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RADS 3213 Final Exam: Vital Signs and Thoracic Assessment, Exams of Nursing

Midwestern State University (MSU)Nursing

A series of multiple-choice questions covering vital signs and thoracic assessment, relevant to the rads 3213 course. It provides a comprehensive overview of key concepts, including blood pressure measurement, respiratory assessment, and procedures like thoracentesis. The questions are designed to test understanding of normal and abnormal findings, as well as appropriate interventions and patient care.

Typology: Exams

2024/2025

Available from 12/20/2024

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RADS 3213 final
Study online at https://quizlet.com/_8ccr44
1. The patient is hypotensive after hemodialysis. Which intervention should
the technologist implement to prevent complications from hypotension?
a) Place the patient in the supine position.
b) Elevate the head of the bed.
c) Place the patient on seizure precautions.
d) Provide warm blankets.: a
2. The nursing assistant reports the following vital signs for four patients just
evaluated. Which patient should the nurse see first?
a) 25 respirations per minute for a toddler
b) 38 respirations per minute for a newborn
c) 12 respirations per minute for an 8-year-old child
d) 14 respirations per minute for an adult patient: c
3. The technologist is preparing to obtain a set of vital signs. Which is the most
important factor for the technologist to consider when measuring patient vital
signs?
a) Normal limits are very narrow and are generally the same for all patients.
b) Environmental factors play a minor role on patient vital signs.
c) Documentation of vital signs requires timely and accurate recording.
d) Measuring equipment must suit the patient's condition and characteristics.-
: d
4. The technologist is preparing to measure the patient's blood pressure with
an electronic blood pressure device. Which concept is most important for the
technologist to consider?
a) The temporal artery is used if neither arm is available.
b) Use the extremity closest to the technologist.
c) The cuff size must match the extremity being used.
d) The brachial artery is always the best one to use.: c
5. The patient is unstable; so the technologist is using an electronic blood
pressure device to measure blood pressures every 15 minutes. What should
the technologist do to verify the accuracy of the electronic blood pressure
measurements?
a) Know that the device adheres to current medical industry standards.
b) Check when the device was last calibrated.
c) Take a manual blood pressure within several minutes of the electronic
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Download RADS 3213 Final Exam: Vital Signs and Thoracic Assessment and more Exams Nursing in PDF only on Docsity!

Study online at https://quizlet.com/_8ccr

  1. The patient is hypotensive after hemodialysis. Which intervention should the technologist implement to prevent complications from hypotension? a) Place the patient in the supine position. b) Elevate the head of the bed. c) Place the patient on seizure precautions. d) Provide warm blankets.: a
  2. The nursing assistant reports the following vital signs for four patients just evaluated. Which patient should the nurse see first? a) 25 respirations per minute for a toddler b) 38 respirations per minute for a newborn c) 12 respirations per minute for an 8-year-old child d) 14 respirations per minute for an adult patient: c
  3. The technologist is preparing to obtain a set of vital signs. Which is the most important factor for the technologist to consider when measuring patient vital signs? a) Normal limits are very narrow and are generally the same for all patients. b) Environmental factors play a minor role on patient vital signs. c) Documentation of vital signs requires timely and accurate recording. d) Measuring equipment must suit the patient's condition and characteristics.- : d
  4. The technologist is preparing to measure the patient's blood pressure with an electronic blood pressure device. Which concept is most important for the technologist to consider? a) The temporal artery is used if neither arm is available. b) Use the extremity closest to the technologist. c) The cuff size must match the extremity being used. d) The brachial artery is always the best one to use.: c
  5. The patient is unstable; so the technologist is using an electronic blood pressure device to measure blood pressures every 15 minutes. What should the technologist do to verify the accuracy of the electronic blood pressure measurements? a) Know that the device adheres to current medical industry standards. b) Check when the device was last calibrated. c) Take a manual blood pressure within several minutes of the electronic

Study online at https://quizlet.com/_8ccr reading. d) Verify that the systolic pressure is within 20% of patient baseline.: c

