Certified Gastroenterology RN Gastroenterology Pharmacology Questions and Answers

Question 1

A patient with Crohn's disease is scheduled to begin treatment with infliximab.
Before administering the first dose, which of the following is the MOST important screening for the nurse to verify has been completed?

Accepted Answer

Tuberculosis (TB) skin test

Answer

Complete blood count (CBC)

Answer

Basic metabolic panel (BMP)

Answer

Liver function tests (LFTs)

Question 2

A nurse is educating a patient about long-term use of a proton pump inhibitor (PPI) for GERD. The nurse should include information about an increased risk for which of the following conditions?

Accepted Answer

Osteoporosis-related fractures

Answer

Hypokalemia

Answer

Hypermagnesemia

Answer

Iron deficiency anemia

Question 3

A patient is being treated for a Helicobacter pylori infection. The nurse anticipates the provider will order which combination of medications?

Accepted Answer

A proton pump inhibitor and two antibiotics

Answer

An H2 receptor antagonist and an antacid

Answer

A mucosal protectant and a prokinetic agent

Answer

An anticholinergic and an aminosalicylate

Question 4

A patient with ulcerative colitis is prescribed sulfasalazine. Which of the following statements by the patient indicates a need for further teaching?

Accepted Answer

"I can crush the enteric-coated tablet to make it easier to swallow."

Answer

"I will take this medication with a full glass of water."

Answer

"I should report any new rash or fever to my doctor immediately."

Answer

"This medication may turn my skin and urine an orange-yellow color."

Question 5

A nurse is administering lactulose to a patient with hepatic encephalopathy. What is the primary therapeutic goal of this medication in this specific condition?

Accepted Answer

To reduce serum ammonia levels

Answer

To prevent gastrointestinal bleeding

Answer

To treat chronic constipation

Answer

To restore normal gut flora

Question 6

A patient is prescribed sucralfate for the treatment of a duodenal ulcer. The nurse's instructions on medication administration should emphasize taking the medication at what time?

Accepted Answer

On an empty stomach, one hour before meals

Answer

With meals to enhance absorption

Answer

Immediately after meals to neutralize acid

Answer

At the same time as an antacid for maximum effect