WEB WOC OSTOMY CARE FINAL EXAM
NEWEST 2024 ACTUAL EXAM AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
When preparing a 35-year-old male for colon resection
with a temporary ileostomy due to refractory Crohn's
disease, he asks about sexual function after surgery. You
explain that this procedure involves:
Select one:
a. Removal of the rectum only.
b. Moderate incidence of premature ejaculation.
c. Do not anticipate any sexual dysfunction.
d. High incidence of erectile dysfunction. Correct Answer
c. Do not anticipate any sexual dysfunction.
You receive a referral for a patient scheduled for an
abdominoperineal resection. Prior to reviewing the chart
and interviewing the patient you can anticipate his
diagnosis to be:
Select one:
a. Transitional cell carcinoma of the bladder.
b. Adenocarcinoma of the rectum.
c. Familial Adenomatous polyposis. (FAP)
d. Diverticulitis. Correct Answer b. Adenocarcinoma of the
rectum.
,Anorectal malformation in the neonate is also known as:
Select one:
a. Hirschsprung's disease.
b. Imperforate anus.
c. Turcot syndrome.
d. Volvulus. Correct Answer b. Imperforate anus.
Which of the following types of stoma construction
methods is NOT completely diverting?
Select one:
a. End stoma.
b. Loop stoma.
c. Separated double barrel stoma.
d. Brooke ileostomy. Correct Answer b. Loop stoma.
A Hartmann's Procedure (Pouch) is constructed when the:
Select one:
a. Proximal edges of the rectal segment are over sewn
and left in the pelvis following colon resection.
b. Entire colon is removed, and an ileal pouch is
constructed in the pelvis.
c. A reservoir is constructed in the abdomen for small
bowel disease.
d. The cecal reservoir is constructed and effluent is
emptied with a catheter. Correct Answer a. Proximal
edges of the rectal segment are over sewn and left in the
pelvis following colon resection.
,Which of the following statements is true for the Kock
continent ileostomy?
Select one:
a. It is the preferred surgical procedure for Crohn's
Disease.
b. Nipple valve of ileum proximal to the stoma is the
continence mechanism.
c. The preferred stoma site is in the left lower quadrant of
the abdomen.
d. It is a surgical procedure that is done more often than
the IPAA (ileal pouch anal anastomosis). Correct Answer
b. Nipple valve of ileum proximal to the stoma is the
continence mechanism.
Based on what you know about absorption and digestion
within the small bowel and colon, which of the following
types of stomas would you expect to produce the most
corrosive effluent?
Select one:
a. Descending colostomy.
b. Ileostomy.
c. Loop transverse colostomy.
d. Sigmoid colostomy. Correct Answer b. Ileostomy.
A 21-year-old woman is on her 5th day on the orthopedic
unit following a motor vehicle accident. She suddenly
develops ischemic colitis from a blood clot in the inferior
, mesenteric artery. Which type of stoma will she most likely
have following surgery?
Select one:
a. Ileostomy
b. Jejunostomy
c. Descending Colostomy
d. Sigmoid Colostomy Correct Answer a. Ileostomy
During a preoperative consultation for EMERGENCY
ostomy surgery, the two PRIMARY objectives for the
WOC Nurse are stoma site selection and:
Select one:
a. Explanation of how to empty the pouch.
b. Demonstration of ostomy equipment.
c. Decrease patient's anxiety about the ostomy surgery.
d. Identification of discharge plans. Correct Answer c.
Decrease patient's anxiety about the ostomy surgery.
When selecting an abdominal stoma site, evidence-based
practice states that the stoma should be located:
Select one:
a. lateral to the rectus muscle.
b. above the beltline.
c. on the apex of the infraumbilical bulge.
d. near the umbilicus. Correct Answer c. on the apex of
the infraumbilical bulge.
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