Patient Care Review Questions (Book) Flashcards
X-ray verification of central venous catheter (CVC) placement should identify the catheters distal tip at the
a.) vena cava near the right atrium
b.) vena cava near the left atrium
c.) aorta near the right atrium
d.) aorta near the left atrium
a.) vena cava near the right atrium
Pathogenic microorganisms that require contact precautions include
1.) MRSA
2.) clostridium difficile (C. difficile)
3.) hepatitis A
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
From the following, select the four circumstances that ciolate ARRT rules of ethics and can lead to ARRT professional sanction.
1.) soliciting/receiving examination information that uses language similar to that found on the certification examination
2.) providing incorrect/misleading information regarding ones ARRT credentials or qualifications
3.) assisting in billing practices that violate federal or state laws
4.) inappropriate use of radiographic equipment
5.) failure to respect the patients privacy
6.) providing false information regarding continuing education (CE) compliance
a.) 1, 2, 3 and 4
b.) 1, 3, 5 and 6
c.) 1, 2, 3 and 6
d.) 2, 4, 5 and 6
c.) 1, 2, 3 and 6
Logrolling is a method of moving patients with suspected:
a.) head injury
b.) spinal injury
c.) bowel obstruction
d.) extremity fracture
b.) spinal injury
Fractures of two or more adjacent ribs is termed:
a.) pectus carinatum
b.) pectus excavatum
c.) flail chest
d.) atelectasis
c.) flail chest
An iotragenic infection is the one caused by:
a.) physician intervention
b.) blood borne pathogens
c.) chemotherapy
d.) infected droplets
a.) physician intervention
A radiographer should recognize that gerontologic patients often have undergone physical changes that include the loss of:
1.) muscle mass
2.) bone calcium
3.) mental alertness
a.) 1 only
b.) 1 and 2 only
c.) 1 and 3 only
d.) 1, 2 and 3
b.) 1 and 2 only
Examples of unintentional misconduct include:
1.) battery
2.) negligence
3.) slander
4.) malpractice
5.) false imprisonment
a.) 1, 3 and 4
b.) 2 and 4
c.) 2, 3 and 5
d.) 1, 4 and 5
b.) 2 and 4
Xray verification of pacemaker leads placement should identify the catheters tip at the:
a.) apex of the right ventricle
b.) apex of the left ventricle
c.) right or left pulmonary artery
d.) superior or inferior vena cava
a.) apex of the right ventricle
Examples of portal of entry in the cycle of infection include:
1.) a break in the skin
2.) nasal mucous membrane
3.) urinary tract
a.) 1 only
b.) 1 and 2only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
Administration of a contrast agent for radiographic demonstration of the spinal canal and adjacent structures is performed using which of the following routes?
a.) subcutaneous
b.) intravenous
c.) intramuscular
d.) intrathecal
d.) intrathecal
Possible side effects of an iodinated contrast medium that is administered intravenously include which of the following
1.) a warm flushed feeling
2.) altered taste
3.) itching
4.) sneezing
5.) nausea
6.) rash and hives
a.) 1, 5 and 6
b.) 1, 2 and 5
c.) 3, 4 and 5
d.) 2, 5 and 6
b.) 1, 2 and 5
If the patient suffers as a result of the radiographers actions, the radiographer can be charged with professional negligence. Many courts will apply res ispa loquitor, the thing speaks for itself. Select the three circumstances from the following that could subject the radiographer to an accusation of negligence.
1.) failure to explain the xray examination to the patient
2.) imaging the wrong patient
3.) cropping/masking an electronic image to make it look collimated
4.) modification of exposure indicator (EI) values
5.) failure to address the pateint in a professional manner
a.) 1, 2 and 3
b.) 1, 4 and 5
c.) 2, 3 and 4
d.) 3, 5 and 6
c.) 2, 3 and 4
Which of the following statements regarding tracheostomy patients is true?
1.) tracheostomy patients have difficulty is speaking
2.) mobile chest imaging requires any tracheostomy tube to be rotated out of view
3.) audible rattling sounds indicate a need for suction
a.) 1 only
b.) 1 and 2 only
c.) 1 and 3 only
d.) 1, 2 and 3
c.) 1 and 3 only
A small container holding several doses of medication is termed:
a.) an ampule
b.) a vial
c.) a bolus
d.) a carafe
b.) a vial
You have encountered a person who is apparently unconcious and unresponsive there is no rise and fall of the chest, and you can hear no breath sounds. You should first:
a.) begin mouth to mouth rescue breathing, giving two full breaths
b.) proceed with the heimlich maneuver
c.) begin with 30 external chest compressions at a rate of 100 compressions/min
d.) begin with 5 external chest compressions at a rate of 50 compressions/min
c.) begin with 30 external chest compression at a rate of 100 compressions/min
Examples of biomedical waste include:
1.) labratory and pathology waste
2.) used bandages and dressings
3.) chest tubes
4.) bladder catheters
a.) 1, 3 and 4
b.) 1, 2 and 3
c.) 2, 3 and 4
d.) 1, 2, 3 and 4
d.) 1, 2, 3 and 4
Types of inflammatory bowel disease include:
1.) chrons disease
2.) ulcerative colitis
3.) intussusception
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
b.) 1 and 2 only
Misunderstanding between cultures can happen as a result of:
1.) looking directly into someones eyes
2.) the use of certain gestures
3.) standing too close while speaking to another
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
What demonstrates correct body mechanics?
