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Test Number : CGRN
Test Name : ABCGN Certified Gastroenterology Registered Nurse
Vendor Name : Medical
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CGRN exam Format | CGRN Course Contents | CGRN Course Outline | CGRN exam Syllabus | CGRN exam Objectives

The Examination: There is one ABCGN certification examination for RNs. The examination is based on role delineations -- surveys of practitioners, which define the scope of practice and the knowledge and skills required to function in the field. All examination items are written by certified individuals with expertise in the field of gastroenterology and/or gastroenterology endoscopy nursing practice.

Test Items (Questions): Test items are reviewed, referenced and validated by the ABCGN Item Writers Committee and, finally, edited by the testing company for construction, grammatical correctness and clarity. Examination Content The CGRN examination each consist of 175 multiple-choice questions. Each question has four choices and one correct answer. Candidates have three hours to complete their examination.

The CGRN examination contains questions from four major content areas: general nursing care, gastroenterological procedures, patient care interventions and environmental safety, infection prevention and control. All questions are directly related to the GI specialty. More specific information regarding the content of the examinations is included in the Appendix of the Certification Handbook.

Preparation for the Examination: ABCGN does not sponsor or endorse test preparation or review courses for the certification examinations. SGNA, ABCGN's sister organization, offers both courses and materials for the exam and recertification. Visit the SGNA website for more details.

1. General Nursing Care 24%
2. Gastroenterological Procedures 33%
3. Patient Care Interventions 27%
4. Environmental Safety, Infection Prevention and Control 16%

Domain I: General Nursing Care
Task A: Assess and analyze the patients health status through data collection.
Knowledge of:
1. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. Prescription medication, OTC, supplements-herbal)
Task B: Monitor and assess the patients health status to determine necessary nursing interventions.
Knowledge of:
Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. compliance/noncompliance issues, education, drug interaction)
4. Advocating and protecting patients rights and privacy (e.g. HIPAA, ethics)
Task C: Educate the patient through effective communication to develop a plan of care directed to the patients level of understanding.
Knowledge of:
1. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. Prescription medication, OTC, supplements-herbal)

Domain II: Gastroenterological Procedures
Task A: Collaborate with the health care team during endoscopic procedures to provide safe and effective care.
Knowledge of:
1. Endoscopic procedures ( e.g. diagnostic, interventional)
2. Equipment and accessories
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. thermal burns, chemical spills, radiation, time out)
5. Pharmacology(e.g. sedation medication, reversal agents, procedure medications, resuscitative medication)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential complications and anticipated interventions (e.g. hemorrhage, perforation, compromised airway, medication reaction)
8. Specimen processing and handling (e.g. labeling, storage, transportation)
Task B: Collaboration with the health care teamduring non-endoscopic procedures to provide safe and effective care.
Knowledge of:
1. Non-endoscopic procedures (e.g. diagnostic, interventional)
2. Equipment and accessories (e.g. needles, probes, capsules, ligature, PEG exchange)
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. spills, time out)
5. Pharmacology(e.g. learning needs, sedation medication, reversal agents, procedure medications, resuscitative medication)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential risks, complications, and interventions
8. Specimen processing and handling (e.g. labeling, storage, transportation)
Task C: Perform non-endoscopic procedures to promote optimal patient outcomes.
Knowledge of:
1. Non-endoscopic procedures (e.g. diagnostic, interventional)
2. Equipment and accessories (e.g. probes, capsules, PEG exchange)
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. time out, spills)
5. Pharmacology (e.g. biologics)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential risks, complications, and interventions
8. Specimen processing and handling (e.g. labeling, storage, transportation)

