WEB WOC Ostomy Care: Quiz
Questions with Correct Verified
Answers. Latest 2026-2027. Graded A
A 21-year-old woman is on her 5th day on the orthopedic unit following a
motor vehicle accident. She suddenly develops ischemic colitis from a
blood clot in the inferior mesenteric artery. Which type of stoma will she
most likely have following surgery?
Select one:
a. Ileostomy
b. Jejunostomy
c. Descending Colostomy
d. Sigmoid Colostomy - ANSa. Ileostomy
A 28-year-old female has a permanent ileostomy and you notice ulceration
at 9 o'clock in the peristomal area 7 mm from the base of the stoma. The
ulcer is producing fecal material. Without knowing her history, what is this
describing?
Select one:
a. Candidiasis due to steroids.
b. Familial adenomatous polyposis.
c. Peristomal pyoderma gangrenosum.
d. Enterocutaneous fistula - ANSd. Enterocutaneous fistula
1
,A 60-year-old male is 6 weeks postop following a sigmoid colostomy for
rectal cancer. During a follow-up visit, he states that he has read about
colostomy irrigation and is eager to start. What should your NEXT step be?
Select one:
a. Ask the patient if chemotherapy or radiation therapy is planned.
b. Set up an appointment to begin teaching the irrigation technique as soon
as possible.
c. Instruct the patient to ask again at his 6 months postop visit.
d. Ask him if he prefers using a cone tip or a catheter for the procedure. -
ANSa. Ask the patient if chemotherapy or radiation therapy is planned.
A bowel prep preoperatively for ostomy surgery is routinely utilized to
decrease bacteria in the bowel. The section of the bowel with the greatest
level of bacteria is:
Select one:
a. Distal portion of the colon.
b. Proximal portion of the colon.
c. Distal portion of the small bowel.
d. Proximal portion of the small bowel. - ANSa. Distal portion of the colon.
A complication of diverticular disease that almost always requires surgical
intervention.
Select one:
a. Intestinal inflammation.
2
,b. Micro-perforation.
c. Diverticulum formation.
d. Bowel perforation. - ANSd. Bowel perforation.
A fistula between the colon and skin is known as a/an:
Select one:
a. Colocutaneous fistula.
b. Colovesicle fistula.
c. Rectovaginal fistula.
d. Internal fistula. - ANSa. Colocutaneous fistula.
A Hartmann's Procedure (Pouch) is constructed when the:
Select one:
a. Proximal edges of the rectal segment are over sewn and left in the pelvis
following colon resection.
b. Entire colon is removed, and an ileal pouch is constructed in the pelvis.
c. A reservoir is constructed in the abdomen for small bowel disease.
d. The cecal reservoir is constructed and effluent is emptied with a
catheter. - ANSa. Proximal edges of the rectal segment are over sewn and
left in the pelvis following colon resection.
A patient has a high output enterocutaneous fistula with a pouch seal that
has no leakage between changes (every 3-4 days). Removing the pouch
skin barrier you notice a solid patch of raised erythematous skin that
matches the size of the skin barrier. The patient is complaining of itching.
What is the most likely etiology of this skin condition?
3
, Select one:
a. Sensitivity or Allergy to the skin barrier.
b. Mechanical irritation during removal of adhesive.
c. Irritant dermatitis.
d. Folliculitis. - ANSa. Sensitivity or Allergy to the skin barrier.
A patient is having large amounts of leakage around a Penrose drain with
saturation of gauze twice a shift. The surgeon asks you to evaluate and
treat the red skin. The BEST action by the WOC nurse is to:
Select one:
a. Irrigate the drain.
b. Apply an ostomy pouch with an integrated skin barrier.
c. Discontinue the drain.
d. Apply a barrier ointment around the drain. - ANSb. Apply an ostomy
pouch with an integrated skin barrier.
A patient with a low rectal cancer who had preoperative radiation followed
by a low anterior resection with subsequent stoma takedown is at risk for
what complication over the long term:
Select one:
a. Bloody diarrhea and low rectal pain.
b. Urgency, clustering of stooling, frequency, incontinence.
c. Problems with scar formation and obstruction from the previous stoma
site.
