CGRN EXAM PREP QUESTIONS AND ANSWERS
Chapter 1: The Gastroenterology Nurse and Associate
The first recorded gastrointestinal assistant was:
A. Florence Nightingale
B. Frances Reiter
C. Gabriele Schindler
D. BC Charaka - Answers -C. Gabriele Schindler
Chapter 1: The Gastroenterology Nurse and Associate
The individual who first developed the fiberoptic telescope used for gastroenterology
procedures was:
A. Hippocrates
B. Hopkins
C. Schindler
D. Baird - Answers -B. Hopkins
Chapter 1: The Gastroenterology Nurse and Associate
During what period was medicine so far advanced that they had what is equivalent to
today's subspecialties?
A. Egyptians
B. Pre-Christian era
C. Middle Ages
D. Greeks and Romans - Answers -A. Egyptians
Chapter 1: The Gastroenterology Nurse and Associate
The rationale for the rapid adoption of fiberoptic instruments includes:
A. Simplicity, ease of use and patient safety
B. Complex lens system and noncoherent bundles
C. Perfect imaging and ease of use
D. Combination of noncoherent bundles and coherent bundles to make a perfect image
- Answers -A. Simplicity, ease of use and patient safety
Chapter 1: The Gastroenterology Nurse and Associate
The first Society of Gastrointestinal Assistants (SGA) was formed in what year?
A. 1968
B. 1976
C. 1972
D. 1974 - Answers -D. 1974
Chapter 1: The Gastroenterology Nurse and Associate
,The practice of gastroenterology nursing requires application of the nursing process.
The components include:
A. Communication, planning, evaluation, follow-up
B. Assessment, planning, implementation, evaluation
C. Interviewing, observing, communicating, listening
D. Assessment, planning, evaluation, follow-up - Answers -B. Assessment, planning,
implementation, evaluation
Chapter 3: Infection Control
Reprocessing of an ERCP scope requires:
A. Brushing of distal tip with the elevator up and down (during pre-cleaning)
B. Possible manual reprocessing of the elevator channel (if automated reprocessor
pressure is not sufficient to access)
C. A & B - Answers -C. A & B
Chapter 3: Infection Control
The statement that best describes the SGNA position on reprocessing of single-use
accessory equipment is:
A. Reprocessing is accepted by the FDA as long as third-party processors are
registered
B. Critical medical devises originally manufactured and labeled for single-use should not
be reused - Answers -B. Critical medical devises originally manufactured and labeled for
single-use should not be reused
Chapter 3: Infection Control
The agency which regulated liquid chemical disinfectants for medical devices is:
A. CDC
B. OSHA
C. FDA
D. EPA - Answers -D. EPA
Chapter 3: Infection Control
Safe Medical Device Act of 1990 is under the jurisdiction of:
A. FDA
B. CDC
C. ASTM
D. EPA - Answers -A. FDA
Chapter 3: Infection Control
According to Spaulding's classifications as endoscope is:
,A. Non-critical item
B. Semi-critical item
C. Critical item - Answers -B. Semi-critical item
Chapter 3: Infection Control
The first four steps for reprocessing flexible endoscopes are:
A. Precleaning, manual cleaning, rinse after cleaning, high-level disinfection
B. Precleaning, leak testing, rinse after cleaning, drying
C. Precleaning, leak testing, manual cleaning, rinse after cleaning
D. Leak testing, rinse after cleaning, drying, storage - Answers -C. Precleaning, leak
testing, manual cleaning, rinse after cleaning
Chapter 3: Infection Control
Visual inspection is safety stop to ensure the endoscope is visually clean before
proceeding to the next step of high-level disinfection.