Domain III: Patient Care Interventions
Task A: Recognize and respond to emergent changes in the patients status to prevent complications and maximize positive outcomes.
Knowledge of:
1. Potential risks, complications, and anticipated interventions (e.g. underlines conditions)
2. Resuscitation procedures and equipment
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Emergency medications (e.g. Romazicon, Atropine, Narcan, Epinephrine)
5. Sedation guidelines and principles (e.g. ASA, airway status)
Task 2: Promoting wellness by managing GI health care needs.
Knowledge of:
1. Diet and Nutrition (e.g. supplements, high fiber diet, other specialized diets, diet modifications)
2. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
3. Therapeutic interventions in pain management (e.g. ambulation, medication, positioning)
4. Patients rights and responsibilities (e.g. advanced directives)
5. Pharmacology (e.g. PPI, laxative, pro-biotics, biologics, timing of medication)
6. Potential complications (e.g. flare ups, drug reactions/interactions)
7. Physiological, psychological, social, sexual, spiritual, and cultural aspects of wellness
8. Resources (e.g. palliative, support group, financial and social assistance)
Task C: Administer medications and fluids consistent to provide safe and effective care.
Knowledge of:
1. Established standards for administering medications and fluids (e.g. safe injection practices)
2. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
3. Pharmacology (e.g. biologics infusions/injections, antibiotic, timing of medication)
4. Physiological, psychological, social, cultural, and spiritual aspects of wellness
5. Potential adverse reactions, complications, and anticipated interventions

Domain IV: Environmental Safety, Infection Prevention and Control
Task A: Procedure related infection prevention and control.
Knowledge of:
1. Standard for infection control in an endoscopy setting (e.g. validation of competencies, manufactures guidelines, PPE, spills)
2. Equipment reprocessing (e.g. Scopes and accessories, bioburden)
3. Sterilization and high level disinfection (e.g. Spaulding classification, single use devices vs. reusable devices, minimal effective concentration of disinfection solutions
4. Safe Injection practices (e.g. multi-dose vial)
5. Body mechanics (e.g. ergonomics, patient pressure, repetitive injuries)
6. Electrical, Laser, Radiation, Chemical (e.g. grounding pad placement, piercings, return electrode)
Task B: Environmental Safety, Infection Prevention and Control in Gastroenterology
Knowledge of:
1. Patient education related to disease (e.g. Crohns, C-DIFF, VRE, CRE)
2. Bloodborne pathogen (e.g. Hepatitis C, transmission)
3. Multidrug resistance organisms (e.g. MDRO, VRE, CRE)
4. Personal Protective Equipment (e.g. standard precautions, communication devices, attire)

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Medical exam contents

advice To put together For The lifestyles coverage medical examination | CGRN practice questions and cheat sheet

Editorial be aware: Forbes may earn a fee on sales made from associate links on this web page, however that would not have an effect on their editors' opinions or evaluations.

examine lifestyles assurance CompaniesCompare policies With eight leading Insurers

Get A Quote

The thought of establishing an appointment for a scientific exam for the sake of applying for a life insurance policy likely doesn’t sound like a great time. however don’t let the manner deter you. A lifestyles assurance medical exam is comparatively brief (continually 15 to forty five minutes) and you can choose a convenient area.

most significantly, the lifestyles coverage scientific exam can help you lock in for the bottom lifestyles coverage rates.

That’s as a result of lifestyles assurance agencies mostly base prices for your lifestyles expectancy. frequently, the younger and more healthy you are, the less you’ll pay in life insurance premiums. but besides the fact that you’re assured on your health, you shouldn’t tackle the scientific examination with out practise.

reputedly harmless movements might have an effect on your laboratory assessments. as an instance, too plenty beef, now not satisfactory sleep and a vigorous morning on the health club may create much less-than-top-quality consequences that may now not reflect your real health.

however you gained’t have to overhaul your total culture to “circulate” the examination and get the top of the line existence insurance quote feasible. a couple of minor tweaks in the weeks and days main as much as your exam can in fact pay off in the long run. right here’s the way to prepare for a lifestyles assurance scientific examination.

linked: The superior existence insurance companies 2020

where can i Get a life assurance medical exam?

once you’ve submitted an application for life coverage to a company, a consultant from a clinical testing service akin to APPS or ExamOne will contact you to agenda an appointment. that you would be able to customarily have it achieved at one in every of three places:

  • Your home
  • Your workplace
  • At a paramedical provider’s examination middle
  • Tip: Your office might now not present the privacy you’ll desire. while you don’t undress for the exam, you’ll possible desire privateness to provide blood and urine samples.

