Patient Care Final - Study Guide

Symptoms associated with a mild to moderate allergic reaction to contrast media include 1.sneezing. 2.hoarseness. 3.wheezing. 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3

1, 2, and 3

Symptoms of impending diabetic coma include: i. increased urination. ii. sweet-smelling breath. iii. extreme thirst. 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3

1, 2, and 3

Common blood vessels utilized for pulse detection are: 1. Radial 2. Parietal 3. Dorsalis pedis 4. Temporal 2 only 1 and 4 only 1,2 and 3 1, 3 and 4

1, 3 and 4

Which of the following factors can contribute to hypertension? Obesity Smoking Stress 1 only 1 and 2 2 and 3 only 1, 2 and 3

1,2, 3

What is the normal respiratory rate for adults. 8 to 14 breaths per minute. 10 to 16 breaths per minute. 12 to 18 breaths per minute. 10 to 20 breaths per minute.

12 to 18 breaths per minute.

When lifting a patient from a wheelchair: (1) Bend down and place your arms underneath their arms, then use your back to straighten out until they are in a standing position (2) Use your legs to push yourself up as you stand while maintaining normal lumbar lordosis and tightening of the core (3) When lifting with two or more persons, discuss the transfer before attempting it to reduce confusion and strain 2 only 1 and 2 only 1 and 3 only 2 and 3 only

2 and 3 only

Which of the following medical equipment is used to determine blood pressure? 1. Pulse oximeter 2. Stethoscope 3. Sphygmomanometer 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3

2 and 3 only

In the blood pressure reading 140/75 mmHg, what does 140 represent? 1. The phase of relaxation of the cardiac muscle tissue 2. The phase of contraction of the cardiac muscle tissue 3. A higher-than-average diastolic pressure 1 only 2 only 1 and 3 2 and 3

2 only

18

2, 3

At what age is a child considered a preschooler? 1- 12 months 6 -12 years old 12 - 19 years old 3 - 6 years old

3 - 6 years old

Which of the following should be avoided during patient transfers: (choose 3) Jerking movements Twisting Tightening of the core Use of short lever upper extremities Bending of the lower back

Jerking movements Twisting Bending of the lower back

An inflatable air splint is used under what circumstances? Severe head trauma Lower extremity trauma Spinal injury Newborn infant AP chest radiography

Lower extremity trauma

Benefits of proper body mechanics include: (select 3) Maintenance of balance Reduction of stress on joints and soft tissue Increased use of energy Decreased risk of injury Decreased safety during transfers

Maintenance of balance Reduction of stress on joints and soft tissue Decreased risk of injury

If you suspect the radiologist has contaminated his or her glove, which of the following should you do? Ignore the contamination so as not to delay the case. Tell the radiologist after the procedure has been completed. Confirm the contamination with a second person, and if he or she is in agreement, inform the radiologist. Make the radiologist aware of the possible contamination immediately.

Make the radiologist aware of the possible contamination immediately.

Which of the following are examples of a vector? (Select three) Mosquito X-ray tube Image Receptor Image Receptor Flea Tick Patient Pillow

Mosquito Flea Tick

Excessive background noise, cultural differences, increase message complexity

Which of the following can impede verbal communication effectiveness: (choose 3) Decreased distance between the sender and receiver Excessive background noise Cultural differences Increased eye contact Increased message complexity

talking to the patient with your back turned as you record in the chart

Which of the following is an example of a negative nonverbal communication technique? talking to the patient with your back turned as you record in the chart maintaining eye contact while referencing the patients chart leaning towards the patient while talking to him or her giving a pleasant smile

"I have several other patients, so please change quickly."

Which of the following is an inappropriate manner of speaking to a patient? "Are you warm enough?" "Do you have any questions about this examination?" "I have several other patients, so please change quickly." "Can I help you out of the chair?"

ensure your safety by checking to see that hospital security will stay with the patient during the procedure

You have received a request to perform a radiographic study on a patient who is clearly intoxicated but coherent. In preparing to perform this procedure, you should put on gown and gloves in case the patient vomits prepare patient restraint devices ensure your safety by checking to see that hospital security will stay with the patient during the procedure close all exam room doors to prevent others from hearing the patients language

When gowning another person: a nonsterile circulating person pulls up the gown and fastens the back and waistband. the nonsterile person picks up the opened gown and hands it to the sterile person. sterile masks are unnecessary. the sterile person grabs the gown by the waist and wraps it around the unsterile assistant.

a nonsterile circulating person pulls up the gown and fastens the back and waistband.

Each of the following is an example of a fomite except a doorknob a tick. a spoon. an x-ray table.

a tick.

Lyme disease is caused by bacteria carried by deer ticks. The tick bite may cause fever, fatigue, and other associated symptoms. This is an example of transmission of an infection by: droplet contact. a vehicle. the airborne route. a vector.

a vector.

What precaution(s) must a radiographer take when caring for a patient with a fractured extremity? a. Support the joint above and below the fracture and at the joints if moving a splinted limb. b. Do not remove splints without the direction of the physician in charge. c. Inform the patient before moving the fractured limb. d. None e. a, d and c

e. a, d and c

Each of the following statements regarding respiratory structures is true except: the left lung has two lobes the lower portion of the lung is the base each lung is enclosed in peritoneum the main stem bronchus enters the lung hilum

each lung is enclosed in peritoneum

The medical term for nosebleed is vertigo. epistaxis. urticaria. aura.

epistaxis.

All of the following are true of good lifting mechanics EXCEPT do most of the lifting with your legs and keep your back stationary. extend your reach beyond the center of gravity to broaden your arm coverage. stand with your feet far apart to broaden your base of support. ensure your center of gravity is over your base of support.

extend your reach beyond the center of gravity to broaden your arm coverage.

