WEB WOC OSTOMY CARE Final Exam Newest Exam Preparation With Complete Questions And Correct Answers With Rationales | Already Graded A+||Brand New Version!!

WEB WOC OSTOMY CARE Final Exam Newest
Exam Preparation With Complete Questions And
Correct Answers With Rationales | Already Graded
A+||Brand New Version!!

Question 1
A patient with low rectal cancer located distal to the dentate line will most likely
require which surgical procedure?
Select one:
a. Low anterior resection (LAR)
b. Abdominoperineal resection (APR)
c. Total proctocolectomy (TPC)
d. Ileal Pouch Anal Anastomosis (IPAA)
- ANSWER--- b. Abdominoperineal resection (APR)


Question 2
Pneumatosis on abdominal radiograph is most commonly associated with which
condition?
Select one:
a. Hirschsprung's disease
b. Gut malrotation
c. Diverticulitis
d. Necrotizing Enterocolitis (NEC)
- ANSWER--- d. Necrotizing Enterocolitis (NEC)


Question 3
A 35-year-old male with refractory Crohn's disease undergoes colon resection with
temporary ileostomy. Regarding sexual function after this surgery, you explain:

,Select one:
a. Removal of the rectum only
b. Moderate incidence of premature ejaculation
c. Do not anticipate any sexual dysfunction
d. High incidence of erectile dysfunction
- ANSWER--- c. Do not anticipate any sexual dysfunction


Question 4
A patient scheduled for an abdominoperineal resection (APR) most likely has
which primary diagnosis?
Select one:
a. Transitional cell carcinoma of the bladder
b. Adenocarcinoma of the rectum
c. Familial Adenomatous Polyposis (FAP)
d. Diverticulitis
- ANSWER--- b. Adenocarcinoma of the rectum


Question 5
Anorectal malformation in the neonate is also known as:
Select one:
a. Hirschsprung's disease
b. Imperforate anus
c. Turcot syndrome
d. Volvulus
- ANSWER--- b. Imperforate anus


Question 6
Which type of stoma construction method is NOT completely diverting?
Select one:
a. End stoma

,b. Loop stoma
c. Separated double barrel stoma
d. Brooke ileostomy
- ANSWER--- b. Loop stoma


Question 7
A Hartmann's procedure (Hartmann's pouch) is constructed when:
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
- ANSWER--- a. Proximal edges of the rectal segment are over sewn and left in
the pelvis following colon resection


Question 8
Which statement is true regarding the Kock continent ileostomy?
Select one:
a. It is the preferred surgical procedure for Crohn's disease
b. Nipple valve of ileum proximal to the stoma is the continence mechanism
c. It requires an external pouch
d. It is also known as a Brooke ileostomy
- ANSWER--- b. Nipple valve of ileum proximal to the stoma is the continence
mechanism


Question 9
The most common early complication following ileostomy creation is:
Select one:
a. Parastomal hernia

, b. High output dehydration
c. Stomal stenosis
d. Pyoderma gangrenosum
- ANSWER--- b. High output dehydration


Question 10
A patient with a colostomy reports that the stoma has turned a dark purple-black
color. The ostomy nurse should FIRST:
Select one:
a. Apply a stoma paste
b. Notify the surgeon immediately
c. Increase fluid intake
d. Change the pouching system
- ANSWER--- b. Notify the surgeon immediately


Question 11
Which medication is most commonly used to reduce high ostomy output?
Select one:
a. Bisacodyl
b. Loperamide
c. Senna
d. Polyethylene glycol
- ANSWER--- b. Loperamide


Question 12
A patient with an ileostomy is at highest risk for deficiency of which vitamin?
Select one:
a. Vitamin A
b. Vitamin B12