Certified Gastroenterology RN Managing GI Health Conditions Questions and Answers

Question 1

A nurse is providing dietary education to a patient newly diagnosed with celiac disease. Which meal selection by the patient demonstrates a correct understanding of the dietary restrictions?

Accepted Answer

Grilled chicken, baked potato, and a side salad with vinaigrette.

Answer

A turkey sandwich on rye bread with a side of coleslaw.

Answer

Beer-battered fish with a side of seasoned fries.

Answer

A bowl of oatmeal with brown sugar and raisins.

Question 2

A patient is admitted to the hospital with an acute, uncomplicated episode of diverticulitis. Which of the following initial orders should the nurse anticipate?

Accepted Answer

Bowel rest (NPO or clear liquids) and intravenous antibiotics.

Answer

High-fiber diet and increased fluid intake.

Answer

Administration of a stimulant laxative to prevent constipation.

Answer

Immediate preparation for a screening colonoscopy.

Question 3

A gastroenterology nurse is educating a patient with IBS-D (diarrhea-predominant) about the low FODMAP diet. Which of the following foods should the nurse advise the patient to AVOID during the initial elimination phase?

Accepted Answer

Onions, garlic, and honey.

Answer

Chicken breast and white rice.

Answer

Blueberries and strawberries.

Answer

Spinach and carrots.

Question 4

A 62-year-old male with a long history of GERD is diagnosed with Barrett's esophagus without dysplasia following an EGD with biopsies. What is the MOST important topic for the nurse to include in the patient's education plan?

Accepted Answer

The critical importance of adhering to a scheduled endoscopic surveillance program.

Answer

The need to discontinue his proton pump inhibitor (PPI) therapy immediately.

Answer

The elimination of all acidic foods, such as citrus and tomatoes, from his diet.

Answer

The high likelihood that he will require esophageal surgery within the next year.

Question 5

A patient describing symptoms of dysphagia to both solids and liquids, regurgitation of undigested food, and substernal chest pain is suspected of having achalasia. Which diagnostic test is considered the gold standard for confirming this diagnosis?

Accepted Answer

Esophageal manometry.

Answer

Upper endoscopy (EGD).

Answer

Barium esophagram (barium swallow).

Answer

24-hour esophageal pH monitoring.

Question 6

A nurse is caring for a patient admitted with acute pancreatitis. The patient reports severe, boring midepigastric pain radiating to the back and has elevated serum lipase levels. Which of the following is a priority nursing intervention for this patient?

Accepted Answer

Administering opioid analgesics and maintaining NPO status.

Answer

Encouraging a low-fat diet as tolerated.

Answer

Inserting a nasogastric tube for immediate enteral feeding.

Answer

Preparing the patient for an urgent cholecystectomy.