RAD REVIEW: PC3: Physical Assistance and Monitoring (96)
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. Maintenance of balance B. Reduction of stress on joints and soft tissue D. Decreased risk of injury
Which of the following devices is used to determine blood oxygenation levels? A. Pulse oximeter B. Sphygmomanometer C. Stethoscope D. Cardiac telemeter
A. Pulse oximeter
The term used to describe an individual with a core temperature higher than 100°F: A. Pyrexic B. Hypoexemic C. Anemic D. Anaerobic
A. Pyrexic
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. Systolic pressure lower than 60 mmHg
When considering blood return from the lungs via the 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. The blood is well oxygengated D. The blood enters the left atrium
The frequency of cardiac ventricular contractions is reported in which value: A. BPH B. BPM C. BPS D. BPI
B. BPM
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. Depression of shoulders
Which 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 elasticity
A. Increased skin tears B. Decreased balance E. Decreased muscle mass
Which of the following should be avoided during patient transfers: (choose 3) A. Jerking movements B. Twisting C. Tightening of the core D. Use of short lever upper extremities E. Bending of the lower back
A. Jerking movements B. Twisting E. Bending of the lower back
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. 1 and 2 only
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. 1 and 2 only
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. 1 and 2 only
Which of the following is (are) characteristic(s) of anemia? 1. Decreased number of circulating red blood cells 2. Decreased hemoglobin 3. Hematuria
B. 1 and 2 only
Which of the following is (are) symptom(s) 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. 1 and 2 only
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 only
B. 1 and 3 only
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. 1 and 3 only
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. 1 and 3 only
Which of the following items are categorized as vital signs? (select the four that apply) A. Blood pressure B. Electrocardiograph (ECG or EKG) C. Respiratory rate D. Pulse rate E. Complete blood count (CBC) F. Temperature
A. Blood pressure C. Respiratory rate D. Pulse rate F. Temperature
In the blood pressure reading 140/75 mmHg, what does 140 represent? 1. The phase of relaxation of the cardiac muscle tissue 2. The phase of contraction of the cardiac muscle tissue 3. A higher-than-average diastolic pressure A. 1 only B. 2 only C. 1 and 3 only D. 2 and 3 only
B. 2 only
The structure labeled number 3 in Figure 2-39 is the A. left subclavian artery B. brachiocephalic artery C. right common carotid artery D. left vertebral artery
D. left vertebral artery
Sternal compressions during CPR are made with the heels of the hands located about A. 1 1/2 in. superior to the xiphoid tip B. 1 1/2 in. inferior to the xiphoid tip C. 3 in. superior to the xiphoid tip D. 3 in. inferior to the xiphoid tip
A. 1 1/2 in. superior to the xiphoid tip
Which of the following situations warrant the use of a 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. 1 and 2 only
Chest drainage systems should always be kept 1. below the level of the patient's chest. 2. above the patient's chest. 3. at the level of the patient's diaphragm. A. 1 only B. 1 and 2 only C. 2 and 3 only D. 1, 2, and 3
A. 1 only
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. 1 only
For newborns (0-3 months of age), which range is normal for measures pulse rate: A. 100-150 BPM B. 70-130 BPM C. 40-60 BPM D. 60-100 BPM
A. 100-150 BPM
Which situations may result in a lower than average resting heart rate: (choose 3) A. Age over 65 years B. Low temperatures C. Decreased fitness conditioning D. High temperatures E. Emotional stress F. Increased fitness conditioning G. Age younger than 10 years
A. Age over 65 years B. Low temperatures F. Increased fitness conditioning
Which of the following factors may result in an increased 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. Age younger than 3 years B. Exercise D. Age over 65 years
From the following list, select 4 appropriate choices for safe lifting of 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. Bend your knees and keep your back straight. C. Lift the object to a standing position, and then walk the object to the table. F. Keep your feet apart, slightly wider than your shoulders. G. Bring the object in close to your body.
A technologist brings the portable machine to the ED, preparing to take a portable chest x-ray on the patient in critical bay 4. As you approach, the nursing assistant is already in the room with a sphygmomanometer at the bedside. What is she about to measure? A. Blood pressure B. Oxygen concentration in the blood C. Respiration exhalation force D. Cerebral spinal fluid pressure
A. Blood pressure
Which of the following factors can contribute to hypertension? 1. Obesity 2. Smoking 3. Stress A. 1 only B. 1 and 2 only C. 2 and 3 only D. 1, 2, and 3
D. 1, 2, and 3
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 patient's weak side closest to the table. D. The technologist should squat at the knee and the hip, keeping the back straight offering support and standing with the patient. E. The wheelchair should be turned toward the table at a 45 degree angle with the patient's strong side closest to the table. F. The footrests of the wheelchair should be pivoted out of the way or removed before beginning.
