Patient Care II Final
Test 1: Vital Signs, Tubes & Lines
Front: What is the primary strength of vital signs as an indicator of homeostasis? Back: They provide the best objective information.
Front: During inspiration, do the chest expand and the ribs move superiorly? Back: True.
Front: What does the presence of cyanosis indicate? Back: Insufficient oxygen.
Front: What is the average respiratory rate for newborns? Back: 12 to 20 breaths/min (Note: This is the exception in the text; normal is higher, but the text asks for the "except" answer).
Front: When is removing a cervical collar permissible? Back: Only after a physician has reviewed images and determined it is safe.
Front: Is an NG tube considered a central venous line? Back: No (it is an enteral tube).
Front: What is the foundation on which a body rests? Back: Base of support.
Front: Medical term: Orchioplasty. Back: Surgical repair of a testis.
Front: T/F: The most common site for PICC line insertion is the subclavian vein. Back: False.
Front: What causes lightheadedness when standing quickly (orthostatic hypotension)? Back: Decreased blood pressure.
Front: Proper placement of a Foley catheter drainage bag? Back: Below the level of the bladder.
Front: Minimum number of people for a stretcher-to-table transfer without moving devices? Back: Three.
Front: Purpose of Thoracostomy tubes? Back: To drain the intrapleural space (chest tube).
Front: T/F: A non-rebreather mask is the most frequent device for 1-4 L/min oxygen. Back: False.
Front: Medical term: Salpingo-oophorectomy. Back: Excision of the uterine (fallopian) tube and ovary.
Front: Where is the pulse checked during cardiac arrest? Back: Carotid artery.
Front: Units for measuring blood pressure? Back: Millimeters of mercury (mm Hg).
Front: T/F: All temperatures are identical regardless of the site measured. Back: False.
Front: Best vessels for determining pulse rate? Back: Superficial arteries.
Front: Why must oxygen be handled cautiously? Back: It supports combustion.
Front: How can the base of support be increased? Back: Standing with legs far apart.
Front: Medical term: Erythema. Back: Superficial reddening of the skin due to injury or irritation.
Front: T/F: CPAP provides pressure on both inhalation and exhalation. Back: True.
Front: Which side should all transfers be initiated toward? Back: The patient’s strong side.
Front: T/F: The most common site for pulse measurement is the brachial artery. Back: False.
Front: Location of the human center of gravity? Back: At approximately sacral level two.
Front: T/F: Place BP cuffs on the same side as a mastectomy to avoid lymphedema. Back: False.
Front: When is an inflatable air splint used? Back: Lower extremity trauma.
Front: Medical term: D&C (Dilation and...). Back: Curettage.
Front: Preferred location of a PICC or CV catheter tip? Back: Superior vena cava.
Front: Abbreviation: BPH. Back: Benign prostatic hyperplasia.
Front: Tachycardia heart rate? Back: Greater than 100 beats per minute.
Front: Primary objective of oxygen therapy? Back: Increase the O2 concentration going to the patient.
Front: Abbreviation: TURP. Back: Surgical removal of pieces of the prostate gland tissue.
Front: T/F: Characteristics of pulse are pattern, effect, and rate. Back: False.
Front: Peak blood pressure reading? Back: Systolic pressure (resulting from left ventricular contraction).
Front: Using tape on infants or geriatric patients? Back: Twist the tape so the non-adhesive side is against the skin.
Front: How to establish patient rapport? Back: Gently tell the patient what you need to accomplish and how you will move forward.
Front: T/F: Port-a-cath and Swan Ganz are examples of central lines. Back: True.
Front: Technique for breast lesion tissue using mammography and computer-assisted biopsy? Back: Stereotactic breast biopsy.
Front: Tube used to relieve a large tension pneumothorax? Back: Chest tube / Thoracostomy tube.
Front: Exception to good lifting mechanics? Back: Extending reach beyond the center of gravity.
Front: T/F: PEG tubes are inserted through the abdominal wall. Back: True.
Front: Which is NOT a standard temperature site: Oral, Tympanic, Inguinal, or Rectal? Back: Inguinal.
Front: Normal adult BUN (Blood Urea Nitrogen) range? Back: 7–21.
Front: Definition: Tidal volume. Back: Air exchanged during normal breathing.