All the following rules regarding proper hand washing technique are correct except keep hands and forearms higher than elbows. use paper towels to turn water off. wash to 1 inch above the wrists carefully wash all surfaces and between fingers.

keep hands and forearms higher than elbows.

All the following rules regarding proper hand washing technique are correct except: keep hands and forearms higher than elbows. use paper towels to turn water off. wash to 1 inch above the wrists carefully wash all surfaces and between fingers.

keep hands and forearms higher than elbows.

When creating a sterile field, it is important for the imaging professional to: establish the sterile field as early in the day as possible to create an awareness of the scheduled procedure. remember that anything above the ankles is considered sterile. keep sterile gloves in sight and above the waist level. remember that any moisture that develops on the sterile field can be dried using an infrared lamp.

keep sterile gloves in sight and above the waist level.

When lifting patients, it is important to lift with your back and save your leg strength. avoid using a transfer belt to prevent abdominal cramping. keep your back stationary and lift with your legs.

keep your back stationary and lift with your legs.

When performing a two-person lift of a patient from a wheelchair, it is important to ask the patient to put his or her arms up over his or her head. lift the patient with his or her knees bent. bend over from the back and lift the patient's legs with your partner. lift the patient as a unit, with his or her arms crossed and legs straight.

lift the patient as a unit, with his or her arms crossed and legs straight.

When moving a patient to or from a stretcher: have the patient hold the stretcher from moving. lock the stretcher securely against the examination table. prop a wheelchair against the end of the cart. protect the stretcher with woolen blankets.

lock the stretcher securely against the examination table.

Special puncture-proof containers are provided for discarding: used sharps broken glass unused medications medication containers

used sharps

All of the following are examples of simple immobilization techniques EXCEPT wrapping a child in a sheet (mummy wrap). using a positioning sponge. laying a sandbag across the patient's anatomy. using a Velcro strap to stabilize the anatomy.

wrapping a child in a sheet (mummy wrap).

64

c

Syncope is a result of 1. A drop in blood pressure 2. A narrowing of blood vessels 3. A decrease in heart rate 4. Increased oxygen to brain tissue 1 and 2 only 1 and 3 2 and 4 2, 3 and 4

1 and 3

The cycle of infection includes which of the following components? 1. Reservoir of infection 2. Susceptible host 3. Means of transmission 1 only 1 and 2 only 2 and 3 1, 2 and 3

1, 2 and 3

A cystourethrogram is considered a/an: CT scan Fluoroscopic procedure Surgical Procedure Adult Procedure

Fluoroscopic procedure

To compensate for gerontological body changes, reducing exposure factors would help to compensate for 1. Decreased muscle mass 2. Increased bone density 3. Weight loss 4. Reduced alertness 1 and 2 only 1 and 3 1, 2 and 4 2, 3 and 4

1 and 3

Vehicle of infection include which of the following? 1. Contaminated water 2. Food 3. Blood 4. Drugs 1 only 1 and 2 only 2 and 3 1, 2, 3, 4

1, 2, 3, 4

The radiographer must perform which of the following procedures prior to entering a contact isolation room with a mobile x-ray unit? 1. Put on gown and gloves only. 2. Put on gown, gloves, mask, and cap. 3. Clean the mobile x-ray unit. 1 only 2 only 1 and 3 only 2 and 3 only

1 only

Which of the following would be useful for an examination of a patient suffering from Parkinson disease? 1. Short exposure time 2. High ratio grid 3. Compensating filtration

1 only

A minor reaction to the IV administration of a contrast agent can include 1.a few hives 2.nausea 3.a flushed face 1 only 1 and 2 only 1 and 3 only 1, 2, and 3

1, 2, and 3

Which of the following diastolic pressure readings can indicate hypertension? 40 mm Hg 60 mm Hg 80 mm Hg 100 mm Hg

100 mm Hg

What method are pathogens spread when a person coughs or sneezes: vehicle droplet vector direct contact

droplet

Which of the following statements would be true regarding tracheostomy patients? 1. Tracheostomy patients have difficulty speaking. 2. A routine chest x-ray requires the tracheostomy tubing to be rotated out of view. 3. Audible rattling sounds indicate a need for suction. 1 only 1 and 2 1 and 3 1, 2 and3

1 and 3

For newborns (0-3 months of age), which pulse rate range is normal: 100-180 BPM 70-130 BPM 40-60 BPM 60-100 BPM

100-180 BPM

Physical changes characteristic of gerontologic patients always include 1.loss of bone calcium. 2.loss of hearing. 3.loss of mental alertness. 1 only 1 and 2 1 and 3 1, 2 and 3

1 only

A diabetic patient who has prepared for a fasting radiographic examination is susceptible to a hypoglycemic reaction. This is characterized by 1.shaking and nervousness. 2.cold, clammy skin. 3.cyanosis. 1 only 2 only 1 and 2 only 1, 2 and 3

1, 2 and 3

Radiographers should wear gloves when they might come in contact with 1.wounds. 2.mucous membrane. 3.body fluids containing blood. 1 only 1 and 2 only 2 and 3 1, 2 and 3

1, 2 and 3

Sternal compressions during CPR are made with the heels of the hands located about 1 1/2 in. superior to the xiphoid tip 1 1/2 in. inferior to the xiphoid tip 3 in. superior to the xiphoid tip 3 in. inferior to the xiphoid tip

1 1/2 in. superior to the xiphoid tip

Chemical substances that are used to kill or deactivate pathogenic bacteria are called 1.antiseptics. 2.disinfectants. 3.toxins. 1 only 1 and 2 only 2 and 3 1, 2 and 3

