RN ENDOSCOPY GI LAB STUDY PRACTICE | 2026/2027 ACADEMIC YEAR | CLINICAL-PRACTICE
150 ORIGINAL QUESTIONS | DETAILED RATIONALES | IMPROVED COVER PAGE
RN GI LAB
ENDOSCOPY
2026/2027
RN Endoscopy GI Lab Study Practice
2026/2027 Academic Year
150 Original Clinical-Practice Questions with Detailed Rationales
GI Lab, Endoscopy, Conscious Sedation, Infection Control
150Q ORIGINAL NEWEST EXAM RATIONALES
CLINICAL 2026/2027 DETAILED
INCLUDES:
• Upper Endoscopy EGD, Colonoscopy, Sigmoidoscopy, ERCP, EUS Indications & Nursing Care
• Conscious Sedation, Monitoring, Emergency Management, Infection Control Reprocessing
• 150 Original Clinical-Practice Questions + Detailed Rationales
• Professional Study Guide | Borders + Page Numbers | 2026/2027 Edition
RN Endoscopy GI Lab Study Practice | Clinical Practice | Not affiliated
Confidential Study Guide - Educational Purposes Only | 2026/2027 Edition
,Upper Endoscopy EGD Colonoscopy Sigmoidoscopy Indications
Description: Upper endoscopy EGD esophagogastroduodenoscopy indications dysphagia odynophagia GERD Barrett's surveillance GI bleed varices peptic ulcer celiac
foreign body, preparation NPO 6-8 hours consent verify allergies meds anticoagulants antiplatelets diabetes, nursing care pre-procedure verify consent labs,
intra-procedure left lateral position bite block suction monitor VS pulse ox ECG, post-procedure monitor recovery VS, assess gag reflex before PO intake, complications
bleeding perforation aspiration, Colonoscopy indications screening colorectal cancer age 45 average risk polypectomy IBD surveillance, bowel prep PEG polyethylene
glycol GoLYTELY Colyte split dose 2L evening before and morning of or 4L single dose clear liquids low-residue diet day before NPO after midnight assess prep quality
Boston Bowel Preparation Scale 0-9 adequate greater than or equal 6, nursing education hydration importance, sigmoidoscopy flexible sigmoidoscopy left colon only
enema prep.
ERCP EUS Advanced Procedures GI Bleed Polypectomy
Description: ERCP Endoscopic Retrograde Cholangiopancreatography indications choledocholithiasis biliary stricture cholangitis pancreatic duct stones pancreatitis
sphincterotomy stent placement, complications pancreatitis most common 3-5% hyperamylasemia, bleeding post-sphincterotomy, perforation, infection cholangitis, nursing
care prone position conscious sedation or general anesthesia monitor amylase lipase post procedure NPO until swallowing assessed, EUS endoscopic ultrasound staging
esophageal gastric pancreaticobiliary cancer fine needle aspiration biopsy, GI bleed assessment hematemesis vomiting blood melena black tarry stools hematochezia
maroon red blood per rectum VS tachycardia hypotension orthostatic hypotension labs Hgb Hct BUN elevated ratio coag PT INR platelets type crossmatch large-bore IV
16-18 gauge crystalloid fluids, prepare emergent endoscopy band ligation varices sclerotherapy clip cautery, polypectomy technique snare cautery cold snare,
post-procedure bleeding risk delayed bleeding 7-14 days avoid NSAIDs anticoagulants per MD instructions, report rectal bleeding > small amount abdominal pain fever,
diet advance clear liquids to regular as tolerated.
