Patient Care Quizzes (Chapter 10 11 5 3 4 12 13 14 15 17 18 16 19 20 21 23)
Which of the following statements is false? Non-English-speaking patients typically understand simple phrases and commands such as "Yes", "No", and "Stop". Pediatric patients always require special attention. To minimize feelings of alienation, it is useful to treat geriatric patients as adolescents in order to make them understand your instructions. Dealing with mentally impaired patients often requires the technologist use a strong yet reassuring tone of voice.
To minimize feelings of alienation, it is useful to treat geriatric patients as adolescents in order to make them understand your instructions.
The physician's diagnosis for a patient who has difficulty breathing would be which of the following?
apnea
Radiolucent contrast media:
appear dark on radiographs
Bacteria have all of the following characteristics except they:
are eukaryotic organisms
Radiopaque contrast media:
are positive contrast agents appear light on radiographs are composed of elements with high atomic numbers
When working with a nonambulatory male patient who needs to void:
ask the patient how much resistance he feels he needs, and allow him to use a urinal. after the patient has voided, record the volume of urine in the patient's chart if documentation is required. dispose of the urine in the toilet and rinse the urinal with cold water. remove your disposable gloves, wash you hands, and place the soiled urinal in a receptacle for resterilization.
Orthostatic hypotension results from which of the following?
being in bed for long periods
You are on the elevator at your clinical site and are joined by a group of people. They are vocal about the skin and dialect of the doctor taking care of their family member. This group inherently demonstrates a group:
bias
A native born Latino individual who has moved to the United States and successfully blended into local community activities, such as work, church, school, and volunteering, without losing his native culture demonstration
biculturalism.
Which branch of science applies the laws of physics, specifically the action of forces on bodies at rest or in motion?
biomechanics
All of the following are forms of subjective patient data except:
blood pressure and temperature.
When comparing a semiautomatic AED device with a automatic device:
both devices determine the patient's cardiac rhythm.
When you ask the pharmacist for the drug Benadryl, you are asking for the drug using the drug's _____ name.
brand
How can the severity of orthostatic hypotension be minimized?
by moving slowly
Students learning that occurs in a classroom setting is referred to as _______learning.
didactic
A disease by kissing is being transmitted by which of the following methods?
direct contact
Which of the following cart transfer devices requires lifting rather than sliding of the patient?
drawsheet
Which of the following cart transfers has the greatest potential for back strain in the radiographer?
drawsheet
By what method are pathogens spread when a person coughs or sneezes?
droplet
Nasogastric (NG) tubes are inserted through the patient's ______ with the end of the tube placed in the ______.
nasopharynx; stomach
Which of the following is a symptom of hypertension?
none of the above
Myelography most commonly uses _______ contrast media.
nonionic
Man's first and foremost need is:
nourishment and water.
For which type of patient is it appropriate to use a hydraulic lift?
obese patient
As students gain competency in medical imaging procedures, three phases in the clinical setting are planned by clinical faculty. These three phases in the correct learning sequence are:
observation, assistance, performance
When working with an elderly patient:
speak slowly and clearly, and ask for understanding and feedback.
For a single-contrast barium enema.
spot images of the cecum, hepatic flexure, splenic flexure, and sigmoid are taken
Which of the following types of wheelchair transfers requires minimal assistance by the radiographer?
standby assist
Which of the following statements describes the narrowest base of support?
standing on one foot
When questioning patients to obtain an accurate patient history:
start with open-ended questions and then follow up with more direct inquiries.
The inflatable balloon portion of the Foley catheter is typically filled with
sterile water
When using a portable C-arm for a surgical hip pinning:
sterility will be maintained using a "shower curtain" approach
Reaction to a drug that results in respiratory or circulatory collapse is:
anaphylaxis.
The benzene ring is associated with the:
anion
An effective way to reduce motion is to:
communicate with the patient
The spread of infection via contaminated food referenced is spread by:
formite
In preparing to radiograph a patient who has come to medical imaging with a complaint of abdominal pain, you begin to question the patient as part of the history. A good initial question to ask the patient would be:
"Can you tell me about the nature of your pain?"
The patient coming to you for an abdominal examination states, "My belly hurts." A logical question to ask next would be:
"Can you touch the area of your belly that hurts?"
In determining a patient's description of his or her pain, a good question to ask would be:
"How would you describe the pain?" "When did the pain first happen?" "If the pain comes and goes, how often does it occur and what is the time span between occurrences?"
Which of the following statements uses out-of-control language?
"I can't believe I have all these examinations in the same week. This is so unfair!"
When opening a sterile tray, your fingers:
must never touch the inside of the tray
Oil-based iodine contrast media are used for each of the following except:
myelography
Sites commonly used for venipuncture include the _____ vein(s). 1. basilic 2. iliac 3. accessory cephalic 4. carotid 5. brachiocephalic
1 and 3 only
On a patient's examination requisition for a KUB, you notice that the history recorded by ER states "R/O appendicitis". In an effort to gain more precise information about the patient's condition, questions to ask that would be important to this examination (KUB) would be: 1. "How would you describe the pain?" 2. "Have you had previous appendix surgery?" 3. "Do you know if ER called in a sonographer?" 4. "Can you touch the area that specifically hurts?" 5. "Are you sure it's not your kidneys?" 6. "Does the pain appear to be in your appendix?"
