Certified Gastroenterology RN Managing GI Health Conditions 2

Question 1

A patient with cirrhosis develops confusion and asterixis. Which intervention should the gastroenterology nurse anticipate first?

Accepted Answer

Administration of lactulose

Answer

Lactulose reduces serum ammonia by trapping it in the gut, treating hepatic encephalopathy.

Question 2

Which finding in a patient with acute pancreatitis indicates possible retroperitoneal hemorrhage?

Accepted Answer

Grey Turner's sign (flank ecchymosis)

Answer

Grey Turner's sign is flank bruising from retroperitoneal bleeding in severe pancreatitis.

Question 3

A patient with ulcerative colitis is started on infliximab. Which screening must be completed before the first dose?

Accepted Answer

Tuberculosis testing

Answer

Anti-TNF agents can reactivate latent tuberculosis, so TB screening is required first.

Question 4

Which dietary instruction is most appropriate for a patient newly diagnosed with celiac disease?

Accepted Answer

Avoid wheat, barley, and rye permanently

Answer

Celiac disease requires strict lifelong elimination of gluten from wheat, barley, and rye.

Question 5

A patient with GERD reports symptoms despite PPI therapy. Which lifestyle modification should the nurse reinforce first?

Accepted Answer

Avoid eating within 3 hours of bedtime

Answer

Avoiding late meals reduces nocturnal reflux by allowing gastric emptying before recumbency.

Certified Gastroenterology RN Practice Test