rad Review patient care
An emetic is used to A. induce vomiting B. stimulate defecation C. promote elimination of urine D. inhibit coughing
a
Difficulty in breathing precipitated by stress and causing bronchospasm best describes a) asthma b) anaphylaxis c) myocardial infarct d) rhinitis
a
During a grand mal seizure, the patient should be (A) protected from injury. (B) placed in a semiupright position to prevent aspiration of vomitus. (C) allowed to thrash freely. (D) given a sedative to reduce jerky body movements and reduce the possibility of injury.
a
Sternal compressions during CPR are made with the heels of the hands located about A. 1.5 in. superior to the xiphoid tip B. 1.5 in. inferior to the xiphoid tip C. 3 in. superior to the xiphoid tip D. 3 in. inferior to the xiphoid tip
a
The mechanical device used to correct an ineffectual cardiac rhythm is a (A) defibrillator. (B) cardiac monitor. (C) crash cart. (D) resuscitation bag.
a
Which of the following techniques can help prevent falls during patient transfers? a) utilize a gait belt to help grasp onto the patient while assisting them to a standing position b) to move the patients trunk, hold onto their upper arm to support them c) bring the patients weaker side closest to the table before having them stand for a transfer d)position yourself behind the wheelchair as the patient stands
a
a drugs chemical name is called its a) generic name b) trade name c) brand name d) proprietary name
a
a patient who is diaphoretic is experiencing a) profuse sweating b) hot, dry skin c) dilated pupils d) warm, moist skin
a
a technologist brings the portable machine to the ED, preparing to take a portable chest xray on the patient in critical by 4. as you approach, the nursing assistant is already in the room with a sphygmomanometer at the bedside, what is she about to measure? a) blood pressure b) oxygen concentration in the blood c) respiration exhalation force d) cerebral spinal fluid pressure
a
a vasodilator would most likely be used for a) angina b) cardiac arrest c) bradycardia d) antihistamine
a
an iatrogenic infection is one caused by a) physician intervention b) blood borne pathogens c) chemotherapy d) infected droplets
a
before performing a CT exam using an intravenous iodinated contrast agent, the radiographer should check the patients blood chemistry levels. which of the following is a normal blood urea nitrogen (BUN) range in an adult patient? a) 8-25 mg/100mL b) 0.6-1.5 mg/100dL c) 70-100 mg/dL d) 170-199 mg/mL
a
compared to oral temperature, which of the following temperature sites would result in slightly higher values? 1) rectal 2) axillary 3) forehead a) 1 only b) 2 only c) 1 and 3 only d) 1 and 2 only
a
for newborns (0-3 months) which range is normal for measures pulse rate? a) 100-150 BPM b) 70-130 c) 40-60 d) 60-100
a
the condition that results from a persistent fetal foramen ovale is a) an atrial septal defect b) a ventricular septal defect c) a patent ductus arteriosus d) coarctation of the aorta
a
the medical abbreviation meaning "three times a day" is a) tid b) qib c) qh d) pc
a
the term used to describe an in individual with a core temperature higher than 100 degrees F a) pyrexic b) hypoexemic c) anemic d) anaerobic
a
the term used to describe expectoration of blood from the bronchi is a) hemoptysis b) hematemesis c) chronic obstructive pulmonary disease (COPD) d) bronchitis
a
tracheotomy is an effective technique most commonly used to restore breathing when there is? a) respiratory pathway obstruction above the larynx b) crushed tracheal rings owing to trauma c) respiratory pathway closure owing to inflammation and swelling d) all the above
a
when all of the following exams are necessary, in which order should they be scheduled a) cystogram, upper GI with SBFT, esophagogram b) upper gi with SBFT, esophagogram, cystogram c) esophagogram, upper GI with SBFT, cystogram d) cystogram, esophagogram, upper GI with SBFT
a
when caring for a patient with an IV line, the radiographer should keep the medication a) 18 to 20 inches above the level of the vein b) 18-20 inches below the level of the vein c) 28-30 inches above the level of the vein d) 28-30 inches below the level of the vein
