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WOCN OSTOMY CERTIFICATION UPDATED
EXAM; QUESTIONS WITH 100% VERIFIED
ANSWERS
APR - ✔✔permanent end colostomy
rectum removed perianal surgical incision
Hartmann's Pouch - ✔✔temporary colostomy or ileostomy
rectum is retained
IPAA - ✔✔stage 1- temporary end ileostomy
stage 2- temporary loop ileostomy stage 3- ileostomy takedown
proctocolectomy - ✔✔surgical removal of the large intestine and rectum
permanent end ileostomy
LAR - ✔✔temporary loop ileostomy
subtotal colectomy - ✔✔removal of part of the colon, and reanastomosis
temporary end or loop ileostomy
sigmoid colectomy - ✔✔temporary loop ileostomy
Kock pouch - ✔✔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) - ✔✔urostomy
Indiana pouch - ✔✔continent urinary diversion
high output fistula - ✔✔> 500 mL/ day
moderate output fistula - ✔✔ 200 - 500 mL/ day
low output fistula - ✔✔< 200 mL/ day
amount of bowel length required to create a neobladder - ✔✔ 50 - 60cm
amount of bowel length require to create and ileal conduit - ✔✔ 10 - 12cm
indications for surgical treatment of crohn's - ✔✔unresponsive to meds
perforation obstruction d/t fibrotic stricture unmanaged hemorrhage cancer
colonic inflammation with UC - ✔✔always appears in the rectum, occasionally in the R
colon
IPAA not recommended for - ✔✔Crohn's patients- high incidence of pouch failure and
pouch- related fistulas
endoscopic appearance crohn's vs uc - ✔✔crohn's patchy
uc continuous
malaise fever
treatment for diversion colitis - ✔✔tap water enema
antibiotics anti-inflammatory agents
contraindication for irrigation for colostomy - ✔✔no irrigation with chemo or abd/ pelvic
radiation
irrigation appropriate for - ✔✔descending sigmoid colostomy
treatment for small bowel fistulas- crohn's - ✔✔rest
which surgery is considered curative for UC? - ✔✔proctocolectomy with IPAA
surgery for crohn's is - ✔✔not curative
what surgery is best for crohn's - ✔✔proctocolectomy with end ileostomy
bowel resection with re-anastamosis diverting ostomy d/t obstruction patient is diagnosed with non-metastatic, obstructing colon cancer- what is the
recommended treatment? - ✔✔diversion followed by colectomy with removal of lymph
nodes
guiding principle of surgical management of crohn's - ✔✔preservation of intestinal
length and function
what part of the alimentary canal is responsible for nutrient absorption? - ✔✔small
intestine
role of colon in nutrient absorption - ✔✔incapable of contributing- absorbs water
role of fluid intake in prevention of UTI - ✔✔continual flushing
promotes formation of acidic urine promote formation of dilute urine
how does obesity affect stoma construction - ✔✔shorter mesentery and difficulty creating
stoma in the preferred site
LAR is the treatment of choice for - ✔✔resectable tumors in the proximal rectum
stage 4 colon cancer is best managed with - ✔✔fecal diversion for any obstructive lesion-
chemo
meds most commonly used to decrease ileostomy output - ✔✔psyllium and loperamide
renal calculi symptoms - ✔✔flank pain
hematuria n/v
uti symptoms - ✔✔flank pain
malaise fever cloudy urine
first line treatment for constipation with a colostomy - ✔✔bulk forming agent
which percutaneous tube lack an internal bumper or balloon and requires an external
stabilizer for securement? - ✔✔jejunostomy tube
port used for feeding in a GJ tube - ✔✔j port
Hirshsprung's Disease - ✔✔absense of nerons in bowel wall, typically in the sigmoid
colon, also known as congential megacolon, loop colostomy
what is considered high ileostomy output over 24 hours? - ✔✔1200 mL
what types of feeding tubes are used for long term feeding? - ✔✔gastrostomy and
jejunostomy
which feeding tube is better for pt with aspiration risk? - ✔✔jejunostomy
