Radiography Examination Q&A - Patient Care

When reviewing patient blood chemistry levels, what is considered the normal creatinine range?

(A) 0.6-1.5 mg/dL [The normal creatinine range is 0.6-1.5 mg/dL. The normal BUN range is 8-20 mg/dL.]

When caring for a patient with an IV line, the radiographer should keep the medication

(A) 18-20 inches above the level of the vein

Which blood vessels are best suited for determination of pulse rate?

(A) Superficial arteries

The practice that is used to retard the growth of pathogenic bacteria is termed

(A) antisepsis

Blood pressure is measured in units of

(A) millimeters of mercury (mmHg)

The usual patient preparation for an upper GI examination is

(A) nothing by mouth (NPO) 8 h before the examination

Nitroglycerin is used

(A) to relieve pain from angina pectoris

If a radiographer performed a lumbar spine examination on a patient who was supposed to have an elbow examination, which of the following charges may be brought against the radiographer?

(B) Battery

Which of the following is a vasopressor and may be used for an anaphylactic reaction or a cardiac arrest?

(B) Epinephrine

A patient in a recumbent position with the head higher than the feet is said to be in which of the following positions?

(B) Fowler

The diameter of a needle's lumen is referred to as its

(B) gauge

Logrolling is a method of moving patients having suspected

(B) spinal injury

For medicolegal reasons, radiographic images are required to include all the following information, except

(B) the patient's birth date

The normal average rate of respiration for a healthy adult patient is

(C) 12-20 breaths/min

On reviewing a patient's blood chemistry, which of the following adult blood urea nitrogen (BUN) ranges is considered normal?

(C) 6-20 mg/dL

Which ethical principle is related to sincerity and truthfulness?

(C) Veracity

All the following rules regarding proper hand- washing technique are correct, except

(C) avoid using hand lotions whenever possible

The medical term for congenital clubfoot is

(C) talipes

When a radiographer is obtaining a patient history, both subjective and objective data should be obtained. An example of subjective data is that

(C) the patient states that she experiences extreme pain in the upright position [Objective data - signs & symptoms that can be observed. Subjective data - what patient feels and to what extent.]

The medical term for hives is

(C) urticaria

When a GI series has been requested on a patient with a suspected perforated ulcer, the type of contrast medium that should be used is

(C) water-soluble iodinated media

In what order should the following examinations be performed? 1. Upper GI series 2. IVU 3. BE

(D) 2, 3, 1

Increased pain threshold, breakdown of skin, and atrophy of fat pads and sweat glands are all important considerations when working with which of the following groups of patients?

(D) Geriatric patients

All of the following are useful resources for non-English-speaking patients, except

(D) a family member or friend

Hypochlorite bleach (Clorox) and Lysol are examples of

(D) disinfectants

In pediatric imaging, a neonate is usually described as a/an

(D) newborn

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 and mode of delivery must be part of a physician order for oxygen (C) oxygen may be ordered continuously or as needed by the patient (D) none of the above; they are all true

(D) none of the above; they are all true

The medical abbreviation meaning "after meals" is

(D) pc

The condition that allows blood to shunt between the right and left ventricles is called

(D) ventricular septal defect

Examples of a portal of entry in the cycle of infection include

1. A break in the skin 2. Nasal mucous membrane 3. Urinary tract

Instruments required to assess vital signs include

1. A stethoscope 2. A sphygmomanometer 3. A watch with a second hand

The legal document or individual authorized to make an individual's health care decisions, should the individual be unable to make them for himself or herself, is the

1. Advance health care directive 2. Living will 3. Health care proxy

Some proteins in latex can produce mild-to-severe allergic reactions. Medical equipment that could contain latex includes

1. Airways 2. Enema tips 3. Catheters

Examples of nonverbal communication include

1. Appearance 2. Eye contact 3. Touch

If an emergency trauma patient experiences hemorrhaging from a leg injury, the radiographer should

1. Apply pressure to the bleeding site 2. Call the emergency department for assistance

Which of the following diagnostic examinations require(s) restriction of a patient's diet?

1. Barium enema 2. Pyelogram

The radiographer can help to alleviate patient anxiety in the following way(s):

1. Careful explanation of the procedure 2. Avoiding use of complex medical terms 3. Listening carefully to the patient

Guidelines for cleaning contaminated objects or surfaces include which of the following?

1. Clean from the least contaminated to the most contaminated areas 3. Clean from the top down

Which of the following must be included in a patient's medical record or chart?

1. Diagnostic and therapeutic orders 2. Medical history 3. Informed consent

A radiologic technologist can be found guilty of a tort in which of the following situations?

1. Failure to shield a patient of childbearing age from unnecessary radiation. 2. Imaging the wrong patient 3. Using patient immobilization against his or her will

Which of the following can be transmitted via infected blood?

