Certified Gastroenterology RN GI Bleeding Management

Question 1

Which of the following is the most common cause of upper GI bleeding in adults?

Accepted Answer

Peptic ulcer disease

Answer

Peptic ulcer disease accounts for approximately 50% of all upper GI bleeding cases, making it the leading cause.

Question 2

A patient presents with hematemesis and coffee-ground emesis. These findings are most consistent with bleeding that originates:

Accepted Answer

Proximal to the ligament of Treitz

Answer

Hematemesis and coffee-ground emesis indicate upper GI bleeding originating proximal to the ligament of Treitz, where blood is partially digested before being expelled.

Question 3

The Rockall score is primarily used to:

Accepted Answer

Predict rebleeding risk and mortality in upper GI bleeding

Answer

The Rockall score stratifies risk and predicts rebleeding and mortality in patients with upper GI bleeding, guiding triage decisions.

Question 4

Which IV access is most appropriate for the initial resuscitation of a patient with active GI bleeding?

Accepted Answer

Two large-bore (16-gauge or larger) peripheral IVs

Answer

Two large-bore peripheral IVs allow the fastest rates of fluid and blood product administration needed for hemodynamic resuscitation in active GI bleeding.

Question 5

A patient with liver cirrhosis presents with acute variceal hemorrhage. Which vasoactive medication is most commonly administered as a continuous infusion to reduce portal pressure?

Accepted Answer

Octreotide

Answer

Octreotide, a somatostatin analogue, reduces splanchnic blood flow and portal pressure and is the first-line vasoactive agent for acute variceal bleeding.

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN GI Bleeding Management