Ostomy Exam 1. Questions with
Correct Verified Answers. Latest 2026-
2027. Graded A
A 10-year-old girl presents to the emergency department with abdominal
pain, vomiting, palpable abdominal mass, and bloody stool. What condition
may be present? - ANSIntussusception
Rationale: Intussusception symptoms are abdominal pain, vomiting,
palpable mass, and bloody stools (described as "red currant jelly" stool).
Intussusception occurs when the bowel telescopes back on itself, causing
intestinal obstruction
A 10-year-old male patient presents with the following symptoms:
intermittent abdominal cramping, pain, tenesmus, fatigue, and anemia.
Osteopenia, weight loss, and anorexia with growth retardation are also
noted. What condition would the WOC nurse suspect? - ANSUlcerative
colitis
A 13-year-old male patient presents with dark blue macules around his
mouth, eyes, nostrils, buccal mucosa, hands, and genitalia. What disease
state would the WOC nurse suspect - ANSPeutz-Jeghers syndrome (PJS)
A 55-year-old patient visits a gastroenterologist with complaints of anal
bleeding upon defecation. Which test would most likely be ordered for this
1
,patient to perform diagnostic biopsies and/or therapeutic procedures -
ANSSigmoidoscopy or colonoscopy
Rationale: Initial evaluation includes endoscopy if not previously performed,
to assess if a tumor is present and to determine tumor location and obtain
biopsies to confirm suspected diagnosis of CRC. Endoscopic tests,
especially colonoscopy, have high sensitivity and specificity.
A neonate is diagnosed with imperforate anus. For what surgical
intervention would the WOC nurse prepare the parents? - ANSAnoplasty
Rationale: Anoplasty is performed for a low imperforate anus
A neonate is diagnosed with malrotation. What life-threatening complication
of malrotation may occur where torsion occurs - ANSVolvulus
Rationale: Volvulus is a life threatening complication of malrotation. This
occurs when the intestine twist 380 degrees on itself, causing vascular
obstruction
a nurse is performing an assessment of a postoperative patient following
the creation of a urinary diversion. What assessment technique has the
nurse performed correctly? - ANSwearing gloves, the nurse gently palpates
either side of approximated and closed incision noting the firmness or lack
of firmness of the tissue, the temperature of the skin as well as any oozing
that might be present while examining the area. Deep palpitation is neither
necessary nor warranted in this situation
A nutritionist is helping a patient with a new ostomy plan a diet. Which food
would the nurse recommend to maintain odor control? - ANSTomato juice
2
,Rationale: Tomato juice would be the best recommendation to manage
odor control because it is acidic and can kill bacteria that causes odor for
some people.
A patient 6 months out from undergoing the final step of the IPAA surgery
(stoma closure) tells the nurse: "I've been having cramping in my lower
belly with urgency and a lot of watery stools." The patient also complains of
being "tired all the time." What potential late complication with an IPAA
would the nurse consider? - ANSPouchitis
Rationale: Symptoms of pouchitis are reported to be similar to active
ulcerative colitis: stool urgency, increased watery stools (even when dietary
measures are taken to thicken the stools), with or without stool leakage and
over all fatigue, all related to pouch inflammation.
A patient diagnosed with colon cancer is scheduled for synchronous colon
cancer and lung/liver resection. This treatment is recommended for which
type of colon cancer - ANSMetastatic colon cancer with resectable
lung/liver metastases
Rationale: The most common site of metastases for colon or rectal cancer
is the liver. Colorectal cancer may also spread to the lungs, bones, brain, or
spinal cord. Options for treatment may include surgery, chemo or radiation
therapy, and/or immunotherapy.
A patient is diagnosed with a very low rectal cancer. For what type of
resection would the WOC nurse prepare the patient? -
ANSAbdominoperineal resection
3
, Rationale: A low rectal cancer may involve the sphincter or there may be
an inability to obtain a clear distal margin necessitating an abdominal
perineal resection (removal of the rectum).
A patient is diagnosed with colon cancer manifested by a tumor that
invades to the submucosa. What stage of cancer would be documented -
ANSStage I
Rationale: The tumor has grown into the submucosa, which is the layer of
tissue underneath the mucosa or lining of the colon making this a Stage I
cancer
a patient is scheduled for surgery for abdominal perineal resection APR.
What type of stoma will be created during this procedure? - ANSpermanent
end colostomy
APR surgery includes the resection sigmoid colon, rectum and anus, and
creation of end colostomy this is a permanent fecal diversion
A patient is scheduled for surgery for the creation of an end ileostomy.
What technique would the surgeon perform to prevent seeding of the
epidermis with mucosal cells resulting in mucosal implants - ANSEversion
is performed using four equidistant sutures through the entire bowel wall
and suturing through the subcuticular (dermal) layer of the adjacent skin.