a
which of the following blood pressure measurements might indicate shock? a) systolic pressure lower than 60 mmHg b) systolic pressure higher than 140 mmHg c) diastolic pressure higher than 140 mmHg d) diastolic pressure lower than 90 mmHg
a
which of the following devices is used to determine blood oxygenation levels? a) pulse oximeter b) sphygmomanometer c) stethoscope d) cardiac telemeter
a
which of the following sites are commonly used for an intravenous injection? 1) antecubital vein 2) basilic vein 3) popliteal vein a) 1 and 2 only b) 1 and 3 only c) 2 and 3 only d) 1, 2, and 3
a
which of the following situations warrant the use of nasoenteric tube rather than a nasogastric tube 1) reduced gastric peristalsis with normal intestinal peristalsis 2) removal of gas or fluid from bowel obstruction 3) overactive gastric emptying, preventing adequate nutrient absorption a) 1 and 2 only b) 2 and 3 only c) 1 and 3 only d) 1, 2, and 3
a
which of the following women is likely to have the most homogeneous glandular breast tissue? a) a postpubertal adolescent b) a 20 year old with one previous pregnancy c) a menopausal woman d) a postmenopausal 65 year old
a
benefits of proper body mechanics include (select 3) a) maintenance of balance b) reduction of stress on joints and soft tissue c) increased use of energy d) decreased risk of injury e) decreased safety during transfers
a b d
which of the following factors may result in an increaseed respiratory rate (choose 3) a) age younger than 3 years b) exercise c) decreased emotional distress d) age over 65 years e) lower altitudes
a b d
which three of the following are physiologic changes associated with advanced age a) increased skin tears b) decreased balance c) increased bone density d) increased cognitive capacity e) decreased muscle mass f) increased connective tissue eleasticity
a b e
which situations may result in a lower than average resting heart rate (choose 3) a) age over 65 years b) lower temperatures c) decreased fitness conditioning d) high temperatures e) emotional stress f) increased fitness conditioning g) age younger than 10 years
a b f
positive contrast agents are associated with (select the five that apply) a) iodine b) negative contrast c) high atomic number d) radiopacity e) positive contrast f) air g) radiolucency h) barium
a c d e h
which of the following items are categorized as vital signs? (select 4) a) blood pressure b) electrocardiograph c) respiratory rate d) pulse rate e) complete blood count f) temperature
a c d f
From the following list, select 4 appropriate choices for safe lifting a heavy object from the floor to a table a) bend your knees and keep your back straight b) walk toward the table as you lift, to save time c) lift the object to a standing position, and then walk the object to the table d) hold your breath as you brace to lift e) bend at the waist f)keep your feet apart, slightly wider than your shoulders g) bring the object in close to your body h) stand slightly to the left or the right of the object and twist as you reach for it
a c f g
when considering blood return from the lungs via pulmonary veins, which of the following statements are true? (select the two that apply) a) the blood is well oxygengated b) the blood is deoxygenated c) the blood enters the right atrium d) the blood enters the left atrium
a d
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? a) the technologist should discuss the steps of the transfer with the patient beforehand to make sure the patient understands. b) 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 c) the wheelchair should be turned toward the table at a 45 degree angle, with the patients weak side closest to the table d) the technologist should squat at the knee and hip, keeping the back straight offering support and standing with the patient 3) the wheelchair should be turned toward the table at 45 degree angle with the patients strong side closest to the table f) the footrests of the wheelchair should be pivoted out of the way or removed before beginning.
