Certified Gastroenterology RN Moderate Sedation and Anesthesia 2

Question 1

During a colonoscopy with moderate sedation, a patient's oxygen saturation drops from 98% to 88%. What is the nurse's FIRST action?

Accepted Answer

Stimulate the patient and open the airway with a chin lift or jaw thrust

Answer

Airway repositioning and stimulation are the first-line interventions for sedation-related desaturation before reversal agents are considered.

Question 2

Which medication reverses the effects of midazolam?

Accepted Answer

Flumazenil

Answer

Flumazenil is the specific benzodiazepine antagonist used to reverse midazolam.

Question 3

A patient scheduled for an EGD with moderate sedation reports eating a full breakfast 2 hours ago. What should the nurse do?

Accepted Answer

Notify the provider because the procedure may need to be delayed

Answer

Solid food within 6 hours increases aspiration risk, so the provider must be notified to consider delaying the elective procedure.

Question 4

Which patient characteristic assigns an ASA physical status classification of III?

Accepted Answer

Severe systemic disease that limits activity but is not incapacitating

Answer

ASA III describes severe systemic disease with functional limitation, such as poorly controlled diabetes or COPD.

Question 5

What is the intended level of responsiveness for a patient under moderate sedation?

Accepted Answer

Purposeful response to verbal or light tactile stimulation

Answer

Moderate sedation is defined by purposeful response to verbal commands, alone or with light tactile stimulation.

Certified Gastroenterology RN Practice Test