  1. The technologist assesses the patient's respirations and sees that they are abnormally shallow (i.e., two to three breaths followed by an irregular period of apnea). Documentation by the technologist would be correct if which phrase were used? a) Biot's respirations b) Cheyne-Stokes respirations c) Hyperpneic respirations d) Kussmaul's respirations: a
  2. While inserting a rectal thermometer, the technologist encounters resis- tance. What action should the technologist take? a) Ask the patient to take a few deep breaths. b) Remove the thermometer immediately. c) Apply mild pressure to advance the thermometer. d) Remove the thermometer and reinsert gently.: b
  3. The patient is morbidly obese and the technologist uses a blood pressure (BP) cuff that is too narrow for the patient's arm. What problem will the technologist encounter because of the cuff used? a) A false high BP reading would occur. b) The stethoscope could not be positioned correctly. c) The Korotkoff sounds would not be heard. d) Only a palpable BP could be obtained.: a
  4. At what distance above the antecubital fossa does the technologist position a blood pressure (BP) cuff when using the brachial artery to measure BP? a) 1.3 cm (1/2 inch) b) 0.6 cm (1/4 inch) c) 5.1 cm (2 inches) d) 2.5 cm (1 inch): d
  5. The patient's oral temperature is 39° C. Which conclusion can the technol- ogist make about the patient on the basis of this information? Inflammation is present. a) The patient is afebrile.

Study online at https://quizlet.com/_8ccr c) Slumping to nondominant side d) Spine in straight alignment: d

  1. The technologist is assessing the temperature of the lower legs. Which method should the technologist use to best assess the patient's skin temper- ature subjectively? a) Oral thermometer b) Dorsum of the hand c) Tympanic thermometer d) Thumb and index finger: b
  2. The technologist assesses a patient with arterial occlusive disease in the lower extremities. Which activity should the technologist implement? a) Measure the circumference of the thighs daily. b) Use a Doppler device to locate pulses. c) Massage the feet and ankles twice daily. d) Elevate the legs slightly when in the chair.: b
  3. The technologist is assessing a patient with a cast extending from just below the left knee to the toes. Which assessment contains a desirable patient outcome? a) The toes are pink bilaterally. b) The cast is warm at the ankle. c) Paresthesia is present in the left foot. d) The cast is snug at the knee.: a
  4. The technologist is preparing to begin the thoracic assessment of a pa- tient. What is the initial step of the thoracic assessment? a) Inspection of the posterior thorax b) Palpation of the anterior thorax c) Measurement of the respiratory rate d) Percussion of the lateral thorax: a
  5. The technologist begins to assess the patient's respiratory system. Which assessment by the technologist best determines the patient's diaphragmatic excursion? a) Observation of respiratory effort b) Auscultation of thorax symmetrically

Study online at https://quizlet.com/_8ccr c) Palpation of chest inspiratory movement d) Percussion over air-filled regions: c

  1. The technologist prepares a patient for a lower-extremity angiogram. What information should the technologist include in patient teaching to prevent a postprocedure hemorrhage? a) Postprocedure analgesia will manage patient discomfort b) The patient's affected leg will be immobilized after the procedure. c) The patient will be sleepy; so movement will be minimal. d) The chemicals in the dye injection help prevent hemorrhage.: b
  2. A patient has had increasing respiratory difficulty as a result of abdominal cancer. Which information does the technologist provide to the patient about the purpose of having a paracentesis? a) It will allow for analysis of the thoracic fluid for cytology. b) The examination will allow for extraction of a sample of bone marrow. c) Fluid from the lung will be examined. d) It will relieve pressure and some of the discomfort in your abdomen.: d
  3. The patient asks the technologist why an x-ray film with contrast medium is needed. How should the technologist respond? a) "Let me have you speak to the radiologist b) "It enhances visualization of the internal structures." c) "Most patients ask me that question." d) "It guarantees total accuracy of the x-ray film interpretation.": b
  4. A contrast medium study is being scheduled. Which statement by the patient during the assessment warrants further investigation by the technol- ogist? a) "I have small veins in my left arm." b) "I'm really worried about the test results." c) "I'm allergic to shellfish." d) "I need to urinate in the middle of the night: c
  5. The technologist is preparing a patient for a thoracentesis. Which action should the technologist include when teaching the patient about the proce- dure? a) Remain sitting but motionless. b) Inhale during needle insertion.

Study online at https://quizlet.com/_8ccr b) Both of the patient's feet are cool and pink c) Changes in pedial pulses in the left leg. d) The patient hasn't voided yet.: c

  1. The T wave is represented by which number? a) 5 b) 7 c) 6 d) 8: c
  2. The QRS complex is represented by which number? a) 1 b) 4 c) 2 d) 3: b
  3. The PR interval is represented by which number? a) 4 b) 1 c) 3 d) 2: b
  4. This EKG strip represents what rhythm? a) PAC b) 2nd degree block c) ventricular tachycardia d) atrial fibrillation: c
  5. The P wave is represented by which number? a) 4 b) 1 c) 3 d) 2: d
  6. The technologist runs into a co-worker whose family friend is a patient on the unit. The co-worker asks about the friend's health problems. Which is the correct response by the technologist?