a d e f
An acute reaction caused by ingestion or injection of a sensitizing agent describes A. asthma B. anaphylaxis C. myocardial infarction D. rhinitis
b
Bone densitometry is often performed to 1) measure degree of bone (de) mineralization 2) evaluate the results of osteoporosis treatment/therapy 3) evaluate the condition of soft tissue adjacent to bone a) 1 only b) 1 and 2 only c) 2 and 3 only d) 1, 2 , and 3
b
During measurement of blood pressure, which of the following occurs as the radiographer controls arterial tension with the sphygmomanometer? A. The brachial vein is collapsed. B. The brachial artery is temporarily collapsed. C. The antecubital vein is monitored. D. Oxygen saturation of arterial blood is monitored.
b
If extravasation occurs during an IV injection of contrast media, correct treatment includes which of the following? 1) remove the needle 2) apply pressure to the vein 3) lower arm below heart level a) 1 only b) 1 and 2 only c) 2 and 3 only d) 1, 2, and 3
b
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 (A) asthma. (B) anaphylaxis. (C) myocardial infarction. (D) rhinitis.
b
The radiographic accessory used to measure the thickness of body parts in order to determine optimal selection of exposure factors is the a. fulcrum b. caliper c. densitometer d. ruler
b
a MRI procedure is contraindicated for a patient who has a) a herniated disk b) aneurysm clips c) dental fillings d) subdural bleeding
b
a patient developed hives several minutes after injection of an iodinated contrast agent. what type of drug should be readily available? a) analgesic b) antihistamine c) anti-inflammatory d) antibiotic
b
a quantity of medication introduced intravenously over a period of time is termed a) an IV push b) an infusion c) a bolus d) a hypodermic
b
adverse reactions to high osmolality water-soluble contrast media that are classified as mild, include 1) nausea 2) pallor 3) dyspnea a) 1 only b) 1 and 2 only c) 2 and 3 only d) 1, 2, and 3
b
emphysema is a destructive pathology, requiring an adjustment in radiographic technique for adequate exposure. which of the following is NOT a symptom of emphysema? a) barrel-like diameter of chest b) depression of shoulders c) retraction of neck muscles d) wheezing
b
graves disease is associated with a) thyroid underactivity b) thyroid overactivity c) adrenal underactivity d) adrenal overactivity
b
logrolling is a method of moving pateints having suspected a) head injury b) spinal injury c) bowel obstruction d) extremity fracture
b
pulse is commonly measured at? 1) radial artery 2) carotid artery 3) mandibular artery a) 1 only b) 1 and 2 only c) 1 and 3 only d) 2 and 3 only
b
skin discoloration owing to cyanosis may be observed in the 1)gums 2) earlobes 3) corneas a) 1 only b) 1 and 2 only c) 3 only d) 1, 2, and 3
b
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 a) 1 and 2 only b) 1 and 3 only c) 2 and 4 only d) 2, 3, and 4
b
the condition of below-normal blood pressure is termed a) hyperthemia b) hypotension c) hypoxia d) bradycardia
b
the expansion and recoil of an artery describes a vital sign measurement called? a) auscultation b) the pulse c) a bruit d) stroke volume
b
the frequency of cardiac ventricular contractions is reported in which value a) BPH b) BPM c) BPS d) BPI
b
the medical term for nosebleed is? a) vertigo b) epistaxis c) urticaria d) aura
b
the needle angle usually used for subcutaneous injection is a) 15 degrees b) 45 degrees c) 90 degrees d) 180 degrees
b
the term dysplasia refers to? a) difficulty speaking b) abnormal development of tissue c) malposition d) difficult or painful breathing
b
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 a) 1 and 2 only b) 1 and 3 only c) 1, 2, and 4 only d) 2, 3, and 4 only
b
which of the following factors can cause an increase in blood pressure: 1) anxiety 2) younger age 3) exercise a)2 only b) 1 and 3 only c) 2 and 3 only d) 1, 2, and 3
b
which of the following is (are) symptoms of shock? 1) pallor and weakness 2) increased pulse 3) fever a) 1 only b) 1 and 2 only c) 1 and 3 only d) 1, 2, and 3
b
while measuring blood pressure, the first pulse that is heard is recorded as the a) diastolic pressure b) systolic pressure c) venous pressure d) valvular pressure
b
which of the following can impede verbal communication effectiveness (choose 3) a) decreased distance between the sender and receiver b) excessive background noise c) cultural differences d) increased eye contact e) increased message complexity
b c e
Chest drainage systems should always be kept (A) above the patient's chest. (B) at the level of the patient's chest. (C) below the level of the patient's chest. (D) none of the above; the position of the chest drainage system is not important.
