Certified Gastroenterology RN Pre and Post-Procedure Care 2

Question 1

A patient scheduled for colonoscopy at 10 AM asks when to take the second half of a split-dose bowel prep. What should the nurse advise?

Accepted Answer

Complete it 4-6 hours before the procedure

Answer

Split-dose prep is most effective when the second dose is finished 4-6 hours before the procedure, improving mucosal visualization.

Question 2

Before an EGD with moderate sedation, which patient statement requires the nurse to notify the provider?

Accepted Answer

"I ate a full breakfast an hour ago"

Answer

A recent full meal violates fasting guidelines and creates a significant aspiration risk during sedation.

Question 3

A patient on warfarin is scheduled for polypectomy. The nurse should verify that which action was taken?

Accepted Answer

Anticoagulation management was addressed per provider orders

Answer

High-bleeding-risk procedures like polypectomy require a provider-directed anticoagulation plan, often holding warfarin about 5 days with possible bridging.

Question 4

Which finding in the recovery area after colonoscopy with polypectomy most warrants immediate provider notification?

Accepted Answer

Abdominal distension with rigidity and severe pain

Answer

Rigidity, distension, and severe pain suggest perforation, a surgical emergency.

Question 5

What is the primary purpose of the Aldrete score in post-procedure care?

Accepted Answer

To determine readiness for discharge from recovery after sedation

Answer

The Aldrete score evaluates activity, respiration, circulation, consciousness, and oxygen saturation to determine recovery from sedation.

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Pre and Post-Procedure Care 2