Study online at https://quizlet.com/_8ccr a) "You know I can't talk about the patients." b) "Why don't you ask your friend now?" c) "Well, it was really a very difficult surgery." d) "Your friend told us to say nothing.": a

  1. At 9:15 AM the nurse repeatedly instructs the patient to remain in bed. At 9:30 the nurse enters the patient's room, finds the patient on the floor, and hears the patient say, "I need pain medicine." Which should the nurse use to document this event? a) Records medication before its administration b) Documents completion of an incident report c) Encloses the patient statement within quotations d) Labels the late entry using the time of 9:15 AM: c
  2. The imaging staff is assisting radiography students in learning military time for documenting. Instruction by the technologists has been effective if the students identify that which entry reflects 40 minutes after midnight? a) 0004 b) 0400 c) 1240 d) 0040: d
  3. Keith is preparing a patient who suddenly cannot breathe. The patient is turning blue, but instead of attending the patient, Keith pretends nothing has happened. Instead, he leaves the room and suggests that a peer "see how Mr. Jones is doing." Keith is guilty of: a) malpractice. b) medical negligence. c) liability. d) a and c. e) all of the above.: b
  4. The Joint Review Committee on Education in Radiologic Technology (JRCERT) publishes standards that identify or define: a) radiography and radiation therapy educational practices. b) pharmacology, patient care, and medical ethics as required content for accredited programs. c) guidelines and standards for educational programs. d) a and b. e) all of the above.: e

Study online at https://quizlet.com/_8ccr

  1. Iodamide meglumine: a) is eliminated principally by the kidneys. b) is not effective in cholecystography and cholangiography. c) has been replaced by ultrasonography and CT scanning. d) all of the above.: c
  2. Why are the tissues in stomach and intestines, blood vessels, kidneys, and bile ducts particularly low contrast? a) They tend to be lower in atomic number than other, more easily visualized tissues. b) They tend to have less mass density than some other tissues. They tend to lie deeper within body cavities. c) a and b. d) b and c.: d
  3. Patients with renal impairment: a) demonstrate opacified biliary and GI tracts when given intravascular ROCM. b) eliminate as much as 100% of intravascular ROCM within 24 hours. c) exhibit higher opacification in the kidneys. d) all of the above.: a
  4. Osmolality: controls the distribution and movement of water between body compart- ments. a) is the number of milliosmoles per kilogram of water. b) is the number of milliosmoles per liter of solution. c) a and b. d) a and c.: d
  5. Ms. Harper receives lidocaine to treat her ventricular tachycardia. However, after administration, she begins to develop signs of psychosis, seizures, and respiratory depression. Ms. Harper has never experienced any of these symptoms before. This most likely indicates that her lidocaine: a) was infused too rapidly. b) was given in excessive doses. c) interacted with another drug Ms. Harper was taking. d) all of the above.: d

Study online at https://quizlet.com/_8ccr

  1. When stimulated, á1 receptors: A) increase heart rate, cardiac output, and dysrhythmias. B) decrease blood pressure, causing constipation. C) decrease blood pressure, open airways, and cause constipation. D) increase blood pressure, dilate the pupils, and decrease the ability to urinate and defecate.: d
  2. High doses of epinephrine generally result in: a) beta receptor predominance. b) alpha receptor predominance. c) constriction of arterioles and increased blood pressure. d) a and c. e) b and c.: e
  3. beta1 receptors: a) play no apparent role in ROSC. b) may contribute to increasing and sustaining blood pressure, with epineph- rine stimulation. c) increase cardiac output when stimulated at their myocardial site. d) all of the above.: d
  4. Ms. Hammerhill experiences cardiac arrest. As life-saving measures are begun, she demonstrates hemodynamically significant bradycardia and abruptly flatlines. The drug she will most likely be given is: a) atropine. b) sodium bicarbonate. c) lidocaine. d) dopamine. e) epinephrine.: a
  5. Anaphylactoid reactions: a) are the same thing as anaphylaxis, except that they occur in response to mast cell sensitization after a first exposure to an intravascular ROCM. b) mimic anaphylactic reactions but require no prior exposure to ROCM to sensitize the mast cell.

