WEB WOC OSTOMY CARE Final
Exam Newest Exam Preparation With
Complete Questions
1. A patient presents with a stoma that is dusky purple and cool to the
touch. What is the priority action?
A) Apply a skin barrier powder
B) Notify the surgeon immediately
C) Increase oral fluid intake
D) Change the pouching system to a convex wafer
Answer: B. This indicates a surgical emergency due to compromised blood
supply.
2. Which type of ostomy produces semi-formed stool with minimal
digestive enzymes?
A) Ileostomy
B) Cecostomy
C) Descending colostomy
D) Transverse loop colostomy
Answer: C. Most water absorption occurs earlier, leaving the output semi-
formed.
3. A patient with an ileostomy reports thick, pasty output. Which
intervention is most appropriate?
A) Restrict all fluids
B) Increase intake of water and low-fiber fluids
C) Add high-fiber foods like raw vegetables
D) Take loperamide daily
Answer: B. Thick output increases blockage risk; fluids help thin it.
,4. The patient who is NPO for several days is at risk for atrophy of which
of the following structures in the mucosal surface of the small bowel?
A) Ligament of Treitz
B) Villi
C) Ampulla of Vater
D) Sphincter of Oddi
Answer: B. Lack of enteral nutrition causes the villi to atrophy.
5. 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:
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
Answer: A. Bacterial concentration increases as you move distally in the
bowel.
6. An Ileal pouch anal anastomosis (IPAA), also referred to as the ileoanal
reservoir, is indicated for which of the following disease processes?
A) Irritable bowel syndrome and Crohn's Disease
B) Colorectal cancer and chronic ulcerative colitis
C) Crohn's Disease and chronic ulcerative colitis
D) Ulcerative colitis and familial adenomatous polyposis
Answer: D. IPAA is a surgical treatment for these specific conditions.
7. The preferred abdominal location for an ileostomy in the adult is the:
A) LLQ
B) LUQ
C) RLQ
D) RUQ
Answer: C. The right lower quadrant is the anatomical standard for ileostomy
placement.
,8. Gary is experiencing a recurrence of his Crohn's Disease. Which of the
following symptoms is Gary most likely experiencing?
A) Obstructive abdominal pain
B) Absence of perianal disease
C) Bloody stools with proctitis
D) Vomiting
Answer: A. Bowel obstruction from strictures is a common symptom of
Crohn's recurrence.
9. The patient with ulcerative colitis will commonly exhibit:
A) Oral ulcerations
B) Significant abdominal pain
C) Superficial mucosal involvement
D) Fistula formation
Answer: C. UC is typically limited to the superficial mucosal layer of the colon.
10. When you read in the postoperative surgical report that the
stoma was primarily matured, you can expect which of the following?
A) The stoma will be opened at the bedside with electrocautery
B) The stoma has been present for at least 3 months
C) The stoma is ready for sutures at the mucocutaneous junction to be
removed
D) The bowel was everted and sutured to the dermal surface during
surgery
Answer: D. This indicates the stoma is complete and ready for pouching.
11. Which of the following groups of medications is used in the
medical management of Crohn's disease?
A) Corticosteroids and immune suppressants
B) Anticholinergics and anti-emetics
C) Antidepressants and antibiotics
D) Immune suppressants and antidepressants
, Answer: A. These are the cornerstone of medical management for Crohn's
disease.
12. Which of the following statements about Crohn's disease and/or
ulcerative colitis is true?
A) Both Crohn's Disease and ulcerative colitis are characterized by patchy
mucosal involvement and skip lesions.
B) Crohn's Disease is limited to the colon and rectum.
C) Ulcerative colitis is limited to the colon and rectum.
D) Ulcerative colitis is characterized by transmural involvement of the bowel
wall.
Answer: C. This is a key distinguishing feature from Crohn's disease.
13. Postoperatively, the WOC (Wound, Ostomy, Continence) nurse
should be assigned to:
A) Remove the patient's surgical drains
B) Change the patient's surgical dressings every shift
C) Initiate immediate stoma education for the patient
D) Administer all pain medications
Answer: C. Early patient education is a primary role of the WOC nurse.
14. The stoma of a catheterizable urinary diversion (e.g.,
Mitrofanoff) is primarily characterized by its:
A) Location in the lower to mid abdomen for easy visualization
B) Appearance as a flush stoma (level with the skin)
C) Increased risk for prolapse due to intra-abdominal pressure
D) Location on the left side of the abdomen for easy access
Answer: B. This type of diversion is designed to be catheterized, so it is often
small and flush.
15. What is the most likely cause of a patient's inability to sleep at
night due to fear of the pouch falling off or leaking, as expressed
during a home visit 2 days after hospital discharge?