Bending with knees, bending down to pick up an heavy object
Some proteins in latex can produce mild to severe allergic reactions. Which of the following medical equipment could contain latex?
1.) stethoscopes
2.) enema tips
3.) bed linen
4.) disposable needles
5.) bedpans
6.) syringes
a.) 1, 2 and 3
b.) 4, 5 and 6
c.) 2, 4 and 5
d.) 1, 2 and 6
d.) 1, 2 and 6
Which of the following precautions should be used when microbes are transmitted in air or dust particles?
1.) droplet precautions
2.) airborne precautions
3.) contact precautions
4.) vector precautions
a.) 1 and 2
b.) 1 and 4
c.) 2 and 3
d.) 3 and 4
a.) 1 and 2
A large volume of medication introduced intravenously over a longer period of time is termed:
a.) an IV push
b.) an infusion
c.) a bolus
d.) a hypodermic
b.) an infusion
Conditions requiring oxygen therapy include:
1.) COPD
2.) pneumonia
3.) sleep apnea
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
An inanimate object that has been in contact with an infectious microorganism is termed a:
a.) vector
b.) fomite
c.) host
d.) resevoir
b.) fomite
In which stage of infection do the infective microbes begin to multiply?
a.) latent period
b.) incubation period
c.) disease phase
d.) convalescent phase
b.) incubation period
A partially obstructed airway is clinically manifested in which of the following ways?
1.) dysphagia
2.) noisy, labored breathing
3.) nail bed and lip cyanosis
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
c.) 2 and 3 only
All of the following statements regarding hand hygiene and skin care are correct, except:
a.) hands should be cleansed before and after every patient examination
b.) faucets should be opened and closed with paper towels
c.) hands should be smooth and free from chapping
d.) any cracks or abrasions should be left uncovered
d.) any cracks or abrasions should be left uncovered
All of the following are correct concepts of good body mechanics during patient lifting/moving, except:
a.) the radiographer should stand with feet approximately 12 inches apart, with one foot slightly forward
b.) the bodys center of gravity should be positioned over its base of support
c.) the back should be kept straight; avoid twisting
d.) when carrying a heavy object, hold it away from the body
d.) when carrying a heavy object, hold it away from the body
When a patient arrives in the radiology department with a urniary foley catheter bag, it is important to:
a.) place the drainage bag above the level of the bladder
b.) place the drainage bag at the same level as the bladder
c.) place the drainage bag below the level of the bladder
d.) clamp the foley catheter
c.) place the drainage bag below the level of the bladder
While assisting a patient onto an xray table, when the patient has one strong side and one weak side, the radiographer should:
a.) start with the weaker side closer to the table
b.) start with the stronger side closer to the table
c.) always use a two person lift
d.) lift the patient carefully onto the table
b.) start with the stronger side closer to the table
The radiographer can help to alleviate patient anxiety in which of the following ways?
1.) careful explanation of the procedure
2.) avoiding use of complex medical terms
3.) listening carefully to the patient
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
What does number 85 represent in the blood pressure reading 145/85 mm Hg?
1.) the phase of relaxation of the cardiac muscle tissue
2.) the phase of contraction of the cardiac muscle tissue
3.) higher than desirable diastolic pressure
4.) lower than normal diastolic pressure
a.) 1 and 3
b.) 1 and 4
c.) 2 and 3
d.) 2 and 4
a.) 1 and 3
Facsimile transmission of health information is:
1.) not permitted
2.) permitted for urgently needed patient care
3.) permitted for third party payer hospitilization certification
a.) 1 only
b.) 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
c.) 2 and 3 only
Forms of intentional misconduct include:
1.) slander
2.) invasion of privacy
3.) negligence
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 is correct with regard to assisting a patient from a wheelchair to an xray table?
a.) the wheelchair should be parallel with the xray table
b.) the wheelchair should be angled 45 degrees to the xray table
c.) the wheelchair should directly face the xray table
d.) the wheelchair footrests should be folded down for foot support during transfer
b.) the wheelchair should be angled 45 degrees to the xray table
Blood flows into the left ventricle via the:
a.) tricuspud vlave during atrial systole
b.) tricuspud valve during ventricular systole
c.) bicuspid valve during atrial systole
d.) bicuspid valve during ventricular systole
c.) bicuspud valve during atrial systole
You and a fellow radiographer have recieved an unconcious 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 concious patient
3.) reassure the patient about what you are doing
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
A cathartic is used to:
a.) inhibit coughing
b.) promote elimination of urine
c.) stimulate defaction
d.) induce vomiting
c.) stimulate defacation
The most effective method of sterilization is:
a.) dry heat
b.) moist heat
c.) pasteurization
d.) freezing
b.) moist heat
Of the following, which is the most appropriate needle angle for an intravenous injection?
a.) 90 degrees
b.) 75 degrees
c.) 45 degrees
d.) 15 degrees
d.) 15 degrees
The beleif that ones own cultural ways are superior to any other is termed:
a.) ethnology
b.) ethnobiology
c.) ethnocentrism
d.) ethnography
c.) ethnocentrism
Compliance with HIPPA standards requires which of the following?
