1
HESI Exit Exam Study QUESTIONS AND
ANSWERS
A radiographer prepares to perform an AP projection of the distal femur on a patient with
a suspected femoral fracture. Which represents the best approach for positioning both
the patient and the x-ray tube?
A. Rotate the leg 15 degrees medially; place the cathode end of the tube toward the
foot.
B. Rotate the leg 15 degrees medially; place the anode end of the tube toward the foot.
C. Do not rotate the leg; place the anode end of the tube toward the foot.
D. Do not rotate the leg; place the cathode end of the tube toward the foot. - C. Do
not rotate the leg; place the anode end of the tube toward the foot.
On an accurately positioned PA chest radiograph, the manubrium of the sternum is seen
at the level of which thoracic vertebrae when the patient is sthenic?
A. Third
B. Fourth
C. Second
D. Fifth - B. Fourth
According to Merrill's Atlas, which location represents the correct CR placement for an
axiolateral oblique mandible projection for the ramus?
A. The acanthion
B. The point of contact between the lips
C. The occlusal plane
D. The region of interest - D. The region of interest
The only saddle joint in the body is found between which two bones?
A. Trapezium and the first metacarpal
B. Trapezium and the navicular
C. Navicular and first metatarsal
D. Scaphoid and trapezium - A. Trapezium and the first metacarpal
Which is the disease process that causes increased radiodensity in the lung fields on an
image due to inflammation and accumulation of fluid?
, 2
A. Primary Tuberculosis
B. Pneumothorax
C. Pneumonia
D. Pleurisy - C. Pneumonia
Which study is considered a nonfunctional examination of the urinary system?
A. Retrograde urogram
B. Voiding cystourethrogram
C. Intravenous urogram
D. Hypertensive urogram - A. Retrograde urogram
How should the radiographer position the patient best to demonstrate a left axillary 6th
rib fracture?
A. Upright and 45 degree LPO
B. Supine and 45 degree LPO
C. Upright Posterior (PA)
D. Prone - A. Upright and 45 degree LPO
Which CR orientation is recommended for a radiographic image of the contrast-filled
urinary bladder with the patient in the supine position?
A. 2 inches inferior to the pubic symphysis with a 10 to 15 degree cephalad angle
B. 2 inches superior to the pubic symphysis with a 10 to 15 degree caudad angle
C. 1 inch proximal to the tip of the coccyx with a 10 to 15 degree cephalad angle
D. 1 inch distal to the tip of the coccyx with a 10 to 15 degree caudad angle - B. 2
inches superior to the pubic symphysis with a 10 to 15 degree caudad angle
A request for a shoulder exam comes from the ER. The patient has a large deformity
anterior to the shoulder and the physician suspects an anterior dislocation. Which are
the most common appropriate views to take on this patient?
A. Posterior (PA) internal and external rotation views
B. Posterior (PA) neutral and external rotation views
C. AP projection in neutral rotation and PA oblique scapular Y
D. Anterioposterior (AP) projections in internal, external, and neutral rotation - C. AP
projection in neutral rotation and PA oblique scapular Y
Which factor is critical to demonstrating fluid levels within the chest on a portable
examination?
A. 72" source to image receptor distance (SID)
B. Exposure sufficient to see through the heart
C. Central ray (CR) perpendicular to image receptor
D. Horizonal central ray (CR) - D. Horizonal central ray (CR)
, 3
Which projection of the thumb requires digits two through five to be extended, with the
palmar surface of the hand flat against the IR as if for a PA hand projection?
A. Posteroanterior (PA)
B. Lateral
C. Anteroposterior (AP)
D. Posteroanterior (PA) Oblique - D. Posteroanterior (PA) Oblique
The radiographer used the Holmblad method to perform a tunnel view of the knee. What
is the primary advantage of utilizing this method instead of the Camp Coventry method?
A. The Holmblad method shows no distortion longitudinally or laterally
B. The Holmblad method is quick to position
C. The Holmblad method is easier for the patient than the Camp Coventry method
D. The Holmblad method is easier for the radiographer to properly position - A. The
Holmblad method shows no distortion longitudinally or laterally
A patient's abdominal image reveals the presence of multiple phleboliths. Where are
these small calcifications found?
