NCWO Ostomy Management 3

Question 1

Mucocutaneous separation (MCS) is a complication where:

Accepted Answer

The suture line between the stoma mucosa and peristomal skin separates

Answer

MCS is the separation of the suture line between the stoma mucosa and peristomal skin, creating a wound at the stoma base that must be treated to prevent retraction.

Question 2

A patient with a new colostomy reports the pouch fills with gas rapidly and ballooning occurs. The nurse should recommend:

Accepted Answer

A pouch with a charcoal gas filter or venting device

Answer

Pouches with integrated charcoal filters or gas-releasing vents allow gas to escape while deodorizing it, preventing ballooning and improving patient comfort.

Question 3

Stomal stenosis (narrowing) is best managed initially with:

Accepted Answer

Regular gentle digital or bougie dilation and dietary modification

Answer

Mild to moderate stomal stenosis is initially managed with regular gentle dilation using a gloved lubricated finger or bougie and dietary adjustment to prevent obstruction.

Question 4

Which psychosocial issue most commonly affects quality of life in patients with a new ostomy?

Accepted Answer

Altered body image, fear of odor, and concerns about intimacy

Answer

Altered body image, fear of offensive odor or leakage, and anxiety about sexual and intimate relationships are the dominant psychosocial challenges for new ostomy patients.

Question 5

An ostomy patient who had a bowel resection for Crohn's disease should be monitored for which long-term nutritional deficiency related to the site of resection?

Accepted Answer

Vitamin B12 deficiency if the terminal ileum was resected

Answer

Vitamin B12 is absorbed exclusively in the terminal ileum; resection of this segment causes B12 malabsorption, requiring lifelong supplementation via injection or high-dose oral therapy.

NCWO - National Certified Wound Ostomy Practice Test

NCWO - National Certified Wound Ostomy Practice Test

NCWO Ostomy Management 3