Conscious Sedation Monitoring Infection Control Emergency Management
Description: Conscious sedation moderate sedation RN role per facility policy state board, assessment ASA classification I healthy II mild systemic III severe IV
life-threatening V moribund, Mallampati airway I soft palate fauces uvula pillars visible II soft palate fauces uvula visible III soft palate base uvula visible IV only hard palate
visible predicts difficult intubation, monitoring continuous pulse oximetry cardiac monitoring ECG BP q5 min respiratory rate level of consciousness sedation scale,
medications midazolam benzodiazepine 1-2 mg IV fentanyl opioid 50-100 mcg IV, propofol only with anesthesia provider present per most facility policies due to deep
sedation risk, reversal agents naloxone 0.04-0.1 mg IV opioid reversal flumazenil 0.2 mg IV benzodiazepine reversal emergency equipment suction oxygen airway adjuncts
crash cart, recovery Aldrete score discharge criteria, infection control endoscope reprocessing SGNA standards preclean at bedside wipe exterior suction enzymatic
detergent through channels prevent drying, leak test detect damage, manual cleaning brushing channels enzymatic detergent, high-level disinfection HLD automated
endoscope reprocessor AER peracetic acid glutaraldehyde, rinsing, drying alcohol purge air, storage vertical hanging ventilated cabinet, quality control cultures, biopsy
handling specimens formalin 10% labeled patient name DOB MRN site number of specimens count requisition clinical history, emergency perforation signs severe
abdominal pain distension guarding rigidity tachycardia hypotension crepitus subcutaneous emphysema management NPO NGT suction IV fluids broad-spectrum
antibiotics surgical consult, vasovagal reaction bradycardia hypotension diaphoresis atropine fluids.
Page 2 - RN Endoscopy GI Lab 150Q 2026/2027
,Question 1: Q1: Upper endoscopy EGD - indications and nursing preparation?
A. EGD indications dysphagia GI bleed varices peptic ulcer preparation NPO 6-8 hours consent verify allergies sedation monitoring
B. EGD no preparation needed
C. No consent needed EGD
D. Only for colon evaluation
CORRECT ANSWER: A. EGD indications dysphagia GI bleed varices peptic ulcer preparation NPO 6-8 hours consent verify allergies sedation
monitoring
RATIONALE:
Rationale: EGD indications dysphagia GI bleed varices peptic ulcer preparation NPO 6-8 hours consent verify allergies sedation monitoring. Detailed clinical-practice
rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines, and evidence-based practice for
endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 2: Q2: Colonoscopy - bowel prep types and nursing education?
A. Only solid foods before colonoscopy
B. No bowel prep needed colonoscopy
C. Colonoscopy prep PEG GoLYTELY split dose 2L evening before and morning of clear liquids NPO after midnight assess prep quality Boston Bowel
Prep Scale
D. No assessment needed prep quality
CORRECT ANSWER: C. Colonoscopy prep PEG GoLYTELY split dose 2L evening before and morning of clear liquids NPO after midnight
assess prep quality Boston Bowel Prep Scale
RATIONALE:
Rationale: Colonoscopy prep PEG GoLYTELY split dose 2L evening before and morning of clear liquids NPO after midnight assess prep quality Boston Bowel Prep
Scale. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines, and
evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 3: Q3: Conscious sedation - RN role monitoring and medications?
A. RN can give propofol alone always
B. No monitoring needed sedation
C. No reversal agents needed
D. Conscious sedation RN monitors VS continuous pulse ox ECG BP q5 min, medications midazolam fentanyl propofol only with anesthesia presence
per facility, reversal naloxone flumazenil emergency equipment
CORRECT ANSWER: D. Conscious sedation RN monitors VS continuous pulse ox ECG BP q5 min, medications midazolam fentanyl propofol
only with anesthesia presence per facility, reversal naloxone flumazenil emergency equipment
RATIONALE:
Rationale: Conscious sedation RN monitors VS continuous pulse ox ECG BP q5 min, medications midazolam fentanyl propofol only with anesthesia presence per facility,
reversal naloxone flumazenil emergency equipment. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and
Associates standards, ASGE guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency
management in GI lab.
Question 4: Q4: ERCP - Endoscopic Retrograde Cholangiopancreatography complications?
A. No complications ERCP
B. ERCP complications pancreatitis most common, bleeding, perforation, infection cholangitis, nursing care prone position monitor amylase lipase post
procedure
C. Only bleeding complication
D. No pancreatitis risk ERCP
CORRECT ANSWER: B. ERCP complications pancreatitis most common, bleeding, perforation, infection cholangitis, nursing care prone
position monitor amylase lipase post procedure
RATIONALE:
Rationale: ERCP complications pancreatitis most common, bleeding, perforation, infection cholangitis, nursing care prone position monitor amylase lipase post procedure.
Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines, and
evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 5: Q5: Infection control - endoscope reprocessing high-level disinfection?