Study online at https://quizlet.com/_8ccr b) Act out what the patient needs to do. c) Assess how much the patient is able to communicate in his native language. d) Talk slowly when instructions are given.: a

  1. The patient is restless and looks at the clock frequently during an contrast interview with the technologist. Which should the technologist implement in response to the patient's behavior? a) Present the interview in written form. b) Have another person finish the interview. c) Repeat the information at another time. d) Focus on the patient's physical complaints.: c
  2. The patient tells the technologist, "I must be very sick because so many tests are being performed." Which statement does the technologist use to reflect the patient's message? a) "You mention this so frequently." b) "I sense that you are very worried." c) "You think you must be very sick." d) "We should talk about this more.": c
  3. During a procedure the patient experiences an angry outburst and hits the technologist on the thigh and yells at her. The patient continues to be threatening. What are the appropriate initial actions by the technologist? Select all that apply. a) Use a calm, quiet voice when talking with the patient. b) Notify the supervising technologist. c) Call for a family member who is in the waiting room. d) Yell at the patient to stop being threatening. e) Tie the patient to the bed. f) Call law enforcement.: a b c
  4. The technologist is caring for a patient who states, "I don't feel well today." Which is the best follow-up action to the patient's statement for the technologist to implement? a) Compare recent laboratory results with the prior results. b) Measure the blood pressure and temperature. c) Ask the patient to continue to describe the feeling. d) State that the patient's diagnostic testing had normal results.: c
  5. The technologist brings the patient's oral contrast into the room, and the patient shouts, "You don't care if I take this so get out of my room!" Which response by the technologist is most likely to diminish the patient's anger? a) "Who misinformed you about my feelings?" b) "I cannot leave until you take this contrast."

Study online at https://quizlet.com/_8ccr c) "You seem very angry about the contrast." d) "We know each other; why are you saying this?": c

  1. The technologist interviews a female patient during admission. Which observation by the technologist identifies congruency in the patient's com- munication? a) Asserts she is eager to answer questions while reading a magazine b) Explains that she is relaxed while continuously shifting in her chair c) States that she wants information while frequently changing the subject d) Asks the technologist to explain a surgical procedure while listening intent- ly: d
  2. A patient's mother died several days ago. The patient begins to cry and states, "The pain of her death is impossible to bear." Which statement by the technologist is the most effective response? a) "I know things seem bleak, but you are doing so well." b) "I was depressed last year when my mother died, too." c) "I can see this is a very difficult time for you right now." d) "Should I cancel your appointment with the cardiologist?": c
  3. Which of the following statements is true? a) It is a myth that you can catch a disease from someone who handles only your bed linen. b) An infectious individual can spread disease by merely speaking in the vicinity of a susceptible host. c) Staphylococcus aureus is not life threatening. d) Surgical asepsis is not required in radiology: b
  4. Anne begins her radiology career working with patients receiving air con- trast barium enemas and barium meals for lower and upper GI exams. One of her less glamorous responsibilities is straightening the changing room between patients. Which of the following is not part of correct procedures for handling used gowns when patients have left them behind? a.) Never shake the linen. b.) Wearing gloves while handling patient items. c.) Immediately dispose of any linens that touch the floor. d.) Fold fecal-soiled linens so that the stain is in the center before placing (not tossing) it into the hamper with other linens; this protects laundry workers. e). all of the above.: d
  5. For preventing the spread of HIV, the CDC recommends ____ as the pre- ferred disinfectant.

Study online at https://quizlet.com/_8ccr

  1. A virus: a) is eukaryotic. b) is more complex than a bacterium but simpler in form than an animal cell. c) is an obligate intracellular parasite. d) is prokaryotic.: c
  2. A bacterium: a) falls into the eukaryote family. b) is a single-celled, prokaryotic microorganism. c) has a true nucleus and organelles. d) all of the above: b
  3. A patient is in isolation in a negative-pressure room for tuberculosis, and the technologist notes that the respirator mask is damaged slightly. What is the initial action that the technologist should take? a) Check the mask for a tight seal. b) Use the mask if damage is minor. c) Ask to switch the assignment. d) Borrow a mask from a co-worker.: a
  4. While setting up a sterile field for a procedure, the technologist knocks a linen-wrapped sterile package to the floor. Which reaction allows the technol- ogist to maintain safe practice? a) Inspect the package for tears. b) Replace the sterile package. c) Brush away the visible debris. d) Record the procedure as clean.: b
  5. The technologist helps the radiologist get supplies and monitor the patient during an emergency insertion of a femoral line at the patient's bedside. Which nursing behavior helps to maintain the sterile environment? a) Use sterile examination gloves. b) Place a face mask on the patient. c) Wear a sterile cap and booties. d) Avoid reaching over the field.: d
  6. The technologist assists the radiologist during the insertion of a central venous catheter. Which is the most effective intervention for the technologist to implement to prevent patient infection?

