Practice Quiz

CGRN GI/Endoscopy Practice Exam - Question List

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1. Which nursing intervention is essential for a client following an upper gastrointestinal endoscopy?
  1. Assessment of the pedal pulses
  2. Assessment of the gag reflex
  3. Monitoring for blood pressure
  4. Assessment of the respiratory rate
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2. A client with a perforated bowel is scheduled for emergency surgery. The nurse finds out that the client could not sign the consent form due to sedation induced by the administration of narcotic analgesics. The nurse’s most appropriate action is to:
  1. Call the client’s family to obtain consent, and have it witnessed by two individuals
  2. Give the consent herself, and ask two individuals to be the witnesses
  3. Send the client to surgery without an informed consent
  4. Ask the physician to sign the consent and stand as one of the witnesses
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3. A nurse is caring for a client who was ordered to receive an enema before a colonoscopy. Which of the following is the least important to determine before performing the procedure:
  1. Assess whether the client has sphincter control.
  2. Assess whether the client can tolerate sitting up.
  3. Assess if the client can tolerate a left lateral position.
  4. Assess the abdomen.
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4. The nurse has given postprocedure instructions to a client who has undergone a colonoscopy. Which statement by the client indicates the need for further teaching?
  1. “It is normal to feel gassy or bloated after the procedure.”
  2. “The abdominal muscles may be tender from the procedure.”
  3. “It is alright to drive once I’ve been home for an hour or so.”
  4. “Intake should be light at first and the progress.”
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5. Mr. Mitchell, a 61-year-old retired banker, is diagnosed with cancer and has been immunocompromised and malnourished due to decreased intake because of nausea, anorexia, and a feeling of fullness. A Salem sump tube had been draining the stomach and has been discontinued. The initial nursing action to manage malnutrition would be:
  1. Teach the client about total parenteral nutrition (TPN)
  2. Assist with insertion of a PEG tube
  3. Give an antiemetic before serving small, frequent meals
  4. Give an aluminum hydroxide antacid with meals
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