Patient Care (Final)

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1. true

The health record is a legal document admissible in court as evidence.

1. true
2. false

3. orthostatic hypotension

What term is used to describe the drop in blood pressure some patients experience when they stand up to quickly?

1. center of gravity
2. base of support
3. orthostatic hypotension
4. 1 and 2 only

4. obese patient

For which type of patient is it appropriate to use a hydraulic lift?

1. elderly patient
2. trauma patient
3. surgical patient
4. obese patient

4. central venous catheter

Which of the following is used to administer a large amount of drugs (e.g., chemotherapeutic drugs and antibiotics), monitor cardiac pressures, and manage fluid volume?

1. thoracostomy tube
2. tracheostomy tube
3. pulmonary arterial catheter
4. central venous catheter

3. the chief complaint

The primary medical problem as defined by the patient is called:

1. objective data
2. subjective data
3. the chief complaint
4. the clinical history

2. because it is radiopaque

A sandbag cannot be placed directly over the injured site for which of the following reasons?

1. because it reduces physical strain
2. because it is radiopaque
3. because it reduces radiographic density
4. because it is radiolucent

1. colon

A barium enema is used to diagnose pathologic conditions of the:

1. colon
2. small intestine
3. nasopharynx
4. stomach

3. objective data

A patient's vital signs are as follows: heart rate, 95; blood pressure, 120/75; temperature, 99.2º F. This information is considered:

1. subjective data
2. chief complaint
3. objective data
4. clinical history

1. stronger side

Transfers should be arranged so that which side of the patient is next to the table?

1. stronger side
2. weaker side
3. right side
4. left side

3. a host

An animal or a plant that harbors or nourishes another organism is called:

1. iatrogenic
2. a fomite
3. a host
4. pathogenic

2. "Can you put any weight on the injured ankle?"

In determining the severity of a patient's ankle injury, which of the following questions would be appropriate?

1. "How did the injury happen?"
2. "Can you put any weight on the injured ankle?"
3. "Have you previously injured your ankle?"
4. "When did the injury happen?"

1. syncope

The medical term for fainting is:

1. syncope
2. vertigo
3. aura
4. epistaxis

5. none of the above

When is removing a cervical collar permissible?

1. after a radiographer makes the exposure
2. after a paramedic reads the radiograph and approves removal
3. before the initial radiographic examination
4. at the conclusion of the entire examination
5. none of the above

4. all of the above

Placement of the NG tube can be verified by:

1. fluoroscopy
2. aspiration of gastric contents
3. auscultation
4. all of the above

1. negligence

Failure to use such care as a reasonably prudent person would use in like or similar situations is called:

1. negligence
2. slander
3. defamation
4. none of the above

4. all of the above

Health records are stored as:

1. microfilm
2. hard copy
3. computerized forms
4. all of the above

4. bias

What is another term for prejudice?

1. racism
2. diversity
3. homophobia
4. bias

2. shock

A general term that indicates a failure of the circulatory system to support vital body functions is:

1. diabetes
2. shock
3. stroke
4. all of the above

1. true

Levels of consciousness range from alert to comatose.

1. true
2. false

4. gender stereotyping

The expectation of how individuals should behave solely based on whether they are male or female is called:

1. sexual identity
2. bisexuality
3. gender racism
4. gender stereotyping

4. 1 and 3 only

A 42-year-old patient has a temperature of 101.3º F. Which of the following terms describes the patient's condition?

1. hyperthermic
2. hypothermic
3. febrile
4. 1 and 3 only
5. 1, 2, and 3

2. hypoglycemia

The condition in which excessive insulin is present is called:

1. cardiac arrest
2. hypoglycemia
3. hyperglycemia
4. anaphylactic shock

2. motion

When immobilization techniques are used, which radiographic factor is being controlled?
Student Response Correct Answer
1. contrast
Student Response 2. motion Student Response
3. distortion
4. density

1. chest

The Pigg-O-Stat is an immobilization device used for which examination?

1. chest
2. skull
3. pelvis
4. upper extremity

4. ethnocentrism

The tendency to view the norms and values of one's own culture as the only acceptable ones and to use them as standards by which all other cultures are measured is called:

1. racism
2. bias
3. diversity
4. ethnocentrism

2. tort

A/an _______ is a patient's claim that he or she has been wronged.