1 and 4 only 1. "How would you describe the pain?" 4. "Can you touch the area that specifically hurts?"
When communicating with a young child as part of a radiographic examination, an effective strategy to communicate would be to: 1. kneel down to the child's eye level and lower your voice. 2. speak loudly and quickly so the child's eye level and lower your voice. 3. allow one of the younger radiographers in the department to perform the study. 4. speak exclusively to the parent so the child cooperates.
1 only
Common dosage forms of drugs include: 1. suspension. 2. capsule. 3. oral. 4. tablet. 5. inhalant. 6. parenteral. 7. solution.
1, 2, 4, 5, and 7 only
Once an organism is infected and by the time symptoms of the infectious process manifest, several steps have taken place. These steps consist of: 1. multiplication and spread. 2. encounter and entry. 3. host. 4. damage. 5. fomite. 6. outcome.
1, 2, 4, and 7 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)
1, 2, and 4 only
All patients have rights with regard to drug administration. These rights include: 1. the right route of administration. 2. the correct time for giving the drug. 3. the correct person giving the drug. 4. their own physician ordering the drug. 5. their own physician administering the drug. 6. the correct drug and drug amount administered.
1, 2, and 6 only
Aging is a natural part of living. As your work with older patients it is important to empathize with their condition and understand the physiologic changes of the aging process. These changes may include: 1. always feeling cold. 2. a heightened state of mental alertness and memory. 3. a greater awareness of their surroundings. 4. a loss of tactile sensation in fingertips. 5. a greater likelihood of skin damage during movement and transport. 6. less flexibility and joint mobility.
1, 4, 5, and 6 only
All of these adult blood pressure recordings would be considered normal except: 119/78 mmHg 105/55 mmHg 120/80 mmHg 135/82 mmHg
105/55 mmHg
The average adult respiratory rate is:
12-20
As you begin to perform a hip examination on an elderly female patient who has undergone hip surgery, the patient states that she "needs to go to the bathroom". Which of the following should be done? 1. Use a standard bedpan. 2. Provide for the patient's privacy and locate a fracture bedpan. 3. Be sure to wear gloves and wash your hands. 4. If the bedpan is metallic run it under warm water for patient comfort and throw it away after each use. 5. You and an assistant should assist the patient with movement onto the bedpan. 6. Return the patient to the nursing floor for cleanup and patient hygiene.
2, 3, and 5 only
Providing care in an emergency situation is intended to: 1. prepare the injured patient for surgery. 2. prevent further harm to the patient. 3. preserve life. 4. place the patient into an unconscious state for transport. 5. stabilize the patient until the appropriate medical assistance arrives.
2, 3, and 5 only
Referring to the choices below, the normal flow of electrical pulse through the cardiac conduction system of the heart follows what sequence of events? 1. Purkinje fibers 2. AV node 3. SA nod 4. Bundle of HIS 5. Interventricular node (IV node)
3, 2, 4, 1
In many instances cleansing enemas are self-administered by the patient before the examination. Instructions for a self-administered enema include: 1. eating fruits and vegetables within 24 hours of the examination. 2. limiting water intake to prevent hydration. 3. using purgation mixtures. 4. eating a low-residue diet. 5. a clear liquid diet including carbonated beverages, clear gelatin, clear broth, and coffee and tea with sugar. 6. administering a clear cleansing clear water enema.
3, 4, 5, and 6 only
Which of the following situations would require critical analysis thinking skills? 1. A patient asking you to call his office to speak to his nurse. 2. A physician asking you to call his office to speak to his nurse. 3. Improvising the angulation of the x-ray tube to compensate for a patient condition. 4. Your supervisor asking you to develop a new quality control plan. 5. Re-positioning a patient after assessing the patient's previous images. 6. Providing a gown to patient with instructions on putting it on correctly. 7. Modifying exposure factors after reviewing the patient's history.
3, 4, 5, and 7 only 3. Improvising the angulation of the x-ray tube to compensate for a patient condition. 4. Your supervisor asking you to develop a new quality control plan. 5. Re-positioning a patient after assessing the patient's previous images. 7. Modifying exposure factors after reviewing the patient's history.
As a radiography student, you will be expected to demonstrate clinical competency in various procedures as part of your clinical rotations. The required number of mandatory competencies is currently:
49
A 42-year-old patient has a temperature of 101.3º F. Which of the following terms describes the patient's condition?
A and C
Why does orthostatic hypotension occur in patients who have been in bed for long periods?
A decrease in vasomotor tone in blood vessels results in a decrease in oxygen to the brain.
Which of the following is true statement regarding a cleansing enemas?
A hypertonic or Fleet enema is used for patients unable to handle large fluid enema volumes.
When gowning another person:
A. A nonsterile circulating person pulls the gown up and fastens the back and waistband
The ideal way to perform a transfer is to:
Allow the patient to do as much work as possible
What is the difference between an air splint and a traction splint used on the lower leg?
