RN ENDOSCOPY GI LAB
STUDY PRACTICE | 2026/2027
Original Clinical-Practice Questions & Detailed Rationales
75 Question Review Bank for GI/Endoscopy Nursing Concepts
Overview
This independent 2026/2027 study-practice resource contains 75 original nursing questions and detailed
rationales covering endoscopy/GI-lab care. Topics include preparation, intraprocedural monitoring, recovery,
sedation, reprocessing, and complication recognition.
Core Content Areas
• Pre-Procedure Assessment & Preparation: 15 questions
• Intra-Procedure Nursing Care: 15 questions
• Post-Procedure Monitoring & Recovery: 15 questions
• GI Pharmacology & Sedation: 10 questions
• Infection Control & Equipment Reprocessing: 10 questions
• Emergency Management & Complications: 10 questions
Key Features
• Clinical-scenario practice: Original questions focus on assessment, prioritization, communication, and
escalation.
• Safety-centered rationales: Rationales emphasize ABCs, monitoring, scope of practice, facility policy, and
timely provider notification.
• Reprocessing concepts: Includes device IFU, manual cleaning, high-level disinfection, drying, storage, and
traceability.
• Evidence-informed references: Study topics draw on publicly available SGNA, ASGE, CDC, AORN, and
related professional resources; confirm current local policy.
, RN ENDOSCOPY GI LAB STUDY PRACTICE • 2026/2027
Part I — Pre-Procedure Assessment & Preparation
Questions 1–15
Question 1: Before a sedated endoscopy procedure, which action best verifies that the correct
patient is receiving the planned procedure?
A) Ask the patient for room number only
B) Use the facility-approved two-identifier process and compare it with the order and consent
C) Confirm the endoscopist recognizes the patient
D) Review the schedule after the procedure
Correct Answer: B. Use the facility-approved two-identifier process and compare it with the
order and consent
Rationale: Using approved identifiers and matching them to the order and consent is a core patient-safety
step. It should occur before medications, specimen collection, or the procedure begins.
Question 2: A patient says, “I do not understand why I need this procedure,” immediately before
transport. What is the nurse’s best action?
A) Ask the patient to sign the consent anyway
B) Pause preparation and notify the proceduralist so the patient can receive an explanation and ask questions
C) Tell the patient that all procedures are routine
D) Give sedation to reduce anxiety first
Correct Answer: B. Pause preparation and notify the proceduralist so the patient can receive an
explanation and ask questions
Rationale: The nurse should recognize an unresolved consent concern, pause the process, and arrange for the
responsible clinician to address the patient’s questions before the procedure proceeds.
Question 3: Which pre-procedure finding most directly increases aspiration risk during
sedation?
A) Verified adherence to fasting instructions
B) Recent oral intake inconsistent with the planned sedation requirements
C) Use of eyeglasses
D) A normal temperature
Correct Answer: B. Recent oral intake inconsistent with the planned sedation requirements
Rationale: Fasting status is assessed to reduce aspiration risk. If requirements have not been met, the
endoscopy and anesthesia teams must evaluate whether to delay, modify, or proceed under a different plan.
Question 4: Which medication history requires the nurse to communicate with the procedural
team before a planned polypectomy?
A) Use of anticoagulants or antiplatelet agents
B) Use of a daily multivitamin
C) Use of artificial tears
D) Use of topical moisturizer
Correct Answer: A. Use of anticoagulants or antiplatelet agents
Rationale: Antithrombotic medications can affect bleeding risk and must be managed through the prescribed,
procedure-specific plan. The nurse should not independently instruct a patient to stop a medication.
Question 5: What is the priority pre-procedure consideration for a patient with diabetes who is
fasting for colonoscopy?
A) Verify the individualized plan for glucose monitoring, diet, and diabetes medications
B) Automatically hold every diabetes medication
C) Provide a regular meal before transport
D) Avoid checking glucose because the patient is fasting
Correct Answer: A. Verify the individualized plan for glucose monitoring, diet, and diabetes
medications
Rationale: Fasting and bowel preparation can alter glucose control. Care should follow the prescriber’s and
facility’s individualized instructions, including monitoring and medication adjustment.
RN Endoscopy GI Lab Study Practice | 2026/2027 Edition | 75 Original Practice Questions | Page 2
, RN ENDOSCOPY GI LAB STUDY PRACTICE • 2026/2027
Question 6: Which history is especially important to communicate before a procedure that may
use electrosurgery?
A) Presence of a pacemaker or implantable cardioverter-defibrillator
B) History of seasonal allergies only
C) Use of reading glasses
D) Preference for a warm blanket
Correct Answer: A. Presence of a pacemaker or implantable cardioverter-defibrillator
Rationale: Implanted cardiac devices may require procedure-specific planning when electrosurgery is
anticipated. Notify the team and follow the established device-management policy.