1. defamation
2. tort
3. assault
4. battery

2. handwashing

The most important way to prevent the spread of infection is:

1. using chemical disinfectants
2. handwashing ]
3. wearing gloves
4. using a gown

3. establishing rapport

A key component to effective communication with a patient is

1. introducing the patient to the radiologist
2. assessing the patient's physical condition
3. establishing rapport
4. giving a detailed, technical explanation of the examination

3. the peak pressure during contraction of the heart

Systolic pressure is defined as:

1. a constant pressure exerted on the arterial walls
2. an increase in pressure when the heart is relaxed
3. the peak pressure during contraction of the heart
4. the lowest pressure during contraction of the heart

1. morals

Generally accepted customs of right living and conduct are:

1. morals
2. ethics
3. laws
4. codes

2. beneficence

Select the ethical principle described by actions that benefit others.

1. veracity
2. beneficence
3. justice
4. autonomy

3. place traction on the spine to prevent movement

The purpose of the cervical collar is to:

1. reduce the possibility of aspiration
2. immobilize the entire vertebral column
3. place traction on the spine to prevent movement
4. prevent hemorrhaging of carotid arteries

1. apex of the right ventricle

Under fluoroscopy, the lead of a pacemaker is advanced to the:

1. apex of the right ventricle
2. subclavian vein
3. right atrium
4. aorta

2. vector

A person is bitten by a mosquito and develops an infection. This type of transmission is known as

1. nosocomial
2. vector
3. iatrogenic
4. fomite

2. professional ethics

The internal controls of a profession based on human values or moral principles is called:

1. rights-based ethics
2. professional ethics
3. virtue-based ethics
4. principle-based ethics

4. all of the above

A common route of parenteral administration is the:

1. intramuscular route
2. intravenous route
3. subcutaneous route
4. all of the above

4. 160/05

All of these adult blood pressure recordings would be considered normal except:

1. 140/80
2. 100/60
3. 120/70
4. 160/95

3. breakfast the morning of the examination

Bowel preparation for a barium enema may include each of the following except:

1. clear liquids the day before
2. NPO after midnight
3. breakfast the morning of the examination
4. a cleansing enema the morning of the examination

3. protozoa

Which of the following microorganisms is able to ingest food particles and may be equipped with a rudimentary digestive system?

1. fungi
2. bacteria
3. protozoa
4. virus

4. a, b, and c

Which method is effective in communicating with a patient?
a. professional appearance
b. touch
c. pantomime technique

1. a only
2. a and b only
3. b and c only
4. a, b, and c

2. generic name

The name given to a drug when it becomes commercially available is the:

1. chemical name
2. generic name
3. brand name
4. trade name

2. stop the procedure as soon as it is safe to do so

A patient consents to a procedure in the radiology department, but after it has started, he decides that he does not want the procedure completed. The technologist should:

1. stop immediately
2. stop the procedure as soon as it is safe to do so
3. complete the procedure because the patient may not revoke consent once it was given
4. none of the above

4. communicate with the patient

An effective way to reduce motion is to:

1. increase the exposure time
2. decrease the SID
3. place sandbags over the affected side
4. communicate with the patient

2. false

When in doubt, an object should be considered sterile.

1. true
2. false

1. erythromycin

Which of the following is an example of an antibiotic?

1. erythromycin
2. diazepam
3. procaine
4. morphine

1. appear dark on radiographs

Radiolucent contrast media:

1. appear dark on radiographs
2. are composed of elements with high atomic numbers
3. are positive contrast agents
4. none of the above

4. physiologic needs

The lowest level of Maslow's hierarchy of needs is:

1. love and belonging
2. self-actualization
3. self-esteem
4. physiologic needs

3. res ipsa loquitur

Which term applies when a patient is injured through no fault of his or her own while in the complete control of another?

1. respondeat superior
2. corporate liability
3. res ipsa loquitur
4. none of the above

3. oral

A drug taken by mouth and swallowed is taken via the _______ route.

1. parenteral
2. sublingual
3. oral Student
4. none of the above

1. autonomy

Select the ethical principle described by actions that respect the independence of other people.

1. autonomy
2. justice
3. beneficence
4. veracity

4. quality

Which of the following includes a description of the color, quantity, and consistency of blood or other body substances?

