Physical Assistance and Monitoring Medical Emergencies

What is the use of providing a patient with positioning sponges when performing a radiographic examination? Select all that apply. 1 To provide support to the patient 2 To increase the security of the patient 3 To minimize stress on the patient's shoulder girdle 4 To reduce the motion of the anatomic area being examined 5 To prevent the signs of orthostatic hypotension in the patient

1&4

Which muscles does the radiologic technologist use to lift a patient from a wheelchair? Select all that apply. 1. Biceps brachii 2. Erector spinae 3. Latissimus dorsi 4. Hamstring group 5. Rectus abdominis

1&4

Which term refers to an abnormal increase in the breathing rate of a patient? 1. Tachypnea 2. Bradypnea 3. Diaphoresis 4. Bradycardia

1. Tachypnea

Which conditions may lead to increased heart rate? Select all that apply. 1. Fever 2. Anemia 3. Hypoxemia 4. Hypothermia 5. Complete heart block

1,2,3

Which statement regarding the concept of center of gravity is true? Select all that apply. 1 Gravitational forces act on the entire body from the center of gravity. 2 The center of gravity is located approximately at the sacral level four in women. 3 The center of gravity should always be over the base of support to maintain stability. 4 Heavy objects should be held close to the center of gravity while lifting or transferring. 5 The movement of the center of gravity beyond the boundaries of the base results in stability.

1,3,4

Which steps of the hydraulic lift transfer procedure are depicted in the figure? Select all that apply. 1. Checking whether the release valve is locked 2. Hooking the chains to the sling from the inside out 3. Starting to raise the patient gently from the wheelchair 4. Placing the patient in a comfortable position in the sling 5. Adjusting the chain length according to the patient's size

1,3,4

Which symptoms of orthostatic hypotension are observed in a patient while transferring? Select all that apply. 1.Dizziness 2.Deep breaths 3.Blurred vision 4.Slurred speech 5. Slow respiration

1,3,4

Which transfer(s) can be used to move a patient from a wheelchair to an examination table? Select all that apply. 1. Standby assist 2. One-person lift 3. Two-person lift 4. Draw sheet transfer 5. Assisted standing pivot

1,3,5

Why does the radiologic technologist verbally plan the patient transfer procedure before starting? Select all that apply. 1. To increase coordination among personnel 2. To determine the type of wheelchair transfer required 3. To prepare both the patient and assistants for the transfer 4. To prevent the signs of orthostatic hypotension in the patient 5. To troubleshoot the problems of transfer procedure execution

1,3,5

What are examples of radiolucent devices used in a radiographic examination? Select all that apply. 1. Sand bags 2. Backboards 3. Traction splints 4. Inflation splints 5. Plexiglas paddle

1,4,5

What are the indications for using a backboard while imaging a patient? Select all that apply. 1. Injury to the hip 2. Injury to the hand 3. Injury to the humerus 4. Injury to the lumbar spine 5. Injury to the lower extremities

1,4,5

What types of shock is the radiologic technologist most likely to encounter after injection of contrast media? Select all that apply. 1. Vasogenic shock 2. Neurogenic shock 3. Cardiogenic shock 4. Hypovolemic shock 5. Anaphylactic shock

1,4,5

What are the applications of biomechanics? Select all that apply. 1. Prevent injuries in patients 2. Optimize exercise programs 3. Create a safe work environment 4. Assess patients' cognitive abilities 5. Decrease the patient radiation dose

1-3

Which statements are accurate regarding a cart-to-table transfer using a low-friction polyester sheet? Select all that apply. 1. It requires three persons. 2. It protects the patient's skin from abrasions. 3. It allows gliding of the patient from cart to the table. 4. It allows the slow movement of the patient onto the table. 5. It requires greater effort when compared to a cart-to-table lateral transfer.

