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HESI V1
| Question | Answer |
|---|---|
| What does "ventricular fibrillation" mean? | Erratically quivering ventricles |
| A patient received 100 ml of IV contrast as a part of an abdominal CT scan, as well as 500 ml of dilute, oral contrast, prior to coming to Radiology for an IVU. The patient's creatinine is 0.4 mg/dl and BUN is 36 mg/dl. Why should this IVU be rescheduled? | The presence of the previous oral contrast in the abdomen precludes an IVU |
| In which clinical situation has valid consent been obtained? | A 16-year-old mother provides consent to perform an x-ray her 6-month-old child |
| Which type of contrast agent is preferred for low risk and low cost for a patient diagnosed with a possible perforated bowel? | Ionic, water soluble, diluted with juice |
| Which nonverbal cue best demonstrates attentiveness and concern for a patient who is giving a medical history? | Consistent eye contact |
| A patient in the radiology department suddenly develops a nosebleed. The radiographer instructs the patient to lean forward (CUT). What should the radiographer do next? | Apply a moist compress |
| What is required under the Health Insurance Portability and Accountability Act (HIPAA)? | The patient must receive written information on how the health information will be used. The patients are able to request amendments to their records. Patients have the right to request restrictions on disclosures of their information. |
| How should a radiographer increase the stability of the base of support? | Stand with feet a greater distance apart |
| A patient who complains of blurred vision and dizziness upon standing for an upright chest x-ray may be experiencing which condition? | Orthostatic hypotension |
| Which is the most appropriate guideline to follow when radiographing patients in their late adult years? | Speak slowly and in a low tone of voice |
| Place the types of contrast media in order of decreasing opacity. | Thick barium sulfate. Thin barium sulfate. Ionic, water soluble. Carbon dioxide. |
| Which procedure is an example of surgical asepsis? | Surgical hand scrub |
| The lead radiographer is planning a strategy to efficiently manage the morning workload (CUT). four patients are now ready for their examinations. Assuming that none of the exams is emergent, which patient should be seen first? | A two-year-old child for a barium swallow |
| A radiographer prepares to transfer a patient from a wheelchair to the x-ray table. The patient recently suffered a stroke, exhibits left-sided weakness, and is able to bear some weight. How should the radiographer move the patient to the table? | Position the right side of the wheelchair next to the table |
| To ensure a reduction in irritation to the intestines, which temperature of water should be mixed with the barium on lower gastrointestinal studies? | Cold |
| During preparation for a surgical procedure, an unopened sterile package becomes damp from an accidental spill of saline. Which response is most appropriate? | Consider the package contaminated and replace it with a sterile item |
| A patient reports symptoms including itching rash formation and difficulty breathing immediately following IV contrast media exposure. Assuming the patient has had no prior exposure to contrast media what is the most likely cause of these symptoms? | Anaphylactoid reaction |
| Identify the medical conditions in a patient's history which should be cleared by the radiologist before injection of an ionic, water soluble, injectable contrast agent. | Diabetes. Sickle cell anemia. Pheochromocytoma. Compromised renal function. |
| Which actions should the radiographer take to help prevent acquired infections in hospitals or clinics? | Wearing exam gloves and changing them between each patient. Washing hands frequently and using hand lotion afterward. Placing biologically soiled linen in biohazard linen bags. Placing used needles in sharps containers. |
| A radiographer receives a request for a portable chest x-ray and then performs the x-ray on the incorrect patient. Which legal term best describes the actions of the radiographer? | Battery |
| How should a drug be administered to get the quickest response? | Intravenously |
| Which legal concept is violated by a radiographer who performs an examination without an examination order? | Battery |
| Which rule is followed when examining unconscious patients? | Avoid saying things you would not say to a conscious patient |
| Which angle of insertion is recommended when performing venipuncture? | 15 degrees |
| Which steps are involved in legally obtaining informed consent to perform a radiographic procedure? | The patient is legally competent. The patient has been informed about the risks involved in the procedure. and the procedures in place to mitigate risk. The patient has been informed about alternatives to this particular procedure. |
| A radiographer enters a room to take a portable foot series on a patient in her final trimester of pregnancy. The patient is just finishing her lunch and begins choking. How should the radiographer respond to this medical emergency? | Initiate a backward thrust in the center of the sternum |
| Which action is best taught to the patient using the communication technique of demonstration? | The correct positioning for a particular projection |
| What is the wide spread of Methicillin-resistant Staphylococcus aureas (MRSA) mainly attributed to? | Over prescription of antibiotics and poor infection control practices |
| 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? | Maintain the center of gravity over the base of support |
| Which is the best approach for speaking to a patient with a hearing impairment? | Speak in a low register |
| Which position should a patient be placed in immediately following a seizure? | Lateral recumbent |
| What should the radiographer do if a radiologist's instructions are unclear? | Ask for clarification |
| Which term best describes the process of cleaning the surfaces in a radiology department with 10% bleach solution in water? | Medical asepsis |
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user-2016295