Certified Gastroenterology RN Exam Prep - Question List

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1.

A patient presents with left lower quadrant abdominal pain that increases with coughing and straining, fever, flatulence, and abdominal distention. Altered bowel habits are also reported. Physical examination reveals a palpable tender rectal mass. CT scan reveals inflammation of outpouchings of the sigmoid colon's intestinal mucosa. The patient is most likely diagnosed with:

  1. Crohn's disease
  2. Diverticulitis
  3. Ulcerative colitis
  4. Appendicitis
2. A 38-year-old woman presents with melena and a burning pain in the mid-epigastric area two to four hours after eating. Abdominal pain is also reported during night time. Pain is usually relieved by food intake. The patient has a diagnosis of:
  1. Dumping syndrome
  2. Gastric ulcer
  3. Duodenal ulcer
  4. Chronic gastritis
3.

A nurse is performing passive range of motion exercises on a client who had a lacunar cerebrovascular accident nine days ago. While moving the left arm, the affected extremity, the nurse notes muscular spasticity. What is the nurse's next action?

  1. Notify the physician
  2. Continue with the range of motion exercises
  3. Apply gentle pressure on the spastic part
  4. Administer PRN pain medication, if there is any
4. An elderly patient is prescribed with docusate sodium. The therapeutic action of the drug is achieved if the client is experiencing:
  1. Softer stools during bowel movements
  2. Reduction of steatorrhea
  3. Relief of abdominal pain
  4. Relief of diarrhea
5. Janis Long, an 88-year-old client, is in an advanced stage of dementia. On a particularly busy day, the nurse decides to fit a bed exit safety monitoring device on the client. The following statements are benefits of this device, except:
  1. Safely limits the mobility of the client
  2. Decreases the risk of client falls
  3. Alerts the nurse if the client is attempting to get out of bed
  4. Prevents nighttime wandering

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