CNA Basic Nursing Skills 12 2

Question 1

A patient with a colostomy tells the CNA the pouch is leaking. The CNA should FIRST:

Accepted Answer

Report the leak to the charge nurse and assist with pouch change per care plan

Answer

A leaking colostomy pouch exposes skin to stool, causing chemical skin irritation. The nurse must be notified so a pouch change can be initiated per the individualized ostomy care plan.

Question 2

Normal-appearing colostomy stoma output should be:

Accepted Answer

Moist, pink-red in color, and may vary from liquid to formed depending on location

Answer

A healthy stoma is moist and pink-red (similar to mucous membranes); stool consistency depends on the type of colostomy — ascending/transverse produces more liquid stool while descending/sigmoid produces more formed stool.

Question 3

When performing colostomy care, which action BEST protects the peristomal skin?

Accepted Answer

Using a skin barrier wafer cut to fit snugly within 1/8 inch of the stoma

Answer

A properly sized skin barrier wafer with a hole cut to leave only 1/8 inch clearance around the stoma protects the surrounding skin from contact with drainage.

Question 4

A patient with a new colostomy appears embarrassed and refuses to look at the stoma. The CNA should:

Accepted Answer

Acknowledge the patient's feelings and provide care without judgment while encouraging gradual acceptance

Answer

Body image adjustment after a new colostomy takes time; the CNA provides empathetic, non-judgmental care and encourages gradual patient involvement as the patient becomes ready.

Question 5

What does the term 'stoma' refer to in the context of ostomy care?

Accepted Answer

The opening created surgically in the abdomen to divert intestinal contents to the body surface

Answer

A stoma is the surgically created opening in the abdominal wall through which bowel contents exit the body into a collection pouch.

CNA Practice Test

CNA Practice Test

CNA Basic Nursing Skills 12 2