A. Endoscope reprocessing preclean at bedside leak test manual clean enzymatic detergent HLD high-level disinfection automated reprocessor drying
storage SGNA standards
B. Only wipe scope with alcohol
C. No HLD needed
D. No leak test needed
CORRECT ANSWER: A. Endoscope reprocessing preclean at bedside leak test manual clean enzymatic detergent HLD high-level disinfection
automated reprocessor drying storage SGNA standards
RATIONALE:
Rationale: Endoscope reprocessing preclean at bedside leak test manual clean enzymatic detergent HLD high-level disinfection automated reprocessor drying storage
SGNA standards. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE
guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 6: Q6: GI bleed - nursing assessment and intervention endoscopy lab?
A. Only vital signs no fluids
B. No assessment needed GI bleed
C. GI bleed hematemesis melena hematochezia assessment VS orthostatics Hgb Hct type crossmatch large-bore IV fluids, prepare for emergent
endoscopy banding sclerotherapy
D. No type crossmatch needed
Page 3 - RN Endoscopy GI Lab 150Q 2026/2027
, CORRECT ANSWER: C. GI bleed hematemesis melena hematochezia assessment VS orthostatics Hgb Hct type crossmatch large-bore IV
fluids, prepare for emergent endoscopy banding sclerotherapy
RATIONALE:
Rationale: GI bleed hematemesis melena hematochezia assessment VS orthostatics Hgb Hct type crossmatch large-bore IV fluids, prepare for emergent endoscopy
banding sclerotherapy. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE
guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 7: Q7: Polypectomy - post-procedure bleeding risk and education?
A. Can take NSAIDs immediately post
B. No bleeding risk polypectomy
C. No education needed
D. Polypectomy post-procedure risk bleeding perforation education avoid NSAIDs anticoagulants per MD, report rectal bleeding abdominal pain fever,
diet advance as tolerated
CORRECT ANSWER: D. Polypectomy post-procedure risk bleeding perforation education avoid NSAIDs anticoagulants per MD, report rectal
bleeding abdominal pain fever, diet advance as tolerated
RATIONALE:
Rationale: Polypectomy post-procedure risk bleeding perforation education avoid NSAIDs anticoagulants per MD, report rectal bleeding abdominal pain fever, diet
advance as tolerated. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE
guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 8: Q8: Biopsy - handling specimens and labeling?
A. No labeling needed biopsy
B. Biopsy specimens placed in formalin labeled with patient name DOB MRN site number specimens count, requisition includes clinical history
C. Place in water not formalin
D. No requisition needed
CORRECT ANSWER: B. Biopsy specimens placed in formalin labeled with patient name DOB MRN site number specimens count, requisition
includes clinical history
RATIONALE:
Rationale: Biopsy specimens placed in formalin labeled with patient name DOB MRN site number specimens count, requisition includes clinical history. Detailed
clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines, and evidence-based
practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 9: Q9: Emergency - perforation during colonoscopy signs and management?
A. Perforation signs severe abdominal pain distension tachycardia hypotension crepitus subcutaneous emphysema management NPO NGT IV fluids
antibiotics surgical consult
B. No signs perforation
C. Only mild pain perforation
D. No surgical consult needed
CORRECT ANSWER: A. Perforation signs severe abdominal pain distension tachycardia hypotension crepitus subcutaneous emphysema
management NPO NGT IV fluids antibiotics surgical consult
RATIONALE:
Rationale: Perforation signs severe abdominal pain distension tachycardia hypotension crepitus subcutaneous emphysema management NPO NGT IV fluids antibiotics
surgical consult. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines,
and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 10: Q10: Sedation assessment - ASA classification and Mallampati?
A. No Mallampati needed
B. No ASA needed
C. ASA I healthy II mild systemic III severe systemic IV life-threatening V moribund, Mallampati airway assessment class I soft palate fauces uvula pillars
visible IV only hard palate visible predicts difficult airway
D. Only ASA V exists
CORRECT ANSWER: C. ASA I healthy II mild systemic III severe systemic IV life-threatening V moribund, Mallampati airway assessment class I
soft palate fauces uvula pillars visible IV only hard palate visible predicts difficult airway
RATIONALE:
Rationale: ASA I healthy II mild systemic III severe systemic IV life-threatening V moribund, Mallampati airway assessment class I soft palate fauces uvula pillars visible IV
only hard palate visible predicts difficult airway. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and
Associates standards, ASGE guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency
management in GI lab.
