Exam (elaborations)
Ostomy Certification Exam Set 1: Questions/Answers
Ostomy Certification Exam Set 1: Questions/Answers
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Ostomy Certification Exam Set 1: Questions/AnswersChronic exposure to an irritant. Right Ans - Which of the following is the
most significant contributing factor to skin hyperplasia in a patient with fecal
diversion?
Vitamin B and bile salts. Right Ans - Removal of part of the terminal ileum
results in decreased absorption of what?
Time-released cold tablets. Right Ans - A person with an ileostomy is likely
to have difficulty absorbing what type of medication?
Somatostatin. A natural hormone and classified as an octreotide acetate. It
inhibits growth hormone, insulin, and glucagon production. Right Ans - A
patient has a high output ECF. Although the patient has no PO intake, the
output remains high. Which of the following medications should be given to
lower the output?
Specific suggestions. Right Ans - A female patient is 6 weeks post-op
abdominal perineal resection. She and her husband present to the outpatient
ostomy clinic. During her post-op visit, they share that they have been
intimate a few times since surgery and she experience dyspareunia. The nurse
suggests alternative positions and lubrication. This is an example of which
level of the PLISSIT model?
Preserve anastomosis sites. Right Ans - The primary reason for the place of
ureteral stents during ileal conduit surgery is to do what?
Level of education. Right Ans - When teaching self-care to an elderly
patient with an ostomy, which of the following factors is LEAST important to
consider?
Increase fluid intake as the patient may be dehydrated. Right Ans - A
patient with a sigmoid colostomy who calls to report the water used for
irrigation has not returned by has no other complaints should be instructed to
do what?
, Refer to a surgeon for stoma revision. It is not necessary to remove this tissue.
Right Ans - For a patient with mucosal transplantation, the nurse should do all
of the following EXCEPT what?
Fluid and electrolyte imbalance. Right Ans - 45 year old patient was
hospitalized for 2 weeks for medical mgmt. of chronic UC. Medical mgmt.
failed, and the patient had a colectomy and standard Brooke ileostomy. 6
weeks later, he presents to the ostomy clinic. he looks tired and his eyes are
sunken. he complains of extreme weakness and tingling in his hands and feet.
His BP is 98/50, temp 98, and pulse is 110. His symptoms are most likely due
to what?
Play therapy for the child with the parents present. Right Ans - A 2 year old
child can best be prepared for ostomy surgery by using what method?
It is lower. Right Ans - How does the stoma site for a continent ileostomy
differ from the site for a conventional ileostomy?
Change his catheters used for intubation more frequently. Right Ans - A
patient with a well-established, continent urinary reservoir is receiving chemo
for a newly diagnosed malignancy. What changes to his routine care of the
reservoir should be made?
Crystal formation. Right Ans - If individuals with urinary diversions are on
sulfa therapy, acidifying their urine may result in what?
Independent with ostomy care. Right Ans - 8 year old girl with a colonic
conduit for myelomeningocele should be what?
Peristomal hernia. Right Ans - A patient has been irrigating her sigmoid
colostomy on a daily basis and is having increasing difficulty instilling water.
Which of the following is the most likely cause?
A 1 piece cut-to-fit drainable pouch. Right Ans - 30 year old woman with an
ileostomy routinely changes her 2 piece pouching system every 5 days. She is
26 weeks pregnant. She calls the nurse complaining of daily pouch leaking.
The nurse's intervention should include the use of what?
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