Certified Gastroenterology RN Moderate Sedation and Anesthesia 4

Question 1

Propofol used for GI endoscopy sedation is notable for which characteristic?

Accepted Answer

Rapid onset and short duration with no reversal agent available

Answer

Propofol acts and clears quickly but has no pharmacologic antagonist, so airway support is the only rescue.

Question 2

A patient reports an allergy to eggs and soy. Which sedation agent warrants discussion with the provider?

Accepted Answer

Propofol

Answer

Propofol is formulated in a lipid emulsion containing egg lecithin and soybean oil, which may concern patients with these allergies.

Question 3

Which criterion on the Aldrete score must a patient meet before discharge from the endoscopy recovery area?

Accepted Answer

Stable vital signs, adequate oxygen saturation, and return to baseline consciousness

Answer

The Aldrete score assesses activity, respiration, circulation, consciousness, and oxygen saturation for discharge readiness.

Question 4

What discharge instruction is essential for a patient who received moderate sedation?

Accepted Answer

Do not drive, operate machinery, or make legal decisions for 24 hours

Answer

Residual sedative effects impair judgment and coordination for up to 24 hours after moderate sedation.

Question 5

During EGD, a sedated patient begins vomiting. What is the nurse's immediate priority?

Accepted Answer

Position the patient laterally and suction the airway

Answer

Lateral positioning and suction protect the airway from aspiration, the most immediate life threat.

Certified Gastroenterology RN Practice Test