WOCN Ostomy Certification Exam: Questions With
Accurate Answers
APR Right Ans - permanent end colostomy
rectum removed
perianal surgical incision
Hartmann's Pouch Right Ans - temporary colostomy or ileostomy
rectum is retained
IPAA Right Ans - stage 1- temporary end ileostomy
stage 2- temporary loop ileostomy
stage 3- ileostomy takedown
proctocolectomy Right Ans - surgical removal of the large intestine and
rectum
permanent end ileostomy
LAR Right Ans - temporary loop ileostomy
subtotal colectomy Right Ans - removal of part of the colon, and
reanastomosis
temporary end or loop ileostomy
sigmoid colectomy Right Ans - temporary loop ileostomy
Kock pouch Right Ans - type of continent ileal reservoir created surgically
by making an internal pouch with a portion of the ileum and placing a nipple
valve flush with the stoma
cystectomy (ileal or colon conduit) Right Ans - urostomy
Indiana pouch Right Ans - continent urinary diversion
high output fistula Right Ans - > 500 mL/ day
moderate output fistula Right Ans - 200-500 mL/ day
, low output fistula Right Ans - < 200 mL/ day
amount of bowel length required to create a neobladder Right Ans - 50-
60cm
amount of bowel length require to create and ileal conduit Right Ans - 10-
12cm
indications for surgical treatment of crohn's Right Ans - unresponsive to
meds
perforation
obstruction d/t fibrotic stricture
unmanaged hemorrhage
cancer
colonic inflammation with UC Right Ans - always appears in the rectum,
occasionally in the R colon
IPAA not recommended for Right Ans - Crohn's patients- high incidence of
pouch failure and pouch- related fistulas
endoscopic appearance crohn's vs uc Right Ans - crohn's patchy
uc continuous
location of UC Right Ans - colon/ rectum only
location of crohn's Right Ans - anywhere
fistulas present with crohn's or uc? Right Ans - crohn's
surgical treatment for FAP Right Ans - total colectomy or proctocolectomy
80% of nutrients absorbed in Right Ans - proximal 100 cm of small bowel
ileum is the only site for absorption of Right Ans - B12
normal pH of urine Right Ans - 4.6- 6.0 (slightly acidic)
ileostomy output expected within Right Ans - 48-72 hrs
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