A. Kidney
B. Vein
C. Ureter
D. Gallbladder - B. Vein
How should the patient be instructed to place their arms for a standing lateral projection
of the sternum?
A. Relaxed at their side
B. Behind the back
C. Forward
D. Raised above the head - B. Behind the back
Which bone contains a mastoid process?
A. Occipital
B. Sphenoid
C. Parietal
D. Temporal - D. Temporal
In this chest radiograph, where is the clinically significant gas located?
Under the Right Hemidiaphragm
NO PICTURE
A. Within the stomach
, 4
B. Under the right hemidiaphragm
C. Within the thorax
D. Under the left hemidiaphragm - B. Under the right hemidiaphragm
Which position of the elbow will clearly demonstrate the radial neck free of
superimposition?
A. AP
B. Medial oblique
C. Lateral oblique
D. Lateral - C. Lateral oblique
A radiographer critiques an anteroposterior (AP) ankle projection. The medial mortise
joint is open while the lateral mortise joint is closed. How can the radiographer adjust
the ankle to correct this image?
A. No Correction Needed
B. Increase internal rotation
C. Increase external rotation
D. Dorsiflex foot - A. No Correction Needed
Which exam may be used to assess cruciate ligament pathology?
A. Three view elbow series
B. Wrist including navicular views
C. Shoulder Arthrogram
D. Knee arthrogram - D. Knee arthrogram
What should be done to correct positioning on an AP elbow with lateral rotation, when
the radial head is slightly superimposed over the proximal ulna on the first effort?
A. The elbow joint should be rotated laterally.
B. The forearm should be pronated to correct the error
C. The elbow joint should be rotated medially
D. The humerus and forearm should be placed in the same horizontal plane - A. The
elbow joint should be rotated laterally.
What should the radiographer do to correct this image? (HIP AP)
A. Roll pt to slightly left side
B. Increase internal rotation
C. Increase external rotation
D. No correction needed - D. No correction needed
What can be demonstrated with a left lateral decubitus position of the thorax?
HESI Exit Exam Study QUESTIONS AND
ANSWERS
A radiographer prepares to perform an AP projection of the distal femur on a patient with
a suspected femoral fracture. Which represents the best approach for positioning both
the patient and the x-ray tube?
A. Rotate the leg 15 degrees medially; place the cathode end of the tube toward the
foot.
B. Rotate the leg 15 degrees medially; place the anode end of the tube toward the foot.
C. Do not rotate the leg; place the anode end of the tube toward the foot.
D. Do not rotate the leg; place the cathode end of the tube toward the foot. - C. Do
not rotate the leg; place the anode end of the tube toward the foot.
On an accurately positioned PA chest radiograph, the manubrium of the sternum is seen
at the level of which thoracic vertebrae when the patient is sthenic?
A. Third
B. Fourth
C. Second
D. Fifth - B. Fourth
According to Merrill's Atlas, which location represents the correct CR placement for an
axiolateral oblique mandible projection for the ramus?
A. The acanthion
B. The point of contact between the lips
C. The occlusal plane
D. The region of interest - D. The region of interest
The only saddle joint in the body is found between which two bones?
A. Trapezium and the first metacarpal
B. Trapezium and the navicular
C. Navicular and first metatarsal
D. Scaphoid and trapezium - A. Trapezium and the first metacarpal
Which is the disease process that causes increased radiodensity in the lung fields on an
image due to inflammation and accumulation of fluid?
, 2
A. Primary Tuberculosis
B. Pneumothorax
C. Pneumonia
D. Pleurisy - C. Pneumonia
Which study is considered a nonfunctional examination of the urinary system?
A. Retrograde urogram
B. Voiding cystourethrogram
C. Intravenous urogram
D. Hypertensive urogram - A. Retrograde urogram
How should the radiographer position the patient best to demonstrate a left axillary 6th
rib fracture?
A. Upright and 45 degree LPO
B. Supine and 45 degree LPO
C. Upright Posterior (PA)
D. Prone - A. Upright and 45 degree LPO
Which CR orientation is recommended for a radiographic image of the contrast-filled
urinary bladder with the patient in the supine position?
