Certified Gastroenterology RN Endoscopic Procedures and Equipment 2

Question 1

During an ERCP, the patient develops severe epigastric pain and the amylase level rises significantly 4 hours post-procedure. What complication should the nurse suspect first?

Accepted Answer

Post-ERCP pancreatitis

Answer

Post-ERCP pancreatitis is the most common ERCP complication, presenting with epigastric pain and elevated pancreatic enzymes within hours.

Question 2

Which position is standard for initiating a colonoscopy?

Accepted Answer

Left lateral (Sims') position

Answer

Colonoscopy is typically started with the patient in the left lateral position to facilitate scope insertion and advancement.

Question 3

A patient scheduled for capsule endoscopy asks when the capsule will be retrieved. What is the nurse's best response?

Accepted Answer

The capsule is disposable and passes naturally in the stool

Answer

The video capsule transmits images to an external recorder and is excreted naturally; it is not retrieved or reused.

Question 4

Which finding after esophageal dilation requires immediate notification of the provider?

Accepted Answer

Subcutaneous crepitus in the neck

Answer

Subcutaneous crepitus suggests esophageal perforation with air tracking into tissues, a surgical emergency.

Question 5

What is the primary purpose of carbon dioxide insufflation instead of room air during endoscopy?

Accepted Answer

CO2 is absorbed faster, reducing post-procedure distension and pain

Answer

Carbon dioxide is absorbed from the bowel far more rapidly than air, decreasing post-procedure bloating and discomfort.

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Endoscopic Procedures and Equipment 2