CGRN Managing Adverse Events 2

Question 1

A patient develops subcutaneous emphysema in the neck after upper endoscopy. What complication should be suspected?

Accepted Answer

Esophageal perforation

Answer

Pneumothorax

Answer

Allergic reaction to sedation

Answer

Mucosal tear without perforation

Question 2

What is the recommended reversal agent for midazolam oversedation during endoscopy?

Accepted Answer

Flumazenil

Answer

Naloxone

Answer

Atropine

Answer

Epinephrine

Question 3

A patient develops severe abdominal pain, rigidity, and free air on X-ray after colonoscopy with polypectomy. What is the diagnosis?

Accepted Answer

Colonic perforation

Answer

Post-polypectomy syndrome

Answer

Acute pancreatitis

Answer

Ileus

Question 4

During ERCP, the patient develops severe epigastric pain radiating to the back with elevated lipase. What complication has occurred?

Accepted Answer

Post-ERCP pancreatitis

Answer

Cholangitis

Answer

Duodenal perforation

Answer

Sphincter of Oddi spasm

Question 5

A patient desaturates to 85% during moderate sedation. What is the appropriate nursing response?

Accepted Answer

Perform jaw thrust, increase O2, stimulate the patient, and notify the physician

Answer

Administer reversal agents immediately

Answer

Stop the procedure and call a code

Answer

Increase sedation to prevent movement

Question 6

Which electrolyte imbalance is most common after bowel preparation?

Accepted Answer

Hyponatremia

Answer

Hyperkalemia

Answer

Hypercalcemia

Answer

Hypermagnesemia