c
Cyanosis is blueish hue to the skin due to which of the following? a)decreased blood flow b)increased oxygenation c) decreased oxygenation d) increased blood flow
c
The higher the gauge number of an intravenous (IV) needle, a) the larger is its diameter b) the greater is its length c) the smaller is its diameter d) the shorter its length
c
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 a) 1 only b) 2 only c) 1 and 2 only d) 1, 2, and 3
c
a diabetic patient who has teaken insulin while preparing for a fasting radiologic examination is susceptible to a hypoglycemic reaction. this is characterized by 1) fatigue 2) cyanosis 3) restlessness a) 1 only b) 1 and 2 only c) 1 and 3 only d) 1, 2, and 3
c
a patient suffering from hematuria? a) is vomiting blood b) has excessive waste urea in the bloodstream c) tests positive for blood in their urine d) exhibits urine output that is visibly bloody
c
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 a) 1 only b) 2 only c) 1 and 3 only d) 2, and 3 only
c
early symptom of anaphylaxis include all except which of the following a) itching of palms and soles b) dysphagia c) cool skin d) tingling
c
in reviewing a patients blood chemistry, which of the following blood ura nitrogen (BUN) ranges is considered normal a) .6-1.4 mg/100mL b) 4.5 to 6 mg/100mL c) 8-25 mg/100mL d) up to 50 mg/100mL
c
methods of parenteral drug administration include all the following, except a) topical b) subcutaneous c) oral d) intramuscular e) intrathecal
c
the medical term for hives is a) vertigo b) epistaxis c) urticaria d) aura
c
what is the first treatment for extravasation of contrast media during an IV injection? a) apply a hot compress b) apply a cold compress c) apply pressure to the vein until bleeding stops d) remove the needle and locate a sturdier vein immediately
c
when interviewing a patient, what is it that health care professional can observe? a) symptoms b) history c) objective signs d) chief complaint
c
when referencing respiration, which of the following terms is used to describe the amount of air exchanged a) rhythm b) rate c) depth d) character
c
where should a urine drainage bag be in relationship to the patients bladder? a) above the level of the bladder b) between the patients legs c) well below the level of the bladder, but not touching the floor d) on top of the patients abdomen
c
which of the following conditions describes a patient who is unable to breathe easily while in the recumbent position? a) dyspnea b) apnea c) orthopnea d) oligopnea
c
which of the following is a condition in which an occluded blood bessel stops blood flow to a portion of the lungs? a) pneumothorax b) atelectasis c) pulmonary embolism d) hypoxia
c
which of the following is a medication included in an emergency cart that increases heart rate? 1) atropine 2) diphenhydramine 3) epinephrine a) 1 only b) 2 only c) 1 and 3 only d) 2 and 3 only
c
which of the following is another name for an intermittent injection port? a) hypodermic needle b) butterfly needle c) heparin lock d) intravenous (IV) infusion
c
which of the following medical equipment is used to determine blood pressure? 1) pulse oximeter 2) stethoscope 3) sphygmomanometer a) 1 and 2 only b) 1 and 3 only c) 2 and 3 only d) 1, 2, and 3
c
select the 3 correct completions. to reduce the back strain that can result from moving heavy objects, the radiographer should a) hold the object away from his/her body b) bend at the waist to lift c) lift with bent knees and straight back d) push or roll a heavy object e) provide a broad base of support
c d e
A technologist encountering a patient that experiences vertigo should a) administer oxygen at a rate of at least 3 liters/min b) begin CPR c) bring the patient a cold compress to place against their forehead d) guide the patient to a sitting or recumbent position
d
All drug packages must provide certain information required by the U.S. Food and Drug Administration. Some of the information that must be provided includes 1. the generic name. 2. contraindications. 3. the usual dose. (A) 1 only (B) 1 and 2 only (C) 1 and 3 only (D) 1, 2, and 3