An air splint provides stability.
What type of shock can result from a severe reaction to the contrast media used in radiographic examinations?
Ananphylactic
It would be inappropriate to:
Ask the patient leading questions regarding his or her symptoms
According to the 2000 US Census, more than 36% of the population was 45 years old and older. This age-class represents a large population that will impact the economy. This group is referred as:
Baby Boomers
When performing CPR on a patient who is supine on a cart, you would look for what item in the emergency crash cart?
Backboard
Streptococci and bacilli are classified as what type of microorganisms?
Bacteria
The 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?
Bargaining
A person's hair color and texture as well as his or her skin condition would be an example of what area of human diversity?
Biologic variations
Which of the following is not one of the sacred seven of medical histories?
Birth date
Barium sulfate:
Coats the gastrointestinal lining
What is meant by the statement, "To stand tall in pediatric radiology, you have to get down on your knees"?
Communication with the patient is best accomplished at eye level.
If the sterility of an object is unknown, which of the following should be done?
Consider the object unsterile and do not use it.
Which of the following statements is FALSE?
Create sterile fields early in the morning while staff members are fresh and equipment is clean.
Professional medical imaging personnel must possess many desirable traits and skills. To succeed in patient interactions as a part of performing examinations, it is important that the radiographer:
DO NOT DO : avoid touching patients for fear of offending them. work efficiently by minimizing small conversations with patients that slow down the procedure. reference procedure notes or textbooks often during examinations to reassure the patient that the radiographer is double-checking his or her work for safety reasons.
In the process of preparing a Hmong patient for a procedure, you discover the patient speaks no English. She has no family members with her. The patient must sign an informed consent. What would you do?
Delay the procedure until a hospital translator can be present during the explanation.
Contrast media are:
Diagnostic agents
An imaging sciences professional: relates his or her personal experiences to the patient's when taking history. uses "pet names" such as "dear", "cutie", and "honey" in order to encourage the patient to provide more intimate information about his or her condition. relies exclusively on objective patient data so as not to bias the patient history.
Do none of these things.
You have received a request to perform a radiographic study on a patient who is clearly intoxicated. In preparing to perform this procedure, you should:
Ensure your safety by checking to see that the hospital security officer will stay with the patient during the procedure
Which of the following should be examined first when a sterile package is used?
Expiration date
A basic principle of lifting states that the patient should never assist in the move.
False
An oxygen hood provides oxygen to pediatric patients by fully covering their bed.
False
Head clamps help immobilize the head and cervical spine.
False
Proper immobilization can reduce the need for repeat radiographs and it increase radiation exposure.
False
Spine boards or backboards are used only for patients with spinal injuries.
False
Stability muscles are found in the extremities.
False
The apical pulse is palpated at the brachial artery.
False
The most common location for a central venous catheter is the aorta.
False
The normal pulse of a 5-year-old child is lower than that of a 32-year-old male patient.
False
Traction splints should be removed for radiographic procedures.
False
All of the following are considered cultures EXCEPT:
Floridian
Which of the following is the most effective method for achieving medical asepsis?
Frequent hand washing.
What is the first thing you should do if a patient who is standing turns pale ans says he feels dizzy?
Have the patient lie down.
Nasogastric (NG) tubes are inserted with the patient in the _______ position.
High Fowler's
A patient comes to the emergency department with an oral temperature of 96.6º F. This finding is consistent with which of the following?
Hypothermia
Transdermal patches are intended to release a drug over an extended period of time. Particular care must be used with this type of drug administration owing to its design and thin metal backing. The modality of concern in medical imaging would be:
MRI scanning.
A pathogen that requires contact precautions is:
MRSA
If you suspect the radiologist has contaminated his or her glove, which of the following should you do?
Make the radiologist aware of the possible contamination immediately
An ethnic group that would place a cultural core value on the sacredness of the earth and its water, clean air, widlife, and foliage would most likely be:
Native American
Which of the following would not reflect a human diversity characteristic?
Occupation
All of the following radiography procedures can involve the use of positioning sponges except procedures for the:
PA Chest
Which of the following affects communication?
Perception Emotions Values
Which of the following immobilization devices is/are useful for pediatric imaging?
Pigg-O-Stat Octastop board sheet restraint
As you prepare for an examination, a friends stops by to tell you she is losing her job. How would you handle this situation?
Politely tell your friend that you would love to talk after you have finished studying, if time permits.
When dealing with a, terminally ill patient, which of the following would seem most appropriate?
Politely working in silence as necessary and attending to his physical needs.
While working as a radiographer, you design a unique receptor to use during portable procedures that clearly reduces the exposure of others by lessening the need to hold patients or cassettes. The development of this imaging device shows that you are functioning at what level of learning?
Synthesis
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.
All of the following statements apply to an assisted standing pivot wheelchair transfer except:
The person doing the transfer stands behind the patient.
Which of the following statements represents proper protocol for transferring a patient from a wheelchair to a table (the patient is able to stand but cannot walk)?