1-3

Which will lead to an increased heart rate in adults? Select all that apply. 1. Fever 2. Anemia 3. Hypoxemia 4. Hypoglycemia 5. Hyperuricemia

1-3

Which is the most likely pulse rate of a patient with bradycardia? 1. 50 beats/minute 2. 60 beats/minute 3. 100 beats/minute 4. 120 beats/minute

1. 50 beats/minute

The word "ambulatory" means what? 1. A patient can walk 2. A patient can be moved by stretcher 3. A patient must be moved by ambulance 4. A patient must be confined to a wheelchair

1. A patient can walk

Which device does a radiologic technologist use to immobilize and support the entire body of a trauma patient? 1. Backboard 2. Inflation splint 3. Traction splint 4. Antishock garment

1. Backboard

Syncope is a medical term for which of the following? 1. Fainting 2. Dizziness 3. Nosebleed 4. Hemorrhage

1. Fainting

A patient with diabetes is instructed to come for a gastrointestinal examination without having breakfast. The patient faints during the procedure. What is the best intervention in this situation? 1. Get medical assistance. 2. Administer glucose tablets. 3. Give the patient insulin. 4. Give the patient orange juice.

1. Get medical assistance

Which device is an enclosure type of oxygen delivery system? 1. Isolette 2. Simple mask 3. Nasal cannula 4. Nasal catheter

1. Isolette

What is the immediate intervention of a trauma radiologic technologist upon observing vomiting in a patient with intracranial injury? 1. Logroll the patient to a lateral position 2. Lift the patient and make him/her erect 3. Depress the head and prevent aspiration 4. Alert the attending physician for treatment

1. Logroll the patient to a lateral position

A patient reports signs of orthostatic hypotension during assisted standing pivot transfer. What should the radiologic technologist do in this situation? 1. Slow down the speed of the transfer. 2. Place the patient in Fowler's position. 3. Place the patient in the Trendelenburg position. 4. Ask the patient to use the radiographic table for support.

1. Slow down the speed of the transfer.

Which type of shock is a patient experiencing if he or she develops an allergic reaction after being administered an iodinated contrast medium? 1. Vasogenic shock 2. Cardiogenic shock 3. Neurogenic shock 4. Hypovolemic shock

1. Vasogenic shock

Which complication may occur in a patient with cerebrovascular injury? 1 Fever 2 Anemia 3 Infections 4 Immunodeficiency

1. fever

Place in order the proper steps for performing automatic external defibrillation. 1. Initiate rhythm analysis 2. If indicated, deliver the shock 3. If no shock is indicated, continue CPR 4. Determine that the patient is in cardiac arrest 5. Turn on the defibrillator and prepare the equipment 6. Attach the defibrillator cables to the pads if not already connected, and place pads on the patient 7. After three shocks or three "no shock indicated" messages, CPR should continue uninterrupted

1.Determine that the patient is in cardiac arrest 2. Turn on the defibrillator and prepare the equipment 3. Attach the defibrillator cables to the pads if not already connected, and place pads on the patient 4. Initiate rhythm analysis 5. If indicated, deliver the shock 6. If no shock is indicated, continue CPR 7. After three shocks or three "no shock indicated" messages, CPR should continue uninterrupted

What should a radiologic technologist do when a patient, who is in the eighth month of pregnancy, chokes during a radiologic examination? 1 Apply back blows. 2 Perform chest thrusts. 3 Palpate the carotid artery. 4 Perform abdominal thrusts.

2 Perform chest thrusts.

What should the radiologic technologist do if a patient experiences seizures during an imaging procedure? Select all that apply. 1. Apply body restrains. 2. Place a pillow under the head. 3. Clear the objects present on the floor. 4. Place the tongue blade into the mouth to remove mucous. 5. Place a hand in the patient's mouth to prevent tongue drop.

2 & 3

Which are symptoms of shock? Select all that apply. 1. Bradycardia 2. Restlessness 3. Pale color of skin 4. Increase in blood pressure 5. Decrease in body temperature

2,3,5

Which treatments are appropriate for a patient experiencing syncope? Select all that apply. 1 Begin CPR 2 Loosen any tight clothing 3 Apply a moist cloth to the head 4 Place the patient in a lateral recumbent position 5 Place the patient in a supine position with legs elevated

2,3,5

How can a radiologic technologist avoid skin lacerations in a geriatric patient with loss of skin texture and elasticity? 1. By using draw sheets during patient transfer 2. By avoiding the application of tape to sensitive areas 3.By providing extra blankets to combat chill discomfort 4.By avoiding the placement of the patient on hard tabletops

2. By avoiding the application of tape to sensitive areas

In October 2010, new guidelines for administering CPR were released by the American Heart Association (AHA). The new guidelines suggest performing what action first when administering CPR? 1. Abdominal thrusts 2. Chest compressions 3. Assess for an airway 4. Administer rescue breaths