A) Poor adaptation to the hospital environment
Exam Newest Exam Preparation With
Complete Questions
1. A patient presents with a stoma that is dusky purple and cool to the
touch. What is the priority action?
A) Apply a skin barrier powder
B) Notify the surgeon immediately
C) Increase oral fluid intake
D) Change the pouching system to a convex wafer
Answer: B. This indicates a surgical emergency due to compromised blood
supply.
2. Which type of ostomy produces semi-formed stool with minimal
digestive enzymes?
A) Ileostomy
B) Cecostomy
C) Descending colostomy
D) Transverse loop colostomy
Answer: C. Most water absorption occurs earlier, leaving the output semi-
formed.
3. A patient with an ileostomy reports thick, pasty output. Which
intervention is most appropriate?
A) Restrict all fluids
B) Increase intake of water and low-fiber fluids
C) Add high-fiber foods like raw vegetables
D) Take loperamide daily
Answer: B. Thick output increases blockage risk; fluids help thin it.
,4. The patient who is NPO for several days is at risk for atrophy of which
of the following structures in the mucosal surface of the small bowel?
A) Ligament of Treitz
B) Villi
C) Ampulla of Vater
D) Sphincter of Oddi
Answer: B. Lack of enteral nutrition causes the villi to atrophy.
5. 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:
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
Answer: A. Bacterial concentration increases as you move distally in the
bowel.
6. An Ileal pouch anal anastomosis (IPAA), also referred to as the ileoanal
reservoir, is indicated for which of the following disease processes?
A) Irritable bowel syndrome and Crohn's Disease
B) Colorectal cancer and chronic ulcerative colitis
C) Crohn's Disease and chronic ulcerative colitis
D) Ulcerative colitis and familial adenomatous polyposis
Answer: D. IPAA is a surgical treatment for these specific conditions.
7. The preferred abdominal location for an ileostomy in the adult is the:
A) LLQ
B) LUQ
C) RLQ
D) RUQ
Answer: C. The right lower quadrant is the anatomical standard for ileostomy
placement.
,8. Gary is experiencing a recurrence of his Crohn's Disease. Which of the
following symptoms is Gary most likely experiencing?
A) Obstructive abdominal pain
B) Absence of perianal disease
C) Bloody stools with proctitis
D) Vomiting
Answer: A. Bowel obstruction from strictures is a common symptom of
Crohn's recurrence.
9. The patient with ulcerative colitis will commonly exhibit:
A) Oral ulcerations
B) Significant abdominal pain
C) Superficial mucosal involvement
D) Fistula formation
Answer: C. UC is typically limited to the superficial mucosal layer of the colon.
10. When you read in the postoperative surgical report that the
stoma was primarily matured, you can expect which of the following?
A) The stoma will be opened at the bedside with electrocautery
B) The stoma has been present for at least 3 months
C) The stoma is ready for sutures at the mucocutaneous junction to be
removed
D) The bowel was everted and sutured to the dermal surface during
surgery
Answer: D. This indicates the stoma is complete and ready for pouching.
11. Which of the following groups of medications is used in the
medical management of Crohn's disease?
A) Corticosteroids and immune suppressants
B) Anticholinergics and anti-emetics
C) Antidepressants and antibiotics
D) Immune suppressants and antidepressants
, Answer: A. These are the cornerstone of medical management for Crohn's
disease.
12. Which of the following statements about Crohn's disease and/or
ulcerative colitis is true?
A) Both Crohn's Disease and ulcerative colitis are characterized by patchy
mucosal involvement and skip lesions.
B) Crohn's Disease is limited to the colon and rectum.
C) Ulcerative colitis is limited to the colon and rectum.
D) Ulcerative colitis is characterized by transmural involvement of the bowel
wall.
Answer: C. This is a key distinguishing feature from Crohn's disease.
13. Postoperatively, the WOC (Wound, Ostomy, Continence) nurse
should be assigned to:
A) Remove the patient's surgical drains
B) Change the patient's surgical dressings every shift
C) Initiate immediate stoma education for the patient
D) Administer all pain medications
Answer: C. Early patient education is a primary role of the WOC nurse.
14. The stoma of a catheterizable urinary diversion (e.g.,
Mitrofanoff) is primarily characterized by its:
A) Location in the lower to mid abdomen for easy visualization
B) Appearance as a flush stoma (level with the skin)
C) Increased risk for prolapse due to intra-abdominal pressure
D) Location on the left side of the abdomen for easy access
Answer: B. This type of diversion is designed to be catheterized, so it is often
small and flush.
15. What is the most likely cause of a patient's inability to sleep at
night due to fear of the pouch falling off or leaking, as expressed
during a home visit 2 days after hospital discharge?
A) Poor adaptation to the hospital environment
