OST 580 - FINAL REVIEW STUDY
GUIDE 3 with full questions and
correct answers
The creation of a fecal stoma with a mucous fistula may be indicated in which of the following
conditions? - Correct Answer: Toxic megacolon
What complication would the WOC nurse assess for in a patient with an ureteroscopy? - Correct Answer:
Hydronephrosis
Which procedure is the most common urinary diversion? - Correct Answer: Ileal conduit
The WOC nurse is explaining the procedure for constructing an ileal conduit to a patient scheduled for
the surgery. Which statement by the nurse adequately describes a step in this procedure? - Correct
Answer: Gastrointestinal continuity is restored through ileal to ileal anastomosis.
A support rod is placed under a loop stoma to prevent which of the following stoma complications? -
Correct Answer: Retraction
A patient is scheduled for surgery for an abdominal perineal resection (APR). What type of stoma will be
created during this procedure? - Correct Answer: Permanent end colostomy
The WOC nurse can help patients with their fears and concerns as they face surgery for an ostomy by -
Correct Answer: Providing the opportunity for a visit with a trained ostomy visitor
The WOC nurse is teaching a patient with a new stoma about pouching systems. Which teaching point
accurately describes an important aspect of using a pouching system? - Correct Answer: The usual wear
time for a pouch is 4 days.
If the surgeon is siting the stoma during the case in the OR, what advice would you give for general
information for stoma site marking? - Correct Answer: Ideally, the stoma should be placed on the apex
of the abdominal infra-umbilical bulge.
, The patient with ulcerative colitis who is being prepared for a surgical procedure to create a permanent
end ileostomy should receive preoperative education that includes the following: - Correct Answer: Help
the patient to understand that they can live a full life without a colon and a rectum.
The WOC nurse helps prepare the patient for ostomy surgery by - Correct Answer: Determining the
patient's emotional support system
The WOC nurse counsels patients regarding lifestyle issues following stoma surgery. What statement
accurately describes an important teaching tip? - Correct Answer: Most patients will not have to follow a
special diet once healing takes place.
The first skill the patient with a colostomy should learn before discharge is - Correct Answer: How to
empty the pouch
The WOC nurse should include the preoperative education sessions for an 80-year-old gentleman
scheduled for an ileal conduit - Correct Answer: Pouch system demonstration
The WOC nurse has a consult for stoma site marking for a patient scheduled for an ileal conduit. Where
should the stoma most likely be marked? - Correct Answer: Right abdomen
The WOC nurse is assessing the seal of a skin barrier for a patient with an ileostomy. The peristomal skin
is intact but slightly reddened. The nurse notes that the skin barrier material is undermined with stool.
What could this finding indicate? - Correct Answer: Excessive wear time that allowed skin exposure to
the effluent
The WOC nurse assessing the peristomal skin of a patient in a sitting position notes that there are
creases and folds in the peristomal skin. What shape of skin barrier would the nurse recommend for this
patient? - Correct Answer: Convex
What factors determine the size and shape of the opening of a solid skin barrier? - Correct Answer: Size
and shape of the stoma
GUIDE 3 with full questions and
correct answers
The creation of a fecal stoma with a mucous fistula may be indicated in which of the following
conditions? - Correct Answer: Toxic megacolon
What complication would the WOC nurse assess for in a patient with an ureteroscopy? - Correct Answer:
Hydronephrosis
Which procedure is the most common urinary diversion? - Correct Answer: Ileal conduit
The WOC nurse is explaining the procedure for constructing an ileal conduit to a patient scheduled for
the surgery. Which statement by the nurse adequately describes a step in this procedure? - Correct
Answer: Gastrointestinal continuity is restored through ileal to ileal anastomosis.
A support rod is placed under a loop stoma to prevent which of the following stoma complications? -
Correct Answer: Retraction
A patient is scheduled for surgery for an abdominal perineal resection (APR). What type of stoma will be
created during this procedure? - Correct Answer: Permanent end colostomy
The WOC nurse can help patients with their fears and concerns as they face surgery for an ostomy by -
Correct Answer: Providing the opportunity for a visit with a trained ostomy visitor
The WOC nurse is teaching a patient with a new stoma about pouching systems. Which teaching point
accurately describes an important aspect of using a pouching system? - Correct Answer: The usual wear
time for a pouch is 4 days.
If the surgeon is siting the stoma during the case in the OR, what advice would you give for general
information for stoma site marking? - Correct Answer: Ideally, the stoma should be placed on the apex
of the abdominal infra-umbilical bulge.
, The patient with ulcerative colitis who is being prepared for a surgical procedure to create a permanent
end ileostomy should receive preoperative education that includes the following: - Correct Answer: Help
the patient to understand that they can live a full life without a colon and a rectum.
The WOC nurse helps prepare the patient for ostomy surgery by - Correct Answer: Determining the
patient's emotional support system
The WOC nurse counsels patients regarding lifestyle issues following stoma surgery. What statement
accurately describes an important teaching tip? - Correct Answer: Most patients will not have to follow a
special diet once healing takes place.
The first skill the patient with a colostomy should learn before discharge is - Correct Answer: How to
empty the pouch
The WOC nurse should include the preoperative education sessions for an 80-year-old gentleman
scheduled for an ileal conduit - Correct Answer: Pouch system demonstration
The WOC nurse has a consult for stoma site marking for a patient scheduled for an ileal conduit. Where
should the stoma most likely be marked? - Correct Answer: Right abdomen
The WOC nurse is assessing the seal of a skin barrier for a patient with an ileostomy. The peristomal skin
is intact but slightly reddened. The nurse notes that the skin barrier material is undermined with stool.
What could this finding indicate? - Correct Answer: Excessive wear time that allowed skin exposure to
the effluent
The WOC nurse assessing the peristomal skin of a patient in a sitting position notes that there are
creases and folds in the peristomal skin. What shape of skin barrier would the nurse recommend for this
patient? - Correct Answer: Convex
What factors determine the size and shape of the opening of a solid skin barrier? - Correct Answer: Size
and shape of the stoma