A. 2 inches inferior to the pubic symphysis with a 10 to 15 degree cephalad angle
B. 2 inches superior to the pubic symphysis with a 10 to 15 degree caudad angle
C. 1 inch proximal to the tip of the coccyx with a 10 to 15 degree cephalad angle
D. 1 inch distal to the tip of the coccyx with a 10 to 15 degree caudad angle - B. 2
inches superior to the pubic symphysis with a 10 to 15 degree caudad angle
A request for a shoulder exam comes from the ER. The patient has a large deformity
anterior to the shoulder and the physician suspects an anterior dislocation. Which are
the most common appropriate views to take on this patient?
A. Posterior (PA) internal and external rotation views
B. Posterior (PA) neutral and external rotation views
C. AP projection in neutral rotation and PA oblique scapular Y
D. Anterioposterior (AP) projections in internal, external, and neutral rotation - C. AP
projection in neutral rotation and PA oblique scapular Y
Which factor is critical to demonstrating fluid levels within the chest on a portable
examination?
A. 72" source to image receptor distance (SID)
B. Exposure sufficient to see through the heart
C. Central ray (CR) perpendicular to image receptor
D. Horizonal central ray (CR) - D. Horizonal central ray (CR)
, 3
Which projection of the thumb requires digits two through five to be extended, with the
palmar surface of the hand flat against the IR as if for a PA hand projection?
A. Posteroanterior (PA)
B. Lateral
C. Anteroposterior (AP)
D. Posteroanterior (PA) Oblique - D. Posteroanterior (PA) Oblique
The radiographer used the Holmblad method to perform a tunnel view of the knee. What
is the primary advantage of utilizing this method instead of the Camp Coventry method?
A. The Holmblad method shows no distortion longitudinally or laterally
B. The Holmblad method is quick to position
C. The Holmblad method is easier for the patient than the Camp Coventry method
D. The Holmblad method is easier for the radiographer to properly position - A. The
Holmblad method shows no distortion longitudinally or laterally
A patient's abdominal image reveals the presence of multiple phleboliths. Where are
these small calcifications found?
A. Kidney
B. Vein
C. Ureter
D. Gallbladder - B. Vein
How should the patient be instructed to place their arms for a standing lateral projection
of the sternum?
A. Relaxed at their side
B. Behind the back
C. Forward
D. Raised above the head - B. Behind the back
Which bone contains a mastoid process?
A. Occipital
B. Sphenoid
C. Parietal
D. Temporal - D. Temporal
In this chest radiograph, where is the clinically significant gas located?
Under the Right Hemidiaphragm
NO PICTURE
A. Within the stomach
, 4
B. Under the right hemidiaphragm
C. Within the thorax
D. Under the left hemidiaphragm - B. Under the right hemidiaphragm
Which position of the elbow will clearly demonstrate the radial neck free of
superimposition?
A. AP
B. Medial oblique
C. Lateral oblique
D. Lateral - C. Lateral oblique
A radiographer critiques an anteroposterior (AP) ankle projection. The medial mortise
joint is open while the lateral mortise joint is closed. How can the radiographer adjust
the ankle to correct this image?
A. No Correction Needed
B. Increase internal rotation
C. Increase external rotation
D. Dorsiflex foot - A. No Correction Needed
Which exam may be used to assess cruciate ligament pathology?
A. Three view elbow series
B. Wrist including navicular views
C. Shoulder Arthrogram
D. Knee arthrogram - D. Knee arthrogram
What should be done to correct positioning on an AP elbow with lateral rotation, when
the radial head is slightly superimposed over the proximal ulna on the first effort?
A. The elbow joint should be rotated laterally.
B. The forearm should be pronated to correct the error
C. The elbow joint should be rotated medially
D. The humerus and forearm should be placed in the same horizontal plane - A. The
elbow joint should be rotated laterally.
What should the radiographer do to correct this image? (HIP AP)
A. Roll pt to slightly left side
B. Increase internal rotation
C. Increase external rotation
D. No correction needed - D. No correction needed
What can be demonstrated with a left lateral decubitus position of the thorax?