Front: Medical term: Cryptorchidism. Back: State of hidden testes.
Front: T/F: Inflate the BP cuff to at least 280 mm Hg. Back: False.
Front: Effective method to reduce patient motion? Back: Clear instructions, assessing cooperation, and explaining the importance of holding still.
Front: Lab test for chemical byproduct of metabolism in muscles? Back: Creatinine.
Front: Use of a Dobhoff tube? Back: Feeding.
Front: Safely raising a cardiac patient from supine? Back: Check for orthostatic hypotension, communicate, and raise slowly.
Front: Jaundice is associated with? Back: Liver failure.
Front: Medical term: Prostatocystitis. Back: Inflammation of the prostate gland and the bladder.
Front: Assessment of LOC (Level of Consciousness)? Back: Observing eyes and speech.
Front: Definition: Hypothermia. Back: Temperature below 97.7°F.
Front: Medical term: Twisting of the spermatic cord. Back: Testicular torsion.
Front: What does the first Korotkoff sound represent? Back: Systolic pressure.
Front: Medical term: Pelvic floor (male and female). Back: Perineum.
Front: Primary cause of shock? Back: Inadequate blood flow.
Front: Brain structure controlling thermoregulation? Back: Hypothalamus.
Front: Site of a tympanic thermometer measurement? Back: Eardrum.
Front: Cause of pulse felt in peripheral arteries? Back: Ventricle contraction.
Front: Uses for a Port-a-cath? Back: Chemotherapy, antibiotics, parenteral nutrition, and fluids.
Front: How is an apical pulse measured? Back: Auscultation (listening with a stethoscope).
Front: Condition that may cause tachycardia? Back: Fever.
Front: Bad communication strategy during transfer? Back: Staying quiet so as not to alarm the patient.
Front: T/F: Hypertension is more common in women before 50 and men after 50. Back: True.
Front: Medical term: Excision of uterus, fallopian tubes, and ovaries. Back: Hysterosalpingo-oophorectomy.
Front: Deflation rate for a BP cuff? Back: 2 mm Hg per second.
Front: Flow rates higher than 4 L/min require? Back: Humidification.
Front: CVP line insertion site? Back: A large vein.
Front: T/F: A Salem Sump is a double-lumen tube with an air vent pigtail. Back: True.
Front: Name for the most common NG tube? Back: Levin.
Front: Difference between mobility and stability muscles? Back: Mobility muscles are in the arms and legs; stability muscles provide postural support.
Front: Which is a high-flow oxygen device? Back: Air-entrainment (Venturi) mask.
Front: A patient with a rectal temperature of 100.5°F is? Back: Febrile.
Front: T/F: Keep chest tubes below the chest and IV bags above the head. Back: True.
Front: Purpose of a nebulizer? Back: Delivers aerosol saline mist and allows medication/oxygen delivery.
Front: Purpose of GFR (Glomerular Filtration Rate) test? Back: Rate at which kidneys filter waste from the blood.
Front: Ideal location of the endotracheal tube tip? Back: In the trachea 1 to 2 inches above the carina.
Front: Correct placement of a right-sided CV line tip? Back: Should not cross midline; located in the superior vena cava.
Front: T/F: 1/3 of central lines are placed incorrectly. Back: True.
Front: Factors influencing respiratory rate? Back: Activity, pain, age, and drugs.
Front: Best way to move a heavy object to reduce back strain? Back: Push the object.
Front: T/F: Use stability muscles for lifting and mobility muscles for support. Back: False (reverse: mobility for lifting, stability for support).
Front: Indications for a tracheostomy? Back: Airway obstruction and impaired respiratory function.
Front: Oxygen flow rate for a non-rebreather mask? Back: 10–15 L/min.
Front: Radiography for pleural effusions? Back: Fluid causes blunting; as little as 30 mL can be seen; patient should be erect or decubitus.
Front: Common chest tube insertion sites? Back: Lateral mid-axillary line; between 5th & 6th intercostal space.
Front: T/F: Swan Ganz catheters assess cardiac function. Back: True.
Front: Standard sites for taking temperature? Back: Oral, Axillary, Temporal, Tympanic, Rectal.
Front: Moving patients on nebulizers or ventilators? Back: Avoid fluid in corrugated tubes from flushing the airway.
