WEB WOC OSTOMY CARE Final Exam Newest
Exam Preparation With Complete Questions And
Correct Answers With Rationales | Already
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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.
Which of the following types of stoma construction methods is NOT completely
diverting?
Select one:
a. End stoma.
b. Loop stoma.
c. Separated double barrel stoma.
d. Brooke ileostomy. - ANSWER -b. Loop stoma.
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. -
ANSWER -a. Proximal edges of the rectal segment are over sewn and left in the
pelvis following colon resection.
Which of the following statements is true for 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. The preferred stoma site is in the left lower quadrant of the abdomen.
d. It is a surgical procedure that is done more often than the IPAA (ileal pouch anal
anastomosis). - ANSWER -b. Nipple valve of ileum proximal to the stoma is the
continence mechanism.
Based on what you know about absorption and digestion within the small bowel
and colon, which of the following types of stomas would you expect to produce the
most corrosive effluent?
Select one:
a. Descending colostomy.
b. Ileostomy.
c. Loop transverse colostomy.
d. Sigmoid colostomy. - ANSWER -b. Ileostomy.
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 - ANSWER -a. Ileostomy
During a preoperative consultation for EMERGENCY ostomy surgery, the two
PRIMARY objectives for the WOC Nurse are stoma site selection and:
Select one:
a. Explanation of how to empty the pouch.
b. Demonstration of ostomy equipment.
c. Decrease patient's anxiety about the ostomy surgery.
d. Identification of discharge plans. - ANSWER -c. Decrease patient's anxiety
about the ostomy surgery.
When selecting an abdominal stoma site, evidence-based practice states that the
stoma should be located:
, Select one:
a. lateral to the rectus muscle.
b. above the beltline.
c. on the apex of the infraumbilical bulge.
d. near the umbilicus. - ANSWER -c. on the apex of the infraumbilical bulge.
You are selecting a stoma site pre-op for a patient having an ileal pouch anal
anastomosis (IPAA) and temporary loop ileostomy. The patient has no abdominal
scars but you notice the abdomen to be soft and slightly protruding. With the
patient in the supine position, you palpate for the rectus muscle, make an indelible
ink mark in the RLQ, confirm they can see the site while lying down and cover the
mark with a transparent dressing. What step have you omitted?
Select one:
a. To check the potential stoma site with the patient in a sitting and standing
position.
b. To ask the patient if they prefer the right side or the left side.
c. To consult with the surgeon to verify the site selected would be appropriate.
d. To apply a sample pouch to confirm the site is away from scars and the
umbilicus. - ANSWER -a. To check the potential stoma site with the patient in a
sitting and standing position.
Mr. Moore is having surgery for a low rectal cancer located below the dentate line.
During your pre-op visit you utilize the PLISSIT model to introduce the topic of
sexuality. What might you say to the patient that is an example of giving
Permission to the patient to discuss this topic?
Select one:
a. Most people have questions about routine issues of living prior to surgery: diet,
exercise, sexual activity, clothing, etc.
b. Most patients wonder about sexual function after APR and there are numerous
things for us to discuss that could happen to impact your sexual function.
c. Counseling the patient to see a counselor for sexual dysfunction issues.
d. The stoma should not be used for sexual intimacy as it may be damaged and has
no feeling. - ANSWER -a. Most people have questions about routine issues of
living prior to surgery: diet, exercise, sexual activity, clothing, etc.
Which of the following surgical procedures involves a wide resection of the
sigmoid colon, rectum and anus?
Exam Preparation With Complete Questions And
Correct Answers With Rationales | Already
Graded A+||Brand New Version!!
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.
Which of the following types of stoma construction methods is NOT completely
diverting?
Select one:
a. End stoma.
b. Loop stoma.
c. Separated double barrel stoma.
d. Brooke ileostomy. - ANSWER -b. Loop stoma.
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. -
ANSWER -a. Proximal edges of the rectal segment are over sewn and left in the
pelvis following colon resection.
Which of the following statements is true for 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. The preferred stoma site is in the left lower quadrant of the abdomen.
d. It is a surgical procedure that is done more often than the IPAA (ileal pouch anal
anastomosis). - ANSWER -b. Nipple valve of ileum proximal to the stoma is the
continence mechanism.
Based on what you know about absorption and digestion within the small bowel
and colon, which of the following types of stomas would you expect to produce the
most corrosive effluent?
Select one:
a. Descending colostomy.
b. Ileostomy.
c. Loop transverse colostomy.
d. Sigmoid colostomy. - ANSWER -b. Ileostomy.
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 - ANSWER -a. Ileostomy
During a preoperative consultation for EMERGENCY ostomy surgery, the two
PRIMARY objectives for the WOC Nurse are stoma site selection and:
Select one:
a. Explanation of how to empty the pouch.
b. Demonstration of ostomy equipment.
c. Decrease patient's anxiety about the ostomy surgery.
d. Identification of discharge plans. - ANSWER -c. Decrease patient's anxiety
about the ostomy surgery.
When selecting an abdominal stoma site, evidence-based practice states that the
stoma should be located:
, Select one:
a. lateral to the rectus muscle.
b. above the beltline.
c. on the apex of the infraumbilical bulge.
d. near the umbilicus. - ANSWER -c. on the apex of the infraumbilical bulge.
You are selecting a stoma site pre-op for a patient having an ileal pouch anal
anastomosis (IPAA) and temporary loop ileostomy. The patient has no abdominal
scars but you notice the abdomen to be soft and slightly protruding. With the
patient in the supine position, you palpate for the rectus muscle, make an indelible
ink mark in the RLQ, confirm they can see the site while lying down and cover the
mark with a transparent dressing. What step have you omitted?
Select one:
a. To check the potential stoma site with the patient in a sitting and standing
position.
b. To ask the patient if they prefer the right side or the left side.
c. To consult with the surgeon to verify the site selected would be appropriate.
d. To apply a sample pouch to confirm the site is away from scars and the
umbilicus. - ANSWER -a. To check the potential stoma site with the patient in a
sitting and standing position.
Mr. Moore is having surgery for a low rectal cancer located below the dentate line.
During your pre-op visit you utilize the PLISSIT model to introduce the topic of
sexuality. What might you say to the patient that is an example of giving
Permission to the patient to discuss this topic?
Select one:
a. Most people have questions about routine issues of living prior to surgery: diet,
exercise, sexual activity, clothing, etc.
b. Most patients wonder about sexual function after APR and there are numerous
things for us to discuss that could happen to impact your sexual function.
c. Counseling the patient to see a counselor for sexual dysfunction issues.
d. The stoma should not be used for sexual intimacy as it may be damaged and has
no feeling. - ANSWER -a. Most people have questions about routine issues of
living prior to surgery: diet, exercise, sexual activity, clothing, etc.
Which of the following surgical procedures involves a wide resection of the
sigmoid colon, rectum and anus?