The radiographer positions the wheelchair at a 45-degree angle so that the patient's stronger side is closer to the table.
Why are Velcro straps used for the axial projection of the calcaneus?
They assist the patient in dorsiflexing the foot.
Which of the following statements is true about immobilization devices applied to trauma patients?
They must be left in place during initial filming.
All of the following statements refer to Velcro strap restraints except:
They reduce physical strain on the patient from holding a position.
Why is it necessary to place sandbags by the wheels on a cart?
To prevent the cart from moving.
A Swan-Ganz catheter monitors pulmonary arterial pressure.
True
A tracheostomy tube is inserted directly into the trachea through the anterior surface of the neck.
True
A transfer belt can be used to transfer a patient safely and effectively.
True
By asking a patient what his or her moving capabilities are, the radiographer provides only the assistance needed to move the patient comfortably.
True
If a moving device is not readily available, the patient can be transferred to a table by using a drawsheet.
True
Oxygen is an odorless and tasteless gas.
True
Positioning sponges are the most commonly used positioning/immobilization devices.
True
Tape, Velcro restraints, and Plexiglas all can be useful immobilization devices.
True
The major muscle of ventilation is the diaphragm.
True
Wheelchair wheels should be locked for all transfers.
True
A cardiac arrhythmia that is life threatening and provides no effective cardiac output is:
V-fib.
Which of the following immobilization devices is used to help keep the patient from falling off the table?
Velcro restraints
Which of the following immobilization devices is used for a lateral chest film on a nonambulatory patient?
Velcro straps
Which of the following represents good sterile technique?
When using a sterile setup, avoid bending or reaching over it.
In order to allow tissue healing from a partial colon resection:
an external stoma is created to allow for defecation.
Most radiologists have one key question they want answered when it relates to any medical imaging examination. That question most likely would be:
Why is the patient having this examination?
Which of the following statements describes the advantage(s) of using a spine board?
a and b It can be used to lift the entire patient onto the radiographic table. It is radiolucent, therefore the entire body can be radiographed through the board.
When a Foley catheter system is inserted into a patient for an expected period of 4 to 6 weeks:
a polyvinyl chloride catheter is used.
The use of a water-soluble contrast agent such as Gastrografin for a colon examination is warranted for patients with:
a possible bowel perforation.
Adequate perfusion of human tissue generally requires:
a systolic pressure of 90 mm Hg or greater.
Lyme disease is a condition 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:
a vector
As a patient begins to accept the inevitability of death, he or she may ask to discuss important circumstances that will affect the last moments of life. These concerns may include the administration of CPR techniques, organ donation, internment plans, pain control and sedation, an so on. To formalize these wishes, patients will complete a(n):
advanced directive.
When performing CPR as a single rescuer:
after each group of 30 compressions, give two quick ventilations.
When gowning and gloving for a sterile procedure, it is important to remember that:
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:
all drape items must be clean and dry
Biosafety in the medical imaging department includes: washing hands before and after an interventional procedure. wearing gloves while handling an emesis basin with vomitus. using a resuscitation mask or bag during CPR.
all of the above
Pathogenic organisms have the ability to: cause cellular and tissue damage. replicate and cause blockages to the flow of fluid and gases. secrete endotoxins.
all of the above
Which of these tissues is most sensitive to hypoxia?
all of the above
If the PR interval is longer than longer on a typical ECG tracing, one can assume that:
an atrioventricular (AV) node block is present.
When asking about a patient's pain, it is effective to:
ask the patient to point to or touch the area that hurts and record that area on the requisition.
To confirm the placement of an NG tube in its proper position, a physician may use:
asyringe to remove gastric contents as proof. fluoroscopy or radiography for visualization.
The center of gravity for a standing patient is:
at approximately the second sacral segment
A possible complication of patients with a history of atrial fibrillation is:
atrial emboli formation
To protect the human rights of people with disabilities, four essential core values of human rights were recognized by the 1993 Vienna Declaration for Human Rights. These core values are:
autonomy, dignity, equality, and solidarity
When handling a patient with a Foley catheter in place:
avoid kinks in the tubing and keep the drainage bag lower than the bladder
All of the following are related except:
bacillus
Two people in sterile attire should pass each other in which of the following ways?
back to back
Chemical substances capable of killing pathologic microbes are termed:
bactericidal
All of the following situations would require aseptic techniques EXCEPT:
barium enema examination
A sandbag cannot be placed directly over the injured site for which of the following reasons?
because it is radiopaque
As you are radiographing a patient from the ER who has a knife wound to the upper extremity, you notice that his wound dressing is becoming saturated with blood quickly and he is getting lightheaded. You should:
call for help, apply pressure to the wound site, and elevate his arm.
As you are driving to your clinical site for the day, you encounter construction that will make you late. An effective way to deal with this new stressor would be to:
call your clinical instructor and provide an estimate as to you delay.
