WEB WOC OSTOMY CARE FINAL EXAM QUESTIONS
COMPLETE WITH 100% VERIFIED ANSWERS
1. A patient with a new ileostomy reports thick, pasty output. Which
intervention is most appropriate?
A. Increase intake of nuts and seeds
B. Decrease fluid intake to 1 liter/day
C. Increase intake of marshmallows and rice
D. Increase clear liquids and grape juice
Correct Answer: D
Explanation: Thick output can lead to blockage. Grape juice and clear
liquids help thin ileostomy output. Marshmallows/rice thicken output;
nuts/seeds risk obstruction.
2. Which peristomal complication is characterized by a moist, red, beefy
appearance that bleeds easily?
A. Contact dermatitis
B. Candidal infection
C. Psoriasis
D. Pyoderma gangrenosum
Correct Answer: B
Explanation: Candidal infection presents with satellite lesions,
erythema, and moist beefy red skin; often treated with antifungal
powder.
3. Normal stoma color should be:
A. Pale pink
,B. Dark purple
C. Bright red to dark pink, moist
D. Black and dry
Correct Answer: C
Explanation: A healthy stoma is red to dark pink, moist, and slightly
shiny. Pale pink suggests anemia; black indicates necrosis.
4. A colostomy in the descending colon typically produces:
A. Liquid output continuously
B. Semiformed to formed stool 1–2 times/day
C. Pasty output with high enzymes
D. Gas only, no stool
Correct Answer: B
Explanation: Descending colostomies store stool, so output is
semiformed to formed, usually predictable once or twice daily.
5. Which statement indicates correct understanding of an irrigating
colostomy?
A. "I will need to wear a pouch at all times."
B. "Irrigation helps train my bowel to empty at scheduled times."
C. "Irrigation is required for ileostomies."
D. "I should never use warm water for irrigation."
Correct Answer: B
Explanation: Colostomy irrigation can promote regular evacuation,
allowing a pouch or cap between irrigations. Not for ileostomies.
6. What is the most common cause of stomal ischemia within 24–48
hours post-op?
A. Low blood pressure
B. Excessive tension on the mesentery
,C. Allergic reaction to pouch adhesive
D. High-output diarrhea
Correct Answer: B
Explanation: Tension on the mesentery compromises blood supply.
Hypotension can contribute but tension is the primary mechanical
cause.
7. A patient reports burning, itching, and leakage under the flange. On
assessment, peristomal skin is erythematous and eroded exactly
matching the pouch opening. Likely cause:
A. Fungal infection
B. Contact dermatitis (chemical/irritant)
C. Mechanical trauma from tape
D. Folliculitis
Correct Answer: B
Explanation: A perfect circle of erythema/erosion matching the adhesive
opening is classic for irritant contact dermatitis from effluent.
8. Which dietary modification helps reduce gas in a colostomy patient?
A. Eating more broccoli and cabbage
B. Drinking through a straw
C. Avoiding carbonated beverages
D. Chewing gum frequently
Correct Answer: C
Explanation: Carbonated beverages increase gas. Broccoli, cabbage,
straws, and gum also increase gas – avoiding them reduces gas.
9. A urostomy (ileal conduit) uses which segment of bowel?
A. Sigmoid colon
B. Transverse colon
, C. Ileum
D. Jejunum
Correct Answer: C
Explanation: Ileal conduit uses a segment of ileum to divert urine.
Ureters are implanted into the isolated ileal segment.
10. Stoma necrosis is suspected when the stoma appears:
A. Bright red and moist
B. Dusky, purple to black
C. Pale and dry
D. Prolapsed 5 cm
Correct Answer: B
Explanation: Dusky, purple, or black indicates ischemia/necrosis.
Requires urgent assessment; pale may be anemia.
11. Which pouch system is preferred for an ileostomy with liquid,
caustic output?
A. One-piece opaque extended-wear
B. Two-piece with cloth backing
C. One-piece drainable transparent
D. Closed-end colostomy pouch
Correct Answer: C
Explanation: Drainable one-piece transparent allows monitoring of
liquid output and frequent emptying. Caustic output needs drainable
not closed.
