Question 1

Patient instructions for chest X-Ray
Step 1

Accepted Answer

Verify ID, Check patient wristband, get verbal confirmation, introduce yourself

Question 2

Patient instructions for chest X-Ray
Step 2

Accepted Answer

Verify order, Ask are they here for a chest x-ray?

Question 3

Patient instructions for chest X-Ray
Step 3

Accepted Answer

Ask about symptoms and related issues/surgeries. Ask how long symptoms have been affecting patient

Question 4

Patient instructions for chest X-Ray
Step 4

Accepted Answer

For women, Ask about possibility of pregnancy

Question 5

Patient instructions for chest X-Ray
Step 5

Accepted Answer

Instruct patient to remove everything from the waist up

Question 6

Patient instructions for chest X-Ray
Step 6

Accepted Answer

Give patient 2 gowns and instruct them on how to put them on

Question 7

All chest X-Rays use _______ SID

Accepted Answer

72 Inch

Question 8

Why perform a upright chest X-Ray?

Accepted Answer

To demonstrate air or fluid levels and allow the
diaphragm to move to its lowest position, use IR size 14x17

Question 9

PA upright chest patient position
(part 1)

Accepted Answer

Patient faces bucky with (MSP) centered &
perpendicular to IR, Weight equally distributed on both feet

Question 10

PA upright chest patient position
(part 2)

Accepted Answer

Depress shoulders & roll forward
• Moves scapula out of the way
• Elevate chin slightly
• Arms at sides or hands on hips

Question 11

PA Chest: central ray position

Accepted Answer

• Central ray perpendicular to center of IR
• Enters at MSP and level of T7
• Inferior angle of the scapula
• Top of IR = 1½ to 2 inches above shoulders

Question 12

Lateral Upright Chest X-Ray- Patient position

Accepted Answer

• Patient’s left side against bucky with (MCP) centered
& perpendicular to IR – No leaning!
• Weight equally distributed on both feet, feet slightly
separated
• Arms up and out of image
• Chin elevated

Question 13

AP Upright Chest - Seated Patient position

Accepted Answer

• Patient has back to IR with (MSP) centered &
perpendicular to IR
• Seated as upright as possible
• Turn palms outward
• Moves scapula out of the way

Question 14

AP Upright Chest - Seated: central ray position

Accepted Answer

Central ray (CR) is perpendicular to center of IR. CR Enters halfway between jugular notch and xiphoid process (mid sternum)

Question 15

AP Supine Chest- Patient position

Accepted Answer

Patient has back to IR with (MSP) centered &
perpendicular to IR. Turn palms outward, moving scapula out of the way

Question 16

AP Supine Chest: central ray position

Accepted Answer

Central ray perpendicular to IR, enters halfway between jugular
notch and xiphoid process

Question 17

AP Lordotic

Accepted Answer

Upright demonstrates the apices of the lungs
free of the clavicles

Question 18

AP Lordotic: central ray position

Accepted Answer

Central ray perpendicular to IR, enters halfway between
jugular notch and xiphoid process

Question 19

AP Lordotic- Patient position

Accepted Answer

• Upright, facing tube, standing about 1 foot in
front of the bucky
• MSP centered & perpendicular to IR
• Top of IR placed 3 inches above shoulders
once patient is in lordotic position

Question 20

AP/PA Chest – Lateral Decubitus Position

Accepted Answer

Demonstrates air or fluid levels if the patient cannot stand

Question 21

Fluid=

Accepted Answer

affected side down

Question 22

Air=

Accepted Answer

affected side up

Question 23

AP/PA Chest – Lateral Decubitus Position- Patient position

Accepted Answer

Patient elevated on radiolucent pad
• Extend the arms above the head
• MCP parallel to IR
• Patient in position for 5 minutes before the exposure. This allows fluid to
settle and air to rise
• Always mark the side that is UP!!

Question 24

AP/PA Chest – Lateral Decubitus Position: central ray position

Accepted Answer

Central ray is horizontal & perpendicular to IR, enters halfway between jugular notch and xiphoid process (T7)

Question 25

Lateral Chest – Dorsal or Ventral Decubitus Position- Patient position

Accepted Answer

• Patient elevated on radiolucent pad
• Extend the arms above the head
• MCP parallel to IR
• Patient in position for 5 minutes before the exposure. This
allows fluid to settle and air to rise
• Always mark the side that touches the IR

Question 26

Lateral Chest – Dorsal or Ventral Decubitus Position: central ray position

Accepted Answer

Central ray is horizontal & perpendicular to IR, enters halfway between
jugular notch and xiphoid process (T7)

Question 27

What IR size do all chest X-Rays use?

