This is a quiz that contains NCLEX review questions about GI ostomies, such as colostomies and ileostomy. Patients who have GI ostomies require special care, and the nurse should know about diet teaching, how to change the pouching system, and how to provide pre-opt and post-opt care. Show
In the previous NCLEX review series, I explained about other GI disorders you may be asked about on the NCLEX exam, so be sure to check out those reviews and quizzes as well. GI Ostomy NCLEX QuizThis quiz will test your knowledge on GI ostomies (colostomy and ileostomy) in preparation for the NCLEX exam.
(NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.) Colostomy and Ileostomy NCLEX Practice Questions1. On assessment of a patient with a colostomy, you note the stoma is located on the right lower quadrant. Due to its location, this is known as what type of colostomy? A. Descending Colostomy B. Transverse C. Ileostomy D. Ascending Colostomy 2. Thinking back to the patient in Question 1, what type of stool would you expect the stoma to be excreting? A. Liquid stool B. Lose to partly formed stool C. Similar to normal stool D. Semi-solid stool 3. True or False: An ileostomy is a surgical opening created to bring the large intestine to the surface of the abdomen. 4. Describe, in order, how food travels from the stomach to the rectum: A. It exits the stomach into: the cecum, jejunum to the ileum, then into the duodenum, descending colon, transverse colon, ascending colon, sigmoid colon, and rectum. B. It exits the stomach into: the duodenum, ileum to the jejunum, then into the cecum, ascending colon, sigmoid colon, descending colon, transverse colon, and rectum. C. It exits the stomach into: the ileum, jejunum to the duodenum, then into the cecum, sigmoid colon, transverse colon, descending colon, ascending colon, and rectum. D. It exits stomach into: the duodenum, jejunum to the ileum, then into the cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum. 5. A patient has a double-barrel colostomy of the transverse colon. You note on assessment two stomas, a proximal and distal stoma. What type of stool do you expect to drain from the proximal and distal stomas? A. Proximal: lose to partly formed stool; Distal: mucous B. Proximal: liquid stool; Distal: mucous C. Proximal: mucous; Distal: lose to partly formed stool D. Proximal & Distal: lose to partly formed stool 6. A patient is 8 hours post-opt from a colostomy placement. Which finding requires immediate nursing action? A. The stoma is swollen and large. B. The stoma is black. C. The stoma is not draining any stool. D. The patient states the site is tender. 7. A patient, who had a colostomy placed yesterday, calls on the call light to say their surgical dressing “fell off”. You will re-apply what type of dressing over the stoma? A. Wet to dressing B. No dressing is needed. You will keep it open to air. C. Petroleum gauze dressing D. Telfa gauze 8. You’re providing teaching to a patient with an ileostomy on how to change their pouch drainage system. Which statement is INCORRECT about how to change a pouching system for an ostomy? A. Empty the pouch when it is 1/3 to 1/2 full. B. Change the pouching system every 3-5 days. C. When measuring the stoma for skin barrier placement, be sure the opening of the skin barrier is a 2/3 inch larger than the stoma. D. Keep the skin around the stoma clean and dry at all times. 9. You receive a doctor’s order for a patient to take Aspirin EC by mouth daily. The patient has the following medication history: diabetes type 2, peripheral vascular disease, and a permanent ileostomy. What is your next nursing action? A. Administer the medication as ordered. B. Crush the medication and mix it in applesauce. C. Hold the medication and notify the doctor the patient has an ileostomy. D. Crush the medication and mix it in pudding. 10. You’re providing diet teaching to a patient with an ileostomy. Which foods should the patient consume in very small amounts or completely avoid? A. Peanut butter, bananas, rice B. Corn, popcorn, nut and seeds C. Grape juice, bread, and pasta D. Vinegar, soft drinks, and cured meats 11. A patient, who has a colostomy, asks what type of foods they should avoid to decrease odorous gas. You would tell the patient to avoid: A. Onions, alcoholic beverages, eggs, and cabbage B. Beef, fried foods, lettuce, and rice C. Apple, pears, nuts, and wheat D. Potatoes, peas, carrots, and chicken 12. A patient is 2 days post-opt from an ileostomy placement. Which finding requires immediate nursing action? A. The stoma is excreting liquid stool. B. The patient’s potassium level is 2.0 C. The stoma is bright red and moist. D. The patient reports mucoid drainage from the anus. 13. Which type of colostomy can allow a patient to have bowel continence? A. Descending or Sigmoid Colostomy B. Ascending or Transverse Colostomy C. Transverse or Descending Colostomy D. Ascending or Descending Colostomy 14. True or False: Patients with an ileostomy are at greater risk for dehydration and an electrolyte imbalance. Answer Key: 1. D More NCLEX Quizzes  Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. You can also take more fun nursing quizzes. *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. Please refer to the latest NCLEX review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. What interventions will benefit a person with a colostomy nutrition quizlet?Nutrition Intervention plan for colostomy? -The eating plan begins with clear liquids and then should be advanced to a fiber-restricted diet before leaving the hospital. If you have lactose intolerance, then use lactose-free milk products.
Which color would the nurse expect the stoma to be in a client who had a formation of a colostomy 2 days ago?Some people eat normally within two days after a colostomy. A normal stoma is moist and pink or red colored. When you first see your colostomy, it may appear dark red and swollen, with bruises.
Which nursing action can best prevent infection from urinary retention catheter?If you have an indwelling catheter, you must do these things to help prevent infection: Clean around the catheter opening every day. Clean the catheter with soap and water every day.
How might the nurse best prevent infection in a patient with an indwelling urinary catheter quizlet?Rationale: This is the correct answer. To reduce the risk of CAUTI in a patient with an indwelling urinary catheter, the nurse would use the smallest-size catheter possible. To reduce the risk of CAUTI, the nurse would wear sterile, not simply clean, gloves to insert the indwelling urinary catheter.
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