Certified Gastroenterology RN Pre and Post-Procedure Care 5

Question 1

A patient scheduled for colonoscopy reports taking a GLP-1 receptor agonist weekly. Why is this significant for pre-procedure planning?

Accepted Answer

Delayed gastric emptying may increase aspiration risk under sedation

Answer

GLP-1 agonists slow gastric emptying, so retained gastric contents can raise aspiration risk and may require medication holds or extended fasting.

Question 2

The nurse is verifying pre-procedure requirements. Which element belongs in the time-out immediately before endoscopy begins?

Accepted Answer

Confirmation of patient identity, procedure, and site

Answer

The universal protocol time-out verifies correct patient, correct procedure, and correct site before starting.

Question 3

Two hours after a liver biopsy performed during an endoscopic workup, the patient is hypotensive and tachycardic with right shoulder pain. What should the nurse suspect?

Accepted Answer

Intraperitoneal hemorrhage

Answer

Hypotension, tachycardia, and referred right shoulder pain after liver biopsy indicate possible bleeding from the biopsy site.

Question 4

A patient who had a hemostatic clip placed during colonoscopy asks about MRI scheduled next week. What is the best nursing response?

Accepted Answer

"Notify the MRI team about the clip; timing and clip type determine safety"

Answer

Endoscopic clip MRI compatibility depends on the device and how recently it was placed, so the imaging team must be informed.

Question 5

Which post-procedure instruction is correct for a patient after band ligation of esophageal varices?

Accepted Answer

Follow the ordered diet progression and report vomiting blood or black stools at once

Answer

Post-banding patients need gradual diet advancement and must report signs of rebleeding immediately.

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Pre and Post-Procedure Care 5