An effective method for treating select cardiac arrhythmias is the use of high-frequency alternating current to destroy strategic cardiac tissue and reroute the cardiac impulses generated. These procedures are known as:
cardiac ablation treatments
What type of shock is caused by a failure of the heart to pump enough blood to the vital organs?
cardiogenic
Which of the following is used to administer a large amount of drugs (e.g., chemotherapeutic drugs and antibiotics), monitor cardiac pressures, and manage fluid volume?
central venous
All of the following choices would generally require critical analysis thinking except:
checking in for work and reviewing the day's schedule.
An important piece of information regarding a patient's need for medical care is sought by physicians and medical professionals. Many times, patients are vague about their pain or reason for seeing the doctor. It is important to discover the patient's __________ for seeking medical care.
chief complaint
Exposure factor selection for optimum image quality is one of the most challenging aspects of radiography. In your attempt to produce an image of a patient's hip in the AP projections, you become frustrated with the image you have created, as it is sub optimal in image quality. When you show the image to the supervisor, he abruptly states that you need to repeat the image and this time "get it right". As you begin to repeat the image, your first critical analysis thought should be to:
clearly identify the problem that led to the suboptimal image.
A person who acts as a reservoir of pathogenic organisms is referred to as a carrier. An example of a carrier is a :
co-worker who has the clinical symptoms of a cold
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 following are related except:
compression
When performing two-person CPR:
compressions are at rate of 100 per minute. compressions are paused briefly to give two ventilations,. the rescuers can smoothly switch positions as they choose.
When opening and pouring sterile solutions:
confirm the solution name and strength three times before pouring show the solution name and strength to another person before pouring.
When transporting a patient with a nasogastric (NG) tube to medical imaging:
confirm the suction pressure before disconnecting the tube. make sure the NG tube is secured to the patient's nose. confirm the allowable time for suction interruption.
Objective data regarding a patient's history:
consist of a patient's vital signs
One of your classmates consistently gets As on tests and homework, with no apparent effort or study. In talking with him, you discover he has a good strategy for studying that involves:
consistently allocating specific times of the day for studying and exercise.
Any characteristic that makes a drug undesirable or improper is its:
contraindication.
A common name for an emergency cart within medical imaging is the ______ cart.
crash
As you prepare to study for your final examinations, one of your classmates ask to study with you. This student misses classes, does not keep up with the lectures, and complains. Studying with this classmate will:
create a negative climate for both of you; you should politely excuse yourself.
The person lifting the torso will grab what part of the patient to lift the person?
crossed forearms
A social organization that seeks to understand and accept peoples from diverse backgrounds through policies and procedures, communication media, activities, and so on, in an effort to achieve a positive cross-cultural environment is seeking to achieve:
cultural competency
Another term for human diversity is:
cultural diversity
According to Elisabeth Kubler-Ross, the customary stages of the dying or grieving process in the typical sequence are:
denial and isolation, anger, bargaining, depression, acceptance
The QRS complex on a typical ECG represents:
depolarization of ventricular muscle
When assessing the wheelchair patient for transfer, it is important to:
determine the patient's abilities by talking to the person
Time management is an important part of controlling stress levels. Effective methods to control time include:
determining the most important activities that could contribute to your success.
Nutrition that will improve your stress level includes:
eating a spinach salad topped with nuts and tomatoes.
Touch can be an effective communication strategy when dealing with patients for medical examination. As you ask a patient to turn on his or her side for an oblique projection, you gently touch his or her hip or should to guide them into the correct position. This would be a type of touch for:
emphasis
The Americans with Disabilities Act of 1990 provides for all of the following conditions EXCEPT:
employees must speak English and understand the nature of the disability.
To facilitate removal of the nasogastric tube, the patient is:
encouraged to take a deep breath
You overhear a group making derogatory statements about people who are obese. "I can't believe people eat so much!" This group is demonstrating:
ethnocentrism
An example of a stress buffer would be:
exercising with friends for 45 minutes the day before a big test.
In the process of questioning a patient about the reason for having the requested x-ray examination, the patient becomes irritated and complains that "she is getting pretty tired of saying thee same things over and over to all these nurses." An effective method to deal with this patient's attitude would be to:
explain that each person asking questions is trying to find additional important information about her condition.
During an intravenous drug administration, a small area around the needle site is growing and swelling. The patient states that the area is starting to burn slightly. In this situation:
extravasation has occurred. the needle needs to be removed immediately. a warm, moist compress needs to be applied.
A nasal cannula provides a high concentration of oxygen and therefore is considered a high-flow device.
false
Barium sulfate is soluble in water.
false
Oil-based iodine contrast media are made from:
fatty acids
A common emotion of most patients entering the hospital is:
fear of the unknown and about their condition.
For which of the following fractures would traction splints be used?
femur
A disorganized cardiac rhythm in which the ventricle "flutters" and loses cardiac output is called:
fibrillation
All of the following describe pharmacokinetics EXCEPT:
filtration.
After bedpan use, hygiene of the female patient's perineum is important. Proper cleansing of this region requires using gloves and several folded tissues to wipe the region:
from the mons pubis to the anus.
It is illegal to deny an individual the opportunity to advance professionally through employment because of:
gender.
It would be professionally appropriate for the imaging professional to:
gently touch the patient to clarify the location of her pain.