1. localization
2. chronology
3. occurrence
4. quality

1. flocculation

The tendency of barium sulfate to clump and come out of suspension is called:

1. flocculation
2. antisolution
3. desuspension
4. none of the above

2. the total number of particles in solution

Osmolality is a measure of:

1. the number of iodine atoms per molecule
2. the total number of particles in solution
3. particle density
4. none of the above

4. informing the patient

Each of these is a component of ethical analysis except:

1. identifying the problem
2. selecting the best solution
3. developing alternative solutions
4. informing the patient

4. beneficence

Action to benefit others is defined as:

1. veracity
2. fidelity
3. autonomy
4. beneficence

2. patient

Voluntary motion is under the control of the:

1. radiologist
2. patient
3. student
4. technologist

3. carotid artery

A patient is thought to have suffered cardiac arrest. The pulse should be checked at the

1. radial artery
2. brachial artery
3. carotid artery
4. femoral artery

1. true

Approximately 10% of the world's population has some type of disability.

1. true
2. false

3. being in bed for long periods

Orthostatic hypotension results from which of the following?

1. transferring from a wheelchair to a table
2. earlier trauma to the spinal cord
3. being in bed for long periods
4. being in an automobile acciden

1. medical chart

Which of the following would you not want to discuss with a patient?

1. medical chart
2. weather
3. hobbies
4. ability to walk

3. JCAHO

The standards for the maintenance and adequacy of health records are established by the:

1. DRGs
2. ARRT
3. JCAHO
4. ASRT

3. by moving slowly

How can the severity of orthostatic hypotension be minimized?

1. by remaining flat
2. by standing quickly
3. by moving slowly
4. all of the above

3. vertigo

The medical term for dizziness is:

1. aura
2. syncope
3. vertigo
4. epistaxis

1. asking the patient for a medical history

All of the following are examples of nonverbal communication except:

1. asking the patient for a medical history
2. smiling at the patient
3. having a puzzled facial expression
4. using a friendly tone of voice

2. auscultation

The technique of listening for sounds in the body is called:

1. suction
2. auscultation
3. palpation
4. asepsis

4. writing

The primary means of communication with a hearing-impaired patient is through:

1. a bilingual family member
2. touch
3. continual conversation
4. writing

1. true

The purpose of sterile technique is to reduce the number of harmful microorganisms.

1. true
2. false

3. a barium enema

A sterile pack is used for each of these procedures except:

1. a myelogram
2. an angiogram
3. a barium enema
4. a venogram

3. backboard

Which of the following is an example of a spinal trauma immobilization device?

1. air splint
2. antishock garment
3. backboard
4. traction splint

2. at approximately the second sacral segment

The center of gravity for a standing patient is:

1. near the umbilicus
2. at approximately the second sacral segment
3. at the level of the second lumbar vertebra
4. at the center of the diaphragm

3. removing flatus from the stomach

A primary purpose of the NG tube is:

1. gastric lavage
2. reinflate the lung
3. removing flatus from the stomach
4. all of the above

3. assault

A/an _______ occurs when a patient believes that he or she has been threatened in such a way that the person has reason to fear or expect immediate bodily harm.

1. defamation
2. battery
3. assault
4. tort

1. true

Drugs are classified legally as prescription or over the counter.

1. true
2. false

3. quality

One patient describes a cough as productive, and another patient describes a cough as nonproductive; under which element of the clinical history do these descriptions fall?

1. onset
2. localization
3. quality
4. severity

3. slow the rate of hemorrhage

The purpose of inflatable trousers is to:

1. provide support for the entire body
2. place traction on the lower limbs
3. slow the rate of hemorrhage
4. immobilize a fractured femur

1. patient record confidentiality

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation affects radiology and other hospital departments by its focus on:

1. patient record confidentiality
2. quality management and performance improvement
3. facility reimbursement
4. risk management

5. all of the above

Human Diversity consists of characteristics associated with:

1. lifestyle
2. age
3. gender
4. ethnicity
5. all of the above

5. 1, 2 and 3

Which of the following characterize(s) the development of an infant?

1. Preferring to be wrapped tightly in a blanket
2. Preferring to be held in a familiar position
3. Preferring to hear a calm, soothing voice
4. 1 and 2 only
5. 1, 2 and 3

3. dyspnea

The physician's diagnosis for a patient who has difficulty breathing would be which of the following?

