Certified Gastroenterology RN Moderate Sedation and Anesthesia 5

Question 1

A sedated patient develops laryngospasm during endoscopy. Which early intervention should the nurse anticipate?

Accepted Answer

Positive pressure ventilation with 100% oxygen and jaw thrust

Answer

Gentle positive pressure with 100% oxygen and airway repositioning often breaks laryngospasm before paralytics are needed.

Question 2

Which monitoring parameter set is the minimum standard during moderate sedation for endoscopy?

Accepted Answer

Heart rate, blood pressure, respiratory rate, oxygen saturation, and level of consciousness

Answer

Standards require continuous oximetry and heart rate with intermittent blood pressure, respirations, and responsiveness checks.

Question 3

A patient taking daily high-dose opioids for chronic pain is undergoing sedation. What response to standard dosing should the nurse anticipate?

Accepted Answer

Tolerance requiring higher or adjusted medication doses for adequate sedation

Answer

Chronic opioid users develop tolerance and often need adjusted dosing, though respiratory depression risk remains.

Question 4

Fentanyl is preferred over morphine for GI procedural sedation primarily because it has:

Accepted Answer

Rapid onset, short duration, and minimal histamine release

Answer

Fentanyl's quick onset, brief duration, and hemodynamic stability suit short endoscopic procedures.

Question 5

A patient becomes paradoxically agitated and combative after receiving midazolam. What should the nurse suspect?

Accepted Answer

A paradoxical reaction to the benzodiazepine

Answer

Benzodiazepines occasionally cause paradoxical agitation, especially in children and the elderly.

Certified Gastroenterology RN Practice Test