Giving cleansing enemas "until clear" involves:
giving two or three enemas until the bowel contents are free of fecal material
A 16 year old patient comes to the diagnostic imaging department for a CT examination. He is lying on the table in a supine position and suddenly seems to low consciousness and begins to move violently with jerking motions. You realize that he is having a generalized seizure. The action that you must take is:
go the patient immediately and prevent him from harm. call for help, but do not leave the patient.
Which of the following is not a method of sterilization?
hand washing
All of the following are effective methods of sterilization except:
hand washing.
As you arrive in a patient's room for transport to radiology, you notice that the patient has an NG tube in place with a syringe upright and pinned to the gown. You should know that this patient:
has a Levine line that is single lumen
As you prepare to take a final examination, you discover that your laptop battery is low. You wanted to review your notes one last time. This is considered:
hassle
Am effective method to handle a patient with an asthmatic attack during a radiographic procedure would be to:
have the patient sit down, and allow the patient to use his or her aerosol inhaler.
Two blood borne pathogens of particular importance to hospital personnel are:
hepatitis B virus (HBV) and HIV.
When opening and pouring sterile solutions:
hold the bottle with the label facing up to prevent fluids from staining the label
The purpose of the inflatable balloon portion at the tip of the Foley catheter is to:
hold the catheter within the bladder
The irrational fear of a homosexual person's sexual orientation is referred to as:
homophobia.
The chain of infection consists of:
host, infectious microbe, mode of transmission, reservoir.
The type of shock that is a result of severe loss of blood is:
hypovolemic
The abbreviation stat means:
immediately
The transfer of knowledge gained in the laboratory or classroom setting is best demonstrated:
in an actual clinical setting on patients.
The process of establishment and growth of a microorganisms on or in a host is referred to as:
infection
A nosocomial infection if an:
infection acquired in a hospital.
For a patient with internal bleeding of the abdomen and unstable vital signs, paramedics will apply which of the following immobilization devices?
inflatable trousers
A(n) __________ is someone who has been admitted to the hospital for diagnostic studies or treatment.
inpatient
Post procedural care for patients who have had a colon examination should include:
instructions for maintaining hydration. an increase in fluid intake and dietary fiber for a few days after the examination. an awareness of the change in stool color to an ashen, gray color, and the importance of eliminating the barium during examination.
When dealing with a patient who has terminal disease, it is important to:
interact with him or her based on his or her particular stage of death. provide for his or her physical needs. not play psychologist and attempt to cure the patient's depression.
All of the following are related EXCEPT:
intragluteal
The abbreviation IM means:
intramuscular
Once a radiography/sonography student has completed all academic and clinical requirements and achieved graduation, she or she:
is expected to perform according to his or her employer's policies
When performing a subcutaneous injection, the needle:
is positioned at a 45 degree angle
When a barium examination of an ostomy patient is performed:
it is important to prevent leakage of the barium around the stoma site.
When creating a sterile field, it is important for the imaging professional to:
keep sterile gloves in sight and above the waist level
A drug agent that promotes bowel evacuation is a(n):
laxative
When performing a cleansing enema on an adult patient:
lukewarm water just above body temperature is used. the patient is placed in the Sims' position for enema tip insertion. after the bowel is filled with liquid, generally more than 500 ml., the patient should rest quietly to allow the liquids to work.
When taking a patient history, it is important to:
maintain a polite and professional demeanor when gathering information.
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 would be:
making light of the bad weather and how it "brightened your day" to have job inside.
Critical thinking is an essential part of the radiologic sciences profession. This requires the professional radiographer to use broad intellectual skills and experiences when making the correct choice for any given situation, as a result of the fact that:
many decisions are difficult and complex. working with east patient is a unique experience. no two procedures or treatments are the same.
Which of the following items is used to transfer patients from a cart to a table?
maxi-slide drawsheet thin sheets of plastic
At the conclusion of an interventional radiographic examination, the examination room is cleaned and major components are wiped down with chemical disinfectants. By performing this important task the radiographer is practicing:
medical asepsis
All of the following are related except:
mitral valve
The Heimlich maneuver is:
modified for infants to include back slaps and chest thrusts
Most ionic, iodinated contrast media are:
monomers
When immobilization techniques are used, which radiographic factor is being controlled?
motion
When venipuncture is performed for contrast medium administration, the tourniquet is released:
once the needle is in a vein and before contrast injection.
The role of the imaging technologist during cardiac pacemaker studies is to:
operate fluoroscopy for the physician as he or she guides the pacemaker into position.
Nonprescription drugs are also known as:
over the counter drugs
Vitamins, herbals, and dietary supplements are classified as:
over-the-counter drugs
The cadence and rhythm of your speech, often referred to as the "music of speech", is known as:
paralanguage
An injection that is given to a patient relies on a(n) _____ route of administration.
parenteral
Any microorganism that causes disease is:
pathogenic
In which of the following circumstances should a moving device be used to transfer a patient from a cart to a radiography table?
patients who are unable to assist in the move
Systolic pressure is defined as:
peak pressure during contraction of the heart
Which of the following pathologic conditions requires special handling?
pelvic girdle fractures painful inflamed joints debilitated condition
The science dealing with the nature, effects, uses, and origin of drugs is called:
pharmacology.