Rationale: When maturing the stoma, the sutures are placed through the
subcuticular layer of skin to prevent implanting stoma tissue into the dermis
4
Correct Verified Answers. Latest 2026-
2027. Graded A
A 10-year-old girl presents to the emergency department with abdominal
pain, vomiting, palpable abdominal mass, and bloody stool. What condition
may be present? - ANSIntussusception
Rationale: Intussusception symptoms are abdominal pain, vomiting,
palpable mass, and bloody stools (described as "red currant jelly" stool).
Intussusception occurs when the bowel telescopes back on itself, causing
intestinal obstruction
A 10-year-old male patient presents with the following symptoms:
intermittent abdominal cramping, pain, tenesmus, fatigue, and anemia.
Osteopenia, weight loss, and anorexia with growth retardation are also
noted. What condition would the WOC nurse suspect? - ANSUlcerative
colitis
A 13-year-old male patient presents with dark blue macules around his
mouth, eyes, nostrils, buccal mucosa, hands, and genitalia. What disease
state would the WOC nurse suspect - ANSPeutz-Jeghers syndrome (PJS)
A 55-year-old patient visits a gastroenterologist with complaints of anal
bleeding upon defecation. Which test would most likely be ordered for this
1
,patient to perform diagnostic biopsies and/or therapeutic procedures -
ANSSigmoidoscopy or colonoscopy
Rationale: Initial evaluation includes endoscopy if not previously performed,
to assess if a tumor is present and to determine tumor location and obtain
biopsies to confirm suspected diagnosis of CRC. Endoscopic tests,
especially colonoscopy, have high sensitivity and specificity.
A neonate is diagnosed with imperforate anus. For what surgical
intervention would the WOC nurse prepare the parents? - ANSAnoplasty
Rationale: Anoplasty is performed for a low imperforate anus
A neonate is diagnosed with malrotation. What life-threatening complication
of malrotation may occur where torsion occurs - ANSVolvulus
Rationale: Volvulus is a life threatening complication of malrotation. This
occurs when the intestine twist 380 degrees on itself, causing vascular
obstruction
a nurse is performing an assessment of a postoperative patient following
the creation of a urinary diversion. What assessment technique has the
nurse performed correctly? - ANSwearing gloves, the nurse gently palpates
either side of approximated and closed incision noting the firmness or lack
of firmness of the tissue, the temperature of the skin as well as any oozing
that might be present while examining the area. Deep palpitation is neither
necessary nor warranted in this situation
A nutritionist is helping a patient with a new ostomy plan a diet. Which food
would the nurse recommend to maintain odor control? - ANSTomato juice
2
,Rationale: Tomato juice would be the best recommendation to manage
odor control because it is acidic and can kill bacteria that causes odor for
some people.
A patient 6 months out from undergoing the final step of the IPAA surgery
(stoma closure) tells the nurse: "I've been having cramping in my lower
belly with urgency and a lot of watery stools." The patient also complains of
being "tired all the time." What potential late complication with an IPAA
would the nurse consider? - ANSPouchitis
Rationale: Symptoms of pouchitis are reported to be similar to active
ulcerative colitis: stool urgency, increased watery stools (even when dietary
measures are taken to thicken the stools), with or without stool leakage and
over all fatigue, all related to pouch inflammation.
A patient diagnosed with colon cancer is scheduled for synchronous colon
cancer and lung/liver resection. This treatment is recommended for which
type of colon cancer - ANSMetastatic colon cancer with resectable
lung/liver metastases
Rationale: The most common site of metastases for colon or rectal cancer
is the liver. Colorectal cancer may also spread to the lungs, bones, brain, or
spinal cord. Options for treatment may include surgery, chemo or radiation
therapy, and/or immunotherapy.
A patient is diagnosed with a very low rectal cancer. For what type of
resection would the WOC nurse prepare the patient? -
ANSAbdominoperineal resection
3
, Rationale: A low rectal cancer may involve the sphincter or there may be
an inability to obtain a clear distal margin necessitating an abdominal
perineal resection (removal of the rectum).
A patient is diagnosed with colon cancer manifested by a tumor that
invades to the submucosa. What stage of cancer would be documented -
ANSStage I
Rationale: The tumor has grown into the submucosa, which is the layer of
tissue underneath the mucosa or lining of the colon making this a Stage I
cancer
a patient is scheduled for surgery for abdominal perineal resection APR.
What type of stoma will be created during this procedure? - ANSpermanent
end colostomy
APR surgery includes the resection sigmoid colon, rectum and anus, and
creation of end colostomy this is a permanent fecal diversion
A patient is scheduled for surgery for the creation of an end ileostomy.
What technique would the surgeon perform to prevent seeding of the
epidermis with mucosal cells resulting in mucosal implants - ANSEversion
is performed using four equidistant sutures through the entire bowel wall
and suturing through the subcuticular (dermal) layer of the adjacent skin.
Rationale: When maturing the stoma, the sutures are placed through the
subcuticular layer of skin to prevent implanting stoma tissue into the dermis
4
