Important Note: This textbook was published in 2005 and has no newer edition. Questions marked with
[UPDATE] have answers that differ from the original textbook content, reflecting 2026-2027 ACR/AAAAI
and ESUR guidelines.
Chapter 1: The Role of the Imaging Professional
Multiple-Choice Questions (50 Questions)
Question 1: The ASRT supports permitting radiologic technologists to administer:
A) Only oral medications
B) Venipuncture, contrast media, radiopharmaceuticals, and IV medications where state statutes and
institutional policy permit
C) Only contrast media
D) No medications under any circumstances
Correct Answer: B
Rationale: The ASRT supports radiologic technologists administering venipuncture, including contrast
media, radiopharmaceuticals, and IV medications where state statutes and institutional policy permit .
Question 2: The Joint Review Committee on Education in Radiologic Technology (JRCERT) publishes
standards that define:
A) Only radiation safety protocols
B) Radiography and radiation therapy educational practices, including pharmacology, patient care, and
medical ethics as required content
C) Only clinical competency requirements
D) Only equipment operation standards
Correct Answer: B
Rationale: The JRCERT defines radiography and radiation therapy educational practices and identifies
pharmacology, patient care, and medical ethics as required content .
Question 3: A nuclear medicine technologist in virtually any state may apply or administer:
A) Only radiopharmaceuticals
B) Radionuclides and radiopharmaceuticals for diagnostic or therapeutic purposes
C) Only IV contrast media
D) No medications
Correct Answer: B
Rationale: Nuclear medicine technologists are authorized to apply or administer radiation, radioactive
materials, radionuclides, and radiopharmaceuticals for diagnostic or therapeutic purposes .
Question 4: Keith leaves a patient who suddenly cannot breathe and is turning blue, pretending nothing
has happened. Keith is guilty of:
A) Appropriate delegation
B) Negligence and abandonment
,C) Standard of care compliance
D) Ethical practice
Correct Answer: B
Rationale: Abandoning a patient in distress constitutes negligence and abandonment, violating the
standard of care.
Question 5: The standard of care for imaging technologists is defined by:
A) The technologist's personal judgment
B) What a reasonably competent professional would do in similar circumstances
C) The patient's expectations
D) The radiologist's preferences
Correct Answer: B
Rationale: Standard of care is the level of care a reasonably competent professional would provide in
similar circumstances.
Question 6: HIPAA primarily protects:
A) Drug administration safety
B) Patient privacy and confidentiality
C) Contrast media safety
D) Radiation exposure limits
Correct Answer: B
Rationale: HIPAA protects patient health information privacy and confidentiality .
Question 7: The imaging professional's ethical responsibility includes:
A) Maximizing patient throughput
B) Providing competent, safe, and compassionate care
C) Minimizing documentation
D) Avoiding patient interaction
Correct Answer: B
Rationale: Ethical practice includes competent, safe, and compassionate care.
Question 8: Informed consent for drug administration requires:
A) Only the patient's signature
B) Explanation of risks, benefits, and alternatives
C) Only the physician's signature
D) Family approval only
Correct Answer: B
Rationale: Informed consent requires explanation of risks, benefits, and alternatives.
Question 9: Which of the following is a legal requirement for medication administration documentation?
A) Documentation in pencil
B) Documentation in ink or electronic record with signature
C) Documentation only for controlled substances
D) Documentation only for adverse reactions
, Correct Answer: B
Rationale: Documentation must be permanent and signed.
Question 10: A technologist notices that a prescribed contrast dose appears higher than usual for the
patient's weight. The appropriate action is to:
A) Administer the dose as prescribed
B) Verify the order with the prescriber
C) Reduce the dose independently
D) Skip the medication entirely
Correct Answer: B
Rationale: The technologist should verify questionable orders with the prescriber before administration.
Question 11: Which principle means "do no harm"?
A) Autonomy
B) Nonmaleficence
C) Beneficence
D) Justice
Correct Answer: B
Rationale: Nonmaleficence means avoiding harm to the patient.
Question 12: Patient autonomy in medication administration means:
A) The physician decides all treatments
B) The patient has the right to refuse treatment
C) The technologist decides the dose
D) The family makes all decisions
Correct Answer: B
Rationale: Autonomy respects the patient's right to make informed decisions, including refusal.
Question 13: A patient refuses a contrast-enhanced study due to religious beliefs. The technologist
should:
A) Proceed with the study anyway
B) Respect the refusal and notify the radiologist
C) Persuade the patient to change their mind
D) Document the refusal and dismiss the patient
Correct Answer: B
Rationale: Patient autonomy requires respecting the refusal and notifying the appropriate provider.
Question 14: Adverse drug reactions should be reported to:
A) The patient's family only
B) The FDA and institutional reporting systems
C) The local newspaper
D) No one, as reactions are expected
Correct Answer: B
Rationale: Adverse reactions should be reported to the FDA and institutional systems.