    What Does a lifestyles coverage clinical exam include?

    are expecting a life insurance scientific exam to consist of:

  • An interview. Your examiner will probably go over the questions you already answered on the application, reminiscent of questions on fitness circumstances and medicines. Be organized to supply the contact suggestions on your medical professional(s). take into account that insurers have many ways of verifying the tips you provide them. here’s how lifestyles insurers acquire intel on you.
  • A real exam. that you may expect your height, weight, pulse and blood drive to be recorded. You likely have to provide a urine demo and have blood drawn. in case you’re over 50 and making use of for a excessive amount of lifestyles insurance ($1 million and up), you may ought to take an electrocardiogram (EKG).
  • throughout the pandemic, ask how the lifestyles coverage company is at present coping with the clinical examination. while some insurers were quick to replace information for assessments, certain candidates will nonetheless be required to complete the exam technique.

    Some insurers are additionally permitting prolonged time for applicants to get tests accomplished. for instance, Haven lifestyles makes it possible for up to 120 days for applicants to finished the clinical examination.

    What Does a lifestyles coverage clinical exam look for?

    listed below are exams which you could are expecting and what your lifestyles assurance enterprise is looking for:

  • Your medical history. This comprises current and previous fitness complications, treatments, and existing and past prescription medicines.
  • height and weight measurements. These measurements can be used to investigate your physique mass index (BMI), which is a measure of body fats. here is a BMI calculator from the national coronary heart, Lung and Blood Institute.
  • Blood pressure assess. Uncontrolled high blood power can result in fitness complications comparable to heart assault, stroke, or weakened and narrowed blood vessels on your kidneys, that can lead to kidney sickness.
  • Blood and urine samples. These samples can discover excessive blood drive, high ldl cholesterol or glucose tiers, liver or kidney issues, diabetes, immune disorders, HIV antibodies, and indications of nicotine, tobacco or drug use.
  • Electrocardiogram. also referred to as an ECG or EKG, this examine detects abnormal coronary heart rhythm (arrhythmia), coronary artery ailment, outdated heart assaults and the efficacy of coronary heart sickness cures (reminiscent of a pacemaker).
  • How should still I put together For a lifestyles coverage scientific exam? in the Weeks main as much as the exam

    a few fit tweaks to your diet can assist lower your LDL degrees and lift your HDL levels.

  • Drink a lot of water. consuming water can help dilute concentrations of sugar and protein, and clear toxins from your system.
  • restrict your salt intake. Too much salt could make your urine too focused and result in dehydration.
  • eat a in shape food regimen. meals it's wealthy in complete grains, fruits, greens and low-fats dairy products can support reduce your blood drive, according to the Mayo sanatorium. It’s a good suggestion to evade processed meals that has delivered sodium.
  • restrict alcohol. if you drink alcohol, do so sparsely. That’s one drink per day for women and two per day for men, in keeping with the Mayo medical institution. consuming greater than a reasonable amount can raise your blood pressure and in the reduction of the effectiveness of blood force drugs.
  • The Day before the examination

    You’ll need to take a few added precautions the day earlier than the examination, akin to:

  • prevent alcohol and nicotine. each can boost your blood drive. however remember, the blood or urine verify will reveal fresh nicotine use.
  • prevent beef. red meat is a high-ldl cholesterol meals.
  • avoid over-the-counter medicines corresponding to antihistamines and nasal decongestants. These styles of medicines can boost blood power.
  • Get an excellent evening’s sleep. people who sleep below six hours an evening might have elevated blood power, in response to the Mayo clinic.
  • The Day of the exam

    listed here are steps that you can take on the day of the examination to aid make certain the best possible consequences:

  • prevent caffeinated drinks, reminiscent of espresso, soda and tea.
  • evade strenuous exercise, which can elevate your blood drive.
  • Drink a lot of water. Being well hydrated additionally makes it simpler to deliver urine and blood samples.
  • Have a photograph id capable. You’ll absolutely need a govt issued id, like your driver’s license, state issued photo identity or passport.
  • Have your scientific guidance in a position, including a listing of clinical situations, treatments, prescription drugs and call tips on your health professional(s).
  • put on short sleeves or sleeves that can also be rolled up so the examiner can get your blood pattern.
  • in the event you get the blood power studying, a few elementary steps like not having a full bladder and preserving your ft flat on the ground right through the practicing can get you the best outcomes. A full bladder can carry your blood force practicing by way of 10 to 15 aspects and crossing your legs can add 2 to eight features, in keeping with WebMD. Dangling your legs can increase the blood pressure analyzing by means of 6 to 10 features.

    here are some greater error that can increase your blood power analyzing from WebMD.