1 and 2 only

Chemical substances that are used to kill or deactivate pathogenic bacteria are called: 1.antiseptics. 2.disinfectants. 3.toxins. 1 only 1 and 2 only 2 and 3 only 1, 2, and 3

1 and 2 only

Examples of means by which infectious microorganisms can be transmitted via indirect contact include: 1. a fomite. 2. a vector. 3. nasal or oral secretions. 1 only 1 and 2 only 2 and 3 1, 2 and 3

1 and 2 only

Pulse is commonly measured at: (1) Radial artery (2) Carotid artery (3) Mandibular artery 1 only 1 and 2 only 1 and 3 only 2 and 3 only

1 and 2 only

Skin discoloration owing to cyanosis may be observed in the: 1. gums. 2. earlobes. 3. corneas. 1 only 1 and 2 only 3 only 1, 2 3

1 and 2 only

To prevent disease transmission, linens used for patients should: 1. Be only used once per patient 2. Be folded inward after use before removing from a surface 3. Be shaken to remove any loose debris before placing in the hamper 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3

1 and 2 only

When caring for the elderly, it is important to remember that, as one ages, there is often a decrease in: 1.reaction time 2.strength 3.long-term memory 1 only 1 and 2 only 2 and 3 1, 2 and 3

1 and 2 only

Which of the following is (are) symptom(s) of shock? 1. Pallor and weakness 2. Increased pulse 3. Fever 1 only 1 and 2 only 1 and 3 1, 2, and 3

1 and 2 only

Which of the following statements is (are) true regarding a two-member team performing mobile radiography on a patient with MRSA precautions? 1. One radiographer remains "clean"—that is, he or she has no physical contact with the patient. 2. The radiographer who positions the mobile unit also makes the exposure. 3. The radiographer who positions the cassette also retrieves the cassette and removes it from its plastic protective cover. 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3

1 and 2 only

Blood pressure may be expressed as 120/95. What does 95 represent? 1.The phase of relaxation of the cardiac muscle tissue 2.The phase of contraction of the cardiac muscle tissue 3.A higher-than-average diastolic pressure 1 only 2 only 1 and 3 2 and 3

1 and 3

fear of the unknown and about their condition

A common emotion of most patients entering a hospital is hope for a cure for their condition insincerity fear of the unknown and about their condition concern for the cost of hospital care

bargaining

A dying patient who wants to stay alive long enough to see his son graduate from college would be in what stage of the dying process? denial bargaining anger depression

1,2 and 4 only

A patient who is near death will likely exhibit what signs of impending death? 1. loss of bowel functions and control 2. state of unconsciousness 3. unusual high level of alertness and response to conversation 4. a condition of "wasting away" (cachexia)

inpatient

A(n) is someone who has been admitted to the hospital for diagnostic studies or treatment semi-private patient inpatient outpatient referral

denial and isolation, anger, bargaining, depression, and acceptance

According to Elisabeth Kubler-Ross, the customary stages of the dying or grieving process in the typical sequence are acceptance, denial, depression, anger, and bargaining denial and isolation, anger, depression, bargaining, and acceptance denial and isolation, anger, bargaining, depression, and acceptance anger, denial, bargaining, depression, and acceptance

self-fulfillment and self-actualization

According to Maslow's hierarchy of needs, few people completely satisfy the need for: food, water, and nutrition acceptance and love by family and peers shelter, peace, and protection self-fulfillment and self-actualization

shelter, nourishment and water

According to Maslow's hierarchy of needs, our first and most basic need is? protection from outside enemies ensuring enough money for retirement success at work shelter, nourishment, and water

Which of the following factors may result in an increased respiratory rate: (choose 2) Age younger than 3 years Exercise Decreased emotional distress Age over 65 years Lower altitudes

Age younger than 3 years Exercise

Which of the following type of transmission will spread tuberculosis, varicella, and rubeola? Droplet Contact Reverse Airborne

Airborne

Which of the following are included in the 6 main routes of infection transmission? Airborne Droplet Mechanical Vector Prion Fomite

Airborne Droplet Vector Fomite

volume of voice

All of the following are nonverbal communication characteristics except: body language volume of voice professional appearance amount of eye contact

Two people in sterile attire should pass each other in which of the following ways? Front to back Back to front Back to back Front to front

Back to back

When caring for a 6-year-old child, the radiographer should: Explain the procedure to the patient in great detail Tell the patient that there will be no pain or discomfort, regardless of the type of examination Be friendly, honest, and concise in your explanation to the child Routinely immobilze the child to be examined

Be friendly, honest, and concise in your explanation to the child

From the following list, select 4 appropriate choices for safe lifting of a heavy object from the floor to a table. Bend your knees and keep your back straight. Lift the object to a standing position, and then walk the object to the table. Hold your breath as you brace to lift. Bend at the waist. Keep your feet apart, slightly wider than your shoulders. Bring the object in close to your body. Stand slightly to the left or the right of the object and twist as you reach for it.

Bend your knees and keep your back straight. Lift the object to a standing position, and then walk the object to the table. Keep your feet apart, slightly wider than your shoulders. Bring the object in close to your body.