1. HBV 2. AIDS

Misunderstanding between cultures can happen as a result of

1. Looking directly into someone's eyes 2. The use of certain gestures 3. Standing too close while speaking to another

Diseases that require contact precautions include

1. MRSA 2. Clostridium difficile (C. difficile)

Diseases spread by direct or close contact include

1. MRSA 2. Conjunctivitis 3. Rotavirus

Which of the following statements is/are true regarding a two-member team performing mobile and radiography on a patient with MRSA precautions?

1. One radiographer remains "clean"-that is, he or she has no physical contact with the patient. 2. The radiographer who positions the mobile unit also makes the exposure.

Which of the following is/are symptom(s) of shock?

1. Pallor and weakness 2. Increased pulse

The request for imaging services for hospital patients generally includes the following information:

1. Patient name and/or identification number 2. Mode of travel to Imaging department 3. Name of referring physician

In which of the following conditions is a double-contrast BE essential for demonstration of the condition?

1. Polyps 2. Colitis

Compliance with HIPAA standards requires which of the following?

1. Protected health care information is accessible to hospital employees only 2. A copy of authorization for release of medical information is kept on file 3. Patient information computer files must be encrypted

Which of the following procedures must be performed by the radiographer before entering a contact isolation room with a mobile x-ray unit?

1. Put on gown and gloves only

The cycle of infection includes which of the following components?

1. Reservoir of infection 2. Susceptible host 3. Mode of transmission

Routes of drug administration include

1. Sublingual 2. Topical 3. Parenteral

Diseases whose mode of transmission is through the air include

1. TB 2. mumps 3. rubella

Which of the following conditions must be met in order for a patient consent to be valid?

1. The patient must sign the consent form before receiving sedation 2. The physician named on the consent form must perform the procedure

What does 85 represent in the blood pressure reading 145/85 mm Hg?

1. The phase of relaxation of the cardiac muscle tissue 3. A higher-than-desirable diastolic pressure

Which of the following statements regarding tracheostomy patients is true?

1. Tracheostomy patients have difficulty speaking 3. Audible rattling sounds indicate a need for suction

Symptoms of inadequate oxygen supply include

1. diaphoresis 2. cyanosis 3. retraction of intercostal spaces

Anaphylactic shock manifests early symptoms that include

1. dysphagia 2. itching of palms and soles 3. constriction of the throat

Examples of various diverse cultural groups include the following:

1. generational groups 2. socioeconomic groups 3. handicapped groups

Skin discoloration owing to cyanosis may be observed in the

1. gums 2. earlobes

The following instructions should be given to a patient following a barium sulfate contrast examination:

1. increase fluid and fiber intake for several days 2. changes in stool color will occur until all barium has been evacuated 3. contact a physician if no bowel movement occurs in 24 h

You receive an ambulatory patient for a GI series. As the patient is being seated on the x- ray table, he tells you he feels faint. You should

1. lay the patient down on the x-ray table 2. elevate the patient's legs or place the table slightly Trendelenburg

A radiographer should recognize that gerontologic patients often have undergone physical changes that include loss of

1. muscle mass 2. bone calcium

You and a fellow radiographer have received an unconscious patient from a motor vehicle accident. As you perform the examination, it is important that you

1. refer to the patient by name 2. make only those statements that you would make with a conscious patient 3. reassure the patient about what you are doing

Diseases that requires droplet precautions include

1. rubella 2. mumps 3. influenza

Forms of intentional misconduct include

1. slander 2. invasion of privacy

Symptoms associated with a respiratory reaction to contrast media include

1. sneezing 2. hoarseness 3. wheezing

The act of inspiration will cause elevation of the

1. sternum 2. ribs

Types of inflammatory bowel disease include

1. ulcerative colitis 2. Crohn disease

Successful, effective communication includes proficiency in the following skills:

1. writing 2. speech 3. observation

Which of the following diastolic pressure readings indicates hypertension?

100 mm Hg

What is the needle angle usually recommended for intravenous injections?

15°

Circumstances that could prevent a radiography student from meeting ARRT certification requirements include

2. Being suspended from a radiography program 3. Being dismissed/expelled from a radiography program

A protective environment or neutropenic precautions (sometimes referred to as expanded precautions) as indicated is required in which of the following conditions?

2. Burns 3. Leukemia

A partially obstructed airway is clinically manifested in the following way(s):

2. Noisy, labored breathing 3. Nail bed and lip cyanosis

Examples of nasogastric (NG) tubes include

2. Salem-sump 3. Levin

Which of the following medical equipment is used to determine blood pressure?

2. Stethoscope 3. Sphygmomanometer

In which of the following situations should a radiographer wear protective eye gear (goggles)?