Page 4 - RN Endoscopy GI Lab 150Q 2026/2027
150 ORIGINAL QUESTIONS | DETAILED RATIONALES | IMPROVED COVER PAGE
RN GI LAB
ENDOSCOPY
2026/2027
RN Endoscopy GI Lab Study Practice
2026/2027 Academic Year
150 Original Clinical-Practice Questions with Detailed Rationales
GI Lab, Endoscopy, Conscious Sedation, Infection Control
150Q ORIGINAL NEWEST EXAM RATIONALES
CLINICAL 2026/2027 DETAILED
INCLUDES:
• Upper Endoscopy EGD, Colonoscopy, Sigmoidoscopy, ERCP, EUS Indications & Nursing Care
• Conscious Sedation, Monitoring, Emergency Management, Infection Control Reprocessing
• 150 Original Clinical-Practice Questions + Detailed Rationales
• Professional Study Guide | Borders + Page Numbers | 2026/2027 Edition
RN Endoscopy GI Lab Study Practice | Clinical Practice | Not affiliated
Confidential Study Guide - Educational Purposes Only | 2026/2027 Edition
,Upper Endoscopy EGD Colonoscopy Sigmoidoscopy Indications
Description: Upper endoscopy EGD esophagogastroduodenoscopy indications dysphagia odynophagia GERD Barrett's surveillance GI bleed varices peptic ulcer celiac
foreign body, preparation NPO 6-8 hours consent verify allergies meds anticoagulants antiplatelets diabetes, nursing care pre-procedure verify consent labs,
intra-procedure left lateral position bite block suction monitor VS pulse ox ECG, post-procedure monitor recovery VS, assess gag reflex before PO intake, complications
bleeding perforation aspiration, Colonoscopy indications screening colorectal cancer age 45 average risk polypectomy IBD surveillance, bowel prep PEG polyethylene
glycol GoLYTELY Colyte split dose 2L evening before and morning of or 4L single dose clear liquids low-residue diet day before NPO after midnight assess prep quality
Boston Bowel Preparation Scale 0-9 adequate greater than or equal 6, nursing education hydration importance, sigmoidoscopy flexible sigmoidoscopy left colon only
enema prep.
ERCP EUS Advanced Procedures GI Bleed Polypectomy
Description: ERCP Endoscopic Retrograde Cholangiopancreatography indications choledocholithiasis biliary stricture cholangitis pancreatic duct stones pancreatitis
sphincterotomy stent placement, complications pancreatitis most common 3-5% hyperamylasemia, bleeding post-sphincterotomy, perforation, infection cholangitis, nursing
care prone position conscious sedation or general anesthesia monitor amylase lipase post procedure NPO until swallowing assessed, EUS endoscopic ultrasound staging
esophageal gastric pancreaticobiliary cancer fine needle aspiration biopsy, GI bleed assessment hematemesis vomiting blood melena black tarry stools hematochezia
maroon red blood per rectum VS tachycardia hypotension orthostatic hypotension labs Hgb Hct BUN elevated ratio coag PT INR platelets type crossmatch large-bore IV
16-18 gauge crystalloid fluids, prepare emergent endoscopy band ligation varices sclerotherapy clip cautery, polypectomy technique snare cautery cold snare,
post-procedure bleeding risk delayed bleeding 7-14 days avoid NSAIDs anticoagulants per MD instructions, report rectal bleeding > small amount abdominal pain fever,
diet advance clear liquids to regular as tolerated.
Conscious Sedation Monitoring Infection Control Emergency Management
Description: Conscious sedation moderate sedation RN role per facility policy state board, assessment ASA classification I healthy II mild systemic III severe IV
life-threatening V moribund, Mallampati airway I soft palate fauces uvula pillars visible II soft palate fauces uvula visible III soft palate base uvula visible IV only hard palate
visible predicts difficult intubation, monitoring continuous pulse oximetry cardiac monitoring ECG BP q5 min respiratory rate level of consciousness sedation scale,
medications midazolam benzodiazepine 1-2 mg IV fentanyl opioid 50-100 mcg IV, propofol only with anesthesia provider present per most facility policies due to deep
sedation risk, reversal agents naloxone 0.04-0.1 mg IV opioid reversal flumazenil 0.2 mg IV benzodiazepine reversal emergency equipment suction oxygen airway adjuncts
crash cart, recovery Aldrete score discharge criteria, infection control endoscope reprocessing SGNA standards preclean at bedside wipe exterior suction enzymatic
detergent through channels prevent drying, leak test detect damage, manual cleaning brushing channels enzymatic detergent, high-level disinfection HLD automated
endoscope reprocessor AER peracetic acid glutaraldehyde, rinsing, drying alcohol purge air, storage vertical hanging ventilated cabinet, quality control cultures, biopsy
handling specimens formalin 10% labeled patient name DOB MRN site number of specimens count requisition clinical history, emergency perforation signs severe
abdominal pain distension guarding rigidity tachycardia hypotension crepitus subcutaneous emphysema management NPO NGT suction IV fluids broad-spectrum
antibiotics surgical consult, vasovagal reaction bradycardia hypotension diaphoresis atropine fluids.