2. Chest compressions

A radiologic technologist is adjusting the image receptor while preparing to conduct a mobile radiography examination in a patient. Which intervention by the radiologic technologist helps alleviate discomfort in the patient? 1. Selecting an image receptor with grid 2. Covering the image receptor with a cloth 3. Wiping the image receptor with disinfectant 4. Placing the image receptor near the patient's skin

2. Covering the image receptor with a cloth

What causes patients to feel lightheaded, queasy, or faint when they stand up quickly from a sitting or supine position? 1. Increased pulse rate 2. Decreased blood pressure 3. Increased body temperature 4. Increased respiration from the effort of standing

2. Decreased blood pressure

What does the radiologic technologist do for a patient who has trouble breathing and becomes unconscious due to the presence of a foreign object in the throat? 1. Chest thrusts 2. Finger sweep 3. Chest compression 4. Heimlich maneuver

2. Finger sweep

A radiologic technologist has positioned a patient with severe respiratory distress in such a way that the head is placed higher than the feet. What is this position known as? 1. Sims position 2. Fowler position 3. Recumbent position 4. Trendelenburg position

2. Fowler position

If a patient arrives in a wheelchair and on a sling, which type of transfer is indicated? 1. Pivot 2. Hydraulic lift 3. Standby assist 4. Cart-to-table by means of a moving device

2. Hydraulic lift

What is the use of a radiolucent Plexiglas paddle? 1. It is especially used to immobilize children under 1 year of age. 2. It is used to immobilize the hands and fingers of young patients. 3. It provides radiation protection to a child's gonads when immobilized. 4. It is applied to support the backs of patients with lumbar spine injuries.

2. It is used to immobilize the hands and fingers of young patients.

Which best describes hypoxia? 1. Necessary for cellular repair 2. Necessary for cellular function 3. A state describing oxygen-deficient tissue 4. A state describing difficulty breathing

2. Necessary for cellular function

During a radiographic procedure, the patient begins to drool and exhibits involuntary contraction and twitching. What condition is the patient likely experiencing? 1. Aura 2. Seizure 3. Epistaxis 4. Hemorrhage

2. Seizure

In the healthy adult, what is the normal range for blood pressure? 1. Systolic less than 95 mm Hg, diastolic less than 60 mm Hg 2. Systolic less than 120 mm Hg, diastolic less than 80 mm Hg 3. Systolic less than 60 mm Hg, diastolic greater than 95 mm Hg 4. Systolic less than 80 mm Hg, diastolic greater than 120 mm Hg

2. Systolic less than 120 mm Hg, diastolic less than 80 mm Hg

What is the function of the latissimus dorsi muscles? 1. They help in flexing the knees. 2. They help in girthing the back. 3. They help in flexing the elbows. 4. They provide support to the abdomen.

2. They help in girthing the back.

How can leakage from a double-lumen tube be prevented? 1. Clamp with a hemostat 2. Use a piston-like syringe 3. Clamp with a regular clamping device 4. Leakage is not a problem with a double-lumen tube

2. Use a piston-like syringe

How many people are usually involved in a cart-to-table transfer, not including the patient? 1. 1 2. 2 3. 3 4. 5

3

Which type of wheelchair transfer does the radiologic technologist use to lift a patient of moderate weight who cannot bear weight on the lower limbs? 1 Hydraulic lift 2 Standby assist 3 Two-person lift 4 Assisted standing pivot

3 Two-person lift

Which actions of the radiologic technologist ensure the patient's safety during a transfer? Select all that apply. 1 Lifting the patient by slightly bending the back 2 Lifting the patient by keeping the knees straight 3 Lifting the patient using the biceps brachii muscles 4 Lifting the patient using the rectus abdominis muscles 5 Lifting the patient in a slightly increased lumbar lordosis position

3&5

Which condition is most likely to lead to a decrease in respiratory rate? Select all that apply. 1. Pain 2. Anxiety 3. Head trauma 4. Hypothermia 5. Chest trauma

3,4

Which is the appropriate rate of compression per minute when performing cardiopulmonary resuscitation? 1. 50 compressions/min 2. 75 compressions/min 3. 100 compressions/min 4. 125 compressions/min