4
Questions with Correct Verified
Answers. Latest 2026-2027. Graded A
A 21-year-old woman is on her 5th day on the orthopedic unit following a
motor vehicle accident. She suddenly develops ischemic colitis from a
blood clot in the inferior mesenteric artery. Which type of stoma will she
most likely have following surgery?
Select one:
a. Ileostomy
b. Jejunostomy
c. Descending Colostomy
d. Sigmoid Colostomy - ANSa. Ileostomy
A 28-year-old female has a permanent ileostomy and you notice ulceration
at 9 o'clock in the peristomal area 7 mm from the base of the stoma. The
ulcer is producing fecal material. Without knowing her history, what is this
describing?
Select one:
a. Candidiasis due to steroids.
b. Familial adenomatous polyposis.
c. Peristomal pyoderma gangrenosum.
d. Enterocutaneous fistula - ANSd. Enterocutaneous fistula
1
,A 60-year-old male is 6 weeks postop following a sigmoid colostomy for
rectal cancer. During a follow-up visit, he states that he has read about
colostomy irrigation and is eager to start. What should your NEXT step be?
Select one:
a. Ask the patient if chemotherapy or radiation therapy is planned.
b. Set up an appointment to begin teaching the irrigation technique as soon
as possible.
c. Instruct the patient to ask again at his 6 months postop visit.
d. Ask him if he prefers using a cone tip or a catheter for the procedure. -
ANSa. Ask the patient if chemotherapy or radiation therapy is planned.
A bowel prep preoperatively for ostomy surgery is routinely utilized to
decrease bacteria in the bowel. The section of the bowel with the greatest
level of bacteria is:
Select one:
a. Distal portion of the colon.
b. Proximal portion of the colon.
c. Distal portion of the small bowel.
d. Proximal portion of the small bowel. - ANSa. Distal portion of the colon.
A complication of diverticular disease that almost always requires surgical
intervention.
Select one:
a. Intestinal inflammation.
2
,b. Micro-perforation.
c. Diverticulum formation.
d. Bowel perforation. - ANSd. Bowel perforation.
A fistula between the colon and skin is known as a/an:
Select one:
a. Colocutaneous fistula.
b. Colovesicle fistula.
c. Rectovaginal fistula.
d. Internal fistula. - ANSa. Colocutaneous fistula.
A Hartmann's Procedure (Pouch) is constructed when the:
Select one:
a. Proximal edges of the rectal segment are over sewn and left in the pelvis
following colon resection.
b. Entire colon is removed, and an ileal pouch is constructed in the pelvis.
c. A reservoir is constructed in the abdomen for small bowel disease.
d. The cecal reservoir is constructed and effluent is emptied with a
catheter. - ANSa. Proximal edges of the rectal segment are over sewn and
left in the pelvis following colon resection.
A patient has a high output enterocutaneous fistula with a pouch seal that
has no leakage between changes (every 3-4 days). Removing the pouch
skin barrier you notice a solid patch of raised erythematous skin that
matches the size of the skin barrier. The patient is complaining of itching.
What is the most likely etiology of this skin condition?
3
, Select one:
a. Sensitivity or Allergy to the skin barrier.
b. Mechanical irritation during removal of adhesive.
c. Irritant dermatitis.
d. Folliculitis. - ANSa. Sensitivity or Allergy to the skin barrier.
A patient is having large amounts of leakage around a Penrose drain with
saturation of gauze twice a shift. The surgeon asks you to evaluate and
treat the red skin. The BEST action by the WOC nurse is to:
Select one:
a. Irrigate the drain.
b. Apply an ostomy pouch with an integrated skin barrier.
c. Discontinue the drain.
d. Apply a barrier ointment around the drain. - ANSb. Apply an ostomy
pouch with an integrated skin barrier.
A patient with a low rectal cancer who had preoperative radiation followed
by a low anterior resection with subsequent stoma takedown is at risk for
what complication over the long term:
Select one:
a. Bloody diarrhea and low rectal pain.
b. Urgency, clustering of stooling, frequency, incontinence.
c. Problems with scar formation and obstruction from the previous stoma
site.
4
