NCWO Ostomy Management 2

Question 1

Pre-operative stoma site marking is performed by the WOC nurse to:

Accepted Answer

Identify an optimal site avoiding bony prominences, skin folds, scars, and the belt line

Answer

Optimal stoma site marking identifies a flat, visible location away from bony prominences, skin creases, scars, and waistbands to ensure a good pouching seal and patient self-care ability.

Question 2

A urostomy (ileal conduit) patient is at increased risk for which long-term complication?

Accepted Answer

Urinary tract infections and ureteral strictures

Answer

Urostomy patients are at ongoing risk for ascending urinary tract infections and ureteral stricture at the conduit anastomosis due to urinary reflux and altered anatomy.

Question 3

The recommended frequency for routine pouch change in a stable ostomy patient is:

Accepted Answer

Every 3–7 days based on pouching system manufacturer guidelines

Answer

Most ostomy pouching systems are designed for 3–7 days of wear, and changing within this window maintains peristomal skin integrity and prevents premature adhesive failure.

Question 4

Parastomal hernia management includes all of the following EXCEPT:

Accepted Answer

Immediate surgical repair in all asymptomatic cases

Answer

Asymptomatic parastomal hernias are managed conservatively with support garments and activity modification; surgical repair is reserved for symptomatic, complicated, or enlarging hernias.

Question 5

Convex pouching systems are indicated for patients with:

Accepted Answer

Retracted or flush stomas and peristomal skin folds causing leakage

Answer

Convexity presses inward on the peristomal skin to push a retracted or flush stoma outward, improving the seal and reducing leakage in patients with folds or depressions.

NCWO - National Certified Wound Ostomy Practice Test

NCWO - National Certified Wound Ostomy Practice Test

NCWO Ostomy Management 2