3. 100 compressions/min

Which value indicates normal systolic blood pressure in an adult? 1. 70 mm Hg 2. 80 mm Hg 3. 120 mm Hg 4. 140 mm Hg

3. 120 mm Hg

What is the average rectal temperature of an adult? 1. 97.6° F 2. 98.6° F 3. 99.6° F 4. 100.0° F

3. 99.6° F

Which child can be immobilized using an Octostop board during a radiographic examination? 1. A 3-year-old child 2. A 5-year-old child 3. A 9-month-old child 4. A 14-month-old child

3. A 9-month-old child

Where is the human center of gravity located? 1. At the center of the diaphragm 2. Midway between the hip joints 3. At approximately sacral level two 4. Within 1 to 2 inches of the umbilicus

3. At approximately sacral level two

Which is the first action to be taken when administering one-person rescue cardiopulmonary resuscitation? 1. Open the airway 2. Establish breathlessness 3. Establish unresponsiveness 4. Position the patient on his or her back

3. Establish unresponsiveness

During a radiographic procedure, the patient complains of crushing chest pain and pain down the left arm. The patient is likely experiencing the symptoms of what condition? 1. Shock 2. Vertigo 3. Myocardial infarction 4. Transient ischemic attack

3. Myocardial infarction

What is another term for epistaxis? 1. Vomiting 2. Dizziness 3. Nosebleed 4. Drowsiness

3. Nosebleed

A radiologic technologist is lifting a patient who is wearing loose-fitting clothes from the wheelchair to the radiographic table. Which particular step helps to prevent trauma in the patient's joints in this specific scenario? 1. Checking whether the wheelchair is locked 2. Moving the wheelchair footrests out of the way 3. Placing a transfer belt around the patient's waist 4. Asking the patient to push down on the arms of the wheelchair

3. Placing a transfer belt around the patient's waist

Which term is used to describe the presence of gas in the pleural cavity? 1. Atelectasis 2. Diaphoresis 3. Pneumothorax 4. Pleural effusion

3. Pneumothorax

In working with a patient, which would be the first priority for attention? 1. Treating shock 2. Controlling bleeding 3. Providing an open airway 4. Splinting a fractured extremity

3. Providing an open airway

Epinephrine is administered to a patient who has developed acute laryngeal edema due to an acute contrast media reaction. Upon monitoring, the radiologic technologist finds the patient is unresponsive to the administration of epinephrine. What is the best intervention in this situation? 1. Administer an extra dose of epinephrine to the patient 2. Elevate the lower extremities of the patient by using pillows 3. Seek assistance from the cardiopulmonary arrest response team 4. Rapidly administer large volumes of Ringer's lactate intravenously

3. Seek assistance from the cardiopulmonary arrest response team

How can the base of support be stabilized? 1. Standing on one toe 2. Standing on one foot 3. Standing in a wide stance 4. Bending the knees with the feet together

3. Standing in a wide stance

Which position should the patient assume after being transferred from the cart to the table using a moving device? 1. Sims position 2. Prone position 3. Supine position 4. Fowler's position

3. Supine position

Which statement regarding the mobility muscles is true? 1. They are located in the torso of the body. 2. They are also known as postural muscles. 3. They have long white tendons and cross two or three joints. 4. They include the rectus abdominis and the erector spinae muscles.

3. They have long white tendons and cross two or three joints.

Where should the heel of the hand be placed when performing chest compressions during cardiopulmonary resuscitation on an adult? 1. Near the sternal angle 2. At the xiphoid process 3. Two fingers above the xiphoid process 4. Anywhere along the length of the sternum

3. Two fingers above the xiphoid process

What medical emergency is characterized by a fluttering or ineffective cardiac rhythm that results in the heart's inability to pump blood? 1. Atrial flutter 2. Atrial fibrillation 3. Ventricular fibrillation 4. Ventricular tachycardia

3. Ventricular fibrillation

Which instruction by the radiologic technologist helps ensure safety while performing a standby assist type of wheelchair transfer of a patient? 1 "Sit in the middle of the wheelchair seat." 2 "Hold the table using both of your hands." 3 "Stand up slowly by holding my hands carefully." 4 "Apply downward pressure on the arms of the chair."

4 "Apply downward pressure on the arms of the chair."

