Deck 11: Bedside Radiography: Special Conditions and Environments

Question 1

When mobile radiographic equipment is used in the surgical suite,the responsibility for the cleanliness of the unit rests with the:

A) maintenance staff.
B) surgical staff.
C) surgeon.
D) radiographer.

Answer 1

radiographer.

Question 2

A nasogastric tube may be used to:
1)aspirate gas and fluid from the stomach.
2)feed the patient.
3)instill a contrast agent for a radiographic examination of the stomach.

A) 1 only
B) 1 and 2 only
C) 2 and 3 only
D) 1, 2, and 3

Answer 2

1, 2, and 3

Question 3

Following balloon inflation,the tip of a correctly placed Swan-Ganz catheter lies in the:

A) right atrium.
B) superior vena cava.
C) pulmonary artery.
D) right ventricle.

Answer 3

pulmonary artery.

Question 4

Which of the following radiographic procedures may be performed in surgery?
1)T-tube cholangiography
2)Localization of fixation devices securing a hip fracture
3)Localization of metallic foreign bodies

A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3

Question 5

Before entering the operating room,the radiographer must change into scrub clothes.This special attire includes:

A) sterile pants, shirt, mask, cap, and shoe covers.
B) nonsterile pants, shirt, mask, cap, and shoe covers.
C) sterile pants, shirt, cap, and shoe covers.
D) nonsterile pants, shirt, cap, and shoe covers.

Question 6

An infant with newborn atelectasis would most likely require radiographs of the:

A) abdomen.
B) chest.
C) pelvis.
D) skull.

Question 7

Which of the following treatment situations presents the greatest risk to the patient if momentarily disconnected?

A) Nasogastric tube
B) Oxygen
C) Urinary catheter
D) Closed chest drainage

Question 8

The tip of a correctly placed central venous catheter,like the peripherally inserted central catheter (PICC),lies in the:

A) superior vena cava.
B) pulmonary artery.
C) right ventricle.
D) right atrium.

Question 9

A surgical opening made into the trachea with placement of a tube to establish a temporary or permanent airway is a:

A) tracheostomy.
B) tracheotomy.
C) tracheoscopy.
D) tracheoplasty.

Question 10

When taking a radiograph of a patient with a new tracheostomy in the diagnostic imaging department,which of the following precautions must be observed?
1)Monitor patient closely for respiratory distress
2)Ensure that suction equipment is available and functioning
3)Do not unfasten the ties holding the tube in place

A) 1 and 2 only
B) 1 and 3 only
C) 2 only
D) 1, 2, and 3

Question 11

A Salem-Sump tube is an example of a(n):

A) nasogastric tube.
B) nasoenteric tube.
C) endotracheal tube.
D) flow-directed catheter.

Question 12

It is especially important to have suction equipment immediately available for patients who:

A) are receiving oxygen through a nasal cannula.
B) have a nasogastric tube in place.
C) have a new tracheostomy.
D) are in cervical traction.

Question 13

Bedside radiography is often preferable to radiography in the diagnostic imaging department when patients are in:
1)the postanesthesia care unit (PACU).
2)isolation.
3)orthopedic traction.

A) 1 only
B) 2 only
C) 3 only
D) 1, 2, or 3

Question 14

The area designated as the sterile corridor is the:

A) hallway leading to the surgical suite.
B) hallway just outside the operating room(s).
C) area between the patient drape and the instrument table.
D) area between the patient drape and the radiographic equipment.

Question 15

A Dobbhoff tube is an example of a(n):

A) feeding tube.
B) nasoenteric tube.
C) chest drainage tube.
D) endotracheal tube.

Question 16

Assisted ventilation may be accomplished:
1)through an endotracheal tube.
2)via tracheostomy.
3)manually.

A) 1 only
B) 1 and 2 only
C) 1 and 3 only
D) 1, 2, and 3

Question 17

The sterile members of the surgical team include the:
1)surgeon.
2)scrub person.
3)anesthesiologist.

A) 1 only
B) 1 and 2 only
C) 1 and 3 only
D) 1, 2, and 3

Question 18

The purpose of a Swan-Ganz catheter is to:

A) monitor cardiac function.
B) drain the thoracic cavity.
C) facilitate the administration of chemotherapy.
D) facilitate the drawing of blood for testing.

Question 19

A device that is surgically implanted to stimulate contraction of the heart muscle is called a:

A) cardiac monitor.
B) pulse oximeter.
C) Hickman stimulator.
D) pacemaker.