Where is the "sterile corridor" located? Just outside the surgical suite Immediately inside each operating room door Between the draped patient and the instrument table At the foot end of the draped patient

Between the draped patient and the instrument table

A technologist brings the portable machine to the ED, preparing to take a portable chest x-ray on the patient in critical bay 4. As you approach, the nursing assistant is already in the room with a sphygmomanometer at the bedside. What is she about to measure? Blood pressure Oxygen concentration in the blood Respiration exhalation force Cerebral spinal fluid pressure

Blood pressure

Which of the following items are categorized as vital signs? (select the four that apply) Blood pressure Electrocardiograph (ECG or EKG) Respiratory rate Pulse rate Complete blood count (CBC) Temperature

Blood pressure Respiratory rate Pulse rate Temperature

What precaution(s) must be followed when taking radiographic exposures of a patient who has a head injury? Keep the head and neck immobilized until the physician in charge rules out cervical spine injury. Wear sterile gloves if the patient has open wounds. Check the patient's vital signs frequently. Both a and c Both a and b, c

Both a and b, c

What is an indication for elder abuse? Caregiver is empathic towards the patient Caregiver lets the elder respond for themselves Caregiver has a professional demeanor with patient Care giver lacks affection toward patient

Care giver lacks affection toward patient

emotional intelligence

Clearly understanding your emotions when handling patients and their families is referred to as: personal intellect psychoanalysis emotional intelligence personal bias

If the sterility of an object is unknown, which of the following should be done? Ask the physician if it is alright to use the object. Use the object as long as it has not been dropped on the floor. Consider the object unsterile and do not use it. Clean the object with a disinfectant or antimicrobial before using it.

Consider the object unsterile and do not use it.

Early symptoms of anaphylaxis include all EXCEPT which of the following? Itching of palms and soles Dysphagia Cool skin Tingling

Cool skin

Which of the following statements is FALSE? A sterile person may touch only what is sterile. Create sterile fields early in the morning while staff members are fresh and equipment is clean. A sterile field must be watched continually to be considered sterile. If a solution soaks through a sterile field to a nonsterile field, the wet area must be redraped.

Create sterile fields early in the morning while staff members are fresh and equipment is clean.

57

D

Cyanosis is blueish hue to the skin due to which of the following? Decreased blood flow Increased oxygenation Decreased oxygenation Increased blood flow

Decreased oxygenation

Cyanosis is blueish hue to the skin due to which of the following? Decreased blood flow Increased oxygenation Decreased oxygenation Increased blood flow

Decreased oxygenation

Which of the following is a concept of proper body mechanics: Reducing the base of support by bringing your feet closer together creates a more stable foundation when lifting objects over your head Increasing distance between your center of gravity and the center of gravity for the object you are moving will increase the leverage needed to perform the action Pulling objects is easier on the joints and expends less energy than pushing an object Decreased the distance between yourself and the patient you are transferring allows for better use of your upper extremities in the transfer

Decreased the distance between yourself and the patient you are transferring allows for better use of your upper extremities in the transfer

What is the destruction of pathogens through the use of chemical materials termed? Aseptic Correct Answer Handwashing Sterilization

Disinfection

Which of the following medications would most likely be prescribed for a patient suffering from congestive heart failure or hypertension? Cathartic Diuretic Antihistamine Anticholinergic

Diuretic

When disposing of contaminated needles, they are placed in a special container using what procedure? Recap the needle, remove the syringe, and dispose of the needle. Do not recap the needle, remove the syringe, and dispose of the needle. Recap the needle and dispose of the entire syringe. Do not recap the needle and dispose of the entire syringe.

Do not recap the needle and dispose of the entire syringe.

What type of transmission-based percaution is required for influenza, mumps, and rubella? Airborne Droplet Contact All the above

Droplet

A radiographer is performing a radiographic procedure and notices that the patient has a labored and difficult breathing pattern. This respiratory pattern indicates which of the following conditions? Eupnea Apnea Hyperventilation Dyspnea

Dyspnea

A radiographer is performing a radiographic procedure and notices that the patient has a labored and difficult breathing pattern. This respiratory pattern indicates which of the following conditions? Eupnea Apnea Hyper Dyspnea

Dyspnea

Which of the following should be examined first when a sterile package is used? Way the package is folded Type of material used to wrap the package Expiration date Way the package is taped

Expiration date

You have been assigned to radiograph Mr. J. J. He has been transported by the local police to the emergency room of the hospital in which you are employed. He is complaining of severe pain in his right leg. As you approach the patient, you notice that he is walking rapidly up and down the corridor. His head is bent, and he is talking rapidly to persons who are not present. He occasionally stops, looks up at the ceiling, and shouts that he has to "get them." What would be your best manner of dealing with this situation? Walk directly up to the patient, introduce yourself, and explain your purpose in being there. Get an assistant, approach the patient from his or her side, stop slightly away from the patient, and explain your purpose. Tell the nurse in the emergency room to forget it. Have the male orderlies restrain the patient.

Get an assistant, approach the patient from his or her side, stop slightly away from the patient, and explain your purpose.

The term used to describe an individual with a core temperature higher than 100°F: Hypothermia Pyrexic Hyperthermia Anaerobic

Hyperthermia

A patient arrives at the ED with a knife wound to the abdomen; the patient's shirt and pants are soaked with blood. The patient's blood pressure has dropped to 90/40 mm Hg and her pulse is 134 bpm. What type of shock is the patient experiencing? Cardiogenic Neurologic Iatrogenic Hypovolemic

Hypovolemic

What type of shock results from loss of blood? Septic Neurogenic Cardiogenic Hypovolemic

Hypovolemic

denial.

In her studies on death and dying, Dr. Elizabeth Kubler-Ross described the first stage of the grieving process as denial. anger bargaining. depression.

