WEB WOC OSTOMY CARE Final Newest 2026 Exam
Questions And Correct Verified Answers With Rationales
(GRADED A+)
The PRIMARY intervention for the treatment and prevention of
pseudoverrucous lesions is:
a. Resize the pouching system to the size of the base of the stoma to
cover up the lesions.
b. Apply an antifungal powder to the lesions.
c. Cauterize the lesions with silver nitrate.
d. Alkalinize the urine. - VERIFIED ANSWER - a. Resize the pouching system
to the size of the base of the stoma to cover up the lesions.
A fistula between the colon and skin is known as a/an:
a. Colocutaneous fistula.
b. Colovesicle fistula.
c. Rectovaginal fistula.
d. Internal fistula. - VERIFIED ANSWER - a. Colocutaneous fistula.
,Which of the following patients is at risk for fistula formation after a
surgical procedure? A patient who has:
a. Experienced intraoperative hypothermia.
b. Had preoperative hyponatremia.
c. Undergone radiation therapy in the surgical area 20 years ago.
d. A preoperative serum prealbumin level of 18.0. - VERIFIED ANSWER - c.
Undergone radiation therapy in the surgical area 20 years ago.
Which of the following complications is a contributing factor to the high
mortality rate associated with the patient who has a fistula?
a. Sepsis
b. Dehydration
c. Thrombophlebitis
d. Pulmonary embolism - VERIFIED ANSWER - a. Sepsis
In which of the following situations would you normally expect to see
intermittent, brief episodes where the stoma becomes dusky, then "pinks
up" again?
a. 25-year-old with a loop temporary ileostomy who is dehydrated.
b. Infant with a transverse colostomy during crying episodes.
,c. 50-year-old with a sigmoid colostomy and has had history of laxative
abuse.
d. 55-year-old woman with an ileostomy and recurrence of Crohn's
disease. - VERIFIED ANSWER - b. Infant with a transverse colostomy during
crying episodes.
When selecting a pouching system for a patient who has an
enterocutaneous fistula, the PRIMARY feature of the system that should
guide your selection is:
a. A sizeable surface for cutting.
b. An opaque pouch film.
c. Built in convexity.
d. Anti-reflux valve. - VERIFIED ANSWER - a. A sizeable surface for cutting.
Mr. Smith has had a sigmoid colostomy that he irrigates every day with
regular results. Lately, he has noticed a bulging around the stoma and
consistently poor returns of the irrigation fluid and feces. What
complication is Mr. Smith likely experiencing?
a. Stoma prolapse.
b. Pseudoverucous lesions.
c. Stoma necrosis.
, d. Peristomal hernia. - VERIFIED ANSWER - d. Peristomal hernia.
Your outpatient presents with pseudoverrucous lesions. His stoma size is
1" and he is wearing a 1 ¼" presized pouch. He is complaining of burning
and itching. What is your next step?
a. Refit the pouch size opening to cover the lesions.
b. Apply alcohol to dry out the lesions on the peristomal skin.
c. Check the pH of the effluent.
d. Apply powder and paste to cover the lesions. - VERIFIED ANSWER - a.
Refit the pouch size opening to cover the lesions.
You have a patient with a sigmoid colostomy who developed stomal
stenosis 8 weeks postoperatively. What is the key factor that increased
your patient's risk for developing this complication?
a. A stomal necrosis.
b. A stomal prolapse.
c. A significant recent weight loss.
d. Performing sit-ups. - VERIFIED ANSWER - a. A stomal necrosis.
Questions And Correct Verified Answers With Rationales
(GRADED A+)
The PRIMARY intervention for the treatment and prevention of
pseudoverrucous lesions is:
a. Resize the pouching system to the size of the base of the stoma to
cover up the lesions.
b. Apply an antifungal powder to the lesions.
c. Cauterize the lesions with silver nitrate.
d. Alkalinize the urine. - VERIFIED ANSWER - a. Resize the pouching system
to the size of the base of the stoma to cover up the lesions.
A fistula between the colon and skin is known as a/an:
a. Colocutaneous fistula.
b. Colovesicle fistula.
c. Rectovaginal fistula.
d. Internal fistula. - VERIFIED ANSWER - a. Colocutaneous fistula.
,Which of the following patients is at risk for fistula formation after a
surgical procedure? A patient who has:
a. Experienced intraoperative hypothermia.
b. Had preoperative hyponatremia.
c. Undergone radiation therapy in the surgical area 20 years ago.
d. A preoperative serum prealbumin level of 18.0. - VERIFIED ANSWER - c.
Undergone radiation therapy in the surgical area 20 years ago.
Which of the following complications is a contributing factor to the high
mortality rate associated with the patient who has a fistula?
a. Sepsis
b. Dehydration
c. Thrombophlebitis
d. Pulmonary embolism - VERIFIED ANSWER - a. Sepsis
In which of the following situations would you normally expect to see
intermittent, brief episodes where the stoma becomes dusky, then "pinks
up" again?
a. 25-year-old with a loop temporary ileostomy who is dehydrated.
b. Infant with a transverse colostomy during crying episodes.
,c. 50-year-old with a sigmoid colostomy and has had history of laxative
abuse.
d. 55-year-old woman with an ileostomy and recurrence of Crohn's
disease. - VERIFIED ANSWER - b. Infant with a transverse colostomy during
crying episodes.
When selecting a pouching system for a patient who has an
enterocutaneous fistula, the PRIMARY feature of the system that should
guide your selection is:
a. A sizeable surface for cutting.
b. An opaque pouch film.
c. Built in convexity.
d. Anti-reflux valve. - VERIFIED ANSWER - a. A sizeable surface for cutting.
Mr. Smith has had a sigmoid colostomy that he irrigates every day with
regular results. Lately, he has noticed a bulging around the stoma and
consistently poor returns of the irrigation fluid and feces. What
complication is Mr. Smith likely experiencing?
a. Stoma prolapse.
b. Pseudoverucous lesions.
c. Stoma necrosis.
, d. Peristomal hernia. - VERIFIED ANSWER - d. Peristomal hernia.
Your outpatient presents with pseudoverrucous lesions. His stoma size is
1" and he is wearing a 1 ¼" presized pouch. He is complaining of burning
and itching. What is your next step?
a. Refit the pouch size opening to cover the lesions.
b. Apply alcohol to dry out the lesions on the peristomal skin.
c. Check the pH of the effluent.
d. Apply powder and paste to cover the lesions. - VERIFIED ANSWER - a.
Refit the pouch size opening to cover the lesions.
You have a patient with a sigmoid colostomy who developed stomal
stenosis 8 weeks postoperatively. What is the key factor that increased
your patient's risk for developing this complication?
a. A stomal necrosis.
b. A stomal prolapse.
c. A significant recent weight loss.
d. Performing sit-ups. - VERIFIED ANSWER - a. A stomal necrosis.