Which instruction may result in injury to the radiologic technologist while lifting a patient? 1 "Avoid forward bending of the back." 2 "Avoid quickly lifting the patient from the wheelchair." 3 "Avoid twisting your trunk while lifting the patient from the wheelchair." 4 "Avoid keeping the patient's center of gravity close to your center of gravity."

4 "Avoid keeping the patient's center of gravity close to your center of gravity."

What is the range of the oxygen flow-rate that can be set in a patient who is receiving mechanical ventilation through transtracheal catheter? 1 5 to 10 liters/minute 2 10 to 15 liters/minute 3 12 to 15 liters/minute 4 0.25 to 4 liters/minute

4 0.25 to 4 liters/minute

What is the radiologic technologist's first priority when a deteriorating head injury is recognized? 1 Administer CPR 2 Check vital signs 3 Administer IV fluids 4 Maintain an open airway

4 Maintain an open airway

Why does the radiologic technologist hold a patient with a transfer belt around the waist while transferring the patient onto the radiographic table? 1 To minimize trauma in the patient 2 To gain better mechanical advantage 3 To minimize the signs of orthostatic hypotension 4 To minimize the stress on the patient's shoulder girdle

4 To minimize the stress on the patient's shoulder girdle

What is the most likely respiratory rate of an adult with tachypnea? 1. 12 breaths/minute 2. 18 breaths/minute 3. 20 breaths/minute 4. 30 breaths/minute

4. 30 breaths/minute

How long can the brain be deprived of oxygen before cerebral function is generally impaired? 1. 1 to 2 minutes 2. 2 to 3 minutes 3. 3 to 4 minutes 4. 4 to 6 minutes

4. 4 to 6 minutes

Which oxygen flow rate indicates the need to add humidity to the nasal cannula oxygen delivery system? 1. 2 liters per minute 2. 3 liters per minute 3. 4 liters per minute 4. 5 liters per minute

4. 5 liters per minute

What could be the reason for the presence of artifacts or slight loss of detail in a radiograph when a radiolucent pad is beneath the patient's knees? 1. An increased patient radiation dose 2. The attachment of octagonal frames 3. Physical strain on the patient's affected area 4. An increased object-to-image receptor distance

4. An increased object-to-image receptor distance

Which is the most difficult patient transfer procedure? 1. Standby assist transfer 2. Assisted standing pivot transfer 3. Cart-to-table transfer with a moving device 4. Cart-to-table transfer without a moving device

4. Cart-to-table transfer without a moving device

Which type of transferring procedure requires a draw sheet? 1. Hydraulic lift 2. Two-person lift 3. Cart-to-table transfer with a roller device 4. Cart-to-table transfer without a roller device

4. Cart-to-table transfer without a roller device

What is another term for a stroke? 1. Atherosclerosis 2. Myocardial infarction 3. Transient ischemic attack 4. Cerebral vascular accident

4. Cerebral vascular accident

Which is typically associated with shock? 1. Fever 2. Flushed face 3. Decreasing pulse rate 4. Decreasing blood pressure

4. Decreasing blood pressure

Which term is used to describe profuse sweating? 1. Dyspnea 2. Orthopnea 3. Atelectasis 4. Diaphoresis

4. Diaphoresis

What should the radiologic technologist do if the patient reports dizziness, fainting, and blurred vision while being transferred to the radiographic table? 1. Lift the patient from the bed quickly 2. Call for assistance to hold the patient tightly 3. Administer an antihypertensive to the patient 4. Encourage the patient to talk during the transfer

4. Encourage the patient to talk during the transfer

A patient who has inflamed and unstable joints in the lower limbs says to the radiologic technologist, "I don't need any help; I can move on my own." What is the appropriate action by the radiologic technologist in this situation? 1. Notify the physician about the behavior of the patient 2. Insist that the patient sit in the wheelchair to ensure comfort 3. Respect the patient's wish and allow the patient to walk independently 4. Explain why assistance is necessary and provide the necessary assistance

4. Explain why assistance is necessary and provide the necessary assistance

During a radiologic examination, a patient reports a crushing chest pain radiating to the left arm and difficulty breathing. The radiologic technologist finds that the patient is becoming unresponsive. What should be the immediate action of the radiologic technologist in this situation? 1. Palpate the carotid artery. 2. Assess the vital signs of the patient. 3. Tilt the head back to open the airway. 4. Gently shake and shout at the patient to establish unresponsiveness.