Which three of the following are physiologic changes associated with advanced age: Increased skin tears Decreased balance Increased cognitive capacity Increased bone density Decreased muscle mass Increased connective tissue elasticity

Increased skin tears Decreased balance Decreased muscle mass

Which 3 of the following are physiologic changes associated with advanced age: Increased skin tears Decreased balance Increased bone density Increased cognitive capacity Decreased muscle mass Increased connective tissue elasticity

Increased skin tears Decreased balance Decreased muscle mass Increased connective tissue elasticity

Which of the following is the term used to describe any infection that is acquired in a hospital? Nosocomial Iatrogenic Idiopathic Purulent

Nosocomial

Which of the following conditions describes a patient who is unable to breathe easily while in the recumbent position? Dyspnea Apnea Orthopnea Oligopnea

Orthopnea

Some patients, such as infants and children, are unable to maintain the necessary radiographic position without assistance. If mechanical restraining devices cannot be used, which of the following should be requested or permitted to hold the patient? Transporter Patient's father Patient's mother Student radiographer

Patient's father

Which of the following is a violation of correct sterile technique? Gowns are considered sterile in the front down to the waist, including the arms. Sterile gloves must be kept above the waist level. Persons in sterile dress should pass each other face to face. A sterile field should not be left unattended.

Persons in sterile dress should pass each other face to face.

Which of the following devices is used to determine blood oxygenation levels? Pulse oximeter Sphygmomanometer Stethoscope Cardiac telemeter

Pulse oximeter

You have received an examination request for a pediatric wrist and hand radiograph. The examination history states that the child caught her hand in a fan. The child's hand shows soft tissue swelling but no cuts or abrasions. The patient is brought to you with her mother, who is quite distraught and upset over her child's injury. As you proceed to image the daughter, how would you effectively handle the parent in this situation? Refer to departmental policy on parents in the examination room and use your best experience to deal with the mother, which may include having her leave the room. Delay the examination until the mother has regained her composure. Simulate the exam on the mother first to show the child how easy it will be and show the child sample images. Ask the mother to hold the child if the child appears to be moving.

Refer to departmental policy on parents in the examination room and use your best experience to deal with the mother, which may include having her leave the room.

As you enter a patient's room to perform a portable examination, you notice the patient sleeping on her side with one leg over the other with the knees bent. This patient is in the _____ position. Fowler supine Sims None of the above are correct.

Sims

An autoclave provides which method of pathogenic removal? Surgical asepsis Microbial dilution Disinfection Chemical sterilization

Surgical asepsis

Which of the following blood pressure measurements might indicate shock? Systolic pressure lower than 60 mmHg Systolic pressure higher than 140 mmHg Diastolic pressure higher than 140 mmHg Diastolic pressure lower than 90 mmHg

Systolic pressure lower than 60 mmHg

During measurement of blood pressure, which of the following occurs as the radiographer controls arterial tension with the sphygmomanometer? The brachial vein is collapsed. The brachial artery is temporarily collapsed. The antecubital vein is monitored. Oxygen saturation of arterial blood is monitored.

The brachial artery is temporarily collapsed.

paralanguage

The cadence and rhythm of your speech, often referred to as the "music of speech" is known as paralanguage negative therapeutic communication therapeutic communication auditory communication

Which of the following statements is correct with regard to assisting a patient from a wheelchair to an x-ray table? The wheelchair should be parallel with the x-ray table. The patient's weaker side should be closer to the x-ray table. The wheelchair should directly face the x-ray table. The patient's stronger side should be closer to the x-ray table.

The patient's stronger side should be closer to the x-ray table.

A technologist is performing an assisted transfer from wheelchair to radiographic exam table with adjustable height. The patient has previously suffered a CVA and presents with left-side weakness. Which four of the following six options will best achieve a successful transfer with reduced chance of injury for both patient and technologist? The technologist should discuss the steps of the transfer with the patient beforehand to make sure the patient understands. The wheelchair seat should be parallel to the exam table and the table should be elevated to a height 5 inches taller than the seat of the chair. The wheelchair should be turned toward the table at a 45 degree angle, with the patient's weak side closest to the table. The technologist should squat at the knee and the hip, keeping the back straight offering support and standing with the patient. The wheelchair should be turned toward the table at a 45 degree angle with the patient's strong side closest to the table. The footrests of the wheelchair should be pivoted out of the way or removed before beginning.

The technologist should discuss the steps of the transfer with the patient beforehand to make sure the patient understands. The technologist should squat at the knee and the hip, keeping the back straight offering support and standing with the patient. The technologist should squat at the knee and the hip, keeping the back straight offering support and standing with the patient. The wheelchair should be turned toward the table at a 45 degree angle with the patient's strong side closest to the table. The footrests of the wheelchair should be pivoted out of the way or removed before beginning.

2 and 3

When radiographing the elderly, it is helpful to 1. move quickly. 2. address them by their full name. 3. give straightforward instructions.

all

When radiographing young children, it is helpful to 1. let them bring a toy. 2. keep explanations simple and honest. 3. be cheerful and unhurried.

making light of bad weather and how it "brightened your day" to have a job inside helping people

The use of humor during radiographic procedures can be effective with patients if used professionally and under the right circumstance. An example of correct use of humor is repeating a political joke you heard on the radio making light of bad weather and how it "brightened your day" to have a job inside helping people telling the patient you need to repeat the exam because someone opened the door to the darkroom that doesn't exist anymore commenting on the patients tattoo and how funny it looks with the skin stretched for the x-ray positions

Special care is necessary when caring for a patient whose brain or spinal cord might be injured because: Extreme pain may result from the movement. This type of injury heals slowly. The incidence of infection is high. These tissues have very little ability to heal.

These tissues have very little ability to heal.

