1|Page
Ostomy certification exam 2026/2027 BANK QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
Chronic exposure to an irritant. - ANSWERS--Which of the following is
the most significant contributing factor to skin hyperplasia in a patient
with fecal diversion?
Vitamin B and bile salts. - ANSWERS--Removal of part of the terminal
ileum results in decreased absorption of what?
Time-released cold tablets. - ANSWERS--A person with an ileostomy is
likely to have difficulty absorbing what type of medication?
Somatostatin. A natural hormone and classified as an octreotide
acetate. It inhibits growth hormone, insulin, and glucagon production. -
ANSWERS--A patient has a high output ECF. Although the patient has
no PO intake, the output remains high. Which of the following
medications should be given to lower the output?
Specific suggestions. - ANSWERS--A female patient is 6 weeks post-op
abdominal perineal resection. She and her husband present to the
outpatient ostomy clinic. During her post-op visit, they share that they
have been intimate a few times since surgery and she experience
,2|Page
dyspareunia. The nurse suggests alternative positions and lubrication.
This is an example of which level of the PLISSIT model?
Preserve anastomosis sites. - ANSWERS--The primary reason for the
place of ureteral stents during ileal conduit surgery is to do what?
Level of education. - ANSWERS--When teaching self-care to an elderly
patient with an ostomy, which of the following factors is LEAST
important to consider?
Increase fluid intake as the patient may be dehydrated. - ANSWERS--A
patient with a sigmoid colostomy who calls to report the water used for
irrigation has not returned by has no other complaints should be
instructed to do what?
Refer to a surgeon for stoma revision. It is not necessary to remove this
tissue. - ANSWERS--For a patient with mucosal transplantation, the
nurse should do all of the following EXCEPT what?
Fluid and electrolyte imbalance. - ANSWERS--45 year old patient was
hospitalized for 2 weeks for medical mgmt. of chronic UC. Medical
mgmt. failed, and the patient had a colectomy and standard Brooke
ileostomy. 6 weeks later, he presents to the ostomy clinic. he looks
tired and his eyes are sunken. he complains of extreme weakness and
tingling in his hands and feet. His BP is 98/50, temp 98, and pulse is
110. His symptoms are most likely due to what?
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Play therapy for the child with the parents present. - ANSWERS--A 2
year old child can best be prepared for ostomy surgery by using what
method?
It is lower. - ANSWERS--How does the stoma site for a continent
ileostomy differ from the site for a conventional ileostomy?
Change his catheters used for intubation more frequently. - ANSWERS--
A patient with a well-established, continent urinary reservoir is
receiving chemo for a newly diagnosed malignancy. What changes to
his routine care of the reservoir should be made?
Crystal formation. - ANSWERS--If individuals with urinary diversions are
on sulfa therapy, acidifying their urine may result in what?
Independent with ostomy care. - ANSWERS--8 year old girl with a
colonic conduit for myelomeningocele should be what?
Peristomal hernia. - ANSWERS--A patient has been irrigating her
sigmoid colostomy on a daily basis and is having increasing difficulty
instilling water. Which of the following is the most likely cause?
A 1 piece cut-to-fit drainable pouch. - ANSWERS--30 year old woman
with an ileostomy routinely changes her 2 piece pouching system every
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5 days. She is 26 weeks pregnant. She calls the nurse complaining of
daily pouch leaking. The nurse's intervention should include the use of
what?
Select an appropriate pouch. - ANSWERS--Which of the following is the
most appropriate mgmt. for a 3 year old child with a urinary diversion?
Keep pouching supplies and spare clothes at school. - ANSWERS--When
teaching ostomy care to school-aged children, which of the following
should be stressed?
Apply silver nitrate to the granulation tissue and secure the stabilizer at
the skin level. - ANSWERS--A patient has had a g-tube for 6 months.
Now it is leaking, and the skin around it is reddened, but intact. The
stabilizer has been moved away from the skin to allow a bulky
absorbent dressing to contain the drainage. There is hypergranulation
tissue at the stoma site. The best way to manage this is to do what?
Obtain the specimen by catheterizing the stoma. - ANSWERS--When
taking a specimen for a urine culture from an ileal conduit, from a
patient 3 months post-op, which of the following the accepted
method?
Stabilizing and irrigating the tube. - ANSWERS--Which of the following is
the most important aspect of a teaching protocol for a patient with a
biliary tube?
