CNA Bowel and Ostomy Care 2

Question 1

When emptying a colostomy pouch, the CNA should empty it when the pouch is how full?

Accepted Answer

One-quarter to one-third full

Answer

Pouches should be emptied when one-quarter to one-third full to prevent the seal from breaking due to weight.

Question 2

A resident has an ileostomy. The CNA notices the stoma output is very watery and high in volume. The BEST action is to:

Accepted Answer

Report the finding to the nurse immediately

Answer

High-volume liquid output from an ileostomy can indicate dehydration risk and must be reported to the nurse promptly.

Question 3

Which type of ostomy produces liquid stool and requires a drainable pouch at all times?

Accepted Answer

Ileostomy

Answer

An ileostomy bypasses the entire colon so output is always liquid and continuous, requiring a drainable pouch.

Question 4

When applying a new ostomy wafer (skin barrier), the opening should be cut to:

Accepted Answer

1/8 inch larger than the stoma diameter

Answer

The wafer opening should be cut 1/8 inch (3mm) larger than the stoma to protect peristomal skin without leaving excess skin exposed.

Question 5

A healthy stoma should appear:

Accepted Answer

Pink to red and moist

Answer

A healthy stoma is pink to red and moist, indicating good blood flow; dark or pale coloring must be reported immediately.

CNA Practice Test