CGRN Patient Assessment and Monitoring 2

Question 1

Which assessment finding would most likely lead to a higher ASA physical status classification?

Accepted Answer

Severe COPD requiring home oxygen

Answer

BMI of 24

Answer

Well-controlled type 2 diabetes

Answer

History of appendectomy 10 years ago

Question 2

During moderate sedation, which Ramsay Sedation Scale level indicates the target depth?

Accepted Answer

Level 3 — responds to commands only

Answer

Level 1 — anxious and agitated

Answer

Level 2 — cooperative, tranquil

Answer

Level 5 — sluggish response to light stimulation

Question 3

A patient with a Mallampati score of IV is scheduled for upper endoscopy. What does this indicate?

Accepted Answer

Potentially difficult airway management if intervention is needed

Answer

Low aspiration risk

Answer

No sedation is needed

Answer

The procedure should be cancelled

Question 4

What is the minimum monitoring requirement during the recovery phase after moderate sedation?

Accepted Answer

Vital signs every 5 minutes until discharge criteria are met

Answer

Pulse oximetry until discharge

Answer

Heart rate monitoring only

Answer

No monitoring required once the procedure ends

Question 5

Which laboratory value is most important before endoscopic variceal band ligation?

Accepted Answer

Platelet count and INR/coagulation studies

Answer

Serum albumin

Answer

Hemoglobin A1C

Answer

Serum creatinine

Question 6

A patient with obstructive sleep apnea needs colonoscopy with moderate sedation. What monitoring modification is recommended?

Accepted Answer

Continuous capnography in addition to standard monitoring

Answer

No modifications needed

Answer

Deeper sedation to prevent airway obstruction

Answer

Only local anesthesia without sedation