1.) protected health care information is accessible to health care workers only
2.) a copy of authorization for release of medical information is kept on file
3.) patient information computer files must be encrypted
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
Which of the following may be used to effectively reduce the viscosity of contrast media?
a.) warming
b.) refrigeration
c.) storage at a normal room temperature
d.) storage in a cool, dry place
a.) warming
This type of shock often associated with pulmonary embolism or myocardial infarction is classified as:
a.) neurogenic
b.) cardiogenic
c.) hypovolemic
d.) septic
b.) cardiogenic
Symptoms associated with a respiratory reaction to contrast media include:
1.) sneezing
2.) hoarseness
3.) wheezing
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
What type of precautions is used to prevent the spread of bronchial secretions during coughing?
a.) contact precautions
b.) airborne precautions
c.) protective isolation
d.) strict isolation
b.) airborne precautions
An MRI procedure is contraindicted for a patient who has:
a.) a herniated disk
b.) cochlear implants
c.) dental fillings
d.) subdural bleeding
b.) cochlear implants
Blood pressure within vessels is highest during:
a.) ventricular diastole
b.) ventricular systole
c.) atrial diastole
d.) atrial systole
b.) ventricular systole
each of the following is an example of a fomite, except:
a.) a doorknob
b.) a tick
c.) a spoon
d.) an xray table
b.) a tick
Which of the followign legal phrases defines a circumstance in which the actions of both the health care provider and the patient are responsible for an injurous outcome?
a.) intentional misconduct
b.) contributory negligence
c.) gross negligence
d.) none of the above
b.) contributory negligence
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.) remove needle and apply pressure to the vein until bleeding stops
d.) remove the needle and locate a sturdier vein immediately
c.) remove needle and apply pressure to the vein until bleeding stops
Which of the following diastolic pressure readings indicates hypertension?
a.) 40mm Hg
b.) 60mm Hg
c.) 70mm Hg
d.) 90mm Hg
d.) 90mmHg
To reduce back strain that can result from moving heavy objects, the radiographer should:
a.) hold the object away from his or her body when lifting
b.) bend at the waist and pull
c.) pull the object
d.) push the object
d.) push the object
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.) oxyen may be ordered continuously or as needed for the patient
d.) none of the above, all these are true
d.) none of the above, all these are true
Examples of various deiverse cultural groups include which of the following?
1.) generational groups
2.) socioeconomic groups
3.) handicapped groups
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
Gas producing powder or crystals usually are ingested preliminary to which of the following examinations?
a.) double contrast barium enema (BE)
b.) double contrast gastrointestinal (GI) series
c.) oral cholecystogram
d.) IV urogram
b.) double contrast gastrointestinal (GI) series
According to the CDC, all of the following precaution guidlines are true, except:
a.) airborne precautions require that the patient wears a mask
b.) masks are indicated when caring for patients on MRSA precautions
c.) patients under MRSA precautions require a negative pressure room
d.) masks are indicated when caring for a patient on droplet precautions
c.) patients under MRSA precautions require a negative pressure room
Routes of drug administration include:
1.) sublingual
2.) topical
3.) parenteral
a.) 1 only
b.) 1 and 2 only
c.) 2 and 3 only
d.) 1, 2 and 3
d.) 1, 2 and 3
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?
a.) perform a right hip examination
b.) perform a left femur examination
c.) perform both a right hip and a left hip femur examination
d.) check with the referring physician
d.) check with the referring physician
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?
a.) assault
b.) battery
c.) false imprisonment
d.) defamation
b.) battery
Which of the following diagnostic examinations requires restriction of a patients diet?
1.) barium enema (BE)
2.) pyelogram
3.) metastatic survey
a.) 1 only
b.) 1 and 2 only
c.) 1 and 3 only
d.) 2 and 3 only
b.) 1 and 2 only
Which of the following procedures must be performed by the radiographer before entering a contact isolation room with a mobile xray unit?
1.) put on a gown and gloves only
2.) put on gown, gloves, mask and cap
3.) clean the mobile xray unit
a.) 1 only
b.) 2 only
c.) 1 and 3 only
d.) 2 and 3 only
a.) 1 only
Examples of a nasogastric (NG) tubes include:
1.) swan ganz
2.) salem sump
3.) levin
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
All of the following are central venous lines, except:
a.) port a cath
b.) a picc
c.) a swan ganz
d.) a salem sump
d.) a salem sump
Another term used to describe nosocomial infections is
a.) iatrogenic
b.) health care associated infections
c.) droplet
d.) airborne
b.) health care associated infections