Certified Gastroenterology RN Managing GI Health Conditions 3

Question 1

A patient with esophageal varices is prescribed octreotide. What is the primary purpose of this medication?

Accepted Answer

Reduce portal venous pressure

Answer

Octreotide causes splanchnic vasoconstriction, lowering portal pressure and reducing variceal bleeding.

Question 2

Which assessment finding suggests peritonitis in a patient with diverticulitis?

Accepted Answer

Rigid, board-like abdomen with rebound tenderness

Answer

Abdominal rigidity and rebound tenderness indicate peritoneal inflammation from possible perforation.

Question 3

A patient taking sulfasalazine for inflammatory bowel disease should be advised to supplement which nutrient?

Accepted Answer

Folic acid

Answer

Sulfasalazine impairs folate absorption, so folic acid supplementation is recommended.

Question 4

Which patient is at highest risk for developing hepatocellular carcinoma?

Accepted Answer

A patient with chronic hepatitis B and cirrhosis

Answer

Chronic hepatitis B with cirrhosis carries the highest risk of hepatocellular carcinoma.

Question 5

After a paracentesis removing 6 liters of ascitic fluid, which medication does the nurse anticipate administering?

Accepted Answer

IV albumin

Answer

Albumin is given after large-volume paracentesis to prevent post-paracentesis circulatory dysfunction.

Certified Gastroenterology RN Practice Test