1 | Page
| | | | | |
HESI RADIOGRAPHY PRACTICE TEST 1 2025
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Which procedure is an example of surgical asepsis?
| | | | | | |
A. Clean glove application. | |
B. Hand washing |
C. Clean gown application | |
D. Surgical hand scrub. - correct answer- D. Surgical hand
| | | | | | | |
scrub.
|
Asepsis is the absence of disease-producing (pathogenic)
| | | | | |
organisms. Surgical asepsis, or sterile technique, includes
| | | | | | |
procedures used to eliminate all microorganisms from an area.
| | | | | | | | |
Surgical hand scrub, sterile glove application, and sterile gown
| | | | | | | | |
application are examples of surgical asepsis.
| | | | | |
A radiographer receives a request for a portable chest x-ray
| | | | | | | | |
and then performs the x-ray on the incorrect patient. Which
| | | | | | | | | |
legal term best describes the actions of the radiographer?
| | | | | | | | |
A. Battery
B. Negligence
C. Assault
,2 | Page
| | | | | |
D. Invasion of privacy - correct answer- A. Battery | | | | | | |
Battery is defined as touching to which the victim has not
| | | | | | | | | |
consented. Performing a procedure on the wrong patient may
| | | | | | | | |
constitute grounds for a charge of battery.
| | | | | | |
The lead radiographer is planning a strategy to efficiently manage
| | | | | | | | |
the morning workload. The department is short-staffed due to
| | | | | | | | |
meetings, and four patients are now ready for their examinations.
| | | | | | | | | |
Assuming that none of the exams is emergent, which patient
| | | | | | | | | |
should be seen first?
| | | |
A. An 54-year-old male with type 2 diabetes for an upper GI
| | | | | | | | | |
B. A18-year-old female for an intravenous urogram
| | | | | |
C. An 83-year-old female for a chest x-ray
| | | | | |
D. Atwo-year-old child for a barium swallow - correct answer-
| | | | | | | | |
D.A two-year-old child for a barium swallow
| | | | | | |
An x-ray department should begin the day with patients who are
| | | | | | | | | |
fasting prior to their examination. In this example, more than one
| | | | | | | | | | |
of the patients is fasting, so the radiographer must decide who
| | | | | | | | | | |
goes first based on other factors. Since none of the cases are
| | | | | | | | | | | |
emergent, consideration should be given to pediatric and
| | | | | | | |
geriatric patients because they have the most difficulty being
| | | | | | | | |
NPO for long periods of time.
| | | | | |
,3 | Page
| | | | | |
Which type of contrast agent is preferred for low risk and low cost
| | | | | | | | | | | |
for a patient diagnosed with a possible perforated bowel?
| | | | | | | | |
A. Barium sulfate suspension, flavored
| | | |
B. Gaseous media in the form of crystals
| | | | | | |
C. Ionic, water soluble, diluted with juice
| | | | | |
D. Nonionic, water soluble, diluted with juice - correct answer-
| | | | | | | | |
C. Ionic, water soluble, diluted with juice
| | | | | |
The least risk with the least cost would dictate ionic, water soluble
| | | | | | | | | | |
media. Barium should definitely be avoided, because of the risk of
| | | | | | | | | | |
introducing contrast into the peritoneum. Barium sulfate
| | | | | | |
suspension might cause adhesions if it spills into the peritoneum
| | | | | | | | | |
via a perforation. Gaseous media will not yield all of the
| | | | | | | | | | |
information that positive media will in this case.
| | | | | | | |
A patient reports symptoms including itching, rash formation, and
| | | | | | | |
difficulty breathing immediately following the administration of
| | | | | | |
intravenous (IV) contrast media. Assuming the patient has had
| | | | | | | | |
no prior exposure to radiopaque contrast media, what is the most
| | | | | | | | | | |
likely cause of these symptoms?