A. The technologist should discuss the steps of the transfer with the patient beforehand to make sure the patient understands. D. The technologist should squat at the knee and the hip, keeping the back straight offering support and standing with the patient. E. The wheelchair should be turned toward the table at a 45 degree angle with the patient's strong side closest to the table. F. The footrests of the wheelchair should be pivoted out of the way or removed before beginning.
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 patient's trunk, hold onto their upper arm to support them C. Bring the patient's weaker side closest to the table before having them stand for a transfer D. Position yourself behind the wheelchair as the patient stands
A. Utilize a gait belt to help grasp onto the patient while assisting them to a standing position
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. an atrial septal defect
A vasodilator would most likely be used for A. angina. B. cardiac arrest. C. bradycardia. D. antihistamine.
A. angina.
Difficulty in breathing precipitated by stress and causing bronchospasm best describes A. asthma. B. anaphylaxis. C. myocardial infarct. D. rhinitis.
A. asthma.
The mechanical device used to correct an ineffectual cardiac rhythm is a A. defibrillator. B. cardiac monitor. C. crash cart. D. resuscitation bag.
A. defibrillator
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. hemoptysis
A patient whose systolic blood pressure is consistently greater than 140 mm Hg usually is considered A. hypertensive. B. hypotensive. C. average/normal. D. baseline.
A. hypertensive.
An iatrogenic infection is one caused by A. physician intervention. B. blood-borne pathogens. C. chemotherapy. D. infected droplets.
A. physician intervention
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. protected from injury.
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. respiratory pathway obstruction above the larynx
Aspirated foreign bodies in older children and adults are most likely to lodge in the A. right main stem bronchus B. left main stem bronchus C. esophagus D. proximal stomach
A. right main stem bronchus
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. 1, 2, and 3
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. The brachial artery is temporarily collapsed.
The term dysplasia refers to A. difficulty speaking. B. abnormal development of tissue. C. malposition. D. difficult or painful breathing.
B. abnormal development of tissue.
An acute reaction caused by ingestion or injection of a sensitizing agent describes A. asthma B. anaphylaxis C. myocardial infarction D. rhinitis
B. anaphylaxis
Rapid onset of severe respiratory or cardiovascular symptoms after ingestion or injection of a drug, vaccine, contrast agent, or food or after an insect bite best describes A. asthma B. anaphylaxis C. myocardial infarction D. rhinitis
B. anaphylaxis
Rapid onset of severe respiratory or cardiovascular symptoms after ingestion or injection of a drug, vaccine, contrast agent, or food, or after an insect bite, best describes A. asthma. B. anaphylaxis. C. myocardial infarction. D. rhinitis.
B. anaphylaxis.
A MRI procedure is contraindicated for a patient who has A. a herniated disk. B. aneurysm clips. C. dental fillings. D. subdural bleeding.
B. aneurysm clips.
The radiographic accessory used to measure the thickness of body parts in order to determine optimum selection of exposure factors is the A. gantry. B. caliper. C. collimator. D. ruler.
B. caliper.
The Heimlich maneuver is used if a patient is A. in cardiac arrest. B. choking. C. having a seizure. D. suffering from hiccups.
B. choking.
The medical term for nosebleed is A. vertigo. B. epistaxis. C. urticaria. D. aura.
B. epistaxis.
The condition of below-normal blood pressure is termed A. hyperthermia. B. hypotension. C. hypoxia. D. bradycardia.
B. hypotension.
The most commonly used method of low-flow oxygen delivery is the A. oxygen mask. B. nasal cannula. C. respirator. D. oxyhood.
B. nasal cannula.
When a patient with an arm injury needs help in undressing, the radiographer should A. remove clothing from the injured arm first. B. remove clothing from the uninjured arm first. C. always remove clothing from the left arm first. D. always cut clothing away from the injured extremity
B. remove clothing from the uninjured arm first.
Logrolling is a method of moving patients having suspected A. head injury. B. spinal injury. C. bowel obstruction. D. extremity fracture.