Question 7: Why is an airway and sedation-risk assessment performed before an endoscopic
procedure?
A) To determine whether the patient should receive a meal
B) To identify conditions that could increase the risk of airway obstruction, hypoventilation, or adverse sedation
effects
C) To replace the consent process
D) To decide which room will be used
Correct Answer: B. To identify conditions that could increase the risk of airway obstruction,
hypoventilation, or adverse sedation effects
Rationale: Pre-sedation assessment identifies factors such as obstructive sleep apnea, significant
cardiopulmonary disease, difficult airway features, and prior sedation problems so the plan and rescue
resources can be tailored.
Question 8: A patient reports obstructive sleep apnea and uses CPAP at home. What is the most
appropriate nursing action before sedation?
A) Document the history and communicate it to the procedural/anesthesia team
B) Tell the patient the history is unrelated to sedation
C) Cancel the procedure without notifying anyone
D) Remove the history from the chart to reduce anxiety
Correct Answer: A. Document the history and communicate it to the procedural/anesthesia team
Rationale: Obstructive sleep apnea may increase sedation-related airway risk. The team should consider it in
monitoring, recovery, and disposition planning.
Question 9: Which statement about pre-procedure laboratory testing is most accurate?
A) Every endoscopy patient requires the same complete laboratory panel
B) Laboratory testing should be individualized to the patient, procedure, comorbidities, and anticipated
intervention
C) Laboratory values are never relevant to endoscopy
D) Only serum sodium is useful before every procedure
Correct Answer: B. Laboratory testing should be individualized to the patient, procedure,
comorbidities, and anticipated intervention
Rationale: Routine testing is not identical for every patient. Relevant studies may include blood count,
coagulation assessment, renal function, or others depending on clinical indication and planned intervention.
Question 10: For a patient with suspected active gastrointestinal bleeding, which result may be
particularly relevant to communicate before EGD?
A) Hemoglobin and hematocrit trend
B) Hair color
C) Visual-acuity score
D) Dominant hand
Correct Answer: A. Hemoglobin and hematocrit trend
Rationale: Hemoglobin and hematocrit trends help the team assess anemia and possible blood loss in the
context of the patient’s symptoms, hemodynamics, and treatment plan.
RN Endoscopy GI Lab Study Practice | 2026/2027 Edition | 75 Original Practice Questions | Page 3
STUDY PRACTICE | 2026/2027
Original Clinical-Practice Questions & Detailed Rationales
75 Question Review Bank for GI/Endoscopy Nursing Concepts
Overview
This independent 2026/2027 study-practice resource contains 75 original nursing questions and detailed
rationales covering endoscopy/GI-lab care. Topics include preparation, intraprocedural monitoring, recovery,
sedation, reprocessing, and complication recognition.
Core Content Areas
• Pre-Procedure Assessment & Preparation: 15 questions
• Intra-Procedure Nursing Care: 15 questions
• Post-Procedure Monitoring & Recovery: 15 questions
• GI Pharmacology & Sedation: 10 questions
• Infection Control & Equipment Reprocessing: 10 questions
• Emergency Management & Complications: 10 questions
Key Features
• Clinical-scenario practice: Original questions focus on assessment, prioritization, communication, and
escalation.
• Safety-centered rationales: Rationales emphasize ABCs, monitoring, scope of practice, facility policy, and
timely provider notification.
• Reprocessing concepts: Includes device IFU, manual cleaning, high-level disinfection, drying, storage, and
traceability.
• Evidence-informed references: Study topics draw on publicly available SGNA, ASGE, CDC, AORN, and
related professional resources; confirm current local policy.
, RN ENDOSCOPY GI LAB STUDY PRACTICE • 2026/2027
Part I — Pre-Procedure Assessment & Preparation
Questions 1–15
Question 1: Before a sedated endoscopy procedure, which action best verifies that the correct
patient is receiving the planned procedure?
A) Ask the patient for room number only
B) Use the facility-approved two-identifier process and compare it with the order and consent
C) Confirm the endoscopist recognizes the patient
D) Review the schedule after the procedure
Correct Answer: B. Use the facility-approved two-identifier process and compare it with the
order and consent
Rationale: Using approved identifiers and matching them to the order and consent is a core patient-safety
step. It should occur before medications, specimen collection, or the procedure begins.
Question 2: A patient says, “I do not understand why I need this procedure,” immediately before
transport. What is the nurse’s best action?
A) Ask the patient to sign the consent anyway
B) Pause preparation and notify the proceduralist so the patient can receive an explanation and ask questions
C) Tell the patient that all procedures are routine
D) Give sedation to reduce anxiety first
Correct Answer: B. Pause preparation and notify the proceduralist so the patient can receive an
explanation and ask questions
Rationale: The nurse should recognize an unresolved consent concern, pause the process, and arrange for the
responsible clinician to address the patient’s questions before the procedure proceeds.
