1
HESI Exit Exam Study QUESTIONS AND A
e e e e e e
NSWERS
AeradiographerepreparesetoeperformeaneAPeprojectioneofetheedistalefemureoneaepatientewithea
esuspectedefemoralefracture.eWhicherepresentsetheebesteapproacheforepositioningebothethee
patienteandetheex-rayetube?
A. Rotateetheelege15edegreesemedially;eplaceetheecathodeeendeofetheetubeetowardetheef
oot.
B. Rotateetheelege15edegreesemedially;eplaceetheeanodeeendeofetheetubeetowardetheefoot.
C. Doenoterotateetheeleg;eplaceetheeanodeeendeofetheetubeetowardetheefoot.
D. Doenoterotateetheeleg;eplaceetheecathodeeendeofetheetubeetowardetheefoot.e-
C.eDoenoterotateetheeleg;eplaceetheeanodeeendeofetheetubeetowardetheefoot.
OneaneaccuratelyepositionedePAechesteradiograph,etheemanubriumeofetheesternumeiseseenea
tetheeleveleofewhichethoracicevertebraeewhenetheepatienteisesthenic?
A. Third
B. Fourth
C. Second
D. Fifthe- B.eFourth
AccordingetoeMerrill'seAtlas,ewhichelocationerepresentsetheecorrecteCReplacementeforeaneaxi
olateraleobliqueemandibleeprojectioneforetheeramus?
A. Theeacanthion
B. Theepointeofecontactebetweenetheelips
C. Theeocclusaleplane
D. Theeregioneofeintereste- D.eTheeregioneofeinterest
Theeonlyesaddleejointeinetheebodyeisefoundebetweenewhichetwoebones?
A. Trapeziumeandetheefirstemetacarpal
B. Trapeziumeandetheenavicular
C. Naviculareandefirstemetatarsal
D. Scaphoideandetrapeziume- A.eTrapeziumeandetheefirstemetacarpal
Whicheisetheediseaseeprocessethatecauseseincreasederadiodensityeinetheelungefieldseoneanei
mageedueetoeinflammationeandeaccumulationeofefluid?
, 2
A. PrimaryeTuberculosis
B. Pneumothorax
C. Pneumonia
D. Pleurisye- C.ePneumonia
Whichestudyeiseconsideredeaenonfunctionaleexaminationeofetheeurinaryesystem?
A. Retrogradeeurogram
B. Voidingecystourethrogram
C. Intravenouseurogram
D. Hypertensiveeurograme- A.eRetrogradeeurogram
Howeshouldetheeradiographerepositionetheepatientebestetoedemonstrateeaelefteaxillarye6theri
befracture?
A. Uprighteande45edegreeeLPO
B. Supineeande45edegreeeLPO
C. UprightePosteriore(PA)
D. Pronee- A.eUprighteande45edegreeeLPO
WhicheCReorientationeiserecommendedeforeaeradiographiceimageeofetheecontrast-
filledeurinaryebladderewithetheepatienteinetheesupineeposition?
A. 2eincheseinferioretoetheepubicesymphysisewitheae10etoe15edegreeecephaladeangle
B. 2einchesesuperioretoetheepubicesymphysisewitheae10etoe15edegreeecaudadeangle
C. 1eincheproximaletoe theetipeofetheecoccyxewitheae10etoe15edegreeecephaladeangle
D.e1einchedistaletoetheetipeofetheecoccyxewitheae10etoe15edegreeecaudadeanglee-
B.e2
inchesesuperioretoetheepubicesymphysisewitheae10etoe15edegreeecaudadeangle
e
AerequesteforeaeshouldereexamecomesefrometheeER.eTheepatientehaseaelargeedeformityea
nterioretoetheeshouldereandetheephysicianesuspectseaneanterioredislocation.eWhicheareeth
eemostecommoneappropriateeviewsetoetakeeonethisepatient?
A. Posteriore(PA)einternaleandeexternalerotationeviews
B. Posteriore(PA)eneutraleandeexternalerotationeviews
C. APeprojectioneineneutralerotationeandePAeobliqueescapulareY
D. Anterioposteriore(AP)eprojectionseineinternal,eexternal,eandeneutralerotatione-
C.eAPeprojectioneineneutralerotationeandePAeobliqueescapulareY
Whichefactoreisecriticaletoedemonstratingefluidelevelsewithinetheechesteoneaeportableeexamina
tion?