B. spinal injury
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. systolic pressure
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 pulse
Graves disease is associated with A. thyroid underactivity B. thyroid overactivity C. adrenal underactivity D. adrenal overactivity
B. thyroid overactivity
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. 1 and 2 only
Which of the following statements regarding the human gonadal cells is (are) true? 1. The female oogonia reproduce only during fetal life. 2. The male spermatogonia reproduce continuously. 3. Both male and female stem cells reproduce only during fetal life. A. 1 only B. 2 only C. 1 and 2 only D. 3 only
C. 1 and 2 only
Blood pressure may be expressed as 120/95. What does 95 represent? 1.The phase of relaxation of the cardiac muscle tissue 2.The phase of contraction of the cardiac muscle tissue 3.A higher-than-average diastolic pressure A. 1 only B. 2 only C. 1 and 3 only D. 2 and 3 only
C. 1 and 3 only
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 vessels. 3. initiation of muscle spasm. A. 1 and 2 only B. 1 and 3 only C. 2 and 3 only D. 1, 2, and 3
C. 2 and 3 only
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. 2 and 3 only
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. Decreased oxygenation
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. Depth
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. Lift with bent knees and straight back D. Push or roll a heavy object E. Provide a broad base of support
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. Orthopnea
Which of the following is a condition in which an occluded blood vessel stops blood flow to a portion of the lungs? A. Pneumothorax B. Atelectasis C. Pulmonary embolism D. Hypoxia
C. Pulmonary embolism
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. 1, 2, and 3
Where should a urine drainage bag be in relationship to the patient's bladder? A. Above the level of the bladder B. Between the patient's legs C. Well below the level of the bladder, but not touching the floor D. On top of the patient's abdomen
C. Well below the level of the bladder, but not touching the floor
Each of the following statements regarding respiratory structures is true except A. the left lung has two lobes B. the lower portion of the lung is the base C. each lung is enclosed in peritoneum D. the main stem bronchus enters the lung hilum
C. each lung is enclosed in peritoneum
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. tests positive for blood in their urine
Functions of the 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. 1, 2, and 3
If 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 above the level of their head 2. Loosen any tight clothing on the patient 3. Apply a moist compress to the patient's 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. 1, 2, and 3
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. 1, 2, and 3
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. 1, 2, and 3
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 patient 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. 1, 2, and 3
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. 1, 3, and 4 only
Which of the following diastolic pressure readings can indicate hypertension? A. 40 mm Hg B. 60 mm Hg C. 80 mm Hg D. 100 mm Hg
D. 100 mm Hg
Which blood pressure range is typical for adolescents: A. 90-100/60-67 B. 130-139/80-89 C. 120-140/80-90 D. 100-120/65-75
D. 100-120/65-75
When lifting a patient from a wheelchair: (1) Bend down and place your arms underneath their arms, then use your back to straighten out until they are in a standing position (2) Use your legs to push yourself up as you stand while maintaining normal lumbar lordosis and tightening of the core (3) When lifting with two or more persons, discuss the transfer before attempting it to reduce confusion and strain A. 2 only B. 1 and 2 only C. 1 and 3 only D. 2 and 3 only
D. 2 and 3 only
Of the following, which patient(s) 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. All the above
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 of 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. Decreased the distance between yourself and the patient you are transferring allows for better use of your upper extremities in the transfer
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. Dyspnea
A technologist encountering a patient that experiences vertigo should: A. Administer oxygen at a rate of at least 3 liters/minute. 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. Guide the patient to a sitting or recumbent position.
A patient arrives at the ED with a knife wound to the abdomen; the patient's shirt and pants are soaked with blood. The patient's blood pressure has dropped to 90/40 mm Hg and her pulse is 134 bpm. What type of shock is the patient experiencing? A. Cardiogenic B. Neurologic C. Iatrogenic D. Hypovolemic
D. Hypovolemic
What type of shock results from loss of blood? A. Septic B. Neurogenic C. Cardiogenic D. Hypovolemic
D. Hypovolemic
A variety of information is utilized to determine a patient's health status and to reach a diagnosis. Some are subjective, like the patient's narrative, their perception of pain, and the physician's 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. Measurable
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 the x-ray table. B. The patient's weaker side should be closer to the x-ray table. C. The wheelchair should directly face the x-ray table. D. The patient's stronger side should be closer to the x-ray table.
D. The patient's stronger side should be closer to the x-ray table.
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. a Salem-sump
Anaphylaxis is the term used to describe A. an inflammatory reaction. B. bronchial asthma. C. acute chest pain. D. allergic shock.
D. allergic shock.
You have encountered a person who is apparently unconscious. Although you open his airway, there is no rise and fall of the chest, no detectable pulse, and you can hear no breath sounds. You should 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 70-80 compressions/min. D. begin external chest compressions at a rate of at least 100 compressions/min.
D. begin external chest compressions at a rate of at least 100 compressions/min.
All the following are rules of good body mechanics except A. keep back straight, avoid twisting B. keep the load close to the body C. push, do not pull, the load D. keep a narrow base of support
D. keep a narrow base of support
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 as continuously or as needed (prn). D. none of the above; they are all true
D. none of the above; they are all true
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. radiography of pediatric patients with a myelomeningocele defect should be performed in the supine position.