Page 2 - RN Endoscopy GI Lab 150Q 2026/2027
,Question 1: Q1: Upper endoscopy EGD - indications and nursing preparation?
A. EGD indications dysphagia GI bleed varices peptic ulcer preparation NPO 6-8 hours consent verify allergies sedation monitoring
B. EGD no preparation needed
C. No consent needed EGD
D. Only for colon evaluation
CORRECT ANSWER: A. EGD indications dysphagia GI bleed varices peptic ulcer preparation NPO 6-8 hours consent verify allergies sedation
monitoring
RATIONALE:
Rationale: EGD indications dysphagia GI bleed varices peptic ulcer preparation NPO 6-8 hours consent verify allergies sedation monitoring. Detailed clinical-practice
rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines, and evidence-based practice for
endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 2: Q2: Colonoscopy - bowel prep types and nursing education?
A. Only solid foods before colonoscopy
B. No bowel prep needed colonoscopy
C. Colonoscopy prep PEG GoLYTELY split dose 2L evening before and morning of clear liquids NPO after midnight assess prep quality Boston Bowel
Prep Scale
D. No assessment needed prep quality
CORRECT ANSWER: C. Colonoscopy prep PEG GoLYTELY split dose 2L evening before and morning of clear liquids NPO after midnight
assess prep quality Boston Bowel Prep Scale
RATIONALE:
Rationale: Colonoscopy prep PEG GoLYTELY split dose 2L evening before and morning of clear liquids NPO after midnight assess prep quality Boston Bowel Prep
Scale. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines, and
evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 3: Q3: Conscious sedation - RN role monitoring and medications?
A. RN can give propofol alone always
B. No monitoring needed sedation
C. No reversal agents needed
D. Conscious sedation RN monitors VS continuous pulse ox ECG BP q5 min, medications midazolam fentanyl propofol only with anesthesia presence
per facility, reversal naloxone flumazenil emergency equipment
CORRECT ANSWER: D. Conscious sedation RN monitors VS continuous pulse ox ECG BP q5 min, medications midazolam fentanyl propofol
only with anesthesia presence per facility, reversal naloxone flumazenil emergency equipment
RATIONALE:
Rationale: Conscious sedation RN monitors VS continuous pulse ox ECG BP q5 min, medications midazolam fentanyl propofol only with anesthesia presence per facility,
reversal naloxone flumazenil emergency equipment. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and
Associates standards, ASGE guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency
management in GI lab.
Question 4: Q4: ERCP - Endoscopic Retrograde Cholangiopancreatography complications?
A. No complications ERCP
B. ERCP complications pancreatitis most common, bleeding, perforation, infection cholangitis, nursing care prone position monitor amylase lipase post
procedure
C. Only bleeding complication
D. No pancreatitis risk ERCP
CORRECT ANSWER: B. ERCP complications pancreatitis most common, bleeding, perforation, infection cholangitis, nursing care prone
position monitor amylase lipase post procedure
RATIONALE:
Rationale: ERCP complications pancreatitis most common, bleeding, perforation, infection cholangitis, nursing care prone position monitor amylase lipase post procedure.
Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines, and
evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 5: Q5: Infection control - endoscope reprocessing high-level disinfection?
A. Endoscope reprocessing preclean at bedside leak test manual clean enzymatic detergent HLD high-level disinfection automated reprocessor drying
storage SGNA standards
B. Only wipe scope with alcohol
C. No HLD needed
D. No leak test needed
CORRECT ANSWER: A. Endoscope reprocessing preclean at bedside leak test manual clean enzymatic detergent HLD high-level disinfection
automated reprocessor drying storage SGNA standards
RATIONALE:
Rationale: Endoscope reprocessing preclean at bedside leak test manual clean enzymatic detergent HLD high-level disinfection automated reprocessor drying storage
SGNA standards. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE
guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 6: Q6: GI bleed - nursing assessment and intervention endoscopy lab?
