WEB WOC OST581- Ostomy Care Nurse Specialist Final
EXAM 2026-2027 LATEST UPDATED VERSION
QUESTIONS AND ANSWERS
Which of the following statements about bladder cancer is TRUE?
Select one:
a. A radical cystectomy and ileal conduit is the treatment of choice for most bladder cancers.
b. The most common type of bladder cancer is urothelial cell.
c. The earliest symptom of bladder cancer is difficulty in urinating.
d. Sexual dysfunction is a rare complication following removal of the bladder. - answer>>b. The most
common type of bladder cancer is urothelial cell.
The procedure in which the bladder can remains intact and the appendix is used as a channel for the
urine to exit through the abdomen is known as:
Select one:
a. Indiana pouch.
b. Orthotopic neobladder.
c. Vesicostomy.
d. Mitrofanoff procedure. - answer>>d. Mitrofanoff procedure.
Which of the following statements is TRUE of the orthotopic neobladder?
Select one:
a. It is located in the abdomen.
b. It is most often created from jejunum.
c. It uses the native urethra as the outlet passageway.
,d. It is designed to hold a maximum of 150-250 cc urine. - answer>>c. It uses the native urethra as the
outlet passageway.
Mrs. Rose has an Indiana Pouch created for bladder cancer. She comes to your outpatient clinic and
complains of increase mucus production with some increase odor, difficulty with catheterizations that
are painful along with back pain. What should you do?
Select one:
a. Tell her to drink more fluids, change positions, and rotate catheter while inserting.
b. Tell her to increase the size of the catheter and irrigate catheter with 30 ml of normal saline.
c. Notify her surgeon and obtain a urine sample and send off for analysis, culture & sensitivity.
d. Increase time between catheterizations and rinse catheter with hot water prior to use. - answer>>c.
Notify her surgeon and obtain a urine sample and send off for analysis, culture & sensitivity.
John is 15-year-old with a new loop ileostomy with an IPAA for refractory chronic ulcerative colitis. This
is your first post-operative teaching session. What assumptions can you make about John's primary
concerns regarding is new ostomy based upon Erikson's psychosocial phases?
Select one:
a. Poor self-esteem and less autonomy
b. Fear of loss of occupation and role changes
c. Limited activities and inhibition
d. Limited peer relationships and poor body image - answer>>d. Limited peer relationships and poor
body image
Wearing a Medic alert bracelet is critical for which of the following patients?
Select one:
a. A 5-year-old with a nephrostomy tube.
b. A 1-year-old with a vesicostomy.
c. A 65-year-old with an ileal conduit.
d. A 35-year-old with an Indiana pouch. - answer>>d. A 35-year-old with an Indiana pouch.
,The typical site to mark for the Indiana Pouch is:
Select one:
a. RUQ.
b. RLQ.
c. Umbilicus.
d. LLQ. - answer>>b. RLQ.
Later in the postop recovery process it is important to provide instructions on pelvic muscle exercises to
the patient with which of the following surgical procedures?
Select one:
a. Indiana pouch.
b. Mitrofanoff procedure.
c. Vesicostomy.
d. Orthotopic neobladder. - answer>>d. Orthotopic neobladder.
Of the following urinary diversions, which procedure is always considered permanent?
Select one:
a. Pyelostomy.
b. Ileal conduit.
c. Vesicostomy.
d. Ureterostomy. - answer>>b. Ileal conduit.
Following the surgical construction of the Indiana Pouch, the nurse should expect:
Select one:
a. To begin teaching intermittent catheterization of the pouch on Day 3 or 4.
b. The placement of ureteral stents in the renal pelvis that exit through the skin.
, c. The need for an external ostomy pouch for the first 3-4 weeks to contain urine while the nipple valve
heals.
d. Irrigation of the percutaneous urinary drainage tube every 3-4 hours to remove mucus and ensure
free flow of urine. - answer>>d. Irrigation of the percutaneous urinary drainage tube every 3-4 hours to
remove mucus and ensure free flow of urine.
A 60-year-old male is 6 weeks postop following a sigmoid colostomy for rectal cancer. During a follow-
up visit, he states that he has read about colostomy irrigation and is eager to start. What should your
NEXT step be?
Select one:
a. Ask the patient if chemotherapy or radiation therapy is planned.
b. Set up an appointment to begin teaching the irrigation technique as soon as possible.
c. Instruct the patient to ask again at his 6 months postop visit.
d. Ask him if he prefers using a cone tip or a catheter for the procedure. - answer>>a. Ask the patient if
chemotherapy or radiation therapy is planned.
Mr. Rooke worked in a rubber plant for over 30 years. He was found to have bladder cancer involving
the muscle layer and peri-vesical fat of his bladder. What type of treatment will he MOST likely have for
this invasive carcinoma?
Select one:
a. Radical cystectomy and urinary diversion
b. Intravesical treatment
c. Radiation therapy
d. Watchful waiting - answer>>a. Radical cystectomy and urinary diversion
Several of these surgical urinary diversions are permanent. Which urinary diversion is usually
TEMPORARY?
Select one:
a. Nephrostomy.
b. Orthotopic neobladder.