A. 72"esourceetoeimageereceptoredistancee(SID)
B. Exposureesufficientetoeseeethroughetheeheart
C. Centraleraye(CR)eperpendicularetoeimageereceptor
D. Horizonalecentraleraye(CR)e- D.eHorizonalecentraleraye(CR)
, 3
Whicheprojectioneofetheethumberequiresedigitsetwoethroughefiveetoebeeextended,ewithetheepal
maresurfaceeofetheehandeflateagainstetheeIReaseifeforeaePAehandeprojection?
A. Posteroanteriore(PA)
B. Lateral
C. Anteroposteriore(AP)
D. Posteroanteriore(PA)eObliquee- D.ePosteroanteriore(PA)eOblique
TheeradiographereusedetheeHolmblademethodetoeperformeaetunnelevieweofetheeknee.eWhatei
setheeprimaryeadvantageeofeutilizingethisemethodeinsteadeofetheeCampeCoventryemethod?
A. TheeHolmblademethodeshowsenoedistortionelongitudinallyeorelaterally
B. TheeHolmblademethodeisequicketoeposition
C. Thee HolmblademethodeiseeasiereforetheepatientethanetheeCampeCoventryemethod
D. TheeHolmblademethodeiseeasiereforetheeradiographeretoeproperlyepositione-
A.eTheeHolmblademethodeshowsenoedistortionelongitudinallyeorelaterally
Aepatient'seabdominaleimageerevealsetheepresenceeofemultipleephleboliths.eWhereeareethes
eesmallecalcificationsefound?
A. Kidney
B. Vein
C. Ureter
D. Gallbladdere- B.eVein
Howeshouldetheepatientebeeinstructedetoeplaceetheirearmseforeaestandingelateraleprojectioneof
etheesternum?
A. Relaxedeatetheireside
B. Behindetheeback
C. Forward
D. Raisedeaboveetheeheade- B.eBehindetheeback
Whicheboneecontainseaemastoideprocess?
A. Occipital
B. Sphenoid
C. Parietal
D. Temporale- D.eTemporal
Inethisechesteradiograph,ewhereeisetheeclinicallyesignificantegaselocated?eUnder
etheeRighteHemidiaphragm
eNOePICTURE
A. Withinetheestomach
, 4
B. Underetheerightehemidiaphragm
C. Withinetheethorax
D. Underetheeleftehemidiaphragme- B.eUnderetheerightehemidiaphragm
Whichepositioneofetheeelbowewilleclearlyedemonstrateetheeradialeneckefreeeofesuperimpositio
n?
A. AP
B. Medialeoblique
C. Lateraleoblique
D. Laterale- C.eLateraleoblique
Aeradiographerecritiqueseaneanteroposteriore(AP)eankleeprojection.eTheemedialemortiseej
ointeiseopenewhileetheelateralemortiseejointeiseclosed.eHowecanetheeradiographereadjustet
heeankleetoecorrectethiseimage?
A. Noe Correctione Needed
B. Increaseeinternalerotation
C. Increaseeexternalerotation
D. Dorsiflexefoote- A.eNoeCorrectioneNeeded
Whicheexamemayebeeusedetoeassessecruciateeligamentepathology?
A. Threeevieweelboweseries
B. Wristeincludingenaviculareviews
C. ShouldereArthrogram
D. Kneeearthrograme- D.eKneeearthrogram
WhateshouldebeedoneetoecorrectepositioningeoneaneAPeelbowewithelateralerotation,ewheneth
eeradialeheadeiseslightlyesuperimposedeoveretheeproximaleulnaeonetheefirsteeffort?
A. Theeelbowejointeshouldebeerotatedelaterally.
B. Theeforearmeshouldebeepronatedetoecorrectetheeerror
C. Theeelbowejointeshouldebeerotatedemedially
D. Theehumeruseandeforearmeshouldebeeplacedeinetheesameehorizontaleplanee-
A.eTheeelbowejointeshouldebeerotatedelaterally.
Whateshouldetheeradiographeredoetoecorrectethiseimage?e(HIPeAP)
A. Rollepte toe slightlye lefte side
B. Increasee internale rotation
C. Increaseeexternalerotation
D. Noecorrectioneneedede- D.eNoecorrectioneneeded
Whatecanebeedemonstratedewitheaeleftelateraledecubitusepositioneofetheethorax?
