy function and management s NH s NH s N H




s N H orthotopic neobladder location NH
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