Certified Gastroenterology RN Patient Assessment and Education 5

Question 1

A patient scheduled for a colonoscopy at 8 AM asks when to finish the second dose of split-dose bowel prep. The best answer is:

Accepted Answer

Complete it 4 to 6 hours before the procedure, per facility protocol

Answer

Split-dose prep finished 4-6 hours pre-procedure optimizes cleansing quality while meeting sedation fasting requirements.

Question 2

Which assessment finding suggests a patient's bowel prep is adequate for colonoscopy?

Accepted Answer

Stool effluent is clear or light yellow liquid without solid matter

Answer

Clear or light yellow liquid output without particulate matter indicates adequate colonic cleansing.

Question 3

The nurse uses the teach-back method after ostomy education. Which patient action best demonstrates learning?

Accepted Answer

The patient correctly demonstrates emptying and changing the pouch while explaining each step

Answer

Return demonstration with explanation confirms both psychomotor skill and comprehension better than verbal acknowledgment.

Question 4

A patient with GERD reports symptoms worsen at night. Which lifestyle instruction is most appropriate?

Accepted Answer

Elevate the head of the bed 6 to 8 inches and avoid eating within 3 hours of bedtime

Answer

Head-of-bed elevation and avoiding late meals reduce nocturnal reflux by using gravity and minimizing gastric contents.

Question 5

When assessing a patient for dehydration after two days of severe vomiting and diarrhea, which finding is most concerning?

Accepted Answer

Orthostatic hypotension with tachycardia and minimal urine output

Answer

Orthostatic hypotension, tachycardia, and oliguria indicate significant volume depletion requiring prompt intervention.

Certified Gastroenterology RN Practice Test