12. A patient with an ileostomy is readmitted with high output (1800
mL/24h), nausea, and muscle cramps. Priority lab value:
A. Serum glucose
B. Serum potassium
COMPLETE WITH 100% VERIFIED ANSWERS
1. A patient with a new ileostomy reports thick, pasty output. Which
intervention is most appropriate?
A. Increase intake of nuts and seeds
B. Decrease fluid intake to 1 liter/day
C. Increase intake of marshmallows and rice
D. Increase clear liquids and grape juice
Correct Answer: D
Explanation: Thick output can lead to blockage. Grape juice and clear
liquids help thin ileostomy output. Marshmallows/rice thicken output;
nuts/seeds risk obstruction.
2. Which peristomal complication is characterized by a moist, red, beefy
appearance that bleeds easily?
A. Contact dermatitis
B. Candidal infection
C. Psoriasis
D. Pyoderma gangrenosum
Correct Answer: B
Explanation: Candidal infection presents with satellite lesions,
erythema, and moist beefy red skin; often treated with antifungal
powder.
3. Normal stoma color should be:
A. Pale pink
,B. Dark purple
C. Bright red to dark pink, moist
D. Black and dry
Correct Answer: C
Explanation: A healthy stoma is red to dark pink, moist, and slightly
shiny. Pale pink suggests anemia; black indicates necrosis.
4. A colostomy in the descending colon typically produces:
A. Liquid output continuously
B. Semiformed to formed stool 1–2 times/day
C. Pasty output with high enzymes
D. Gas only, no stool
Correct Answer: B
Explanation: Descending colostomies store stool, so output is
semiformed to formed, usually predictable once or twice daily.
5. Which statement indicates correct understanding of an irrigating
colostomy?
A. "I will need to wear a pouch at all times."
B. "Irrigation helps train my bowel to empty at scheduled times."
C. "Irrigation is required for ileostomies."
D. "I should never use warm water for irrigation."
Correct Answer: B
Explanation: Colostomy irrigation can promote regular evacuation,
allowing a pouch or cap between irrigations. Not for ileostomies.
6. What is the most common cause of stomal ischemia within 24–48
hours post-op?
A. Low blood pressure
B. Excessive tension on the mesentery
,C. Allergic reaction to pouch adhesive
D. High-output diarrhea
Correct Answer: B
Explanation: Tension on the mesentery compromises blood supply.
Hypotension can contribute but tension is the primary mechanical
cause.
7. A patient reports burning, itching, and leakage under the flange. On
assessment, peristomal skin is erythematous and eroded exactly
matching the pouch opening. Likely cause:
A. Fungal infection
B. Contact dermatitis (chemical/irritant)
C. Mechanical trauma from tape
D. Folliculitis
Correct Answer: B
Explanation: A perfect circle of erythema/erosion matching the adhesive
opening is classic for irritant contact dermatitis from effluent.
8. Which dietary modification helps reduce gas in a colostomy patient?
A. Eating more broccoli and cabbage
B. Drinking through a straw
C. Avoiding carbonated beverages
D. Chewing gum frequently
Correct Answer: C
Explanation: Carbonated beverages increase gas. Broccoli, cabbage,
straws, and gum also increase gas – avoiding them reduces gas.
9. A urostomy (ileal conduit) uses which segment of bowel?
A. Sigmoid colon
B. Transverse colon
, C. Ileum
D. Jejunum
Correct Answer: C
Explanation: Ileal conduit uses a segment of ileum to divert urine.
Ureters are implanted into the isolated ileal segment.
10. Stoma necrosis is suspected when the stoma appears:
A. Bright red and moist
B. Dusky, purple to black
C. Pale and dry
D. Prolapsed 5 cm
Correct Answer: B
Explanation: Dusky, purple, or black indicates ischemia/necrosis.
Requires urgent assessment; pale may be anemia.
11. Which pouch system is preferred for an ileostomy with liquid,
caustic output?
A. One-piece opaque extended-wear
B. Two-piece with cloth backing
C. One-piece drainable transparent
D. Closed-end colostomy pouch
Correct Answer: C
Explanation: Drainable one-piece transparent allows monitoring of
liquid output and frequent emptying. Caustic output needs drainable
not closed.
12. A patient with an ileostomy is readmitted with high output (1800
mL/24h), nausea, and muscle cramps. Priority lab value:
A. Serum glucose
B. Serum potassium
