Examl 1:l NSG550/l NSGl 550l (Latestl 2025/l
2026l Update)l Diagnosticl Reasoningl forl
NPl Review|l Questionsl &l Answers|l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
Wilkes
Q:l Whatl isl thel purposel ofl thel Americanl Collegel ofl Radiologyl Appropriatenessl
Criteria?
Answer:
-Goldl standardl testingl
-ACRl tellsl youl levelsl ofl radiationl exposurel
-Needl tol weightl riskl vsl benefits;l mayl bel al betterl testl tol performl butl radiationl riskl isl
tool highl
-esp.l w/l certainl populationsl [pediatricl patients,l pregnancy]l
-lookingl forl bestl testl forl thel situation
Q:l Whenl orderingl test,l whatl dol youl needl tol telll radiologist?
Answer:
Needl tol telll theml whatl you'rel lookingl for!
-e.g.l orderl CTl ofl abd/l pelvisl w/l contrastl withoutl reasonl forl test;l theyl can'tl helpl youl
decidel whichl testl isl bestl
e.g.l CTl ofl abd/pelvisl withl contrastl forl kidneyl stonesl isl wrong;l butl theyl won'tl bel ablel
tol telll youl it'sl notl thel bestl practicel ifl theyl don'tl knowl whatl you'rel lookingl forl
, e.g.,l digestivel tract;l contrastl ORALl butl theyl mayl orderl IVl orl SBOl can'tl toleratel oral,l
etc.,l
*protocol*
Q:l Stepsl tol patientl safetyl inl thel managementl ofl dxl studies/l followl upl tol patientsl
withl results
Answer:
-orderingl providerl isl responsiblel forl everythingl onl thel radiologistl reportl
-youl needl tol readl thel findingsl ANDl impression
-impressionl canl havel infol thatl isl notl inl findings;l YOUl arel responsiblel forl relayingl thisl
infol tol thel patientl [mayl bel incidentall findingl butl doesn'tl matter]
Q:l Whatl tol dol ifl there'sl al discrepancyl inl thel findingsl ofl thel report?
Answer:
-Discussl withl radiologist
-Dol notl allowl al discrepancyl tol remainl inl thel radiationl reportl
e.g.,l impressionl saysl nol inflammationl butl findingsl sayl majorl inflammationl -->l discussl
withl radiologist
Q:l Whatl tol dol ifl youl don'tl getl thel infol you'rel lookingl for?l e.g.,l suspectl pneumonial
butl CXRl doesl notl reveall anyl findings
Answer:
Mayl needl tol orderl anotherl testl
CXRl -->l CT
2026l Update)l Diagnosticl Reasoningl forl
NPl Review|l Questionsl &l Answers|l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
Wilkes
Q:l Whatl isl thel purposel ofl thel Americanl Collegel ofl Radiologyl Appropriatenessl
Criteria?
Answer:
-Goldl standardl testingl
-ACRl tellsl youl levelsl ofl radiationl exposurel
-Needl tol weightl riskl vsl benefits;l mayl bel al betterl testl tol performl butl radiationl riskl isl
tool highl
-esp.l w/l certainl populationsl [pediatricl patients,l pregnancy]l
-lookingl forl bestl testl forl thel situation
Q:l Whenl orderingl test,l whatl dol youl needl tol telll radiologist?
Answer:
Needl tol telll theml whatl you'rel lookingl for!
-e.g.l orderl CTl ofl abd/l pelvisl w/l contrastl withoutl reasonl forl test;l theyl can'tl helpl youl
decidel whichl testl isl bestl
e.g.l CTl ofl abd/pelvisl withl contrastl forl kidneyl stonesl isl wrong;l butl theyl won'tl bel ablel
tol telll youl it'sl notl thel bestl practicel ifl theyl don'tl knowl whatl you'rel lookingl forl
, e.g.,l digestivel tract;l contrastl ORALl butl theyl mayl orderl IVl orl SBOl can'tl toleratel oral,l
etc.,l
*protocol*
Q:l Stepsl tol patientl safetyl inl thel managementl ofl dxl studies/l followl upl tol patientsl
withl results
Answer:
-orderingl providerl isl responsiblel forl everythingl onl thel radiologistl reportl
-youl needl tol readl thel findingsl ANDl impression
-impressionl canl havel infol thatl isl notl inl findings;l YOUl arel responsiblel forl relayingl thisl
infol tol thel patientl [mayl bel incidentall findingl butl doesn'tl matter]
Q:l Whatl tol dol ifl there'sl al discrepancyl inl thel findingsl ofl thel report?
Answer:
-Discussl withl radiologist
-Dol notl allowl al discrepancyl tol remainl inl thel radiationl reportl
e.g.,l impressionl saysl nol inflammationl butl findingsl sayl majorl inflammationl -->l discussl
withl radiologist
Q:l Whatl tol dol ifl youl don'tl getl thel infol you'rel lookingl for?l e.g.,l suspectl pneumonial
butl CXRl doesl notl reveall anyl findings
Answer:
Mayl needl tol orderl anotherl testl
CXRl -->l CT
