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Exam Name: CGRN (Certified Gastroenterology Registered Nurse)
Certifying Body: American Board of Certification for Gastroenterology Nurses (ABCGN)
Exam Format: Computer-based- multiple-choice
Number of Questions: 175 (150 scored- 25 unscored pretest questions)
Exam Duration: 3 hours
Passing Score: Scaled score of 75 (range: 0–100)

I. General Nursing Care (21%)
- Normal and abnormal gastrointestinal anatomy- physiology- and pathophysiology
- Physiological- psychological- social- sexual- cultural- and spiritual aspects of patient wellness
- Pharmacology (e.g.- prescription medication- OTC- supplements/herbal- compliance/non-compliance issues- education- drug interaction)
- Patients' rights and privacy (e.g.- HIPAA- ethics)
- Standards of clinical nursing practice and role delineation in gastroenterology setting

B. Develop a Plan of Care and Educate based on the Patient's Level of Understanding
- Normal and abnormal gastrointestinal anatomy- physiology- and pathophysiology
- Physiological- psychological- social- sexual- cultural- and spiritual aspects of patient wellness
- Pharmacology (e.g.- prescription medication- OTC- supplements/herbal- compliance/non-compliance issues- education- drug interaction)
- Patients' rights and privacy (e.g.- HIPAA- ethics)

II. Gastroenterological Procedures (35%)
- Endoscopic procedures (diagnostic and therapeutic)
- Equipment- devices- and accessories
- Normal and abnormal gastrointestinal anatomy- physiology- and pathophysiology
- Environment of care (e.g.- thermal burns- chemical spills- radiation- timeout)
- Pharmacology (e.g.- sedation/anesthesia medication- reversal agents- procedure medications- resuscitative medication)
- Physiological- psychological- social- sexual- spiritual- and cultural aspects of wellness
- Potential complications and anticipated interventions (e.g.- hemorrhage- perforation- compromised airway- medication reaction)
- Specimen preparation- collection- processing- and handling (e.g.- labelling- storage- transportation- documentation)

B. Collaborate with the Health Care Team and Perform Non-Endoscopic Procedures to Provide Safe Care
- Non-endoscopic procedures (e.g.- diagnostic- therapeutic)
- Equipment- devices- and accessories
- Normal and abnormal gastrointestinal anatomy- physiology- and pathophysiology
- Environment of care (e.g.- time out- spills)
- Pharmacology (e.g.- learning needs- sedation/anesthesia medications- reversal agents- procedure medications- resuscitative medication- biologics)
- Physiological- psychological- social- sexual- spiritual- and cultural aspects of wellness
- Potential risks- complications- and interventions
- Specimen preparation- collection- processing- and handling (e.g.- labelling- storage- transportation- documentation)

III. Patient Care Interventions (25%)
A. Recognize and Respond to Emergent Changes in Patient Status to Prevent Complications and Maximize Positive Outcomes
- Potential risks- complications- and anticipated interventions (e.g.- underlying conditions)
- Resuscitation procedures and equipment
- Normal and abnormal gastrointestinal anatomy- physiology- and pathophysiology
- Emergency/reversal medications
- Sedation/anesthesia guidelines and principles (e.g.- American Society of Anesthesia [ASA]- airway status)

B. Promote Wellness by Managing GI Health Care Needs
- Health maintenance- health promotion- and disease prevention activities (e.g.- diet- nutrition- screening intervals- adenoma detection rates [ADR]- lifestyle modification)
- Normal and abnormal gastrointestinal anatomy- physiology- and pathophysiology
- Therapeutic interventions in pain management (e.g.- ambulation- medication- positioning)
- Patient's rights and responsibilities (e.g.- advance directives)
- Pharmacology (e.g.- PPI- laxative- pro-biotics- biologics- timing of medication)
- Potential complications (e.g.- flare ups- drug reactions/interactions)
- Physiological- psychological- social- sexual- spiritual- and cultural aspects of wellness
- Resources (e.g.- palliative- support group- financial and social assistance)

C. Administer Medications and Fluids to Provide Safe Care
- Established standards for administering medications and fluids (e.g.- safe administration practices)
- Normal and abnormal gastrointestinal anatomy- physiology- and pathophysiology
- Pharmacology (e.g.- biologics- infusions/injections- antibiotic- timing of medication)
- Physiological- psychological- social- sexual- cultural- and spiritual aspects of wellness
- Potential adverse reactions- complications- and anticipated intervention

IV. Environmental Safety- Infection Prevention and Control (19%)
- Implement Procedure-Related Environmental Safety- Infection Prevention- and Control
- Standards for infection prevention in an endoscopy setting (e.g.- validation of competencies- OEM instructions for use- PPE- spills)
- Equipment reprocessing (e.g.- scopes- devices- and accessories- AER- bio burden- timing/delayed reprocessing)
- Sterilization and high-level disinfection (e.g.- Spaulding classification- single use devices versus reusable devices- minimal effective concentration of disinfection solutions)
- Safe administration practices (e.g.- multi-dose vial)
- Body mechanics (e.g.- ergonomics- abdominal pressure- repetitive injuries)
- Electrical- laser- radiation- and chemical exposure (e.g.- body piercings- tattoos- implanted devices- return electrode placement)

V. Implement Environmental Safety- Infection Prevention and Control in Gastroenterology
- Patient education related to infectious disease
- Pathogen transmission (e.g.- bloodborne- airborne- contact)
- Multi-drug resistant organisms (e.g.- VRE- CRE)
- Personal Protective Equipment (PPE)
- Surface disinfection (e.g.- point-of-care monitors- non-disposable equipment- communication devices- contact time)