opy/GI Lab A Relias Exam Questions with Correct Answers & Rationale Latest Update (2026/2027) Guaranteed Pass
OBJECTIVE ASSESSMENT - EXAM
RN - Endoscopy/GI Lab A
Relias Exam
Questions with Correct Answers & Rationale
Latest Update (2026/2027) — Guaranteed Pass
A+ Verified 2026/2027 80%
Exam Quality Edition Passing Score
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Pre-Procedure Assessment & Patient Preparation
Section 2: Endoscopic Procedures & Techniques
Section 3: Sedation, Anesthesia & Monitoring
Section 4: Post-Procedure Care & Complications
Section 5: Infection Control, Safety & Equipment
EXAM OVERVIEW
This examination assesses competency in endoscopy and GI lab nursing, covering pre-procedure
assessment, endoscopic procedures, sedation and monitoring, post-procedure care, and infection
control. Each question presents a realistic clinical scenario requiring application of nursing
knowledge to ensure patient safety and optimal outcomes.
Exam Format: 50 multiple-choice questions | Passing Score: 80% (40/50)
Bloom's Taxonomy Level: Application/Analysis
Instructions: Read each question carefully. Select the best answer from the four options provided.
Each correct answer is followed by a rationale explaining the clinical reasoning.
Section 1: Pre-Procedure Assessment & Patient Preparation
Question 1
A 68-year-old patient is scheduled for an elective upper endoscopy (EGD) in the morning. During the
pre-procedure assessment, the nurse notes the patient took their prescribed aspirin 81 mg and clopidogrel 75
mg this morning. The patient has a history of coronary artery disease with drug-eluting stents placed 14
months ago. What is the nurse's priority action before the procedure begins?
A. Proceed with the EGD as scheduled since the stents are over 12 months old
B. Contact the physician immediately to discuss antiplatelet management
C. Administer a proton pump inhibitor to reduce bleeding risk
D. Reschedule the procedure for 7 days after stopping both medications
Correct Answer: B
Rationale:
Patients with drug-eluting stents on dual antiplatelet therapy require individualized assessment of bleeding versus
thrombosis risk. The nurse must contact the physician to determine if temporary discontinuation is appropriate. Option A
is unsafe without physician consultation. Option C does not address the immediate concern. Option D assumes both
medications must be stopped, which may not be necessary or safe given the stent history.
, RN - Endoscopy/GI Lab A Relias Exam 2026/2027
Question 2
A 54-year-old patient with a history of mitral valve replacement is scheduled for a screening colonoscopy. The
pre-procedure nurse is reviewing the patient's medication list and notes warfarin 5 mg daily. According to
endoscopy guidelines, what is the most appropriate nursing action regarding anticoagulation management?
A. Instruct the patient to continue warfarin without interruption
B. Hold warfarin for 5 days and bridge with low molecular weight heparin
C. Verify the INR level and confirm bridging protocol with the ordering physician
D. Administer vitamin K the night before to reverse anticoagulation
Correct Answer: C
Rationale:
For patients with mechanical heart valves on warfarin undergoing colonoscopy, anticoagulation management must be
individualized based on INR, procedural bleeding risk, and thromboembolic risk. The nurse should verify the current INR
and confirm the bridging plan with the physician. Option A may be appropriate for some low-risk procedures but requires
confirmation. Option B assumes bridging is always needed. Option D is inappropriate as it causes prolonged reversal.
Question 3
During pre-procedure screening for an outpatient EGD, a patient reports a shellfish allergy that caused hives
and throat swelling 3 years ago. The patient asks if this allergy will affect the procedure. What is the nurse's
most accurate response?
A. The procedure must be canceled because iodinated contrast may be used
B. Shellfish allergy does not contraindicate endoscopy as no contrast is typically used
C. Pre-medication with corticosteroids and antihistamines is mandatory before the procedure
D. The patient should undergo allergy desensitization before any endoscopic procedure
Correct Answer: B
Rationale:
Shellfish allergy is not a contraindication to upper endoscopy because standard EGD does not involve iodinated contrast
agents. The allergy is relevant only if contrast-enhanced imaging is planned. Option A incorrectly assumes contrast is
used. Option C is unnecessary for routine EGD. Option D is excessive and not standard practice.
Question 4
A 45-year-old patient presents for a scheduled colonoscopy. The pre-procedure nurse assesses the patient's
bowel preparation and finds the patient has passed clear yellow liquid with minimal particulate matter. The
patient reports following the split-dose polyethylene glycol preparation exactly as directed. How should the
nurse document and proceed?
A. Document inadequate preparation and reschedule the procedure
B. Document adequate preparation and proceed with the colonoscopy
C. Administer an additional 1 liter of preparation solution and reassess in 2 hours
D. Contact the endoscopist to determine if the preparation is sufficient
Correct Answer: B
Rationale:
Clear yellow liquid with minimal particulate matter indicates adequate bowel preparation according to the Boston Bowel
Preparation Scale and standard clinical guidelines. This allows adequate mucosal visualization. Option A is incorrect
because the preparation is adequate. Option C is unnecessary and may cause patient discomfort. Option D delays an
appropriately prepared case.
