Certified Gastroenterology RN Patient Assessment and Education 3

Question 1

A patient preparing for a capsule endoscopy asks what to expect. Which teaching point is correct?

Accepted Answer

You will swallow a pill-sized camera that transmits images as it passes through the small bowel

Answer

Capsule endoscopy uses a swallowed wireless camera to image the small intestine, and the disposable capsule passes naturally.

Question 2

Which assessment finding in a patient with acute pancreatitis suggests retroperitoneal bleeding?

Accepted Answer

Bluish discoloration around the umbilicus (Cullen's sign)

Answer

Cullen's sign (periumbilical ecchymosis) and Grey Turner's sign (flank ecchymosis) indicate hemorrhagic pancreatitis.

Question 3

When teaching a patient with celiac disease about diet, which hidden source of gluten should the nurse highlight?

Accepted Answer

Soy sauce and some salad dressings

Answer

Many soy sauces and processed condiments contain wheat, making them hidden gluten sources.

Question 4

A patient is scheduled for an esophagogastroduodenoscopy (EGD) with moderate sedation. Which pre-procedure instruction is essential?

Accepted Answer

Remain NPO for at least 6-8 hours before the procedure

Answer

An empty stomach is required for EGD to allow visualization and reduce aspiration risk during sedation.

Question 5

The nurse assesses a patient 2 hours after a colonoscopy with polypectomy. Which finding requires immediate provider notification?

Accepted Answer

Severe abdominal pain with a rigid, distended abdomen

Answer

Severe pain with rigidity and distention suggests bowel perforation, a post-polypectomy emergency.

Certified Gastroenterology RN Practice Test