CGRN - Certified Gastroenterology Registered Nurse Upper Endoscopy Procedures Questions and Answers

Question 1

A patient is undergoing an upper endoscopy with biopsy. Which of the following is an absolute contraindication for this procedure?

Accepted Answer

Suspected bowel perforation

Answer

Recent myocardial infarction

Answer

Severe coagulopathy

Answer

Patient refusal

Question 2

A 58-year-old male is scheduled for an EGD to evaluate dysphagia. He has a history of type 2 diabetes and takes metformin. Which pre-procedure instruction by the CGRN is most appropriate?

Accepted Answer

"You must arrange for a responsible adult to drive you home after the procedure."

Answer

"Take your metformin with a small sip of water the morning of the procedure."

Answer

"You can eat a light breakfast, but stop all liquids 4 hours before the EGD."

Answer

"Discontinue your aspirin for one day before the procedure."

Question 3

During an upper endoscopy, the gastroenterologist visualizes the junction between the pale esophageal mucosa and the reddish-pink gastric mucosa. The CGRN identifies this landmark as the:

Accepted Answer

Z-line (ora serrata)

Answer

Pyloric sphincter

Answer

Ampulla of Vater

Answer

Ligament of Treitz

Question 4

A patient in the recovery area following an EGD with polypectomy begins to complain of a new-onset, sharp, substernal chest pain that worsens with swallowing. The patient's vital signs are: BP 100/60, HR 115, RR 22, Temp 100.8°F. The nurse's immediate priority is to suspect which complication?

Accepted Answer

Esophageal perforation

Answer

Aspiration pneumonia

Answer

Myocardial infarction

Answer

Post-sedation delirium

Question 5

Which of the following is a primary nursing responsibility in the post-procedure care of a patient who received moderate sedation for an upper endoscopy?

Accepted Answer

Monitoring respiratory status and level of consciousness.

Answer

Providing a full meal to assess for nausea.

Answer

Ambulating the patient immediately to promote gas expulsion.

Answer

Administering opioid analgesics for a sore throat.

Question 6

A patient is being prepared for an EGD. The nurse confirms that informed consent has been obtained. Which element is essential for the consent to be considered valid?

Accepted Answer

The patient was able to explain the procedure and its risks in their own words.

Answer

The patient's signature was witnessed by two healthcare providers.

Answer

The consent form was signed the day before the procedure.

Answer

A family member co-signed the consent form.