WEB WOC OSTOMY CARE FINAL EXAM 2025 ACTUAL
EXAM COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS ||ALREADY GRADED A+(100%
CORRECT ANSWERS)
jejunostomy location -CORRECT ANSWER LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure -CORRECT ANSWER ischemic bowel, crohn's,
trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without small
bowel resection, loop or end stoma
jejunostomy function and management -CORRECT ANSWER *function begins in 24-48
hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications -CORRECT ANSWER *monitor for electrolyte imbalances
and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location -CORRECT ANSWER RUQ
ileostomy disease and procedure -CORRECT ANSWER crohn's, ulcerative colitis,
familial adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic
bowel
total proctocolectomy with end ileostomy, total proctocolectomy with continent
ileostomy, temporary ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
ileostomy function and management -CORRECT ANSWER *function begins in 24-48
hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
, *watch for fluid and electrolyte imbalance
ileostomy complications -CORRECT ANSWER *high risk for bowel obstruction-instruct
pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location -CORRECT ANSWER RUQ or LUQ
transverse colostomy disease and procedure -CORRECT ANSWER diverticulitis, colon
cancer, crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy, usually
temporary loop stoma
transverse colostomy function and management -CORRECT ANSWER *function begins
within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
transverse colostomy complications -CORRECT ANSWER *waistline location can be
difficult to manage
descending colostomy location -CORRECT ANSWER LLQ
descending colostomy disease and procedure -CORRECT ANSWER colorectal cancer,
trauma, bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or permanent end
colostomy with Hartmann's pouch (sewing shut top of rectum with ability to reconnect to
GI tract later)
descending colostomy function and management -CORRECT ANSWER *function may
not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications -CORRECT ANSWER *monitor, prevent, and
manage constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) -CORRECT ANSWER total proctocolectomy
performed and abdominal ileal pouch is made. The continence mechanism is a nipple
valve constructed in the pouch by intussusception.
EXAM COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS ||ALREADY GRADED A+(100%
CORRECT ANSWERS)
jejunostomy location -CORRECT ANSWER LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure -CORRECT ANSWER ischemic bowel, crohn's,
trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without small
bowel resection, loop or end stoma
jejunostomy function and management -CORRECT ANSWER *function begins in 24-48
hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications -CORRECT ANSWER *monitor for electrolyte imbalances
and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location -CORRECT ANSWER RUQ
ileostomy disease and procedure -CORRECT ANSWER crohn's, ulcerative colitis,
familial adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic
bowel
total proctocolectomy with end ileostomy, total proctocolectomy with continent
ileostomy, temporary ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
ileostomy function and management -CORRECT ANSWER *function begins in 24-48
hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
, *watch for fluid and electrolyte imbalance
ileostomy complications -CORRECT ANSWER *high risk for bowel obstruction-instruct
pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location -CORRECT ANSWER RUQ or LUQ
transverse colostomy disease and procedure -CORRECT ANSWER diverticulitis, colon
cancer, crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy, usually
temporary loop stoma
transverse colostomy function and management -CORRECT ANSWER *function begins
within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
transverse colostomy complications -CORRECT ANSWER *waistline location can be
difficult to manage
descending colostomy location -CORRECT ANSWER LLQ
descending colostomy disease and procedure -CORRECT ANSWER colorectal cancer,
trauma, bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or permanent end
colostomy with Hartmann's pouch (sewing shut top of rectum with ability to reconnect to
GI tract later)
descending colostomy function and management -CORRECT ANSWER *function may
not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications -CORRECT ANSWER *monitor, prevent, and
manage constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) -CORRECT ANSWER total proctocolectomy
performed and abdominal ileal pouch is made. The continence mechanism is a nipple
valve constructed in the pouch by intussusception.