Question 3: Which pre-procedure finding most directly increases aspiration risk during
sedation?
A) Verified adherence to fasting instructions
B) Recent oral intake inconsistent with the planned sedation requirements
C) Use of eyeglasses
D) A normal temperature
Correct Answer: B. Recent oral intake inconsistent with the planned sedation requirements
Rationale: Fasting status is assessed to reduce aspiration risk. If requirements have not been met, the
endoscopy and anesthesia teams must evaluate whether to delay, modify, or proceed under a different plan.
Question 4: Which medication history requires the nurse to communicate with the procedural
team before a planned polypectomy?
A) Use of anticoagulants or antiplatelet agents
B) Use of a daily multivitamin
C) Use of artificial tears
D) Use of topical moisturizer
Correct Answer: A. Use of anticoagulants or antiplatelet agents
Rationale: Antithrombotic medications can affect bleeding risk and must be managed through the prescribed,
procedure-specific plan. The nurse should not independently instruct a patient to stop a medication.
Question 5: What is the priority pre-procedure consideration for a patient with diabetes who is
fasting for colonoscopy?
A) Verify the individualized plan for glucose monitoring, diet, and diabetes medications
B) Automatically hold every diabetes medication
C) Provide a regular meal before transport
D) Avoid checking glucose because the patient is fasting
Correct Answer: A. Verify the individualized plan for glucose monitoring, diet, and diabetes
medications
Rationale: Fasting and bowel preparation can alter glucose control. Care should follow the prescriber’s and
facility’s individualized instructions, including monitoring and medication adjustment.
RN Endoscopy GI Lab Study Practice | 2026/2027 Edition | 75 Original Practice Questions | Page 2
, RN ENDOSCOPY GI LAB STUDY PRACTICE • 2026/2027
Question 6: Which history is especially important to communicate before a procedure that may
use electrosurgery?
A) Presence of a pacemaker or implantable cardioverter-defibrillator
B) History of seasonal allergies only
C) Use of reading glasses
D) Preference for a warm blanket
Correct Answer: A. Presence of a pacemaker or implantable cardioverter-defibrillator
Rationale: Implanted cardiac devices may require procedure-specific planning when electrosurgery is
anticipated. Notify the team and follow the established device-management policy.
Question 7: Why is an airway and sedation-risk assessment performed before an endoscopic
procedure?
A) To determine whether the patient should receive a meal
B) To identify conditions that could increase the risk of airway obstruction, hypoventilation, or adverse sedation
effects
C) To replace the consent process
D) To decide which room will be used
Correct Answer: B. To identify conditions that could increase the risk of airway obstruction,
hypoventilation, or adverse sedation effects
Rationale: Pre-sedation assessment identifies factors such as obstructive sleep apnea, significant
cardiopulmonary disease, difficult airway features, and prior sedation problems so the plan and rescue
resources can be tailored.
Question 8: A patient reports obstructive sleep apnea and uses CPAP at home. What is the most
appropriate nursing action before sedation?
A) Document the history and communicate it to the procedural/anesthesia team
B) Tell the patient the history is unrelated to sedation
C) Cancel the procedure without notifying anyone
D) Remove the history from the chart to reduce anxiety
Correct Answer: A. Document the history and communicate it to the procedural/anesthesia team
Rationale: Obstructive sleep apnea may increase sedation-related airway risk. The team should consider it in
monitoring, recovery, and disposition planning.
Question 9: Which statement about pre-procedure laboratory testing is most accurate?
A) Every endoscopy patient requires the same complete laboratory panel
B) Laboratory testing should be individualized to the patient, procedure, comorbidities, and anticipated
intervention
C) Laboratory values are never relevant to endoscopy
D) Only serum sodium is useful before every procedure
Correct Answer: B. Laboratory testing should be individualized to the patient, procedure,
comorbidities, and anticipated intervention
Rationale: Routine testing is not identical for every patient. Relevant studies may include blood count,
coagulation assessment, renal function, or others depending on clinical indication and planned intervention.
Question 10: For a patient with suspected active gastrointestinal bleeding, which result may be
particularly relevant to communicate before EGD?
A) Hemoglobin and hematocrit trend
B) Hair color
C) Visual-acuity score
D) Dominant hand
Correct Answer: A. Hemoglobin and hematocrit trend
Rationale: Hemoglobin and hematocrit trends help the team assess anemia and possible blood loss in the
context of the patient’s symptoms, hemodynamics, and treatment plan.
RN Endoscopy GI Lab Study Practice | 2026/2027 Edition | 75 Original Practice Questions | Page 3
