Certified Gastroenterology RN Patient Assessment and Education 4

Question 1

A patient with a new ileostomy asks why output must be monitored closely in the first weeks. The nurse's best response is based on which risk?

Accepted Answer

High-volume liquid output can cause dehydration and electrolyte imbalance

Answer

Ileostomy effluent is liquid and high in sodium and water, placing new ostomates at high risk for dehydration.

Question 2

During assessment, the nurse notes a positive Murphy's sign. This finding is most associated with which condition?

Accepted Answer

Acute cholecystitis

Answer

Murphy's sign, inspiratory arrest during palpation of the right upper quadrant, indicates gallbladder inflammation.

Question 3

Which instruction should the nurse include when teaching a patient to collect a fecal immunochemical test (FIT) at home?

Accepted Answer

Collect the sample as directed and return it promptly; no dietary restrictions are required

Answer

FIT detects human globin specifically, so unlike guaiac testing it requires no dietary or most medication restrictions.

Question 4

A patient with inflammatory bowel disease starting infliximab requires which assessment before the first dose?

Accepted Answer

Screening for latent tuberculosis and hepatitis B

Answer

Anti-TNF agents can reactivate latent TB and hepatitis B, so screening is mandatory before initiation.

Question 5

The nurse is teaching a patient with diverticulosis about long-term dietary management. Which recommendation is appropriate?

Accepted Answer

Eat a high-fiber diet with adequate fluid intake

Answer

Current evidence supports high fiber and fluids for diverticulosis; routine avoidance of nuts and seeds is no longer recommended.

Certified Gastroenterology RN Practice Test