WEB WOC OSTOMY CARE Final EXAM 2026-2027
LATEST UPDATED VERSION QUESTIONS AND ANSWERS\
The patient at greatest risk for dehydration and electrolyte imbalance is the patient with a/an:
Select one:
a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
b. Ileal conduit.
c. Perforated bowel and loop ileostomy.
d. Orthotopic neobladder. - answer>>a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
Six months postoperatively, you can expect the patient with which of the following urinary diversions to
be using bedside drainage at night?
Select one:
a. Indiana pouch
b. Mitrofanoff procedure
c. Koch pouch
d. Ileal conduit - answer>>d. Ileal conduit
When can a patient with an Indiana pouch expect to begin catheterizing the stoma for emptying?
Select one:
a. When the reservoir attains a 500 mL capacity.
b. After a pouch-o-gram indicates the suture line is healed.
c.The Indiana pouch does not require catheterization to empty.
d. On the 5th day postop. - answer>>b. After a pouch-o-gram indicates the suture line is healed.
,Immediately after surgery, the patient with an orthotopic neobladder can expect to have:
Select one:
a. Every two-hour catheterizations of the reservoir to prevent mucus plug.
b. A "band-aid" type of dressing placed over the abdominal stoma.
c. A urethral catheter and a suprapubic catheter.
d. Normal sensations of the need to empty the bladder. - answer>>c. A urethral catheter and a
suprapubic catheter.
An essential feature of a urinary pouch during the IMMEDIATE postoperative period is:
Select one:
a. An opaque pouch film.
b. A pouching adhesive surface that provides convexity.
c. A one-piece pouch with an attached skin barrier.
d. A sizeable (cut-to-fit) stoma opening. - answer>>d. A sizeable (cut-to-fit) stoma opening.
Which of the following urinary diversions (continent or incontinent) will usually require a diaper or
pouching to contain the urine?
Select one:
a. Indiana Pouch.
b. Orthotopic Neobladder.
c. Vesicostomy.
d. Mitrofanoff procedure. - answer>>c. Vesicostomy.
Janet is a 19 y/o female with paraplegia due to a car accident. She has a Mitrofanoff diversion due to
neurogenic bladder for 2 years. She complains of leakage from her urethra since she has been away at
college. What is the MOST likely cause for the urethra urine leakage?
Select one:
,a. Infrequent catheterization of the stoma.
b. Poor pelvic muscle strength.
c. Pouchitis.
d. Too little fluid intake. - answer>>a. Infrequent catheterization of the stoma.
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.
LATEST UPDATED VERSION QUESTIONS AND ANSWERS\
The patient at greatest risk for dehydration and electrolyte imbalance is the patient with a/an:
Select one:
a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
b. Ileal conduit.
c. Perforated bowel and loop ileostomy.
d. Orthotopic neobladder. - answer>>a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
Six months postoperatively, you can expect the patient with which of the following urinary diversions to
be using bedside drainage at night?
Select one:
a. Indiana pouch
b. Mitrofanoff procedure
c. Koch pouch
d. Ileal conduit - answer>>d. Ileal conduit
When can a patient with an Indiana pouch expect to begin catheterizing the stoma for emptying?
Select one:
a. When the reservoir attains a 500 mL capacity.
b. After a pouch-o-gram indicates the suture line is healed.
c.The Indiana pouch does not require catheterization to empty.
d. On the 5th day postop. - answer>>b. After a pouch-o-gram indicates the suture line is healed.
,Immediately after surgery, the patient with an orthotopic neobladder can expect to have:
Select one:
a. Every two-hour catheterizations of the reservoir to prevent mucus plug.
b. A "band-aid" type of dressing placed over the abdominal stoma.
c. A urethral catheter and a suprapubic catheter.
d. Normal sensations of the need to empty the bladder. - answer>>c. A urethral catheter and a
suprapubic catheter.
An essential feature of a urinary pouch during the IMMEDIATE postoperative period is:
Select one:
a. An opaque pouch film.
b. A pouching adhesive surface that provides convexity.
c. A one-piece pouch with an attached skin barrier.
d. A sizeable (cut-to-fit) stoma opening. - answer>>d. A sizeable (cut-to-fit) stoma opening.
Which of the following urinary diversions (continent or incontinent) will usually require a diaper or
pouching to contain the urine?
Select one:
a. Indiana Pouch.
b. Orthotopic Neobladder.
c. Vesicostomy.
d. Mitrofanoff procedure. - answer>>c. Vesicostomy.
Janet is a 19 y/o female with paraplegia due to a car accident. She has a Mitrofanoff diversion due to
neurogenic bladder for 2 years. She complains of leakage from her urethra since she has been away at
college. What is the MOST likely cause for the urethra urine leakage?
Select one:
,a. Infrequent catheterization of the stoma.
b. Poor pelvic muscle strength.
c. Pouchitis.
d. Too little fluid intake. - answer>>a. Infrequent catheterization of the stoma.
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.