HESI Exit Exam Study QUESTIONS AND A
e e e e e e
NSWERS
AeradiographerepreparesetoeperformeaneAPeprojectioneofetheedistalefemureoneaepatientewithea
esuspectedefemoralefracture.eWhicherepresentsetheebesteapproacheforepositioningebothethee
patienteandetheex-rayetube?
A. Rotateetheelege15edegreesemedially;eplaceetheecathodeeendeofetheetubeetowardetheef
oot.
B. Rotateetheelege15edegreesemedially;eplaceetheeanodeeendeofetheetubeetowardetheefoot.
C. Doenoterotateetheeleg;eplaceetheeanodeeendeofetheetubeetowardetheefoot.
D. Doenoterotateetheeleg;eplaceetheecathodeeendeofetheetubeetowardetheefoot.e-
C.eDoenoterotateetheeleg;eplaceetheeanodeeendeofetheetubeetowardetheefoot.
OneaneaccuratelyepositionedePAechesteradiograph,etheemanubriumeofetheesternumeiseseenea
tetheeleveleofewhichethoracicevertebraeewhenetheepatienteisesthenic?
A. Third
B. Fourth
C. Second
D. Fifthe- B.eFourth
AccordingetoeMerrill'seAtlas,ewhichelocationerepresentsetheecorrecteCReplacementeforeaneaxi
olateraleobliqueemandibleeprojectioneforetheeramus?
A. Theeacanthion
B. Theepointeofecontactebetweenetheelips
C. Theeocclusaleplane
D. Theeregioneofeintereste- D.eTheeregioneofeinterest
Theeonlyesaddleejointeinetheebodyeisefoundebetweenewhichetwoebones?
A. Trapeziumeandetheefirstemetacarpal
B. Trapeziumeandetheenavicular
C. Naviculareandefirstemetatarsal
D. Scaphoideandetrapeziume- A.eTrapeziumeandetheefirstemetacarpal
Whicheisetheediseaseeprocessethatecauseseincreasederadiodensityeinetheelungefieldseoneanei
mageedueetoeinflammationeandeaccumulationeofefluid?
, 2
A. PrimaryeTuberculosis
B. Pneumothorax
C. Pneumonia
D. Pleurisye- C.ePneumonia
Whichestudyeiseconsideredeaenonfunctionaleexaminationeofetheeurinaryesystem?
A. Retrogradeeurogram
B. Voidingecystourethrogram
C. Intravenouseurogram
D. Hypertensiveeurograme- A.eRetrogradeeurogram
Howeshouldetheeradiographerepositionetheepatientebestetoedemonstrateeaelefteaxillarye6theri
befracture?
A. Uprighteande45edegreeeLPO
B. Supineeande45edegreeeLPO
C. UprightePosteriore(PA)
D. Pronee- A.eUprighteande45edegreeeLPO
WhicheCReorientationeiserecommendedeforeaeradiographiceimageeofetheecontrast-
filledeurinaryebladderewithetheepatienteinetheesupineeposition?
A. 2eincheseinferioretoetheepubicesymphysisewitheae10etoe15edegreeecephaladeangle
B. 2einchesesuperioretoetheepubicesymphysisewitheae10etoe15edegreeecaudadeangle
C. 1eincheproximaletoe theetipeofetheecoccyxewitheae10etoe15edegreeecephaladeangle
D.e1einchedistaletoetheetipeofetheecoccyxewitheae10etoe15edegreeecaudadeanglee-
B.e2
inchesesuperioretoetheepubicesymphysisewitheae10etoe15edegreeecaudadeangle
e
AerequesteforeaeshouldereexamecomesefrometheeER.eTheepatientehaseaelargeedeformityea
nterioretoetheeshouldereandetheephysicianesuspectseaneanterioredislocation.eWhicheareeth
eemostecommoneappropriateeviewsetoetakeeonethisepatient?
A. Posteriore(PA)einternaleandeexternalerotationeviews
B. Posteriore(PA)eneutraleandeexternalerotationeviews
C. APeprojectioneineneutralerotationeandePAeobliqueescapulareY
D. Anterioposteriore(AP)eprojectionseineinternal,eexternal,eandeneutralerotatione-
C.eAPeprojectioneineneutralerotationeandePAeobliqueescapulareY
Whichefactoreisecriticaletoedemonstratingefluidelevelsewithinetheechesteoneaeportableeexamina
tion?