What is the leading cause of death for all persons under 44 years? Cancer Stroke Trauma Drowning

Trauma

perform a patient assessment by referencing the patient chart or exam request

Upon receiving an order or request to perform a radiographic examination on a patient, the first step to consider in order to achieve exam success is to: prepare the exam room in order to prevent the unexpected perform a patient assessment by referencing the patient chart or exam request contact the ordering provider to obtain a better health history check with your coworkers to see if anyone examined the patient recently

1 only

When communicating with a young child as part of a radiographic exam, an effective strategy to communicate would be to 1. kneel down to the child's level and lower your voice 2. speak loudly and quickly so the child knows you're in charge 3. allow one of the younger radiographer's in the department to perform the exam 4. speak exclusively to the parent so the child cooperates

politely working in silence as necessary and attending to his/her physical needs

When dealing with a terminally ill patient who demonstrates mutual pretense of their condition, which of the following would seem most appropriate? happily moving around the room trying to cheer him/her up politely working in silence as necessary and attending to his/her physical needs sharing similar death experiences with the patient to comfort them attempt to get the patient to transition into open awareness of their condition

Objective signs

When interviewing a patient, what is it that the health care professional can observe? Symptoms History Objective signs Chief complaint

Which of the following statements is TRUE? When lifting someone or something, stand as close as possible to whatever you are lifting. Keep your feet very wide apart and your back arched when lifting. When working with cardiac patients, it is safe to let them help you until they become exhausted. When lifting a stack of heavy grid cassettes from the floor to a counter, it is advisable to use your arm muscles because they are stronger than those of the thigh.

When lifting someone or something, stand as close as possible to whatever you are lifting.

use simple one word instructions that are familiar to a child

When radiographing a toddler, work silently in order to avoid questions and alarming the child use simple one word instructions that are familiar to a child speak loudly and take charge of the exam from the beginning ask the child if he or she has had this type of procedure before

When gowning and gloving for a sterile procedure, it is important to remember that: the techniques are the same as gowning for medical asepsis. sterile gloves must be put on outside of the sterile work area. after gowning, the front of the gown down to the waist, and the sleeves are considered sterile. when passing a sterile team member, you must pass each other face to face in order to see any contamination.

after gowning, the front of the gown down to the waist, and the sleeves are considered sterile.

When establishing a sterile field using a sterile drape, it is acceptable to reach over the sterile field to minimize reach and air motion. all drape items must be clean and dry. inspect the expiration date to determine if you are using the sterile pack within 36 hours of the expiration date. open the sterile package with the top flap set to open toward the person opening the pack.

all drape items must be clean and dry.

During surgical procedures using a portable C-arm, it is important to remember that: communication with the surgeon is critical to examination success. no two cases are ever the same, and routine surgical fluoroscopy is unlikely. technologists must be prepared for a stressful environment and using their highest critical thinking skills. all of the above are important.

all of the above are important.

Patient immobilization is a critical part of achieving optimum image quality. Even the smallest, undetectable involuntary motion can degrade the final image. Effective methods to reduce the amount of patient motion include: giving clear, concise instructions to the patient before the exposure. assessing the amount of patient cooperation you can expect and making adjustments in immobilization. explaining how important it is to hold still during the exposure so that a good image can be obtained. all of the above.

all of the above.

During the various stages of infection, the host can be contagious during latency incubation illness all stages of the infection cycle

all stages of the infection cycle

Anaphylaxis is the term used to describe an inflammatory reaction. bronchial asthma. acute chest pain. allergic shock.

allergic shock.

When transferring a patient from a wheelchair to a radiographic table: position the wheelchair at a 90-degree angle to the table. allow the patient to help with the transfer if it is safe and he or she is capable of doing so. do not let the patient do any weight-bearing movements. break the transfer into a series of simultaneous movements and commands.

allow the patient to help with the transfer if it is safe and he or she is capable of doing so.

An acute reaction caused by ingestion or injection of a sensitizing agent describes asthma anaphylaxis myocardial infarction rhinitis

anaphylaxis

Rapid onset of severe respiratory or cardiovascular symptoms after ingestion or injection of a drug, vaccine, contrast agent, or food, or after an insect bite, best describes: asthma. anaphylaxis. myocardial infarction. rhinitis.

anaphylaxis.

A vasodilator would most likely be used for angina cardiac arrest. bradycardia. antihistamine.

angina

Infectious waste may be defined as: bodily waste. used dressings. anything that has the potential to transmit disease only materials covered by Standard Precautions.

anything that has the potential to transmit disease

The condition of slow heart rate, below 60 beats/min, is termed hyperthermia hypotension hypoxia bradycardia

bradycardia

Difficulty in breathing precipitated by stress and causing bronchospasm best describes asthma. anaphylaxis. myocardial infarct. rhinitis.

asthma.

All of the following situations would require aseptic techniques EXCEPT barium enema examination. insertion of central venous line. insertion of an indwelling Foley catheter. insertion of an angiographic catheter.

barium enema examination.

You have encountered a person who is apparently unconscious. Although you open his airway, there is no rise and fall of the chest, no detectable pulse, and you can hear no breath sounds. You should: begin mouth-to-mouth rescue breathing, giving two full breaths. begin external chest compressions at a rate of 70-80 compressions/min. proceed with the Heimlich maneuver. begin external chest compressions at a rate of at least 100 compressions/min

begin external chest compressions at a rate of at least 100 compressions/min

When moving a patient from a cart to the radiographic table, it would be appropriate to: a. ask the patient how much he or she can help with the transfer. b. wrap the patient up in a sheet and roll him or her over completely. c. allow the patient to safely help with the transfer as much as he or she is able. d. both a and c.

both a and c

50

c

Symptoms that a child may display that may indicate abuse? (choose 3) child is excessively passive child is excessively aggressive reports have not eaten for an inordinately long time child comes in with grandparents

child is excessively passive child is excessively aggressive reports have not eaten for an inordinately long time

The Heimlich maneuver is used if a patient is: in cardiac arrest. choking. having a seizure. suffering from hiccups.

choking.

