Certified Gastroenterology RN General 5

Question 1

A patient with a new ileostomy has an output of 1,800 mL of liquid stool in 24 hours. What is the nurse's primary concern?

Accepted Answer

Fluid and electrolyte depletion

Answer

High-output ileostomies rapidly cause dehydration and losses of sodium and potassium.

Question 2

Which statement about colorectal cancer screening for average-risk adults in the United States is correct?

Accepted Answer

Screening should begin at age 45

Answer

U.S. guidelines recommend beginning average-risk colorectal cancer screening at age 45.

Question 3

A patient with suspected C. difficile infection is admitted. Which infection control measure is essential?

Accepted Answer

Contact precautions with soap-and-water handwashing

Answer

C. difficile spores resist alcohol, so gowns, gloves, and mechanical handwashing with soap and water are required.

Question 4

During a liver biopsy recovery, the nurse positions the patient on the right side. What is the rationale?

Accepted Answer

To apply pressure to the biopsy site and reduce bleeding risk

Answer

Right side-lying compresses the liver against the chest wall, tamponading the puncture site.

Question 5

A patient with chronic hepatitis C asks about alcohol use. What is the most accurate teaching?

Accepted Answer

"Alcohol should be avoided because it accelerates liver fibrosis."

Answer

Alcohol synergistically accelerates fibrosis progression in chronic hepatitis C and should be avoided entirely.

Certified Gastroenterology RN Practice Test