NCWO Ostomy Management

Question 1

A healthy stoma should appear:

Accepted Answer

Beefy red or pink and moist

Answer

Pale pink or white with a dry surface

Answer

Dark purple or black indicating adequate perfusion

Answer

Flat and flush with the abdominal skin

Question 2

When should the stoma pouch opening be cut relative to stoma size?

Accepted Answer

1/8 inch (3 mm) larger than the stoma

Answer

Exactly the same diameter as the stoma

Answer

1/2 inch (12 mm) larger than the stoma

Answer

As large as possible to prevent leakage

Question 3

A colostomy located in the sigmoid colon produces output that is most likely:

Accepted Answer

Formed or semi-formed stool, often once or twice daily

Answer

Liquid and continuous throughout the day

Answer

Bile-colored, watery, and very high volume

Answer

Bloody and mucous-rich at all times

Question 4

The peristomal skin complication most commonly associated with enzymatic damage from small bowel effluent is:

Accepted Answer

Irritant contact dermatitis (chemical dermatitis)

Answer

Pseudoverrucous lesions

Answer

Parastomal hernia

Answer

Folliculitis from hair removal

Question 5

An ileostomy differs from a colostomy in that ileostomy output is:

Accepted Answer

Liquid to semi-liquid with high digestive enzyme content, requiring continuous pouching

Answer

Formed and odorous, collected in an open-ended pouch

Answer

Gas only, managed with a gas-venting pouch

Answer

Intermittent and can be managed with irrigation

Question 6

Stomal prolapse is best described as:

Accepted Answer

Telescoping of the bowel outward through the stoma, elongating it

Answer

Retraction of the stoma below the skin surface

Answer

Parastomal bulge caused by intestinal herniation

Answer

Mucocutaneous separation at the stoma base