Accepted Answer

14x17

Question 28

All chest X-Rays take the exposure on the?

Accepted Answer

second inspiration

RAD 110 Chest X-Ray

Checkoff 3

Question	Answer
Patient instructions for chest X-Ray Step 1	Verify ID, Check patient wristband, get verbal confirmation, introduce yourself
Patient instructions for chest X-Ray Step 2	Verify order, Ask are they here for a chest x-ray?
Patient instructions for chest X-Ray Step 3	Ask about symptoms and related issues/surgeries. Ask how long symptoms have been affecting patient
Patient instructions for chest X-Ray Step 4	For women, Ask about possibility of pregnancy
Patient instructions for chest X-Ray Step 5	Instruct patient to remove everything from the waist up
Patient instructions for chest X-Ray Step 6	Give patient 2 gowns and instruct them on how to put them on
All chest X-Rays use _______ SID	72 Inch
Why perform a upright chest X-Ray?	To demonstrate air or fluid levels and allow the diaphragm to move to its lowest position, use IR size 14x17
PA upright chest patient position (part 1)	Patient faces bucky with (MSP) centered & perpendicular to IR, Weight equally distributed on both feet
PA upright chest patient position (part 2)	Depress shoulders & roll forward • Moves scapula out of the way • Elevate chin slightly • Arms at sides or hands on hips
PA Chest: central ray position	• Central ray perpendicular to center of IR • Enters at MSP and level of T7 • Inferior angle of the scapula • Top of IR = 1½ to 2 inches above shoulders
Lateral Upright Chest X-Ray- Patient position	• Patient’s left side against bucky with (MCP) centered & perpendicular to IR – No leaning! • Weight equally distributed on both feet, feet slightly separated • Arms up and out of image • Chin elevated
AP Upright Chest - Seated Patient position	• Patient has back to IR with (MSP) centered & perpendicular to IR • Seated as upright as possible • Turn palms outward • Moves scapula out of the way
AP Upright Chest - Seated: central ray position	Central ray (CR) is perpendicular to center of IR. CR Enters halfway between jugular notch and xiphoid process (mid sternum)
AP Supine Chest- Patient position	Patient has back to IR with (MSP) centered & perpendicular to IR. Turn palms outward, moving scapula out of the way
AP Supine Chest: central ray position	Central ray perpendicular to IR, enters halfway between jugular notch and xiphoid process
AP Lordotic	Upright demonstrates the apices of the lungs free of the clavicles
AP Lordotic: central ray position	Central ray perpendicular to IR, enters halfway between jugular notch and xiphoid process
AP Lordotic- Patient position	• Upright, facing tube, standing about 1 foot in front of the bucky • MSP centered & perpendicular to IR • Top of IR placed 3 inches above shoulders once patient is in lordotic position
AP/PA Chest – Lateral Decubitus Position	Demonstrates air or fluid levels if the patient cannot stand
Fluid=	affected side down
Air=	affected side up
AP/PA Chest – Lateral Decubitus Position- Patient position	Patient elevated on radiolucent pad • Extend the arms above the head • MCP parallel to IR • Patient in position for 5 minutes before the exposure. This allows fluid to settle and air to rise • Always mark the side that is UP!!
AP/PA Chest – Lateral Decubitus Position: central ray position	Central ray is horizontal & perpendicular to IR, enters halfway between jugular notch and xiphoid process (T7)
Lateral Chest – Dorsal or Ventral Decubitus Position- Patient position	• Patient elevated on radiolucent pad • Extend the arms above the head • MCP parallel to IR • Patient in position for 5 minutes before the exposure. This allows fluid to settle and air to rise • Always mark the side that touches the IR
Lateral Chest – Dorsal or Ventral Decubitus Position: central ray position	Central ray is horizontal & perpendicular to IR, enters halfway between jugular notch and xiphoid process (T7)
What IR size do all chest X-Rays use?	14x17
All chest X-Rays take the exposure on the?	second inspiration

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