Test 2: Medical Emergencies
Front: Most important action when administering emergency care? Back: Recognizing when advanced care is needed and calling for assistance.
Front: First priority in patient care? Back: Providing an open airway.
Front: Equipment needed for CPR on a supine stretcher patient? Back: Backboard.
Front: Shock caused by heart failure? Back: Cardiogenic.
Front: Action for a patient having a generalized seizure? Back: Prevent harm and call for help; do not leave the patient.
Front: Position for a patient experiencing syncope? Back: Dorsal recumbent with feet elevated.
Front: Symptoms of a deteriorating head injury? Back: Lethargy.
Front: Treatment for hypoglycemia? Back: Rest and carbohydrates.
Front: Hand placement for CPR chest compressions? Back: Two fingers above the xiphoid process.
Front: Signs of iodine-based contrast reaction? Back: Urticaria, nausea, shortness of breath, throat tightening, and cardiac arrest.
Front: Symptoms of hyperglycemia? Back: Excessive thirst and urination; dry mouth.
Front: Precaution for a vomiting patient? Back: Turn the patient’s head to the side.
Front: Cause of septic shock? Back: Infection.
Front: Hypotensive blood pressure in shock? Back: 90/60 or lower.
Front: Route for Narcan administration? Back: IV, Intramuscular, or Nasal Spray.
Front: Cause of ischemic stroke? Back: Clot.
Front: Definition: Anaphylaxis. Back: Allergic shock.
Front: Assumption for all head injury patients? Back: Possible cervical spine injury.
Front: Care for epistaxis? Back: Lean forward and pinch nostrils for 10-15 minutes.
Front: Action for a dizzy standing patient? Back: Have the patient lie down.
Front: T/F: Brain can go 4-6 minutes without oxygen before impairment. Back: True.
Front: Handling an asthma attack during a procedure? Back: Have the patient sit down and use their aerosol inhaler.
Front: Managing a bleeding wound on an extremity? Back: Call for help, apply pressure, and elevate the arm.
Front: Disorganized cardiac rhythm where the ventricle "flutters"? Back: Fibrillation.
Front: Semi-Automatic AED requirement? Back: Operator must push the shock button.
Front: Cause of diabetic ketoacidosis? Back: Low insulin.
Front: Definition: Wound Dehiscence. Back: Surgical site re-opening.
Front: Symptoms of hypoglycemic reaction? Back: Shaking, nervousness, and cold, clammy skin.
Front: CPR compression-to-breath ratio (1 rescuer adult)? Back: 30:2.
Front: Action for an unconscious person who is not breathing? Back: Begin external chest compressions at at least 100/min.
Front: Shock from contrast media reaction? Back: Anaphylactic.
Front: Which emergency may cause nausea/vomiting? Back: Head injuries.
Front: Shock from pooling blood in peripheral vessels? Back: Vasogenic.
Front: Symptoms of impending diabetic coma? Back: Increased urination, sweet-smelling breath, and extreme thirst.
Front: Symptoms of respiratory failure? Back: Dyspnea, cyanosis, confusion, and drowsiness.
Front: Symptoms of shock? Back: Pallor, tachycardia, tachypnea, and decreased blood pressure.
Front: T/F: An AED regulates heart rate via an inserted wire. Back: False (that is a pacemaker).
Front: Care for a fractured extremity? Back: Support joints above and below; do not remove splints without orders; inform patient.
Front: Decrease in BP upon suddenly rising? Back: Orthostatic hypotension.
Front: Precursor to a seizure? Back: Aura.
Front: Actions to prevent shock? Back: Emotional support, minimizing pain, and maintaining normal body temperature.
Front: Early symptoms of anaphylactic shock? Back: Dysphagia, itching of palms/soles, and throat constriction.
Front: T/F: Hypovolemic shock results from heart pump failure. Back: False (that is cardiogenic; hypovolemic is blood loss).
Front: Acronym: FAST. Back: Face, Arms, Speech, Time.
Front: Pulse 102 bpm and 89% O2 saturation indicates? Back: Hypoxia and tachycardia.
Front: Product of Heart Rate x Stroke Volume? Back: Cardiac output.
Front: In a cardiac cycle, what follows each P wave? Back: QRS complex.
Front: What does the QRS Complex represent? Back: Ventricular contraction.