EXAM 2026-2027 LATEST UPDATED VERSION
QUESTIONS AND ANSWERS
Which of the following statements about bladder cancer is TRUE?
Select one:
a. A radical cystectomy and ileal conduit is the treatment of choice for most bladder cancers.
b. The most common type of bladder cancer is urothelial cell.
c. The earliest symptom of bladder cancer is difficulty in urinating.
d. Sexual dysfunction is a rare complication following removal of the bladder. - answer>>b. The most
common type of bladder cancer is urothelial cell.
The procedure in which the bladder can remains intact and the appendix is used as a channel for the
urine to exit through the abdomen is known as:
Select one:
a. Indiana pouch.
b. Orthotopic neobladder.
c. Vesicostomy.
d. Mitrofanoff procedure. - answer>>d. Mitrofanoff procedure.
Which of the following statements is TRUE of the orthotopic neobladder?
Select one:
a. It is located in the abdomen.
b. It is most often created from jejunum.
c. It uses the native urethra as the outlet passageway.
,d. It is designed to hold a maximum of 150-250 cc urine. - answer>>c. It uses the native urethra as the
outlet passageway.
Mrs. Rose has an Indiana Pouch created for bladder cancer. She comes to your outpatient clinic and
complains of increase mucus production with some increase odor, difficulty with catheterizations that
are painful along with back pain. What should you do?
Select one:
a. Tell her to drink more fluids, change positions, and rotate catheter while inserting.
b. Tell her to increase the size of the catheter and irrigate catheter with 30 ml of normal saline.
c. Notify her surgeon and obtain a urine sample and send off for analysis, culture & sensitivity.
d. Increase time between catheterizations and rinse catheter with hot water prior to use. - answer>>c.
Notify her surgeon and obtain a urine sample and send off for analysis, culture & sensitivity.
John is 15-year-old with a new loop ileostomy with an IPAA for refractory chronic ulcerative colitis. This
is your first post-operative teaching session. What assumptions can you make about John's primary
concerns regarding is new ostomy based upon Erikson's psychosocial phases?
Select one:
a. Poor self-esteem and less autonomy
b. Fear of loss of occupation and role changes
c. Limited activities and inhibition
d. Limited peer relationships and poor body image - answer>>d. Limited peer relationships and poor
body image
Wearing a Medic alert bracelet is critical for which of the following patients?
Select one:
a. A 5-year-old with a nephrostomy tube.
b. A 1-year-old with a vesicostomy.
c. A 65-year-old with an ileal conduit.
d. A 35-year-old with an Indiana pouch. - answer>>d. A 35-year-old with an Indiana pouch.
,The typical site to mark for the Indiana Pouch is:
Select one:
a. RUQ.
b. RLQ.
c. Umbilicus.
d. LLQ. - answer>>b. RLQ.
Later in the postop recovery process it is important to provide instructions on pelvic muscle exercises to
the patient with which of the following surgical procedures?
Select one:
a. Indiana pouch.
b. Mitrofanoff procedure.
c. Vesicostomy.
d. Orthotopic neobladder. - answer>>d. Orthotopic neobladder.
Of the following urinary diversions, which procedure is always considered permanent?
Select one:
a. Pyelostomy.
b. Ileal conduit.
c. Vesicostomy.
d. Ureterostomy. - answer>>b. Ileal conduit.
Following the surgical construction of the Indiana Pouch, the nurse should expect:
Select one:
a. To begin teaching intermittent catheterization of the pouch on Day 3 or 4.
b. The placement of ureteral stents in the renal pelvis that exit through the skin.
, c. The need for an external ostomy pouch for the first 3-4 weeks to contain urine while the nipple valve
heals.
d. Irrigation of the percutaneous urinary drainage tube every 3-4 hours to remove mucus and ensure
free flow of urine. - answer>>d. Irrigation of the percutaneous urinary drainage tube every 3-4 hours to
remove mucus and ensure free flow of urine.
A 60-year-old male is 6 weeks postop following a sigmoid colostomy for rectal cancer. During a follow-
up visit, he states that he has read about colostomy irrigation and is eager to start. What should your
NEXT step be?
Select one:
a. Ask the patient if chemotherapy or radiation therapy is planned.
b. Set up an appointment to begin teaching the irrigation technique as soon as possible.
c. Instruct the patient to ask again at his 6 months postop visit.
d. Ask him if he prefers using a cone tip or a catheter for the procedure. - answer>>a. Ask the patient if
chemotherapy or radiation therapy is planned.
Mr. Rooke worked in a rubber plant for over 30 years. He was found to have bladder cancer involving
the muscle layer and peri-vesical fat of his bladder. What type of treatment will he MOST likely have for
this invasive carcinoma?
Select one:
a. Radical cystectomy and urinary diversion
b. Intravesical treatment
c. Radiation therapy
d. Watchful waiting - answer>>a. Radical cystectomy and urinary diversion
Several of these surgical urinary diversions are permanent. Which urinary diversion is usually
TEMPORARY?
Select one:
a. Nephrostomy.
b. Orthotopic neobladder.