A. Only vital signs no fluids
B. No assessment needed GI bleed
C. GI bleed hematemesis melena hematochezia assessment VS orthostatics Hgb Hct type crossmatch large-bore IV fluids, prepare for emergent
endoscopy banding sclerotherapy
D. No type crossmatch needed
Page 3 - RN Endoscopy GI Lab 150Q 2026/2027
, CORRECT ANSWER: C. GI bleed hematemesis melena hematochezia assessment VS orthostatics Hgb Hct type crossmatch large-bore IV
fluids, prepare for emergent endoscopy banding sclerotherapy
RATIONALE:
Rationale: GI bleed hematemesis melena hematochezia assessment VS orthostatics Hgb Hct type crossmatch large-bore IV fluids, prepare for emergent endoscopy
banding sclerotherapy. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE
guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 7: Q7: Polypectomy - post-procedure bleeding risk and education?
A. Can take NSAIDs immediately post
B. No bleeding risk polypectomy
C. No education needed
D. Polypectomy post-procedure risk bleeding perforation education avoid NSAIDs anticoagulants per MD, report rectal bleeding abdominal pain fever,
diet advance as tolerated
CORRECT ANSWER: D. Polypectomy post-procedure risk bleeding perforation education avoid NSAIDs anticoagulants per MD, report rectal
bleeding abdominal pain fever, diet advance as tolerated
RATIONALE:
Rationale: Polypectomy post-procedure risk bleeding perforation education avoid NSAIDs anticoagulants per MD, report rectal bleeding abdominal pain fever, diet
advance as tolerated. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE
guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 8: Q8: Biopsy - handling specimens and labeling?
A. No labeling needed biopsy
B. Biopsy specimens placed in formalin labeled with patient name DOB MRN site number specimens count, requisition includes clinical history
C. Place in water not formalin
D. No requisition needed
CORRECT ANSWER: B. Biopsy specimens placed in formalin labeled with patient name DOB MRN site number specimens count, requisition
includes clinical history
RATIONALE:
Rationale: Biopsy specimens placed in formalin labeled with patient name DOB MRN site number specimens count, requisition includes clinical history. Detailed
clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines, and evidence-based
practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 9: Q9: Emergency - perforation during colonoscopy signs and management?
A. Perforation signs severe abdominal pain distension tachycardia hypotension crepitus subcutaneous emphysema management NPO NGT IV fluids
antibiotics surgical consult
B. No signs perforation
C. Only mild pain perforation
D. No surgical consult needed
CORRECT ANSWER: A. Perforation signs severe abdominal pain distension tachycardia hypotension crepitus subcutaneous emphysema
management NPO NGT IV fluids antibiotics surgical consult
RATIONALE:
Rationale: Perforation signs severe abdominal pain distension tachycardia hypotension crepitus subcutaneous emphysema management NPO NGT IV fluids antibiotics
surgical consult. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and Associates standards, ASGE guidelines,
and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency management in GI lab.
Question 10: Q10: Sedation assessment - ASA classification and Mallampati?
A. No Mallampati needed
B. No ASA needed
C. ASA I healthy II mild systemic III severe systemic IV life-threatening V moribund, Mallampati airway assessment class I soft palate fauces uvula pillars
visible IV only hard palate visible predicts difficult airway
D. Only ASA V exists
CORRECT ANSWER: C. ASA I healthy II mild systemic III severe systemic IV life-threatening V moribund, Mallampati airway assessment class I
soft palate fauces uvula pillars visible IV only hard palate visible predicts difficult airway
RATIONALE:
Rationale: ASA I healthy II mild systemic III severe systemic IV life-threatening V moribund, Mallampati airway assessment class I soft palate fauces uvula pillars visible IV
only hard palate visible predicts difficult airway. Detailed clinical-practice rationale for RN Endoscopy GI Lab per SGNA Society of Gastroenterology Nurses and
Associates standards, ASGE guidelines, and evidence-based practice for endoscopy nursing care, conscious sedation monitoring, infection control, and emergency
management in GI lab.
Page 4 - RN Endoscopy GI Lab 150Q 2026/2027