Front: What does the PR interval represent? Back: Time electrical activity is in the SA node and atrial contraction.
Front: What does the QT interval represent? Back: All ventricular activity from contraction to repolarization.
Test 3: Trauma & OR
Front: Middlesex Health trauma level? Back: Level II trauma center.
Front: Portable radiography on neonates? Back: Aseptic techniques are vital due to weak immune systems.
Front: Assumption for head injury patients? Back: Possible cervical spine injury.
Front: CT trauma certification body? Back: American College of Surgeons Committee on Trauma.
Front: Leading cause of death after motor vehicle accidents? Back: Internal hemorrhage.
Front: T/F: Delay trauma imaging until immobilization is removed. Back: False.
Front: Head of bed elevation in Traumatic Brain Injury (TBI)? Back: 15–30°.
Front: Yellow drainage from the ear after head trauma? Back: Cerebrospinal fluid (CSF) leak.
Front: T/F: Extremity trauma requires two projections 45° from each other. Back: False (should be 90°).
Front: T/F: Mobile radiography has some of the highest radiation exposure. Back: True.
Front: T/F: Remove impaled objects before imaging. Back: False.
Front: Precautions for fractured extremity care? Back: Support joints above/below; do not remove splints without orders; inform patient.
Front: Non-sterile surgical team members? Back: Radiographer, circulating nurse, and anesthesia provider.
Front: Skull series on a patient with a cervical collar? Back: Complete images with collar in place using positioning flexibility.
Front: T/F: Level 3 trauma hospitals must provide 24-hour imaging. Back: True.
Front: Movement method for suspected spinal injury? Back: Logrolling.
Front: PPE expected for trauma in ED? Back: Gloves, gown, mask, and goggles.
Front: Precautions for head injury imaging? Back: Keep neck immobilized, monitor vitals every 5-10 mins, and keep stretcher head slightly elevated.
Front: Purpose of an arthrogram? Back: Evaluate a joint space.
Front: Required surgical attire for radiographers? Back: Scrubs, mask, and hair cover.
Front: Surgical procedure using a C-arm? Back: Fusion of L5-S1 or closed reduction of a fracture.
Front: Sterile technique for surgical hip pinning? Back: "Shower curtain" approach or sterile snap cover.
Front: C-arm SSD (Source-to-Skin Distance) minimum? Back: 12 inches.
Front: Definition: Contusion. Back: Bruise without skin rupture.
Front: First projection in trauma spine imaging? Back: X-Table lateral.
Front: Method for trauma chest air-fluid levels? Back: Lateral decubitus or cross-table lateral.
Front: T/F: Collimate off soft tissue in trauma C-spine. Back: False.
Front: immobilization devices during initial imaging? Back: Left in place.
Front: Blood movement in shock? Back: Moves to vital organs.
Front: Placing IR under a trauma backboard? Back: Lift carefully and evenly.
Front: Post-pacemaker implantation restriction? Back: Abducting the affected arm.
Front: Moving a patient in traction? Back: Consult nursing staff.
Front: Catheter inserted peripherally but terminates centrally? Back: PICC.
Front: Mobile radiography in ICU? Back: Maintain sterile awareness.
Front: Study of the bladder? Back: Cystogram.
Front: Purpose of reverse isolation? Back: Protect immunocompromised patients.
Front: Primary purpose of an angiogram? Back: Visualize blood vessels.
Front: Imaging technique during an angiogram? Back: Fluoroscopy.
Front: Acronym: AAA. Back: Abdominal Aortic Aneurysm.
Front: What happens during a discogram? Back: Needle injects contrast into a disc.
Front: Purpose of diagnostic lumbar puncture? Back: Measure CSF pressure.
Front: Purpose of a nephrolithotomy? Back: Treat super large kidney stones.
Front: Medical term: Nullipara. Back: A woman who has not given birth to offspring.
Front: Premature separation of placenta from uterine wall? Back: Abruptio placentae.
Front: Definition: Eclampsia. Back: Severe complication characterized by convulsion.
Front: Congenital failure of vertebral arch to close? Back: Spina bifida.
Front: Abbreviation: Newborn respiratory complication. Back: RDS (Respiratory Distress Syndrome).
Front: Medical term: Pseudocyesis. Back: False pregnancy.
