05/08/2026
Master Ostomy Care the NCLEX Way! 🩺
Ostomy care is more than changing a pouch—it's about preventing skin breakdown, reducing infection risk, and improving a patient's quality of life.
💡 Remember: ✅ A healthy stoma should be pink to red, moist, and slightly protruding. ✅ Measure the stoma before applying a new wafer. ✅ Protect the surrounding skin to prevent irritation. ✅ Always assess the stoma and peristomal skin during every pouch change.
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👇 Test your knowledge with the MCQs below!
📝 NCLEX MCQs
1. Which finding indicates a healthy stoma?
A. Pale and dry
B. Pink to red, moist, and slightly protruding ✅
C. Black and hard
D. Blue and cool
Rationale: A healthy stoma is pink/red, moist, and slightly protruding. Pale, blue, or black discoloration may indicate impaired blood flow or necrosis.
2. When cutting the skin barrier (wafer), it should be:
A. Smaller than the stoma
B. Exactly the same size
C. About 1–2 mm larger than the stoma ✅
D. 1 cm larger than the stoma
Rationale: The opening should be 1–2 mm larger than the stoma to protect the skin while avoiding excessive pressure.
3. Which nursing intervention best prevents peristomal skin breakdown?
A. Apply alcohol before every pouch change
B. Clean with strong antiseptics
C. Ensure the pouch fits properly and keep the skin clean and dry ✅
D. Leave the skin moist before applying the barrier
Rationale: A well-fitted pouch and clean, dry skin help prevent leakage and skin irritation.
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