OBJECTIVE ASSESSMENT - EXAM
RN - Endoscopy/GI Lab A
Relias Exam
Questions with Correct Answers & Rationale
Latest Update (2026/2027) — Guaranteed Pass
A+ Verified 2026/2027 80%
Exam Quality Edition Passing Score
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Pre-Procedure Assessment & Patient Preparation
Section 2: Endoscopic Procedures & Techniques
Section 3: Sedation, Anesthesia & Monitoring
Section 4: Post-Procedure Care & Complications
Section 5: Infection Control, Safety & Equipment
EXAM OVERVIEW
This examination assesses competency in endoscopy and GI lab nursing, covering pre-procedure
assessment, endoscopic procedures, sedation and monitoring, post-procedure care, and infection
control. Each question presents a realistic clinical scenario requiring application of nursing
knowledge to ensure patient safety and optimal outcomes.
Exam Format: 50 multiple-choice questions | Passing Score: 80% (40/50)
Bloom's Taxonomy Level: Application/Analysis
Instructions: Read each question carefully. Select the best answer from the four options provided.
Each correct answer is followed by a rationale explaining the clinical reasoning.
Section 1: Pre-Procedure Assessment & Patient Preparation
Question 1
A 68-year-old patient is scheduled for an elective upper endoscopy (EGD) in the morning. During the
pre-procedure assessment, the nurse notes the patient took their prescribed aspirin 81 mg and clopidogrel 75
mg this morning. The patient has a history of coronary artery disease with drug-eluting stents placed 14
months ago. What is the nurse's priority action before the procedure begins?
A. Proceed with the EGD as scheduled since the stents are over 12 months old
B. Contact the physician immediately to discuss antiplatelet management
C. Administer a proton pump inhibitor to reduce bleeding risk
D. Reschedule the procedure for 7 days after stopping both medications
Correct Answer: B
Rationale:
Patients with drug-eluting stents on dual antiplatelet therapy require individualized assessment of bleeding versus
thrombosis risk. The nurse must contact the physician to determine if temporary discontinuation is appropriate. Option A
is unsafe without physician consultation. Option C does not address the immediate concern. Option D assumes both
medications must be stopped, which may not be necessary or safe given the stent history.
, RN - Endoscopy/GI Lab A Relias Exam 2026/2027
Question 2
A 54-year-old patient with a history of mitral valve replacement is scheduled for a screening colonoscopy. The
pre-procedure nurse is reviewing the patient's medication list and notes warfarin 5 mg daily. According to
endoscopy guidelines, what is the most appropriate nursing action regarding anticoagulation management?
A. Instruct the patient to continue warfarin without interruption
B. Hold warfarin for 5 days and bridge with low molecular weight heparin
C. Verify the INR level and confirm bridging protocol with the ordering physician
D. Administer vitamin K the night before to reverse anticoagulation
Correct Answer: C
Rationale:
For patients with mechanical heart valves on warfarin undergoing colonoscopy, anticoagulation management must be
individualized based on INR, procedural bleeding risk, and thromboembolic risk. The nurse should verify the current INR
and confirm the bridging plan with the physician. Option A may be appropriate for some low-risk procedures but requires
confirmation. Option B assumes bridging is always needed. Option D is inappropriate as it causes prolonged reversal.
Question 3
During pre-procedure screening for an outpatient EGD, a patient reports a shellfish allergy that caused hives
and throat swelling 3 years ago. The patient asks if this allergy will affect the procedure. What is the nurse's
most accurate response?
A. The procedure must be canceled because iodinated contrast may be used
B. Shellfish allergy does not contraindicate endoscopy as no contrast is typically used
C. Pre-medication with corticosteroids and antihistamines is mandatory before the procedure
D. The patient should undergo allergy desensitization before any endoscopic procedure
Correct Answer: B
Rationale:
Shellfish allergy is not a contraindication to upper endoscopy because standard EGD does not involve iodinated contrast
agents. The allergy is relevant only if contrast-enhanced imaging is planned. Option A incorrectly assumes contrast is
used. Option C is unnecessary for routine EGD. Option D is excessive and not standard practice.
Question 4
A 45-year-old patient presents for a scheduled colonoscopy. The pre-procedure nurse assesses the patient's
bowel preparation and finds the patient has passed clear yellow liquid with minimal particulate matter. The
patient reports following the split-dose polyethylene glycol preparation exactly as directed. How should the
nurse document and proceed?
A. Document inadequate preparation and reschedule the procedure
B. Document adequate preparation and proceed with the colonoscopy
C. Administer an additional 1 liter of preparation solution and reassess in 2 hours
D. Contact the endoscopist to determine if the preparation is sufficient
Correct Answer: B
Rationale:
Clear yellow liquid with minimal particulate matter indicates adequate bowel preparation according to the Boston Bowel
Preparation Scale and standard clinical guidelines. This allows adequate mucosal visualization. Option A is incorrect
because the preparation is adequate. Option C is unnecessary and may cause patient discomfort. Option D delays an
appropriately prepared case.