Front: Synonym for perineotomy? Back: Episiotomy.
Front: Definition: Amniocentesis. Back: Surgical puncture to aspirate amniotic fluid.
Front: Zika virus during pregnancy link? Back: Microcephalus.
Front: When is antepartum hemorrhage? Back: Before childbirth.
Front: Definition: Meconium. Back: First stool of the newborn (greenish-black).
Test 4: Pharmacology
Front: Common dose forms of drugs? Back: Solution, suspension, tablet, capsule, inhalant.
Front: Agent that promotes bowel evacuation? Back: Laxative.
Front: T/F: Drugs act more quickly on organs with abundant blood supply. Back: True.
Front: Administration route under the tongue? Back: Sublingual.
Front: Definition: Synergistic effect. Back: Additive effect when drugs are combined.
Front: T/F: Drug dependence implies compulsive use. Back: True.
Front: Why is toxicity more common in the elderly? Back: Poor cardiac, renal, and hepatic function.
Front: T/F: The organ responsible for drug excretion is the liver. Back: False (kidneys).
Front: Beta-blocker on crash cart for bradycardia? Back: Atropine sulfate.
Front: Is "Valium" a generic or trade name? Back: Trade name (Generic is diazepam).
Front: T/F: Reward pathway is in the prefrontal cortex; dependence in thalamus/brainstem. Back: True.
Front: Why are larger doses of oral drugs given? Back: To ensure enough drug remains after first-pass metabolism.
Front: Chest pain from insufficient coronary blood flow? Back: Angina pectoris.
Front: Crash cart med for sugar levels? Back: Dextrose.
Front: Definition: Pharmacology. Back: Science dealing with nature, effects, and origin of drugs.
Front: T/F: Nitroglycerine is a vasoconstrictor for shock. Back: False (it is a vasodilator).
Front: T/F: A higher French number indicates a wider diameter. Back: True.
Front: T/F: Higher gauge number means smaller diameter. Back: True.
Front: Common venipuncture sites? Back: Basilic, cephalic, and median cubital veins.
Front: T/F: Insulin syringes are marked in mL. Back: False (Units).
Front: Swelling and burning around a needle site? Back: Extravasation.
Front: Reaction resulting in respiratory/circulatory collapse? Back: Anaphylaxis.
Front: Angle for subcutaneous injection? Back: 45 degrees.
Front: Use for Metformin (Glucophage)? Back: Type 2 diabetes.
Front: T/F: Needle choice depends on viscosity and site. Back: True.
Front: Gauge refers to? Back: Diameter size of the needle.
Front: T/F: Hub of an angiocath needle attaches to the syringe tip. Back: True.
Front: Definition: Physiological withdrawal symptoms. Back: Drug dependence.
Front: Prescribed dose no longer controlling pain after 3 weeks? Back: Tolerance.
Front: Definition: Pharmacokinetics. Back: What the body does to the drug.
Front: Vasopressor for anaphylaxis or cardiac arrest? Back: Epinephrine.
Front: Process oral drugs pass through before circulation? Back: First-pass metabolism.
Front: T/F: Insert needle bevel side down for venipuncture. Back: False (bevel up).
Front: Definition: Bioavailability. Back: Amount of drug reaching systemic circulation.
Front: Absorption of intramuscular vs oral? Back: Slower than IV but faster than oral.
Front: Factor increasing addiction risk? Back: Genetic predisposition.
Front: Route with fastest absorption? Back: Intravenous (IV).
Front: T/F: Route, blood flow, and drug form affect absorption. Back: True.
Front: Advantage of sublingual administration? Back: Rapid absorption into bloodstream.
Front: First-pass effect reduces what? Back: Drug bioavailability.
Front: Crash cart steroid for allergic reactions? Back: Solumedrol.
Front: T/F: Capsules are scored for easy division. Back: False (tablets are scored).
Front: Large quantity of IV medication over time? Back: Infusion.
Front: Laxative to rapidly clear the colon? Back: Cathartic.
Front: Route for contrast in the spinal canal? Back: Intrathecal.
Front: T/F: Enteral routes include IV and IM. Back: False (those are parenteral; enteral is GI tract).
Front: NOT necessary when charting drugs? Back: Gauge of needle used.
Front: Reducing iodine contrast reactions? Back: Premedicate with steroids/antihistamines.