A. True
B. False - Answers -A. True
Chapter 3: Infection Control
PPE includes:
A. Impermeable gowns
B. Gloves
C. Protective eyewear
D. Mask
E. All of the above - Answers -E. All of the above
Chapter 4: Environmental Safety
An electrical fire that does not involve the patient directly should be handled by:
A. Using a Halon extinguisher
B. Throwing water on it
C. Suffocation with a fire blanket
D. Running from the room - Answers -A. Using a Halon extinguisher
Chapter 4: Environmental Safety
When out of use, an ESU device should:
A. Be set down on a drape
B. Be placed in a safe location
C. Remain in the endoscopist's hand
D. Be handed to an assistant - Answers -B. Be placed in a safe location
Chapter 4: Environmental Safety
, To avoid accidental injuries to patients and personnel when a laser is in use, it is
important to:
A. Us protective eyewear
B. Post "Laser in Use" signs
C. Use nonreflective instruments
D. All of the above - Answers -D. All of the above
Chapter 4: Environmental Safety
For laser procedures, the optical density of the protective eyewear used is determined
by:
A. The physician's preference
B. The procedure that will be performed
C. Institutional policies and procedures
D. The wavelength of the laser being used - Answers -D. The wavelength of the laser
being used
Chapter 4: Environmental Safety
When ionizing radiation is in use, pregnant healthcare workers should:
A. Wear a lead-lined apron, thyroid collar and protective eyewear in accordance with
institutional guidelines
B. Wear a film badge
C. Limit the dose to the embryo or fetus to 0.5 rem (500m rem) over the entire
pregnancy, with a uniform monthly exposure rate to the embryo/fetus of not more than
50m rem/month
D. All of the above - Answers -C. Limit the dose to the embryo or fetus to 0.5 rem (500m
rem) over the entire pregnancy, with a uniform monthly exposure rate to the
embryo/fetus of not more than 50m rem/month
Chapter 4: Environmental Safety
If a piece of electrical equipment malfunctions, it should be:
A. Fixed by gastroenterology personnel
B. Removed from service and reported according to institutional policy
C. Report to the FDA
D. Both B and C - Answers -D. Both B and C
Chapter 4: Environmental Safety
If glutaraldehyde accidentally comes in contact with a healthcare worker's skin, he or
she should:
A. Wash the area thoroughly
B. Rinse the area with water only
C. Apply burn ointment
Chapter 1: The Gastroenterology Nurse and Associate
The first recorded gastrointestinal assistant was:
A. Florence Nightingale
B. Frances Reiter
C. Gabriele Schindler
D. BC Charaka - Answers -C. Gabriele Schindler
Chapter 1: The Gastroenterology Nurse and Associate
The individual who first developed the fiberoptic telescope used for gastroenterology
procedures was:
A. Hippocrates
B. Hopkins
C. Schindler
D. Baird - Answers -B. Hopkins
Chapter 1: The Gastroenterology Nurse and Associate
During what period was medicine so far advanced that they had what is equivalent to
today's subspecialties?
A. Egyptians
B. Pre-Christian era
C. Middle Ages
D. Greeks and Romans - Answers -A. Egyptians
Chapter 1: The Gastroenterology Nurse and Associate
The rationale for the rapid adoption of fiberoptic instruments includes:
A. Simplicity, ease of use and patient safety
B. Complex lens system and noncoherent bundles
C. Perfect imaging and ease of use
D. Combination of noncoherent bundles and coherent bundles to make a perfect image
- Answers -A. Simplicity, ease of use and patient safety
Chapter 1: The Gastroenterology Nurse and Associate
The first Society of Gastrointestinal Assistants (SGA) was formed in what year?
A. 1968
B. 1976
C. 1972
D. 1974 - Answers -D. 1974
Chapter 1: The Gastroenterology Nurse and Associate
,The practice of gastroenterology nursing requires application of the nursing process.
