V2 - Patient Care

Question 1

A patient is scheduled for a VCUG. The radiographer explains the procedure in these terms: “this tubing will be connected to your catheter. It’s very important that the bladder gets very full, so please let us know when you feel the urge to urinate.” For which patient is this explanation most appropriate?

Answer 1

24 yo woman

Question 2

A radiographer prepares to do an excretory urogram on a patient who has a history of asthma. At this institution, policies are in place to select the type of contrast used based on the needs of the patient. Which type of contrast should be used in this situation?

Answer 2

Iodinated, nonionic

Question 3

Which example represents a violation of a patient’s privacy, if communicated to anyone not directly involved with the care of the patient?

Answer 3

A named patient is called for his BE

Question 4

Which condition could lead to neurogenic shock?

Answer 4

Head trauma

Question 5

What is the term for the pressure in the arterial blood vessels when the left ventricle contracts?

Answer 5

Systolic

Question 6

How can a radiographer be less intimidating to a child?

Answer 6

Squat down to the child’s level

Question 7

Which statement most accurately explains the typical reaction a patient can expect following the intravenous administration of low-osmolar iodinated contrast media?

Answer 7

“You may feel a warm sensation”

Question 8

A patient with a history of stroke or hemi-paralysis is transported to the x-ray department by wheelchair. Which action should be first taken by the radiographer?

Answer 8

Place the patient’s strong side next to the table

Question 9

A patient is having a lengthy procedure done in the medical imaging department. The patient seemed to be anxious at the beginning of the procedure and starts wheezing. What should the radiographer do next?

Answer 9

First ask if the patient has a medical condition

Question 10

During a routine chest x-ray, the radiographer stands the patient up and walks them to the chest stand. The patient seems unsteady; the radiographer observes the patient’s eyes rolling back. What is the first thing the radiographer should do?

Answer 10

Assist the patient into a safe position and call for help

Question 11

Which normal effect of aging is a common obstacle to communication with elder adults?

Answer 11

Hearing impairment

Question 12

When attempting to move a 300 pound object, which rule of body mechanics represents the safest option?

Answer 12

Roll or push the object

Question 13

A 9 yo has just fallen off the monkey bars. She has obvious deformity to her mid forearm. How should the radiographer care for her when taking x-rays?

Answer 13

Support the joints above and below the deformity

Question 14

A patient is scheduled for an interventional radiological procedure that requires general anesthesia. Who is the most appropriate person to obtain informed consent for the procedure in this situation?

Answer 14

Radiologist

Question 15

Which type of medication is diphenhydramine (Benadryl)?

Answer 15

Antihistamine

Question 16

A patient with wound infection caused by MRSA should be placed under which type of precaution?

Answer 16

Contact

Question 17

During a myelogram, a patient on the table stops breathing, and cardiac arrest is suspected. In an emergency situation like this, where are the needed equipment and supplies found?

Answer 17

Crash cart

Question 18

What is the single, most important step radiographer can take to protect themselves and their patients from infection?

Answer 18

Wash their hands between patients

Question 19

Which disease is contracted by exposure to infected blood and blood products?

Answer 19

HEP B

Question 20

Which type of contrast is best if a patient is suspected of having a perforated bowel?

Answer 20

Gastrografin

Question 21

If a patient with a compound fracture has an immobilization device in place, what is the best action by the radiographer?

Answer 21

Leave the device in place unless directed by a physician to remove it

Question 22

A patient becomes unresponsive after receiving an injection of iodinated contrast media. The patient’s blood pressure is 80/50. What has likely occurred?

Answer 22

Anaphylactic shock

Question 23

Which patient is most likely to suffer from ill effects from a contrast medium injection?

Answer 23

Elderly patient in renal failure

Question 24

A patient with which condition is most at risk for complications related to IV contrast administration?

Answer 24

Renal failure

Question 25

What are three common sites for measuring the pulse of an adult patient?

Answer 25

Radial, Brachial, Carotid arteries

Question 26

Which is the most effective way to give instructions to a patient who does not speak english?

Answer 26

Provide a certified interpreter to translate for the patient

Question 27

What is the proper sequence of exams if a patient is scheduled for a BE, IVU, and thyroid uptake and scan on the same day?

Answer 27

Thyroid uptake and scan, IVU, BE

Question 28

A patient with advanced Alzheimer’s disease needs to have a lung biopsy. Which condition is involved in legally obtaining informed consent to perform this procedure?

Answer 28

A guardian has been fully informed

Question 29

Which example represents a violation of HIPAA?

Answer 29

Patient’s condition is discussed by staff in a break room

Question 30

A 49 yo female was referred for mammography, but she is very apprehensive after reading about the risk of ionizing radiation. How should the radiographer handle this situation?

Answer 30

Reassure her that the benefit of the procedure outweighs the potential consequences

Question 31

Which disease requires the infected patient to be placed on airborne precautions?

Answer 31

Chickenpox

Question 32

If a patient contracts an infectious microorganism from soiled linen, which term refers to this method of disease transmission?

Answer 32

Fomite

Question 33

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

Answer 33

Diabetes