The purpose of the cervical collar is to:
place traction on the spine to prevent movement
As a patient begins to explain his reasons for coming to the clinic for an x-ray examination, he begins to use medical terms to describe his conditions. His information appears to be accurate medically and helps clarify his symptoms. To deal with this patient you should:
politely listen, record his comments, and repeat his statements to clarify.
When comparing hyperglycemia with hypoglycemia, the former:
portrays clinical symptoms of excessive thirst and urination as well as dry mouth.
Critical thinking skills are necessary for the competent medical imaging professional. Various organizations within the radiologic sciences provide guidance and documentation of these traits. As an example, the American Society of Radiologic Technologists (ASRT) publishes _________ that help define specific professional expectations and responsibilities.
practice standards
A dying patient who has asked to see his loved ones and is making preparations to die would be in the _____ stage of dying.
preparatory depression
The single greatest measure that can be done to prevent the spread of infection is:
proper hand washing technique.
The goal of aseptic technique is to:
protect the patient from pathogenic microbes
The single most important action for the radiographer when administering emergency care is:
providing a competent level of care, recognizing when advanced care is needed, and calling for assistance.
A high-quality radiologic science program should provide:
published policies and procedures that involve clinical sites. a competency-based clinical experience. access to current imaging technology.
In recording a patient history for the radiologist, you note that the patient has an open sore on her ankle. In your description you indicate that the sore is draining and has a foul odor. This information deals with the ______ of a patient history.
quality
As you prepare to take a PA chest radiograph on a patient who is suspected of having a lung collapse, you note that the patient has an extremely difficult time taking in a deep inspiration. An imaging sciences professional would:
record the depth of inspiration as an item of subjective data.
As you perform a SWAT skull series on a patient form the ER, you notice that the patient has a large swelling over his left temporal region. The patient requisition states that the patient had trauma, and nothing else is provided. An imaging sciences professional would:
record the swelling on the requisition and ask the patient what kind on injury he experienced.
In your experiences as a student radiographer, you will encounter a variety of technologists, each with his or her own methods for performing procedures. Some will be quite good, and unfortunately some will be bad. As a student you have a responsibility to recognize these various behaviors and assess their professional correctness. A firm reference point for determining the appropriate behavior for technologist behavior would be:
referencing the ASRT Practice Standards and ARRT Code of Ethics.
The administration of glucagon shortly before a double-contrast barium enema is intended to:
relieve bowel spasm
When performing radiologic examinations on patients with chest tubes:
remember that the chest drainage system has three compartments: collection chamber, water seal chamber, and suction control chamber. check for the color of the drainage and report any dark red color. the exterior chamber of the assembly must remain lower than the patient's chest level.
It is safe to conclude that in the years ahead, the U.S. population will:
require a more diverse health care labor force.
The exchange of oxygen and carbon dioxide between the external environment and the blood circulating in the body is called:
respiration
Symptoms of a head injury include:
respiratory distress. change in state of consciousness.
Good history taking involves the collection of objective and subjective data. All of the following are examples of subjective data except the patient's:
respiratory rate.
A dual-wire ICD places electrode tips in the:
right atrium and right ventricle
Which of the following immobilization devices is radiopaque?
sandbags
You are about to take a 100-question test in a timed fashion. The test time allotment is 90 minutes. An effective test-taking strategy to use when taking this test is:
scan the test and answer the questions you clearly know, then go back and spend the necessary time on those questions that need more time, even though you may not quite finish.
You are about to assist with a sterile procedure. In scrubbing for the procedure it is important to:
scrub the fingers completely, as well as the front and back of your hands, for 3 minutes
According to Maslow's hierarchy of needs, few people completely satisfy the need for:
self-fulfillment and self-actualization.
When caring for a patient with epistaxis, the patient:
should lean forward and pinch his/her nostrils against the midline septum for 10 - 15 minutes.
When a drug is given to a patient and unintended effects result from the drug, the drug is said to have:
side effects.
Which of the following is classified as a low-flow oxygen delivery device?
simple mask and nasal canula
Owing to the changing practices of medicine, many radiologic procedures that were commonplace many years ago are now performed in smaller numbers. When such is the case, students may perform select competencies in a:
simulation environment
The most common type of nasogastric tube used for stomach decompression is the:
single-lumen Levin tube.
If a drug is given parenterally, the:
site of the injection must be recorded in the patient's chart
The purpose of inflatable trousers is to:
slow the rate of hemorrhage
The polarity that exists across a cardiac cell membrane is maintained by an active transport process known as:
sodium-potassium ion pump.
Transfers should be arranged so that which side of the patient is next to the table?
stronger side
Heart attack patients often take a small tablet of nitroglycerine and put it in their mouth, under their tongue, for quick action. This route of administration is:
sublingual
When performing a barium enema examination:
suspend the enema bag above the table at a height no greater than 30 inches
Some drugs are intended to have slow, uniform absorption over several hours and are said to be _____-release drugs.
sustained extended controlled
The medical term for a temporary suspension of consciousness is:
syncope
Heart rates above 100 beats/min in an adult is termed:
tachycardia
In preparation for a barium examination of a colostomy patient, it is important to:
tell the patient to not take his or her bismuth antiodor tablets before the examination. understand the sensitivity of these patients to their condition and lifestyle change. irrigate the stoma the night before and morning of the examination.
