V1 - Patient Care

Question 1

What is required under the HIPAA? (3 answers)

Answer 1

• The patients are able to request amendments to their records
• Patients have the right to request restrictions on disclosures of their information
• The patient must receive written information on how the health information will be used.

Question 2

A radiographer enters a room to take a portable foot series on a patient in her final trimester of pregnancy. The patient is just finishing her lunch and begins choking. How should the radiographer respond to this medical emergency?

Answer 2

Initiate a backward thrust in the center of the sternum.

Question 3

Which actions should the radiographer take to help prevent acquired infections in hospitals or clinics? (4 answers)

Answer 3

• Washing hands frequently and using hand lotion afterward
• Placing biologically soiled linen in biohazard linen bags
• Placing used needles in sharps containers
• Wearing exam gloves and changing them in between each patient

Question 4

How should a drug be administered to get the quickest response?

Answer 4

Intravenously

Question 5

Identify the medical conditions in a patient’s history which should be cleared by the radiologist before injection of an ionic, water soluble, injectable contrast agent. (4 answers)

Answer 5

• Compromised renal function
• Pheochromocytoma
• Diabetes
• Sickle Cell Anemia.

Question 6

Which procedure is an example of surgical asepsis?

Answer 6

Surgical hand scrub

Question 7

A patient who complains of blurred vision and dizziness upon standing for an upright chest x-ray may be experiencing which condition?

Answer 7

Orthostatic Hypotension

Question 8

A radiographer recieves request for a portable chest x-ray and then performs the x-ray on the incorrect patient. Which legal term best describes the actions of the radiographer?

Answer 8

Battery

Question 9

Which rule is followed when examining unconscious patients?

Answer 9

Avoid saying things you would not say to a conscious patient

Question 10

Which type of contrast agent is preferred for low risk and low cost for a patient diagnosed with a possible perforated bowel?

Answer 10

Ionic, water soluble, diluted with juice

Question 11

Which is the most appropriate guideline to follow when radiographing patients in their late adult years?

Answer 11

Speak slowly and in a low tone voice

Question 12

Which position should a patient be placed in immediately following a seizure?

Answer 12

Lateral Recumbent

Question 13

Which nonverbal cue best demonstrates attentiveness and concern for a patient who is giving a medical history?

Answer 13

Consistent Eye Contact

Question 14

What does “ventricular fibrillation” mean?

Answer 14

Erratically quivering ventricles

Question 15

Which angle of insertion is recommended when performing venipuncture?

Answer 15

15 degrees

Question 16

How should a radiographer increase the stability of the base of support?

Answer 16

Stand with feet a greater distance apart

Question 17

Which action is best taught to the patient using the communication technique of demonstration?

Answer 17

The correct positioning for a particular projection

Question 18

Which term best describes the process of cleaning the surfaces in a radiology department with 10% bleach solution in water?

Answer 18

Medical asepsis

Question 19

A radiographer prepares to transfer a patient from a wheelchair to the x-ray table. The patient recently suffered a stroke, exhibits left-sided weakness, and is able to bear some weight. How should the radiographer move the patient to the table?

Answer 19

Position the right side of the wheelchair next to the table

Question 20

A patient reports symptoms including itching, rash formation, and difficulty breathing immediately following the administration of IV contrast media. Assuming the patient has had no prior exposure to radiopaque contrast media, what is the most likely cause of these symptoms?

Answer 20

Anaphylactoid reaction

Question 21

A patient received 100 ml of IV contrast media as a part of an abdominal computed tomography (CT) scan, as well as 500 ml of dilute, oral contrast, prior to coming to Radiology for a separate order, an intravenous urogram (IVU). The patient’s creatinine is 0.4 mg/dl and BUN is 36 mg/dl. Why should this IVU be rescheduled?

Answer 21

The presence of the previous oral contrast in the abdomen precludes an IVU

Question 22

The radiographer is assisting a patient to move from a wheelchair to the x-ray table. Which represents the safest practice by the radiographer when moving this patient?

Answer 22

Maintain the center of gravity over the base of the support

Question 23

The lead radiographer is planning a strategy to efficiently manage the morning workload. The department is short-staffed due to meetings, and four patients are now ready for their examinations. Assuming that none of the exams is emergent, which patient should be seen first?

Answer 23

A two-year old child for a barium swallow

Question 24

Which steps are involved in legally obtaining informed consent to perform a radiographic procedure? (4 answers)

Answer 24

• The patient has been informed about the risks involved in the procedure
• The patient is legally competent
• The patient has been informed about alternatives to this particular procedure
• The patient has been informed about procedures in place to mitigate risks.

Question 25

In which clinical situation has valid consent been obtained?

Answer 25

A 16-year-old mother provides consent to perform an x-ray her 6-month-old child

Question 26

During preparation for a surgical procedure, an unopened sterile package becomes damp from an accidental spill of saline. Which response is most appropriate?

Answer 26

Consider the package contaminated and replace it with a sterile item.

Question 27

A patient in the radiology department suddenly develops a nosebleed. The radiographer instructs the patient to lean forward and pinch the affected nostril against the midline of the nasal cartilage, but the bleeding does not stop. What should the radiographer do next?

Answer 27

Apply moist compress

Question 28

Which legal concept is violated by a radiographer who performs an examination without an examination order?

Answer 28

Battery

Question 29

Place the types of contrast media in order of decreasing opacity.

Answer 29

Thick Barium Sulfate > Thin Barium Sulfate > Ionic, water soluble > Carbon Dioxide

Question 30

To ensure a reduction in irritation to the intestines, which temperature of water should be mixed with the barium on lower GI studies?

Answer 30

Cold

Question 31

What should the radiographer do if the radiologist’s instructions are unclear?

Answer 31

Ask for clarification

Question 32

What is the wide spread of MRSA mainly attributed to?

Answer 32

Over prescription of antibiotics and poor infection control practices

Question 33

Which is the best approach for speaking to a patient with a hearing impairment?

Answer 33

Speak in a low register