4. Gently shake and shout at the patient to establish unresponsiveness.

Which type of shock may occur due to the loss of a high amount of blood? 1. Vasogenic shock 2. Neurogenic shock 3. Cardiogenic shock 4. Hypovolemic shock

4. Hypovolemic shock

How should a radiologic technologist position a patient who is experiencing vertigo? 1. In sitting position 2. In Fowler's position 3. In standing position 4. In recumbent position

4. In recumbent position

Which two fingers should be used when performing rescue CPR on an infant? 1. 3rd and 4th finger 2. 4th and 5th finger 3. Thumb and index finger 4. Index finger and 3rd finger

4. Index finger and 3rd finger

A patient reports nausea to the radiologic technologist. Which immediate intervention is beneficial in this situation? 1. Administering antiemetic medication 2. Placing the patient in lateral decubitus position 3. Instructing the patient to turn the head sideways 4. Instructing the patient to breathe slowly and deeply through the mouth

4. Instructing the patient to breathe slowly and deeply through the mouth

A physician administers sodium bicarbonate to a patient during an emergency. What is the most likely condition of the patient? 1. Edema 2. Bradycardia 3. Arrhythmia 4. Metabolic acidosis

4. Metabolic acidosis

A patient reports, "I cannot breathe well when I am lying flat, but I can breathe again when I stand up." What is the most likely diagnosis? 1. Apnea 2. Dyspnea 3. Bradypnea 4. Orthopnea

4. Orthopnea

What term is used to describe the drop in blood pressure some patients experience when they stand up quickly? 1. Biomechanics 2. Base of support 3. Hypertension 4. Orthostatic hypotension

4. Orthostatic hypotension

Toward which side should all transfers be initiated? 1. Left 2. Right 3. Patient's weak side 4. Patient's strong side

4. Patient's strong side

What type of catheter is the Foley? 1. Coiled 2. Straight 3. Self-cleansing 4. Retention balloon

4. Retention balloon

What is the role of the first assistant who stands on the cart side during a cart-to-table transfer without a moving device? 1. Supporting the patient's legs from the table side 2. Supporting the patient's head from the table side 3. Supporting the patient's upper body from the cart side 4. Supporting the patient's pelvic girdle from the cart side

4. Supporting the patient's pelvic girdle from the cart side

Rectal thermometry is believed to most accurately reflect core body temperature measures. Use of which alternative thermometer provides measures that closely correlate to the rectal method? 1. Oral 2. Axillary 3. Tympanic 4. Temporal artery

4. Temporal artery

Which is (are) true in regards to Foley catheters? Select all that apply. 1. This type of catheter is used to primarily empty the bladder. 2. These can be made of varying materials such as latex or plastic. 3. The urine collection bag should be kept below the level of the bladder. 4. This type of catheter is held in place by an inflatable balloon at the end. 5. This type of closed-drainage-system catheter is used for long-term use and sutured to the skin.

All

What is one of the greatest fears of a geriatric patient? 1. Falling 2. Having to lie on a radiolucent pad 3. Being unable to hear the radiographer 4. Getting lost on the way to the radiology department

Falling

Place in order the proper steps of performing one-person rescue CPR. 1. Reassess 2. Open the airway 3. Establish breathlessness 4. Perform rescue breathing 5. Establish unresponsiveness 6. Perform chest compressions 7. Establish circulatory inadequacy 8. Position the patient on his or her back 9. Continue to perform chest compressions

The protocol for performing one-person rescue CPR based on the standard and guidelines of the American Heart Association is as follows: 1) Establish unresponsiveness by gently shaking and shouting at the victim; 2) Position the patient on his or her back on a hard surface to facilitate CPR; 3) Perform chest compressions by positioning yourself to one side of the patient and placing the hands properly; 4) Open the airway by tilting the head back; 5) Establish breathlessness by placing an ear of the patient's nose and mouth and looking toward the patient's chest; 6) Perform rescue breathing by putting the palm of the hand on the victim's forehead and using the thumb and fingers to pinch the victim's nostrils shut; 7) Establish circulatory inadequacy by palpating the carotid artery; 8) Continue to perform chest compression as detailed in step 3; and 9) Reassess after five complete cycles of compressions and ventilations.