A patient arrives at the medical imaging department for a facial bones series after being hit in the head by a softball. The patient comes to you with a cervical collar, but it is apparent that the collar may not be needed because the patient is turning his head to converse with you as the examination starts. A professional imaging technologist would: remove the cervical collar because it appears to be unnecessary. complete the facial bone images with the collar in place using the positioning flexibility of your equipment. call the emergency department nurse and ask her to remove the cervical collar. immobilize the patient's head and then remove the cervical collar so it's not in the image.

complete the facial bone images with the collar in place using the positioning flexibility of your equipment.

49

d

When opening and pouring sterile solutions: a. both the inside and outside of the container are considered sterile. b. confirm the solution name and strength three times before pouring. c. show the solution name and strength to another person before pouring. d. both b and c are appropriate.

d. both b and c are appropriate.

The term dyspnea refers to: difficulty speaking. abnormal development of tissue. malposition. difficult or painful breathing.

difficult or painful breathing.

A disease spread by kissing is being transmitted by which method direct contact droplet spread aerosol vector spread

direct contact

Establishing a rapport with a patient contributes greatly to a successful immobilization exercise. To establish patient rapport, the imaging professional should: explain to the patient how important it is hold still and that you will use restraints to ensure this as part of the exam. gently tell the patient what you need to accomplish and how you would like to move forward with the examination. ask for two or three other technologists to come into the room as you begin the positioning. pull out all your immobilization tools in front of the patient to show you know what you are doing.

gently tell the patient what you need to accomplish and how you would like to move forward with the examination.

The term used to describe expectoration of blood from the bronchi is hemoptysis hematemesis chronic obstructive pulmonary disease (COPD) bronchitis

hemoptysis

The term used to describe expectoration of blood from the bronchi is: hemoptysis hematemesis chronic obstructive pulmonary disease (COPD) bronchitis

hemoptysis

When opening and pouring sterile solutions: remove the cap and place it on a corner of the sterile field with the lid down. wipe up any spills of solution using a sterile towel. hold the bottle approximately 12 inches above the basin when pouring to form a steady stream of fluid. hold the bottle with the label facing up to prevent fluids from staining the label.

hold the bottle with the label facing up to prevent fluids from staining the label.

A patient whose systolic blood pressure is consistently greater than 140 mm Hg usually is considered: hypertensive. hypotensive. average/normal. baseline.

hypertensive.

The condition of below-normal blood pressure is termed hyperthermia. hypotension. hypoxia. bradycardia.

hypotension.

The process of establishment and growth of a microorganism on or in a host is referred as: inflammation pathogen infection prokaryotic nosocomial

infection

A nosocomial infection is a(n): infection acquired from frequent handshaking. upper respiratory tract infection. infection acquired in a hospital. type of rhinitis.

infection acquired in a hospital.

The technique of wrapping a patient in a sheet is known as mummification. is appropriate for young adults and teenagers. is appropriate for a child who can cooperate and understand your instructions. should be used only with parental approval.

is known as mummification.

The technique of wrapping an infant patient in a sheet requires the use of a commercially available Velcro-edged sheet design. is known as mummification. is effective for young adults and teenagers. should be used only with parental approval.

is known as mummification.

All of the following are true of the Pigg-O-Stat infant immobilizer except: its design provides for lead protection over the child's gonads. it is made of contour-shaped, clear acrylic restraining forms. it is radiolucent and produces no image. the patient can be rotated 360 degrees for various oblique projections.

it is radiolucent and produces no image.

All the following are rules of good body mechanics except keep back straight, avoid twisting keep the load close to the body push, do not pull, the load keep a narrow base of support

keep a narrow base of support

When using sandbags as an immobilization device: weigh the sandbag before using it, to ensure it is not too heavy on the patient. place the sandbag over the area of interest, so the radiologist knows you used one. make a note for the radiologist, as the sandbag is radiopaque and may leave an artifact. refill any sand that leaks out of the bag before the examination begins.

make a note for the radiologist, as the sandbag is radiopaque and may leave an artifact.

26

measurable

Techniques that function to reduce the spread of microbes are termed: surgical asepsis. medical asepsis. sterilization. disinfection.

medical asepsis.

Mobility muscles differ from stability muscles in that stability muscles are located in the knees and ankles. mobility muscles are located in the arms and legs. stability muscles are involved in digestion and body homeostasis. mobility muscles provide postural support.

mobility muscles are located in the arms and legs.

When opening a sterile tray, your fingers: may not touch any metal content. must be covered with sterile gloves. may not touch any cloth content. must never touch the inside of the tray.

must never touch the inside of the tray.

The most commonly used method of low-flow oxygen delivery is the oxygen mask. nasal cannula. respirator oxyhood

nasal cannula.

_____ is a mild allergic reaction symptom, while _____ is considered a moderate allergic reaction symptom. warmth; flushing nausea; large urticaria bronchospasm; dysphagia bronchial edema; metallic taste

nausea; large urticaria

All the following statements regarding oxygen delivery are true except: oxygen is classified as a drug and must be prescribed by a physician. the rate of delivery and mode of delivery must be part of a physician order for oxygen. oxygen may be ordered as continuously or as needed (prn). none of the above; they are all true

none of the above; they are all true

A patient who is diaphoretic is experiencing profuse sweating. hot, dry skin. dilated pupils. warm, moist skin.

profuse sweating.

