V3 - Patient Care

Question 1

A trauma patient arrives to the emergency department unconscious with tachycardia and hypotension. The patient has lost a significant volume of blood. The patient is experiencing which condition?

Answer 1

Hypovolemic shock

Question 2

How much barium is administered on an AVG adult PT with a colostomy undergoing a single contrast barium enema?

Answer 2

250 mL

Question 3

During a routine radiographic examination, a patient complains of dizziness and appears anxious and diaphoretic. While checking the patient’s vital signs, the radiographer notes a rapid heart rate, shaky hands, and clammy skin. Which is most likely explanation for this presentation?

Answer 3

Decreasing the number fo pathogens present

Question 4

Washing the hands with soap and water disrupts the chain of infection by which process?

Answer 4

Decreasing the number of pathogens present

Question 5

What precautions should a radiographer take when entering the room of a patient with varicella virus?

Answer 5

Wear a particulate respirator mask, gloves, and gown

Question 6

Which example of nonverbal communication is most effective for helping a patient overcome anxiety and apprehension prior to an exam?

Answer 6

Maintain a direct but appropriate eye contact with patient

Question 7

Which practices are considered violations of HIPAA (2)

Answer 7

• Looking up test results of a family member.

- Accessing medical images of a coworker.

Question 8

Which is the best strategy for communicating health care info to a patient who is completely deaf?

Answer 8

Call for an interpreter certified in sign language

Question 9

Which guideline is recommended for safely lifting a patient from a seated position?

Answer 9

Stand with feet apart to establish a wide base of support

Question 10

When obtaining a BP reading, systolic and diastolic values are determined by monitoring which pulse point?

Answer 10

Brachial

Question 11

Which is the most appropriate response to a patient who asks what the term “peritonitis” means?

Answer 11

“Peritonitis is the inflammation of the abdomen”

Question 12

Which percentage of hospital patients receiving antibiotics develop C. dificile colitis infections?

Answer 12

20%

Question 13

Which condition requires a patient to be placed in a negative pressure room, and the healthcare workers to wear a respiratory protection when entering?

Answer 13

TB

Question 14

When a radiographer asks a patient to lie down on the imaging table and the patient complies, which type of consent has the patient given?

Answer 14

Simple Consent

Question 15

Which type of shock is caused by a reaction to contrast media?

Answer 15

Vasogenic

Question 16

According to the AHA guidelines, which is the correct rate of chest compressions when administering CPR to a 6 mo patient?

Answer 16

At least 100 per min

Question 17

What are the six rights of drug admin that radiographers should follow?

Answer 17

Patient > drug > amount > route > documentation > time

Question 18

image Place the cursor on the contrast media that should be administered for an IVU.

Answer 18

2nd bottle

Question 19

Which item must be discarded in a biohazard bag?

Answer 19

Bed sheets saturated with blood

Question 20

Which describes the proper technique for needle insertion during venipuncture?

Answer 20

Insert needle into vein at 15-degree angle with bevel facing upward

Question 21

image Consider the contrast media label shown here. What does the “Not for parenteral use” warning mean?

Answer 21

It must be administered orally or rectally

Question 22

Which history factor has an increased risk for aspiration during an upper GI study?

Answer 22

Dizziness

Question 23

Which is the most appropriate response if a patient asks about the risk of radiation exposure from a CT exam?

Answer 23

“A CT results in a much higher dose than an x-ray, but your physician believes the benefits outweigh the risks”

Question 24

image The image is a medical record entry lacking important information. Place the cursor on the portion of this entry that is incorrect and left click.

Answer 24

signature

Question 25

What route of transmission is responsible for transmitting a disease to a patient through an improperly cleaned x-ray table?

Answer 25

Fomite

Question 26

According to the ARRT Standards of Ethics, a radiographer may be subject to sanctions including revocation of certification for which actions? (3)

Answer 26

• Performing a medical procedure without appropriate training or supervision.
• Performing duties while under the influence of illegal drugs or alcohol.
• Failing to report a medical error because the patient was unharmed.

Question 27

A patient is slumped over in his wheelchair and is non-responsive. After easing the patient to the floor, the radiographer finds no carotid impulse. This patient is experiencing which condition?

Answer 27

Cardiac Arrest

Question 28

When transferring a patient with hemiparesis from a wheelchair be placed?

Answer 28

Parallel to the x-ray table, with the patient’s strong side closest to the table.

Question 29

Identify the proper medical record documentation of medication administration.

Answer 29

5 mcg/min, Epinephrine, IV, 11/12/2007, 0940.

Question 30

Which general guideline is the most appropriate for determining when to use standard precautions?

Answer 30

When performing exams on all patients

Question 31

Which is considered a major contraindication for intravenous urography?

Answer 31

Hypersensitivity to contrast media

Question 32

Which value represents a normal respiratory rate for a pediatric patient?

Answer 32

25 breaths per minute

Question 33

Which is the best way to control severe bleeding from a deep laceration of the upper arm?

Answer 33

Apply direct pressure to the wound and raise the patient’s arm above the level of the heart