    Will I Get the consequences of My life assurance examination?

    After your examination, the life assurance enterprise will evaluate the effects and can contact you with the consequences. You could be in a position to get the consequences directly from the enterprise hired to do the exam. as an example, if ExamOne performed the look at various, that you could usually access the consequences online inside seven to 14 days after the examination.

    which you can also contact the paramedical business’s consumer provider and ask the way to get the effects of your exam.

    What If My existence assurance Is Denied because of the medical examination?

    If the life coverage enterprise denies your application, request the motive in writing. Ask for specifics and double-verify the results. maintain an eye fixed out for:

  • records entry mistakes. It’s viable there can be a human error, equivalent to inaccurate or incomplete suggestions.
  • False wonderful outcomes. A false superb means your verify indicates you have got a disease or circumstance in case you don’t even have it. this can happen if the test become now not finished appropriate or different factors that could have an effect on the accuracy of outcomes, like foods and drinks, drug treatments, stress, energetic pastime, disease or diversifications in lab techniques.
  • in case you discover an error, talk about it with your lifestyles assurance agent and ask how to proceed with a correction.

    If the problem become an sudden superb outcome, confer with your medical professional to rule it out. for example, if blood or protein is found in a urine pattern, this could be a trademark of kidney ailment or the outcome of vigorous physical endeavor.

    when you are denied for a health rationale, reminiscent of excessive ldl cholesterol, and your medical professional confirms the verify results, which you could take steps to enhance your health. It’s no longer a good suggestion to retake the life insurance clinical examination appropriate away for the reason that it’s probably you’ll be denied again.

    a corporation called MIB community maintains records of life insurance application answers and denials. Denials often affect your skill to buy existence coverage in the future, so you don’t are looking to run the chance of too many failed scientific exams.

    evaluate lifestyles assurance CompaniesCompare policies With 8 leading Insurers

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    existence coverage clinical exam FAQs How does COVID-19 affect the lifestyles coverage clinical exam?

    buying life coverage during the COVID-19 pandemic has changed the utility procedure at many assurance companies. as a result of social distancing necessities, some corporations have substituted data (such as doctor’s information, prescription information and other kinds of very own information) for the clinical examination.

    Your existence coverage software might now encompass COVID-19-related fitness questions, such as no matter if you’ve been in touch with anybody diagnosed with COVID-19 or in case you or any household members have taken a cruise.

    And in case you plan to trip backyard the U.S., expect a postponement of your utility unless you’re lower back.

    Who can pay for the lifestyles coverage clinical exam?

    The existence insurance enterprise you’re applying to can pay, now not you. It’s a value of doing business for them.

    am i able to get lifestyles assurance with out a medical examination?

    Many coverage organizations present no-exam life coverage policies. Some are in your price range with examination-primarily based policies and others are a great deal more high priced.

    Examples of no-exam life coverage are “simplified challenge lifestyles insurance” and “certain challenge lifestyles insurance,” which you can't be became down for.

    There are also quick existence coverage alternatives, which can also be a superb choice for younger and healthier individuals.

    am i able to use my scientific examination effects for one other existence assurance utility?

    some of the optimum how you can shop for life coverage is by way of comparing prices from a number of different agencies. in case you had a clinical exam performed as a part of a life coverage application however eventually declined to purchase coverage, you may be able to use your examination results for an additional life assurance software.

    for example, Haven lifestyles will help you use clinical examination outcomes from one other company if it become accomplished within the closing two years.

    Forbes adheres to strict editorial integrity specifications. To the better of their capabilities, all content material is correct as of the date posted, although offers contained herein may also no longer be purchasable. The opinions expressed are the writer’s by myself and have not been offered, authorized, or in any other case endorsed by their companions.

    Jason Metz is a writer who has worked within the coverage trade considering the fact that 2007. As a former claims handler and fraud investigator, he’s considered lots, and enjoys helping others navigate the complexities and opaqueness of insurance. He has a B.S. in criminal Justice from Kutztown school and an M.F.A. in creative Writing from the institution of California Riverside, Palm desert.

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