The components include:
A. Communication, planning, evaluation, follow-up
B. Assessment, planning, implementation, evaluation
C. Interviewing, observing, communicating, listening
D. Assessment, planning, evaluation, follow-up - Answers -B. Assessment, planning,
implementation, evaluation
Chapter 3: Infection Control
Reprocessing of an ERCP scope requires:
A. Brushing of distal tip with the elevator up and down (during pre-cleaning)
B. Possible manual reprocessing of the elevator channel (if automated reprocessor
pressure is not sufficient to access)
C. A & B - Answers -C. A & B
Chapter 3: Infection Control
The statement that best describes the SGNA position on reprocessing of single-use
accessory equipment is:
A. Reprocessing is accepted by the FDA as long as third-party processors are
registered
B. Critical medical devises originally manufactured and labeled for single-use should not
be reused - Answers -B. Critical medical devises originally manufactured and labeled for
single-use should not be reused
Chapter 3: Infection Control
The agency which regulated liquid chemical disinfectants for medical devices is:
A. CDC
B. OSHA
C. FDA
D. EPA - Answers -D. EPA
Chapter 3: Infection Control
Safe Medical Device Act of 1990 is under the jurisdiction of:
A. FDA
B. CDC
C. ASTM
D. EPA - Answers -A. FDA
Chapter 3: Infection Control
According to Spaulding's classifications as endoscope is:
,A. Non-critical item
B. Semi-critical item
C. Critical item - Answers -B. Semi-critical item
Chapter 3: Infection Control
The first four steps for reprocessing flexible endoscopes are:
A. Precleaning, manual cleaning, rinse after cleaning, high-level disinfection
B. Precleaning, leak testing, rinse after cleaning, drying
C. Precleaning, leak testing, manual cleaning, rinse after cleaning
D. Leak testing, rinse after cleaning, drying, storage - Answers -C. Precleaning, leak
testing, manual cleaning, rinse after cleaning
Chapter 3: Infection Control
Visual inspection is safety stop to ensure the endoscope is visually clean before
proceeding to the next step of high-level disinfection.
A. True
B. False - Answers -A. True
Chapter 3: Infection Control
PPE includes:
A. Impermeable gowns
B. Gloves
C. Protective eyewear
D. Mask
E. All of the above - Answers -E. All of the above
Chapter 4: Environmental Safety
An electrical fire that does not involve the patient directly should be handled by:
A. Using a Halon extinguisher
B. Throwing water on it
C. Suffocation with a fire blanket
D. Running from the room - Answers -A. Using a Halon extinguisher
Chapter 4: Environmental Safety
When out of use, an ESU device should:
A. Be set down on a drape
B. Be placed in a safe location
C. Remain in the endoscopist's hand
D. Be handed to an assistant - Answers -B. Be placed in a safe location
Chapter 4: Environmental Safety
, To avoid accidental injuries to patients and personnel when a laser is in use, it is
important to:
A. Us protective eyewear
B. Post "Laser in Use" signs
C. Use nonreflective instruments
D. All of the above - Answers -D. All of the above
Chapter 4: Environmental Safety
For laser procedures, the optical density of the protective eyewear used is determined
by:
A. The physician's preference
B. The procedure that will be performed
C. Institutional policies and procedures
D. The wavelength of the laser being used - Answers -D. The wavelength of the laser
being used
Chapter 4: Environmental Safety
When ionizing radiation is in use, pregnant healthcare workers should:
A. Wear a lead-lined apron, thyroid collar and protective eyewear in accordance with
institutional guidelines
B. Wear a film badge
C. Limit the dose to the embryo or fetus to 0.5 rem (500m rem) over the entire
pregnancy, with a uniform monthly exposure rate to the embryo/fetus of not more than
50m rem/month
D. All of the above - Answers -C. Limit the dose to the embryo or fetus to 0.5 rem (500m
rem) over the entire pregnancy, with a uniform monthly exposure rate to the
embryo/fetus of not more than 50m rem/month
Chapter 4: Environmental Safety
If a piece of electrical equipment malfunctions, it should be:
A. Fixed by gastroenterology personnel
B. Removed from service and reported according to institutional policy
C. Report to the FDA
D. Both B and C - Answers -D. Both B and C
Chapter 4: Environmental Safety
If glutaraldehyde accidentally comes in contact with a healthcare worker's skin, he or
she should:
A. Wash the area thoroughly
B. Rinse the area with water only
C. Apply burn ointment