Question 20

Which of the following central venous catheters is introduced through a vein in the antecubital fossa and may be used for either short- or long-term therapy?

A) Hickman
B) Groshong
C) PICC
D) Raaf

Question 21

Scrub clothes are required before entering the _____ to perform a mobile x-ray examination.

A) PACU
B) ICU
C) surgical suite
D) emergency trauma unit

Question 22

The hospital unit that is designed and staffed for close observation and care of patients following operative procedures that require a general anesthetic agent is called the:

A) surgical suite.
B) PACU.
C) ICU.
D) CCU.

Question 23

A chest radiograph of a newly inserted pacemaker should reveal the tip of the pacemaker catheter in the:

A) apex of the right ventricle.
B) apex of the left ventricle.
C) superior vena cava.
D) apex of the right atrium.

Question 24

When doing a bedside examination of a critical neonate in the intensive care unit,the radiographer should:
1)perform hand hygiene and don a gown before entering the unit.
2)remove the neonate from the incubator before taking the x-ray.
3)x-ray the neonate within the incubator.

A) 1 only
B) 2 only
C) 1 and 2 only
D) 1 and 3 only

Question 25

A Port-A-Cath is an example of a:

A) pulmonary artery flow-directed catheter.
B) long-term implanted infusion port.
C) central venous pressure monitoring device.
D) chest drainage tube.

Question 26

The nonsterile members in the surgical suite include the:
1)circulating nurse.
2)scrub nurse.
3)radiographer.

A) 1 only
B) 1 and 2 only
C) 1 and 3 only
D) 1, 2, and 3

Question 27

Which of the following radiographic examinations may be performed in the ICU and CCU?
1)Bronchoscopy using the C-arm fluoroscope
2)Central venous catheter placement using the C-arm fluoroscope
3)Chest radiographs

A) 1 and 2 only
B) 3 only
C) 2 and 3 only
D) 1, 2, and 3

Question 28

Which of the following steps should radiographers follow before performing any bedside radiographic examination?
1)Check with the nurse in charge to inquire about the patient's condition.
2)Confirm the order in the patient's chart.
3)Greet the patient and check the room before bringing in the equipment.

A) 1 only
B) 1 and 2 only
C) 1 and 3 only
D) 1, 2, and 3

Question 29

Special mattresses used to improve the circulation of patients in ICUs and coronary care units (CCU)include:
1)alternating pressure mattresses.
2)air-filled mattresses.
3)the Bair Hugger.

A) 1 only
B) 1 and 2 only
C) 1 and 3 only
D) 1, 2, and 3

Question 30

Mobile radiographic examinations in the emergency trauma unit usually include which of the following anatomic areas?
1)Chest
2)Cervical spine
3)Pelvis

A) 1 only
B) 1 and 2 only
C) 1 and 3 only
D) 1, 2, and 3

Question 31

Nasoenteric tubes are used for which of the following purposes?
1)Decompression
2)Instillation of contrast media for radiographic examination
3)Feeding

A) 1 only
B) 2 only
C) 1 and 3 only
D) 1, 2, and 3

Question 32

Which of the following is/are the name(s)of (a)nasoenteric tube(s)?
1)Miller-Abbott
2)Harris
3)Dobbhoff

A) 1 only
B) 1 and 2 only
C) 1 and 3 only
D) 2 and 3 only

Question 33

When obtaining a chest radiograph in the diagnostic imaging department on a patient with a newly inserted pacemaker,the radiographer should:

A) follow protective isolation precautions.
B) not elevate or abduct the patient's right arm.
C) not elevate or abduct the patient's left arm.
D) not ask the patient to suspend respirations.

Question 34

Which of the following central venous catheters is used for long-term parenteral nutrition?

A) Groshong
B) PICC
C) Hickman
D) Raff

Question 35

To avoid respiratory motion blur when obtaining a bedside radiograph on a patient connected to a mechanical ventilator,the radiographer should:

A) observe the rhythm of the patient's respirations.
B) ask the patient to stop breathing.
C) turn off the ventilator during the x-ray exposure.
D) disconnect the ventilator tubing from the patient's endotracheal tube.

Question 36

What is the special precaution taken when obtaining a mobile abdomen radiograph on a patient laying on an air mattress?

A) Deflate the mattress to soften the bed before placing the image receptor.
B) Inflate the mattress to firm up and level the bed before placing the image receptor.
C) Use care to avoid damaging the mattress.
D) Turn off the rocking motion to avoid blur on the x-ray.