d
Common blood vessels utilized for pulse detection are 1) radial 2) parietal 3) dorsalis pedis 4) temporal a) 2 only b) 1 and 4 only c) 1, 2, and 3 only d) 1, 3, and 4 only
d
Funtions of teh Swan-Ganz catheter include(s) evaluation of 1) oxygen saturation 2) medication effects 3) ventricular failure a) 1 only b) 2 only c) 2 and 3 only d) 1, 2, and 3
d
Improper support of a patient's fractured lower leg (tibia/fibula) while performing radiography could result in 1) movement of fracture fragments 2) tearing of soft tissue, nerves, and blood vessles 3) iritation of muscle spasm a) 1 and 2 only b) 1 and 3 only c) 2 and 3 only d) 1, 2, and 3
d
Ipecac is a medication used to induce vomiting and is classified as a(n) A) diuretic. B) antipyretic. C) antihistamine. D)emetic.
d
Some proteins in latex can produce mild to severe allergic reactions. Medical equipment that could contain latex includes 1 tourniquets. 2 enema tips. 3 catheters. a) 1 only b) 1 and 2 only c) 2 and 3 only d) 1, 2 and 3
d
Symptoms of impending diabetic coma include 1. increased urination. 2. sweet-smelling breath. 3. extreme thirst. (A) 1 and 2 only (B) 1 and 3 only (C) 2 and 3 only (D) 1, 2, and 3
d
Symptoms of inadequate oxygen supply include 1 dyspnea. 2 cyanosis. 3 retraction of intercostal spaces. a) 1 only b) 1 and 2 only c) 2 and 3 only d) 1, 2, and 3
d
Which of the following is (are) characteristic(s) of anemia? 1) decreased number of circulating red blood cells 2) decreased hemoglobin 3) hematuria a) 1 only b) 1 and 2 only c) 1 and 3 only d) 1, 2, and 3
d
You have encountered a person who is apparently unconscious. Although you open his airway, there is no rise and fall of the chest, and you can hear no breath sounds. You should (A) begin mouth-to-mouth rescue breathing, giving two full breaths. (B) proceed with the Heimlich maneuver. (C) begin external chest compressions at a rate of 80 to 100 per minute. (D) begin external chest compressions at a rate of at least 100 per minute.
d
a cariety of information is utilized to determine a patients health status and to reach a diagnosis. some are subjective, like the patients narrative, their perception of pain, and the physicians bedside observations, as two physicians may come away with two distinct impressions from the same patient interview. some data are objective, like blood pressure, heart rate, oxygen saturation, and blood glucose level. the use of the word objective here means which of the following? a) predictable b) having a "normal" range c) latent/occult d) measurable
d
a patient arrives at the ED with a knife wound to the abdomen; the patients shirt and pants are soaked with blood. the patients blood pressure has dropped to 90/40 mm Hg and her pulse is 134 bpm. what type of shock is the patient experiencing? a) cardiogenic b) neurologic c) latrogenic d) hypovolemic
d
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? a) eupnea b) apnea c) hyperventilation d) dyspnea
d
a substance or method used to cleanse the large bowel prior to a barium enema is called 1) a cathartic 2) a cleansing enema 3) a purgative A) 1 only b) 1 and 2 only c) 2 and 3 only d) 1, 2, and 3
d
all the following are central venous lines except a) a port-a-cath b) a PICC c) a Swan-Ganz catheter d) a Salem-sump
d
all the following statements regarding oxygen delivery are true except? a)oxygen is classified as a drug and must be prescribed by a physician b) the rate of delivery must be part of a physician order for oxygen c) oxygen may be ordered as continuously or as needed d) none of the above: they are all true
d
all the following statements regarding pediatric positioning are true except a) for radiography of the kidneys, the CR should be directed midway between the diaphragm and the symphysis pubis b) if a pediatric patient is in respiratory distress, a chest radiograph should be obtained in the AP projection rather than in the standard PA projection c) chest radiography on a neonate should be performed in the supine position d) radiography of pediatric patients with a myelomeningocele defect should be performed in the supine position
