Certified Gastroenterology RN Exam Prep - Question List

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46.

Tommy, a client diagnosed with diabetes mellitus type II, is asked by his physician to undergo hemoglobin A1c testing every three months. Tommy asks the nurse about the significance of this test. The nurse correctly responds that hemoglobin A1c testing does not:

  1. Test the client's compliance with medications
  2. Test the client's compliance with diet
  3. Test the client compliance with his exercise regimen
  4. Test the client's disease progression
47. A patient is scheduled for a barium enema. Pre-procedure instructions and actions include the following except:
  1. Cleansing enemas on the morning of the examination
  2. NPO after midnight before the day of the examination
  3. A soft diet for 1 to 2 days before the test
  4. A clear liquid diet and laxative on the evening before the test
48.

A nurse is assessing a client who is having a blood transfusion. The blood transfusion was ordered after the laboratory test revealed a hemoglobin level of nine g/dL While transfusing the first unit of blood, the client complained of flank pain. The client's blood pressure is dropping and the heart rate is racing. These symptoms indicate:

  1. Delayed hemolytic reaction
  2. Anaphylactic reaction
  3. Febrile reaction
  4. Acute hemolytic reaction
49.

When draining a client's ileostomy bag and changing the dressings, the nurse should use which of the following protective measures?

  1. Sterile gloves, sterile mask, gown
  2. Double gloves, goggles, mask, gown
  3. Goggles, gown, booties and mask
  4. Sterile and clean gloves, mask, gown
50.

A nurse is assigned to a 25-year-old woman scheduled for therapeutic termination of pregnancy due to a recently discovered heart condition of the mother. The nurse refuses to care for this client because of a conflict in religious beliefs. How should the charge nurse handle this situation?

  1. Insist that the nurse accept the delegated task.
  2. Ask the nurse to set aside her beliefs for the sake of nursing care.
  3. Assign the nurse to another client.
  4. Ask the nurse to document her refusal in the client's chart.

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