1. bradypnea
2. apnea
3. dyspnea
4. tachypnea

4. handwashing

The number one priority for proper sterile technique is:

1. sterile draping
2. sterile gloving
3. sterile gowning
4. handwashing

1. can walk

The word ambulatory means that the patient

1. can walk
2. can be moved by stretcher
3. must be confined to a wheelchair
4. must be moved by ambulance

4. fidelity

The strict observance of promises or duties is defined as:

1. veracity
2. autonomy
3. justice
4. fidelity

2. chest tubes used to drain the intrapleural space

Thoracostomy tubes are

1. used to monitor pulmonary arterial pressures
2. chest tubes used to drain the intrapleural space
3. central venous lines used to administer parenteral nutrition
4. used to administer oxygen with mechanical ventilators

2. line out the error, authenticate, and insert correct information

In making a correction to an entry in the paper health record, the documenter should:

1. erase the incorrect information, and insert correct information
2. line out the error, authenticate, and insert correct information
3. leave the incorrect entry alone, and add the new correct information
4. remove the incorrect page from the record, and begin a new page of documentation

3. fatty acids

Oil-based iodine contrast media are made from:

1. amino acids
2. carbohydrates
3. fatty acids
4. none of the above

3. 10

Approximately what percentage of the world's population has some type of disability?

1. 15
2. 5
3. 10
4. 20

3. damage to the rectal wall from overinflation of the balloon catheter

The most common complication of a barium enema is:

1. tearing of the GI mucosa
2. venous emboli
3. damage to the rectal wall from overinflation of the balloon catheter
4. ulceration

6. 1, 2, and 3

The health record is used to:

1. communicate information pertaining to the patient
2. prepare health service statistics
3. maintain quality assessment
4. 1 and 2 only
5. 1 and 3 only
6. 1, 2, and 3

2. good, moral, and right

Cultural values are socially shared ideas about what is:

1. stereotypical
2. good, moral, and right
3. acceptable behavior
4. mainstream thinking

4. stomach

A nasogastric (NG) tube is placed through the nasopharynx into the:

1. large intestine
2. small intestine
3. lungs
4. stomach

2. emotional support

A patient discusses his condition with the radiologist. After the radiologist leaves the room, the patient begins to cry. The radiographer sits down next to the patient and squeezes the patient's hand. This is an example of using touch for:

1. palpation
2. emotional support
3. emphasis
4. localization

3. viruses

Microorganisms that need a host to reproduce and are unresponsive to antibiotics are called:

1. protozoa
2. fungi
3. viruses
4. bacteria

3. battery

A/an _______ can occur if a technologist touches a patient or performs an examination without the patient's permission.

1. defamation
2. tort
3. battery
4. assault

It focuses the radiologist's attention on a specific area.

What is the significance of a good clinical history?

1. It provides the referring physician's admitting diagnosis.
2. It provides general information about the patient's condition.
3. It translates the patient's complaints into medical jargon.
4. It focuses the radiologist's attention on a specific area.

3. low osmolality

Nonionic contrast media are associated with a:

1. high osmolality
2. lower cost
3. low osmolality
4. none of the above

2. using precautions only for patients from the emergency department

All of the following statements describe the use of standard precautions except:

1. wearing gloves and gowns
2. using precautions only for patients from the emergency department
3. washing hands before and after touching body fluids
4. never recapping used needles

4. need for motionless images

The claim of false imprisonment requires the patient to show proof that the technologist restrained his or her freedom without consent. The defenses a technologist may raise include all of the following except the:

1. risk that the patient was going to hurt the technologist
2. life-threatening condition of the patient's health
3. risk that the patient was going to hurt himself or herself
4. need for motionless images

3. systolic less than 120 mm Hg, diastolic less than 80 mm Hg

In the healthy adult the normal range for blood pressure is

1. systolic less than 60 mm Hg, diastolic greater than 95 mm Hg
2. systolic less than 95 mm Hg, diastolic less than 60 mm Hg
3. systolic less than 120 mm Hg, diastolic less than 80 mm Hg
4. systolic less than 80 mm Hg, diastolic greater than 120 mm Hg

1. true

Patients have the right to amend their health record.

1. true
2. false

4. that the radiographer acted outside of his or her scope of practice

A radiographer is performing an abdominal series on a patient from the emergency department. To complete the examination, the patient must be moved from a supine to an upright position. As the table is being moved upright, the patient falls and suffers a fractured hip. A complaint of negligence is brought against both the radiographer and the hospital. The elements that the patient (plaintiff) must prove include all of the following, except:

1. a breach of the duty to the patient
2. a direct causal relation between the breach of duty and the injury
3. an injury
4. that the radiographer acted outside of his or her scope of practice

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