A. 72"esourceetoeimageereceptoredistancee(SID)
B. Exposureesufficientetoeseeethroughetheeheart
C. Centraleraye(CR)eperpendicularetoeimageereceptor
D. Horizonalecentraleraye(CR)e- D.eHorizonalecentraleraye(CR)
, 3
Whicheprojectioneofetheethumberequiresedigitsetwoethroughefiveetoebeeextended,ewithetheepal
maresurfaceeofetheehandeflateagainstetheeIReaseifeforeaePAehandeprojection?
A. Posteroanteriore(PA)
B. Lateral
C. Anteroposteriore(AP)
D. Posteroanteriore(PA)eObliquee- D.ePosteroanteriore(PA)eOblique
TheeradiographereusedetheeHolmblademethodetoeperformeaetunnelevieweofetheeknee.eWhatei
setheeprimaryeadvantageeofeutilizingethisemethodeinsteadeofetheeCampeCoventryemethod?
A. TheeHolmblademethodeshowsenoedistortionelongitudinallyeorelaterally
B. TheeHolmblademethodeisequicketoeposition
C. Thee HolmblademethodeiseeasiereforetheepatientethanetheeCampeCoventryemethod
D. TheeHolmblademethodeiseeasiereforetheeradiographeretoeproperlyepositione-
A.eTheeHolmblademethodeshowsenoedistortionelongitudinallyeorelaterally
Aepatient'seabdominaleimageerevealsetheepresenceeofemultipleephleboliths.eWhereeareethes
eesmallecalcificationsefound?
A. Kidney
B. Vein
C. Ureter
D. Gallbladdere- B.eVein
Howeshouldetheepatientebeeinstructedetoeplaceetheirearmseforeaestandingelateraleprojectioneof
etheesternum?
A. Relaxedeatetheireside
B. Behindetheeback
C. Forward
D. Raisedeaboveetheeheade- B.eBehindetheeback
Whicheboneecontainseaemastoideprocess?
A. Occipital
B. Sphenoid
C. Parietal
D. Temporale- D.eTemporal
Inethisechesteradiograph,ewhereeisetheeclinicallyesignificantegaselocated?eUnder
etheeRighteHemidiaphragm
eNOePICTURE
A. Withinetheestomach
, 4
B. Underetheerightehemidiaphragm
C. Withinetheethorax
D. Underetheeleftehemidiaphragme- B.eUnderetheerightehemidiaphragm
Whichepositioneofetheeelbowewilleclearlyedemonstrateetheeradialeneckefreeeofesuperimpositio
n?
A. AP
B. Medialeoblique
C. Lateraleoblique
D. Laterale- C.eLateraleoblique
Aeradiographerecritiqueseaneanteroposteriore(AP)eankleeprojection.eTheemedialemortiseej
ointeiseopenewhileetheelateralemortiseejointeiseclosed.eHowecanetheeradiographereadjustet
heeankleetoecorrectethiseimage?
A. Noe Correctione Needed
B. Increaseeinternalerotation
C. Increaseeexternalerotation
D. Dorsiflexefoote- A.eNoeCorrectioneNeeded
Whicheexamemayebeeusedetoeassessecruciateeligamentepathology?
A. Threeevieweelboweseries
B. Wristeincludingenaviculareviews
C. ShouldereArthrogram
D. Kneeearthrograme- D.eKneeearthrogram
WhateshouldebeedoneetoecorrectepositioningeoneaneAPeelbowewithelateralerotation,ewheneth
eeradialeheadeiseslightlyesuperimposedeoveretheeproximaleulnaeonetheefirsteeffort?
A. Theeelbowejointeshouldebeerotatedelaterally.
B. Theeforearmeshouldebeepronatedetoecorrectetheeerror
C. Theeelbowejointeshouldebeerotatedemedially
D. Theehumeruseandeforearmeshouldebeeplacedeinetheesameehorizontaleplanee-
A.eTheeelbowejointeshouldebeerotatedelaterally.
Whateshouldetheeradiographeredoetoecorrectethiseimage?e(HIPeAP)
A. Rollepte toe slightlye lefte side
B. Increasee internale rotation
C. Increaseeexternalerotation
D. Noecorrectioneneedede- D.eNoecorrectioneneeded
Whatecanebeedemonstratedewitheaeleftelateraledecubitusepositioneofetheethorax?