Ostomy certification exam 2026/2027 BANK QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
Chronic exposure to an irritant. - ANSWERS--Which of the following is
the most significant contributing factor to skin hyperplasia in a patient
with fecal diversion?
Vitamin B and bile salts. - ANSWERS--Removal of part of the terminal
ileum results in decreased absorption of what?
Time-released cold tablets. - ANSWERS--A person with an ileostomy is
likely to have difficulty absorbing what type of medication?
Somatostatin. A natural hormone and classified as an octreotide
acetate. It inhibits growth hormone, insulin, and glucagon production. -
ANSWERS--A patient has a high output ECF. Although the patient has
no PO intake, the output remains high. Which of the following
medications should be given to lower the output?
Specific suggestions. - ANSWERS--A female patient is 6 weeks post-op
abdominal perineal resection. She and her husband present to the
outpatient ostomy clinic. During her post-op visit, they share that they
have been intimate a few times since surgery and she experience
,2|Page
dyspareunia. The nurse suggests alternative positions and lubrication.
This is an example of which level of the PLISSIT model?
Preserve anastomosis sites. - ANSWERS--The primary reason for the
place of ureteral stents during ileal conduit surgery is to do what?
Level of education. - ANSWERS--When teaching self-care to an elderly
patient with an ostomy, which of the following factors is LEAST
important to consider?
Increase fluid intake as the patient may be dehydrated. - ANSWERS--A
patient with a sigmoid colostomy who calls to report the water used for
irrigation has not returned by has no other complaints should be
instructed to do what?
Refer to a surgeon for stoma revision. It is not necessary to remove this
tissue. - ANSWERS--For a patient with mucosal transplantation, the
nurse should do all of the following EXCEPT what?
Fluid and electrolyte imbalance. - ANSWERS--45 year old patient was
hospitalized for 2 weeks for medical mgmt. of chronic UC. Medical
mgmt. failed, and the patient had a colectomy and standard Brooke
ileostomy. 6 weeks later, he presents to the ostomy clinic. he looks
tired and his eyes are sunken. he complains of extreme weakness and
tingling in his hands and feet. His BP is 98/50, temp 98, and pulse is
110. His symptoms are most likely due to what?
,3|Page
Play therapy for the child with the parents present. - ANSWERS--A 2
year old child can best be prepared for ostomy surgery by using what
method?
It is lower. - ANSWERS--How does the stoma site for a continent
ileostomy differ from the site for a conventional ileostomy?
Change his catheters used for intubation more frequently. - ANSWERS--
A patient with a well-established, continent urinary reservoir is
receiving chemo for a newly diagnosed malignancy. What changes to
his routine care of the reservoir should be made?
Crystal formation. - ANSWERS--If individuals with urinary diversions are
on sulfa therapy, acidifying their urine may result in what?
Independent with ostomy care. - ANSWERS--8 year old girl with a
colonic conduit for myelomeningocele should be what?
Peristomal hernia. - ANSWERS--A patient has been irrigating her
sigmoid colostomy on a daily basis and is having increasing difficulty
instilling water. Which of the following is the most likely cause?
A 1 piece cut-to-fit drainable pouch. - ANSWERS--30 year old woman
with an ileostomy routinely changes her 2 piece pouching system every
, 4|Page
5 days. She is 26 weeks pregnant. She calls the nurse complaining of
daily pouch leaking. The nurse's intervention should include the use of
what?
Select an appropriate pouch. - ANSWERS--Which of the following is the
most appropriate mgmt. for a 3 year old child with a urinary diversion?
Keep pouching supplies and spare clothes at school. - ANSWERS--When
teaching ostomy care to school-aged children, which of the following
should be stressed?
Apply silver nitrate to the granulation tissue and secure the stabilizer at
the skin level. - ANSWERS--A patient has had a g-tube for 6 months.
Now it is leaking, and the skin around it is reddened, but intact. The
stabilizer has been moved away from the skin to allow a bulky
absorbent dressing to contain the drainage. There is hypergranulation
tissue at the stoma site. The best way to manage this is to do what?
Obtain the specimen by catheterizing the stoma. - ANSWERS--When
taking a specimen for a urine culture from an ileal conduit, from a
patient 3 months post-op, which of the following the accepted
method?
Stabilizing and irrigating the tube. - ANSWERS--Which of the following is
the most important aspect of a teaching protocol for a patient with a
biliary tube?
