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1. You are working as a radiographer in a busy imaging department, late into the evening.
You receive a request for a portable chest radiograph on a cardiac patient in the ICU.
Your co-worker comments that he just did a portable chest procedure on the same
patient approximately 15 minutes earlier and questions why they are ordering another
one so soon. The rationale for this next chest image would most likely be:
a. the floor had a change in nursing staff and they are re-ordering the examination to
make sure it was completed.
b. a new resident cardiologist arrived for his shift and wants his own image.
c. the patient has a central venous line and the physician wants to check the
repositioning.
d. the patient is now sleeping and a better image can now be achieved.
- ANSWER C
2. The role of the imaging technologist during cardiac pacemaker studies is to:
a. assist the surgeon with sterile technique.
b. position the patient into various oblique angles for static radiographic images.
c. operate fluoroscopy for the physician as he or she guides the pacemaker into position.
d. provide nursing care to the patient and monitor the electrophysiology data.
- ANSWER C
3. When using a portable fluoroscopy C-arm in surgery:
a. the image receptor and C-arm are draped with a snap cover for sterility.
, b. the surgery team members operate the fluoroscopy unit.
c. the C-arm is disinfected and considered sterile.
d. sterile technique is unnecessary.
- ANSWER A
4. When using a portable C-arm for a surgical hip pinning:
a. sterility will be maintained using a "shower curtain" approach.
b. sterile technique is unnecessary.
c. the surgeon can reach through the curtain and move the C-arm manually.
d. an additional sterile towel is positioned over the incision site and then removed when
the C-arm is brought into the field of view for imaging.
- ANSWER A
5. During surgical procedures using a portable C-arm, it is important to remember that:
a. communication with the surgeon is critical to examination success.
b. no two cases are ever the same and routine surgical fluoroscopy is unlikely.
c. technologists must be prepared for a stressful environment and using their highest
critical thinking skills.
d. all of the above are important.
- ANSWER D
6. When performing portable radiography on neonatal infants:
a. gonadal protection is not important, as the reproductive organs have yet to form.
b. aseptic techniques are especially important because of the infant's weak immune
system.
c. the portable radiographic unit must be wiped down after the procedure within 24
hours.
d. the radiographer should wash his or her hands before the procedure only.
- ANSWER B
7. A common neonatal chest disorder requiring portable radiography in the neonatal unit is
transient tachypnea of the newborn (TTN). Radiographs are taken to visualize the chest
for respiratory distress, and in doing so, the imaging professional must
1. use the highest degree of aseptic techniques.
2. use lead protection when possible, and sterilize after each use.
3. wash hands only after the procedure is complete.
4. wrap all items that may have the potential of coming in contact with the newborn.
, 5. use contact or shadow shielding for patient protection.
6. treat the procedure as a sterile procedure similar to surgery.
- ANSWER 1, 2, 4, and 5 only.
8. The collection of vital signs data is quick and noninvasive. The usual vital signs measured
include:
a. Respiration, pulse, cardiac output, and urinalysis values.
b. Body temperature, pulse rate, respiratory rate, and blood pressure.
c. Electrolytes, blood gases, urinalysis values, and fecal occult blood test findings.
d. Temperature, blood pressure, blood gases, and bowel sounds
- ANSWER B. Body temperature, pulse rate, respiratory rate, and blood
pressure
9. Adequate breathing consists of:
a. Good respiratory rate
b. Good respiratory depth
c. All of the above
d. 10 to 12 breaths per minute
- ANSWER C. All of the above
10. Body homeostasis is often referred to as the body's "steady state" and is maintained by
important body systems using physiologic feedback loops. Vital signs are an excellent
indicator of the body's response to conditions and therapies the patient is undergoing. A
key strength of using vital signs as an indicator of homeostasis is that they:
a. Are subjective and subject to interpretation
b. Can be confirmed by asking the patient how he or she feels
c. Can be assessed quickly, and the data revealed are objective
d. Are measured using interventional catheters and therefore are very accurate
- ANSWER C. Can be assessed quickly, and the data revealed are objective
11. All of the following are related EXCEPT:
a. Rectal
b. Tympanic
c. Inguinal
d. Oral
- ANSWER C. Inguinal
, 12. All of the following are true of body temperature measurement EXCEPT:
a. Rectal and TA measurement are typically 1 degree higher than oral readings
b. Temporal artery (TA) measurements can be measured in 3 seconds noninvasively
c. Body temperatures are read in degrees Fahrenheit or Celsius
d. All temperatures should be identical regardless of where the temperature is measured
- ANSWER D. All temperatures should be identical regardless of where the
temperature is measured
13. The peak blood pressure reading when measuring blood pressure is the:
a. Both b and c
b. Diastolic pressure
c. Systolic pressure
d. Blood pressure resulting from left ventricular contraction
- ANSWER c. Systolic pressure
14. 7. A reliable device to measure oxygen saturation levels of arterial blood is a:
a. Pulse oximeter
b. Stethoscope
c. Sphygmomanometer
d. Spirometer
- ANSWER A. Pulse oximeter
15. 8. A patient who has a rectal temperature of 100.5oF is:
a. Hyperthermic
b. Febrile
c. Hypothermic
d. Normal
- ANSWER D. Normal
16. The term bradypnea is used to describe:
a. A decrease in respiratory rate
b. Difficulty in breathing
c. Absence of breathing
d. An increase in respiratory rate
- ANSWER A. A decrease in respiratory rate