d
anaphylaxis is the termed used to describe a) an inflammatory reaction b) bronchial asthma c) acute chest pain d) allergic shock
d
extravasation occurs when a) there is an absence of collateral circulation b) there is a multitude of vessels supplying one area c) excessive contrast medium is injected d) contrast medium is injected into surrounding tissue
d
for a patient who has just had a fluoroscopic barium enema, which post examination instructions should be given 1) drink plenty of water 2) eat a high fiber diet 3) limit caffeine a) 2 only b) 1 and 3 only c) 2 and 3 only d) 1, 2, and 3
d
in an inpatient experiences a syncopal episode during a radiographic procedure in the medical imaging department, how should the radiographer respond? 1) assist the patient into a dorsal recumbent position and elevate their feet and legs aboce the level of their head 2) loosen any tight clothing on the patient 3) apply a moist compress to the patients forehead and have them remain recumbent until they feel capable of undergoing the remainder of the procedure or returning to their room a) 1 only b) 1 and 2 only c) 2 and 3 only d) 1, 2, and 3
d
of the following, which patients would present an increased risk of barium aspiration during an upper GI series a) stroke patients b) mentally challenged patients c) patients with altered mental status d) all the above
d
patient preparation for an upper GI with small bowel follow through includes 1) NPO 8 hours before the exam 2) low residue diet 48 hours before the exam 3) avoidance of tobacco products during NPO period a) 1 only b) 2 only c) 1 and 2 only d) 1, 2, and 3
d
the decision as to whether to deliver ionic or nonionic contrast medium should include a preliminary patient history including, but not limited to 1) patient age 2) history of respiratory disease 3) history of cardiac disease a) 1 and 2 b) 1 and 3 c) 2 and 3 d) 1, 2, and 3
d
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 tow or more persons, discuss the transfer before attempting it to reduce confusion and strain a) 2 only b) 1 and 2 only c) 1 and 3 only d) 2 and 3 only
d
which of the following drugs may be used as a vasoconstrictor for a patient experiencing an anaphylactic reaction? 1) adrenalin 2) vasopressin 3) atropine a) 1 and 2 only b) 1 and 3 only c) 2 and 3 only d) 1,2, and 3
d
which of the following is a concept of proper body mechanics a) reducing the base of support by bringing your feet closer together creates a more stable foundation when lifting objects over your head b) increasing distance between your center of gravity and the center gravity for the object you are moving will increase the leverage needed to perform the action c) pulling objects is easier on the joints and expends less energy than pushing an object d) decreased the distance between yourself and the patient you are transferring allows for better use of your upper extremities in the transfer
d
which of the following refers to infiltration of a contrast agent into soft tissues during an intravenous injection? a) flocculation b) attenuation c) diaphoresis d) extravasation
d
which of the following statements is (are) true regarding the proper care of a patient with a tracheostomy? 1) employ sterile technique if you must touch a tracheostomy for any reason 2) before you suction a tracheostomy, the pateint should be well aerated 3) never suction for longer than 15 seconds, permitting the patient to rest in between a) 1 and 2 only b) 1 and 3 only c) 2 and 3 only d) 1, 2, and 3
d
which of the following statements is correct with regard to assisting a patient from a wheelchair to an x-ray table? a) the wheelchair should be parallel with rhe xray table b) the patients weaker side should be closer to the xray table c) the wheelchair should directly face the xray table d) the patients stronger side should be closer to the xray table
d
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