The single greatest measure that can be done to prevent the spread of infection is: discarding of lead aprons that have been contaminated disinfection of radiographic cassettes proper hand washing proper discarding of all refuse in sharps containers

proper hand washing

The most frequent site of hospital-acquired infection is the: urinary tract. blood respiratory tract. digestive tract.

urinary tract.

The goal of aseptic technique is to: protect the radiographer from infection. protect the patient from pathogenic microbes. prevent the spread of infection from the patient to any equipment in the examination room. protect the surgical team from an infected patient.

protect the patient from pathogenic microbes.

During a Tonic Clonic (grand mal) seizure, the patient should be protected from injury. placed in a semiupright position to prevent aspiration of vomitus. allowed to thrash freely. given a sedative to reduce jerky body movements and reduce the possibility of injury.

protected from injury.

When radiographing a patient with severe abdominal trauma and possible hemorrhagic shock, it is important to: remove the patient's trousers to prevent artifacts. radiograph the patient through the antishock garment the patient is wearing. slowly remove the air in the antishock garment to decrease its radiolucency. add air to the antishock garment to improve image quality.

radiograph the patient through the antishock garment the patient is wearing.

Nitroglycerin _____ blood vessels, resulting in _____ blood flow. relaxes; decreased constricts; decreased relaxes; increased constricts; increased

relaxes; increased

When a patient with an arm injury needs help in undressing, the radiographer should remove clothing from the injured arm first. remove clothing from the uninjured arm first. always remove clothing from the left arm first. always cut clothing away from the injured extremity.

remove clothing from the uninjured arm first.

Animals, people, food, water, and the soil are all examples of: microorganism vector bateria reservoirs of infection

reservoirs of infection

Tracheotomy is an effective technique most commonly used to restore breathing when there is: respiratory pathway obstruction above the larynx crushed tracheal rings owing to trauma. respiratory pathway closure owing to inflammation and swelling all the above

respiratory pathway obstruction above the larynx

After successfully completing a safe hydraulic lift of a large patient, the imaging professional should: remove the transfer sling and send it to laundry for cleaning. keep the patient in the hydraulic lift and return him or her to the floor. return the patient in a wheelchair with the transfer sling under the patient. return the patient to the floor on a cart with the sling draped alongside the cart.

return the patient in a wheelchair with the transfer sling under the patient.

Aspirated foreign bodies in older children and adults are most likely to lodge in the right main stem bronchus left main stem bronchus esophagus proximal stomach

right main stem bronchus

Contact precautions are required when handling patients with all of the following except: C. difficile adenovirus VRE rubeola

rubeola

The purpose of a patient transfer is to make arrangements for the patient to be moved to another nursing unit. safely move a patient from one area to another. provide for the patient's hospital bill to be deducted from his or her banking institution. make delivery arrangements for the patient's personal belongings.

safely move a patient from one area to another.

You are about to assist with a sterile procedure. In scrubbing for the procedure, it is important to: tightly wrap surgical tape around your rings and watch after scrubbing. keep your arms down when scrubbing to prevent fluids running up your arm. scrub the fingers completely, as well as the front and back of your hands, for 3 minutes. use a surgical antimicrobial solution such as alcohol or antiseptic soap.

scrub the fingers completely, as well as the front and back of your hands, for 3 minutes.

An autoclave is used for dry heat sterilization. chemical sterilization. gas sterilization. steam sterilization.

steam sterilization.

When using a portable C-arm for a surgical hip pinning: sterility will be maintained using a "shower curtain" approach. sterile technique is unnecessary. the surgeon can reach through the curtain and move the C-arm manually. an additional sterile towel is positioned over the incision site and then removed when the C-arm is brought into the field of view for imaging

sterility will be maintained using a "shower curtain" approach.

An effective and simple immobilization tool for stabilizing a child's arms, above and behind the head is a: Patient immobilization methods contribute significantly to a patient's X-ray exposure. The desirable features of an immobilization device, from a radiation protection standpoint, would be Velcro wrist bracelet. nylon tie wrap. cloth drawstring. stockinette.

stockinette.

While measuring blood pressure, the first pulse that is heard is recorded as the: diastolic pressure. systolic pressure. venous pressure. valvular pressure.

systolic pressure.

A patient suffering from hematuria: is vomiting blood has excessive waste urea in the bloodstream tests positive for blood in their urine exhibits urine output that is visibly clear

tests positive for blood in their urine

When obtaining cervical spine images on a patient with a cervical collar, complete: the AP and lateral projections with the cervical collar in place. the lateral projection and then remove the collar. the AP projection and then remove the collar. all spine projections with the collar removed and replaced with a head clamp.

the AP and lateral projections with the cervical collar in place.

When putting on a pair of sterile gloves: jewelry may remain on during gloving. the glove package is open and positioned so the wearer crosses his or her arm over the left glove to reach for the right glove. the first glove is picked up by the inside cuff with one hand, being careful not the touch the outside of the glove. the remaining glove is grabbed by the outside and placed on the unsterile hand, making it sterile.

the first glove is picked up by the inside cuff with one hand, being careful not the touch the outside of the glove.

When a radiographer is obtaining a patient history, both subjective and objective data should be obtained. An example of subjective data is that the patient appears to have a productive cough. the patient has a blood pressure of 130/95 mm Hg. the patient states that she experiences extreme pain in the upright position. the patient has a palpable mass in the right upper quadrant of the left breast.

the patient states that she experiences extreme pain in the upright position.

The expansion and recoil of an artery describes a vital sign measurement called auscultation the pulse a bruit stroke volume

the pulse

All of the following are viral infections except: tinea pedis cold sores common cold warts

tinea pedis