The cardiac arrhythmia of bradycardia generally involves abnormalities to:
the SA node the atrioventricular node.
A common misunderstanding of patients regarding barium enemas is that:
the actual barium enema examination is "just another cleansing enema"
When putting on a pair of sterile gloves using the self-gloving, open technique:
the first glove is picked up by the inside cuff with one hand, being careful not the touch the outside of the glove.
When using a portable fluoroscopy C-arm in surgery:
the image receptor and C-arm are draped with a snap cover for sterility.
When charting drugs given to a patient:
the injection site must be recorded.
You are working as a radiographer in a busy imaging department, late into the evening. You receive a request for a portable chest radiograph on a cardiac patient in the ICU. Your co-worker comments that he just did a portable chest procedure on the same patient approximately 15 minutes earlier and questions why they are ordering another one so soon. The rationale for this next chest image would most likely be:
the patient has a central venous line and the physician wants to check the repositioning.
All of the following are true of a radiologic technology program director EXCEPT: he or she must possess a master's degree he or she must be a full-time employee and dedicated to program operation the program director must be registered in radiologic technology by the Joint Review Committee on Education in Radiologic Technology (JRCERT). the program director should be competent in curricular design, evaluation, and assessment, instruction, and academic advising.
the program director must be registered in radiologic technology by the Joint Review Committee on Education in Radiologic Technology (JRCERT).
The fight-or-flight response is a natural process of the body. It is characterized by
the release of hormones to increase metabolism. increased metabolism of fats and sugars to increase available energy to the body. a higher level of alertness through stimulation of the central nervous system.
CPR can be stopped when:
the rescuer is physically exhausted. a physician says its time to stop CPR. the patient responds and shows signs of recovery.
In a two-person lift, who should lift the torso?
the stronger person
All of the arteries can be used for taking a pulse except:
the subcalvian vein
Which of the following body parts does a backboard immobilize?
the thoracic spine the pelvis the lower extremities
Osmolality is a measure of:
the total number of particles in solution
Which of the following terms describes the body's maintenance of heat production and loss?
thermoregulation
All of the following are true of cleansing enemas except:
they are intended for the administration of enteric medications.
What is the name of the tube that drains the intrapleural space and mediastinum?
thoracostomy
All of the following are viral infections except:
tinea pedis
When lifting a patient, why would you stand with your feet apart?
to increase the base of support
All of the following are nonverbal communication characteristics except your:
tone of voice
All of the following are possible sources of nosocomial infection except:
transfer of microbes through hand contact with a waitress in the coffee shop adjacent to the hospital.
Which of the following statements applies to all types of wheelchair transfers?
transfer toward the strong side
A physician must prescribe oxygen therapy because it is considered a drug.
true
An air embolus can form as a complication of negative contrast medium administration.
true
Barium sulfate can dry in the colon and cause an obstruction.
true
Injection of an ionic contrast medium may lead to arterial expansion
true
Ionic contrast media dissociate into two molecular particles in blood plasma.
true
When radiographing a very young child or a mentally impaired patient:
try and get a family member to be a part of the examination for communication and reassurance.
When using an automatic external defibrillator (AED):
two AED chest pads are used, one on the upper right side of the chest and the other on the lower left ribs
Which of the following wheelchair transfers is used for non-weight bearing?
two-person lift
Which body temperature measurement takes the shortest length of time?
tympanic
Metformin (Glucophage) is commonly used to treat:
type 2 diabetes
When working with burn patients, it is critically important to:
use an extraordinary level of aseptic technique.
CPR performed on an infant:
uses two arms locked at the elbows, just as in an adult.
As a student radiographer you have been assigned to work with a classmate as apart of a group project. Your assignment is to produce an x-ray image of a non routine projection of the skull. To do this, you would perform this:
using a skull phantom in a laboratory setting.
When you write a lengthy essay on your feelings about radiation protection, you are analyzing your:
values that are learned or instilled as a part of your affective education.
When a disease is spread by an insect depositing the pathogen on or in a human, it is transmitted by what method?
vector
Cardioversion therapy can be used to treat:
ventricular fibrillation. atrial-related arrhythmias. V-tach.
A widened QRS complex on a ECG tracing could represent:
ventricular hypertrophy. ventricular-paced rhythm. pacemaker tissue that is below the AV node.
You are completing your clinical rotation in a small department. The department supervisor asked you to skip class due to staffing shortages. This event is viewed as:
violation of JRCERT Standards.
A female student is considered pregnancy when she:
voluntarily declares her pregnancy in writing to program officials.
When performing dressing changes, it is important to remember that:
working with a team member is beneficial. dressing changes must be performed after a physician orders the procedure. if the wound is purulent, gowns are recommended.
