HESI RADIOGRAPHY TEST ACTUAL LATEST 2
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A PLUS RADIOLOGIC
SCIENCE STUDY GUIDE
◉ 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?
A. An 54-year-old male with type 2 diabetes for an upper GI
B. A 18-year-old female for an intravenous urogram
C. An 83-year-old female for a chest x-ray
D. A two-year-old child for a barium swallow
Answer: D. A two-year-old child for a barium swallow
An x-ray department should begin the day with patients who are
fasting prior to their examination. In this example, more than one of
the patients is fasting, so the radiographer must decide who goes
first based on other factors. Since none of the cases are emergent,
consideration should be given to pediatric and geriatric patients
,because they have the most difficulty being NPO for long periods of
time.
◉ Which type of contrast agent is preferred for low risk and low cost
for a patient diagnosed with a possible perforated bowel?
A. Barium sulfate suspension, flavored
B. Gaseous media in the form of crystals
C. Ionic, water soluble, diluted with juice
D. Nonionic, water soluble, diluted with juice
Answer: C. Ionic, water soluble, diluted with juice
The least risk with the least cost would dictate ionic, water soluble
media. Barium should definitely be avoided, because of the risk of
introducing contrast into the peritoneum. Barium sulfate suspension
might cause adhesions if it spills into the peritoneum via a
perforation. Gaseous media will not yield all of the information that
positive media will in this case.
◉ A patient reports symptoms including itching, rash formation, and
difficulty breathing immediately following the administration of
intravenous (IV) contrast media. Assuming the patient has had no
prior exposure to radiopaque contrast media, what is the most likely
cause of these symptoms?
,A. Acute bronchospasm
B. Allergic reaction
C. Anaphylactoid reaction
D. Acute renal failure
Answer: C. Anaphylactoid reaction
The symptoms described in this scenario are the result of an
anaphylactoid reaction, a type of reaction that clinically mimics
anaphylaxis but requires no previous exposure to contrast media.
◉ 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?
A. The presence of the previous oral contrast in the abdomen
precludes an IVU.
B. The lab values indicate increased risk for contrast injection.
C. The lab values indicate that the contrast would not be excreted in
sufficient quantity to be useful for an IVU.
D. The presence of the previous intravenous contrast precludes an
IVU
, Answer: A. The presence of the previous oral contrast in the
abdomen precludes an IVU.
The single, most compelling reason to reschedule this IVU is the
presence of previous oral contrast in the abdomen.
◉ 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?
A. Maintain the center of gravity over the base of support.
B. Extend the arms as far as possible to increase the base of support.
C. Bend at the waist so the center of gravity is midway between the
patient and the base of support.
D. Reduce the base of support slightly so the center of gravity is
easier to maintain.
Answer: A. Maintain the center of gravity over the base of support.
The radiographer should maintain the center of gravity over the
base of support. If movement is required, then the feet should be
moved to maintain this relationship. All other responses violate
proper body mechanics.
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A PLUS RADIOLOGIC
SCIENCE STUDY GUIDE
◉ 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?
A. An 54-year-old male with type 2 diabetes for an upper GI
B. A 18-year-old female for an intravenous urogram
C. An 83-year-old female for a chest x-ray
D. A two-year-old child for a barium swallow
Answer: D. A two-year-old child for a barium swallow
An x-ray department should begin the day with patients who are
fasting prior to their examination. In this example, more than one of
the patients is fasting, so the radiographer must decide who goes
first based on other factors. Since none of the cases are emergent,
consideration should be given to pediatric and geriatric patients
,because they have the most difficulty being NPO for long periods of
time.
◉ Which type of contrast agent is preferred for low risk and low cost
for a patient diagnosed with a possible perforated bowel?
A. Barium sulfate suspension, flavored
B. Gaseous media in the form of crystals
C. Ionic, water soluble, diluted with juice
D. Nonionic, water soluble, diluted with juice
Answer: C. Ionic, water soluble, diluted with juice
The least risk with the least cost would dictate ionic, water soluble
media. Barium should definitely be avoided, because of the risk of
introducing contrast into the peritoneum. Barium sulfate suspension
might cause adhesions if it spills into the peritoneum via a
perforation. Gaseous media will not yield all of the information that
positive media will in this case.
◉ A patient reports symptoms including itching, rash formation, and
difficulty breathing immediately following the administration of
intravenous (IV) contrast media. Assuming the patient has had no
prior exposure to radiopaque contrast media, what is the most likely
cause of these symptoms?
,A. Acute bronchospasm
B. Allergic reaction
C. Anaphylactoid reaction
D. Acute renal failure
Answer: C. Anaphylactoid reaction
The symptoms described in this scenario are the result of an
anaphylactoid reaction, a type of reaction that clinically mimics
anaphylaxis but requires no previous exposure to contrast media.
◉ 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?
A. The presence of the previous oral contrast in the abdomen
precludes an IVU.
B. The lab values indicate increased risk for contrast injection.
C. The lab values indicate that the contrast would not be excreted in
sufficient quantity to be useful for an IVU.
D. The presence of the previous intravenous contrast precludes an
IVU
, Answer: A. The presence of the previous oral contrast in the
abdomen precludes an IVU.
The single, most compelling reason to reschedule this IVU is the
presence of previous oral contrast in the abdomen.
◉ 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?
A. Maintain the center of gravity over the base of support.
B. Extend the arms as far as possible to increase the base of support.
C. Bend at the waist so the center of gravity is midway between the
patient and the base of support.
D. Reduce the base of support slightly so the center of gravity is
easier to maintain.
Answer: A. Maintain the center of gravity over the base of support.
The radiographer should maintain the center of gravity over the
base of support. If movement is required, then the feet should be
moved to maintain this relationship. All other responses violate
proper body mechanics.