Study online at https://quizlet.com/_8ccr a) Adhere to the principles of surgical asepsis. b) Close the door of the sterile procedure room. c) Sterilize working surfaces for the procedure. d) Restrict foot traffic into sterile procedure room: a

  1. The technologist is caring for a patient who is 4 years old and in isolation. Which approach should the technologist implement to reduce the patient's anxiety? a) Put the mask, gown, and gloves on in view of the child. b) Put the child in a room with a locked door. c) Ask the parents to keep the child in the room. d) Explain isolation to the child by using a cartoon.: a
  2. Gloves are effective protective barriers from pathogens when caring for patients in isolation. Which patient factor associated with the gloves should the technologist investigate for patients in isolation? a) Virulence of infectious organism b) Patient resistance to therapy c) Transmission mode of organism d) Patient potential for latex allergy: d
  3. The technologist is preparing a sterile field with several items on it. Which action should the technologist implement to maintain a sterile field? a) Flip sterile objects onto the sterile field. b) Wear sterile gloves to open sterile packs. c) Put fluid holders near the edge of the field. d) Open the inner flaps of the sterile packages first.: c
  4. The technologist cared for a patient diagnosed with tuberculosis (TB) 3 days ago. Which of the following actions should the technologist implement in response to the potential exposure? a) Have a chest x-ray taken. b) Take a leave of absence. c) Get a QFT-G blood test. d) Request a sputum culture.: c
  5. The technologist sets up a sterile field and notes several tiny holes in the sterile drape of the table that served as the wrap for the pack. What does the technologist do to facilitate completion of the procedure?

Study online at https://quizlet.com/_8ccr

  1. The Joint Review Committee on Education in Radiologic Technology (JRCERT) publishes standards that identify or define: a. radiography and radiation therapy educational practices. b. pharmacology, patient care, and medical ethics as required content for accredited programs. c. guidelines and standards for educational programs. d. a and b. e. all of the above.: e
  2. The technologist is documenting on a patient with a respiratory problem. Which patient datum documented by the technologist is the least objective?- : Low flow rate oxygen
  3. The ST segment is represented by which number?: 7
  4. The technologist is instructing a patient about fluid intake after a lumbar puncture. Which fluids could the technologist suggest as good choices to both provide fluid and possibly decrease the chance of a post procedural headache?: Cola and tea
  5. The technologist assesses the pupils of an older patient. What unexpected finding might the technologist identify about the patient's pupils?: There is a slight opacity.
  6. The technologist is preparing to obtain a set of vital signs. Which is the most important factor for the technologist to consider when measuring patient vital signs?: Measuring equipment must suit the patient's condition and characteristics
  7. For which patient should the technologist use the tympanic thermometer?- : 10-year-old patient with a left leg fracture
  8. The technologist assesses a possible melanoma on the patient's skin. Which characteristic does the lesion have that is consistent with a melanoma?: Larger than 6 mm
  9. The technologist is caring for the patient immediately after an angiogram has been finished. Which action does the technologist take to prevent a complication of this procedure?: Apply constant pressure to the insertion site

Study online at https://quizlet.com/_8ccr

  1. The technologist is teaching an older patient before a bronchoscopy. What information is the most important for the patient to know to prevent a possible postprocedure complication?: Do not eat or drink anything after the procedure until the technologist says it is safe to drink.
  2. Body parts whose tissues are particularly low contrast include the: a. blood vessels. b. kidneys and biliary tree. c. stomach and intestines. d. b and c. e. all of the above: e
  3. The technologist is explaining a procedure to a 3-year-old female patient. Which strategy should the technologist use for patient teaching?: Use dolls and stories to explain procedure
  4. A female patient sobs uncontrollably when talking about the recent death of a pet. Which response should the technologist implement to best provide for her immediate needs?: Sit with the patient quietly and allow her to cry.
  5. Health care workers should wash their hands: before contact with patients. after contact with patients. before invasive procedures.
  6. The technologist is caring for several patients under contact precautions. Which is the most important self-protective method for the technologist to use while caring for these patients?: Washing hands thoroughly
  7. Mr. Lewis receives intravascular administration of ROCM. After a while, you notice that he is experiencing flushing. This is most likely caused by:: the presence of less fluid outside the vessels and more fluid inside the vessels.
  8. Diatrizoate meglumine and diatrizoate sodium solutions are:: generally used when barium sulfate suspension is potentially harmful. preferred over barium sulfate suspension in CT because of less artifact production
  9. A legend drug is one that: requires a prescription