Front: Complication of antiplatelet (Heparin) therapy? Back: Bleeding.
Front: T/F: Dependent person does not suffer withdrawal. Back: False.
Front: Disposing of an ampule? Back: Sharps container.
Front: Farsightedness? Back: Hyperopia.
Front: T/F: Cataracts are increased intraocular pressure. Back: False (that is glaucoma).
Front: Abnormal sensitivity to light? Back: Photophobia.
Front: T/F: Presbyopia is vision impairment due to aging. Back: True.
Front: Nearsightedness? Back: Myopia.
Front: Definition: Astigmatism. Back: Defective curvature of refractive surfaces (cornea or lens).
Front: Definition: Macular degeneration. Back: Progressive deterioration of a portion of the retina.
Front: Instrument for examining the interior of the eye? Back: Ophthalmoscope.
Test 5: Medical Law
Front: Purpose of Patient Bill of Rights? Back: Inform patients of rights and responsibilities.
Front: Key function of health information records? Back: Communicate all care rendered to the physician.
Front: choice for treatment wishes if incapacitated? Back: Advanced directive.
Front: T/F: ICD-11 maps disease trends and causes of death. Back: True.
Front: judge of a radiographer's legal actions? Back: Practice Standards for Medical Imaging and Radiation Therapy.
Front: Who proves injury in negligence? Back: Patient.
Front: Leaving wheelchair locks unlocked resulting in a fall? Back: A breach of duty has occurred.
Front: Process critical for reimbursement (coding)? Back: Coding.
Front: T/F: Stepping up to a chest board is implied consent. Back: True.
Front: Proving lack of informed consent? Back: Risk was undisclosed, disclosure would have led to rejection, and injury occurred.
Front: Where must incident reports NOT be placed? Back: Patient’s health record (they go to risk management).
Front: T/F: Consent For Treatment addresses financial obligation. Back: True.
Front: If a procedure isn't in the health record, did it happen in court? Back: No.
Front: T/F: Res Ipsa Loquitur means the patient must prove negligence. Back: False (it shifts the burden to the defendant).
Front: Responsibility of health info management? Back: Maintenance, retrieval, and storage of health info.
Front: Written defamation? Back: Libel.
Front: Use of APCs? Back: Reimbursement for outpatient and ancillary procedures.
Front: T/F: HIPAA stands for Health Information Privacy and Accountability Act. Back: False (Health Insurance Portability and Accountability Act).
Front: Response if a patient asks to stop a painful mammogram? Back: Stop the examination.
Front: T/F: Most negligence decisions favor the patient. Back: True.
Front: T/F: Actual injury must occur to be found negligent. Back: False (per the document, though legally this varies).
Front: Inpatient health record contents? Back: ID data, study reports, physical data, consent docs, history/complaint.
Front: T/F: Informed consent is irrevocable once signed. Back: False.
Front: Request missing the "why" (indication)? Back: Delay until the information is provided.
Front: Definition: Sentinel Event. Back: Unanticipated death or serious injury not related to natural illness.
Front: procedure NOT requiring signed informed consent? Back: Emergency chest tube placement for a car accident victim.
Front: T/F: DRGs are payment groups related by diagnosis and stay length. Back: True.
Front: Example of unintentional misconduct? Back: X-raying the wrong body part.
Front: T/F: Health proxy can override wishes at any time. Back: False.
Front: Term for no-code order? Back: DNR.
Front: T/F: Res ipsa loquitur shifts the burden of proof to the defendant. Back: True.
Front: Patient's rights regarding records? Back: Right to refuse and right to confidentiality (No right to possess original records).
Front: Criteria for restraints? Back: Frequently assessed, least intrusive, but NOT left in place until release.
Front: reckless conduct causing bodily harm? Back: Assault.
Front: Combining form: Eardrum. Back: Tympan/o.
Front: Symptom of room spinning? Back: Vertigo.
Front: Inflammation of the middle ear? Back: Otitis media.
Front: Disease with ringing, spinning, and hearing loss? Back: Ménière disease.
Front: Definition: Tinnitus. Back: Ringing in the ears.
Front: Definition: Presbycusis. Back: Hearing impairment in old age.
Front: Device to stimulate the auditory nerve? Back: Cochlear implant