Deck 6: Patient Care

Question 1

A technologist is preparing to perform a procedure on a geriatric patient in which ROCM is required. The patient should

A) receive a neutral osmolality ROCM because of his or her age.
B) receive low-osmolality ROCM because of the high risk of extravasation.
C) receive a high-osmolality ROCM because of probable weakened vessels.
D) receive an ROCM concentration equal to that needed in conventional radiology procedures.

Answer 1

receive low-osmolality ROCM because of the high risk of extravasation.

Question 2

Parenteral routes of administration include all of the following EXCEPT

A) sublingual.
B) subcutaneous.
C) intramuscular.
D) intrathecal.

Answer 2

sublingual.

Question 3

When using proper body mechanics to move heavy objects or equipment, the technologist should

A) use back muscles for balance.
B) relax stomach muscles.
C) push rather than pull.
D) pull rather than push.

Answer 3

push rather than pull.

Question 4

The six rights of a correct administration of a pharmaceutical include

A) the use of a generic drug.
B) following HIPAA regulations.
C) the right route.
D) an explanation of possible side effects.

Question 5

In a needle, as the gauge increases,

A) the length increases.
B) the bore diameter increases.
C) the length decreases.
D) the bore diameter decreases.

Question 6

The vein usually used for the administration of radiopharmaceuticals is the

A) carotid.
B) antecubital.
C) vastus lateralis.
D) most superficial vein.

Question 7

ROCM for CT images are used

A) to decrease levels of density in the tissues.
B) to visualize low-contrast tissues.
C) to visualize disease.
D) to blur areas that are not areas of interest.

Question 8

When administering a radiopharmaceutical dose via an IV line, preparation is made for

A) a bolus injection.
B) a flush with at least 10 ml saline.
C) detaching the IV line for the injection.
D) administering heparin.

Question 9

The most direct way to intervene in the cycle of infection is to

A) provide a susceptible host for the pathogen outside of the human body.
B) limit contact with patients.
C) prevent transmission of the pathogen from the reservoir to a susceptible host.
D) isolate vector-borne pathogens.

Question 10

A technologist should be careful to keep a patient's IV solution

A) 2 to 3 inches below the level of the imaging table.
B) even with the level of the vein.
C) 18 to 20 inches above the level of the vein.
D) greater than 20 inches above the level of the vein.

Question 11

Before the administration of ROCM, the technologist should know the patient's

A) BUN level.
B) creatinine level.
C) T₄ level.
D) alkaline phosphatase level.

Question 12

Intrathecal medications should be administered

A) on a transdermal patch.
B) beneath the tongue.
C) in the form of granules.
D) into the subarachnoid space.

Question 13

When transferring an orthopedic or a neurologically impaired patient into a wheelchair, the technologist should:

A) position the patient's strongest side toward the area to which the patient is being transferred.
B) position the wheelchair at a 90-degree angle with the bed.
C) use restraints for patient safety.
D) hold the patient around his or her waist.

Question 14

Radiopaque contrast media (ROCM) are used in CT procedures to better visualize

A) low-contrast tissue.
B) the functional units of the organs.
C) high-contrast tissues.
D) solid structures.

Question 15

When withdrawing nonradioactive substances

A) no air should be introduced into the vial.
B) a volume of air equal to the dose may be inserted into the vial.
C) saline should be used to adjust the dose volume.
D) the volume should be equal for the volume of radiopharmaceutical to be used.

Question 16

A draw sheet is used with patients to

A) protect the bedding from possible patient incontinence.
B) provide added warmth.
C) provide added cushioning.
D) aid in patient transfer.

Question 17

For inpatients, patient verification requires

A) an EMR.
B) contacting the nurse in charge of the patient's care.
C) two means of identification.
D) asking the family member accompanying the patient.

Question 18

During the injection of a patient, the technologist notices a swelling around the injection site. The technologist should

A) release the tourniquet.
B) continue with the injection.
C) check for a flashback of blood.
D) discontinue the injection.

Question 19

The written material related to a medical procedure that will be distributed to the public is usually written at the

A) first-grade level.
B) fifth-grade level.
C) seventh-grade level.
D) 10th-grade level.

Question 20

Following a procedure, a patient experiences syncope. The technologist should

A) have the patient walk more slowly.
B) have the patient lie down.
C) contact the patient's family.
D) arrange for administration of IV solution.

Question 21

A patient has an ileostomy. The technologist knows that the patient has

A) an NG tube for feeding.
B) a catheter for collection of urine.
C) surgical dressings that may need to be changed.
D) a plastic pouch for collection of feces.

Question 22

A technologist determines a patient's pulse rate to be 120 beats per minute (bpm). The technologist recognizes this to be

A) eucardia.
B) bradycardia.
C) tachycardia.
D) hypocardia.

Question 23

While waiting for a scan, a diabetic patient develops hypoglycemia. The symptoms may include all of the following EXCEPT

A) hot, feverish skin.
B) general weakness.
C) sweating.
D) tremors.

Question 24

According to the Centers for Disease Control and Prevention (CDC), the preferred disinfectant for preventing the spread of human immunodeficiency virus (HIV) and hepatitis B virus (HBV) is

A) antibacterial soap.
B) antifungal soap.
C) phosphorous hyposulfite bleach.
D) sodium hypochlorite bleach.

Question 25

The hospital in which a technologist is working is said to be accredited. The accreditation for the hospital would be issued by the

A) AMA.
B) TJC.
C) NRC.
D) ACR.

Question 26

A patient enters the nuclear medicine department breathing oxygen through a nasal cannula. The technologist should take note that the oxygen flow rate is

A) no less than 6 L/min.
B) no more than 0.5 L/min.
C) between 0.5 and 6 L/min.
D) between 0.5 and 6 ml/min.

Question 27

A note in a patient's chart states that the patient has hypertension. The technologist recognizes this as

A) advanced renal disease.
B) cardiomegaly.
C) elevated blood pressure.
D) tachycardia.

Question 28

All of the following may be used to premedicate patients to reduce the risk of an adverse reaction to ROCM, except

A) prednisone.
B) diphenhydramine.
C) metformin.
D) methylprednisone.

Question 29

A patient with a urinary catheter arrives in the nuclear medicine department for a scan. To prevent backflow, the technologist must ensure that the bag is

A) placed on the floor.
B) kept below the bladder.
C) laid beside the patient on the bed.
D) clamped off during the procedure.

Question 30

MR contrast media is administered in high doses compared to CT contrast media.