2. When assisting the radiologist during an angiogram 3. When assisting the radiologist in a biopsy/ aspiration procedure

The advantages of using nonionic, water- soluble contrast media include

2. low toxicity 3. fewer adverse reactions

Facsimile transmission of health information is

2. permitted for urgently needed patient care 3. permitted for third-party hospitalization certification

Possible side effects of an iodinated contrast medium that is administered intravenously include all of the following, except

3. Rash and hives

A small container holding several doses of medication is termed

A vial

What type of precautions is used to prevent the spread of bronchial secretions during coughing?

Airborne precautious

A large volume of medication introduced intravenously over a period of time is termed

An infusion

What is the first treatment for extravasated of contrast media during an IV injection?

Apply pressure to the vein until bleeding stops

You have encountered a person who is apparently unconscious and unresponsive. There is no rise and fall of the chest, and you can hear no breath sounds. You should first

Begin with 30 external chest compressions at a rate of 100 compressions/min

You are working in the outpatient department and receive a patient who is complaining of pain in the right hip joint; however, the requisition asks for a left femur examination. What should you do?

Check with the referring physician

Which of the following legal phrases defines a circumstance in which both the health care provider's and the patient actions contribute to an injurious outcome?

Contributory negligence

The mechanical device used to correct an ineffectual cardiac rhythm is a

Defibrillator

A patient experiencing an episode of syncope should be placed in which of the following positions?

Dorsal recumbent with feet elevated

Gas-producing powder or crystals usually are ingested preliminary to which of the following examinations?

Double-contrast gastrointestinal (GI) series

A patient who is warm, flushed, or feverish is said to be

Febrile

A vasovagal response experienced after injection of a contrast agent is characterized by all of the following symptoms, except

Hypotension

While performing mobile radiography on a patient, you note that the requisition is for a chest image to check placement of a Swan-Ganz catheter. A Swan-Ganz catheter is a/an

IV catheter

In which stage of infection do the infective microbes begin to multiply?

Incubation period

While in your care for a radiologic procedure, a patient asks to see his medical record/chart. Which of the following is the appropriate response?

Inform the patient that he has the right to see his records but that he should request to view them with his physician so that they are interpreted properly

What venous device can be used for a patient requiring IV injections at frequent or regular intervals?

Intermittent injection port

Administration of contrast agents for radiographic demonstration of the spinal canal is performed by which of the following parenteral routes?

Intrathecal

A radiographer who discloses confidential patient information to unauthorized individuals can be found guilty of

Invasion of privacy

Which of the following drugs is used to treat dysrhythmias?

Lidocaine

In classifying IV contrast agents, the total number of dissolved particles in solution per kilogram of water defines

Osmolality

An iatrogenic infection is the one caused by

Physician intervention

Which of the following is the meaning of the legal doctrine res ipsa loquitur?

The thing speaks for itself

Which of the following statements is correct with regard to assisting a patient from a wheelchair to an x-ray table?

The wheelchair should be 45° to the x-ray table

Which of the following is the first step to be taken in the performance of a radiographic examination?

Verify patient identity

Which of the following may be used to effectively reduce the viscosity of contrast media?

Warming

All of the following are central venous lines, except

a Salem-sump

Each of the following is an example of a fomite, except

a tick

Tracheostomy is indicated in cases of tracheal obstruction when the obstruction is located

above the level of the larynx

The pain experienced by an individual whose coronary arteries are not conveying sufficient blood to the heart is called

angina pectoris

All of the following statements regarding hand hygiene and skin care are correct, except

any cracks or abrasions should be left uncovered to facilitate healing

The type of shock often associated with pulmonary embolism or myocardial infarction is classified as

cardiogenic

An MRI procedure is contraindicated for a patient who has

cochlear implant

In her studies on death and dying, Dr. Elizabeth Kübler-Ross described the first stage of the grieving process as

denial

The condition in which pulmonary alveoli lose their elasticity and become permanently inflated, causing the patient to consciously exhale, is

emphysema

The belief that one's own cultural ways are superior to any other is termed

ethnocentrism

An inanimate object that has been in contact with an infectious microorganism is termed a

fomite

Examples of means by which infectious microorganisms can be transmitted via indirect contact include

fomite vector

Nosocomial infections are those acquired from

health care facilities

Another term used to describe nosocomial infections is

health care-associated infections

The most effective method of sterilization is

moist heat

All the following are forms of mechanical obstruction seen in neonates or infants, except

paralytic ileus

According to the CDC, all of the following precaution guidelines are true, except

patients under MRSA precautions require a negative-pressure room

When a patient arrives in the radiology department with a urinary Foley catheter bag, it is important to

place the drainage bag below the level of the bladder

To reduce the back strain that can result from moving heavy objects, the radiographer should

push the object

When a patient with one strong side and one weak side is being assisted onto an x-ray table, the radiographer should

start with the stronger side closer to the table

A cathartic is used to

stimulate defecation

All of the following statements regarding informed consent are true, except

the consent form cannot be revoked, once signed

All of the following are correct concepts of good body mechanics during patient lifting/moving, except

when carrying a heavy object, hold it away from the body