| | | | |
A.Acute bronchospasm
| |
B.Allergic reaction
| |
C. Anaphylactoid reaction
| |
D. Acute renal failure - correct answer- C. Anaphylactoid reaction
| | | | | | | | |
, 4 | Page
| | | | | |
The symptoms described in this scenario are the result of an
| | | | | | | | | |
anaphylactoid reaction, a type of reaction that clinically mimics
| | | | | | | | |
anaphylaxis but requires no previous exposure to contrast
| | | | | | | |
media.
|
A patient received 100 ml of IV contrast media as a part of an
| | | | | | | | | | | | |
abdominal computed tomography (CT) scan, as well as 500 ml of
| | | | | | | | | | |
dilute, oral contrast, prior to coming to Radiology for a separate
| | | | | | | | | | |
order, an intravenous urogram (IVU). The patient's creatinine is
| | | | | | | | |
0.4 mg/dl and BUN is 36 mg/dl. Why should this IVU be
| | | | | | | | | | | |
rescheduled?
|
A. The presence of the previous oral contrast in the abdomen
| | | | | | | | | |
precludes an IVU.
| | |
B. The lab values indicate increased risk for contrast injection.
| | | | | | | | |
C. The lab values indicate that the contrast would not be excreted
| | | | | | | | | | |
in sufficient quantity to be useful for an IVU.
| | | | | | | | |
D. The presence of the previous intravenous contrast precludes an
| | | | | | | | |
IVU - correct answer- A. The presence of the previous oral
| | | | | | | | | | |
contrast in the abdomen precludes an IVU.
| | | | | | |
The single, most compelling reason to reschedule this IVU is the
| | | | | | | | | |
presence of previous oral contrast in the abdomen.
| | | | | | | |
| | | | | |
HESI RADIOGRAPHY PRACTICE TEST 1 2025
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Which procedure is an example of surgical asepsis?
| | | | | | |
A. Clean glove application. | |
B. Hand washing |
C. Clean gown application | |
D. Surgical hand scrub. - correct answer- D. Surgical hand
| | | | | | | |
scrub.
|
Asepsis is the absence of disease-producing (pathogenic)
| | | | | |
organisms. Surgical asepsis, or sterile technique, includes
| | | | | | |
procedures used to eliminate all microorganisms from an area.
| | | | | | | | |
Surgical hand scrub, sterile glove application, and sterile gown
| | | | | | | | |
application are examples of surgical asepsis.
| | | | | |
A radiographer receives a request for a portable chest x-ray
| | | | | | | | |
and then performs the x-ray on the incorrect patient. Which
| | | | | | | | | |
legal term best describes the actions of the radiographer?
| | | | | | | | |
A. Battery
B. Negligence
C. Assault
,2 | Page
| | | | | |
D. Invasion of privacy - correct answer- A. Battery | | | | | | |
Battery is defined as touching to which the victim has not
| | | | | | | | | |
consented. Performing a procedure on the wrong patient may
| | | | | | | | |
constitute grounds for a charge of battery.
| | | | | | |
The lead radiographer is planning a strategy to efficiently manage
| | | | | | | | |
the morning workload. The department is short-staffed due to
| | | | | | | | |
meetings, and four patients are now ready for their examinations.
| | | | | | | | | |
Assuming that none of the exams is emergent, which patient
| | | | | | | | | |
should be seen first?
| | | |
A. An 54-year-old male with type 2 diabetes for an upper GI
| | | | | | | | | |
B. A18-year-old female for an intravenous urogram
| | | | | |
C. An 83-year-old female for a chest x-ray
| | | | | |
D. Atwo-year-old child for a barium swallow - correct answer-
| | | | | | | | |
D.A two-year-old child for a barium swallow
| | | | | | |
An x-ray department should begin the day with patients who are
| | | | | | | | | |
fasting prior to their examination. In this example, more than one
| | | | | | | | | | |
of the patients is fasting, so the radiographer must decide who
| | | | | | | | | | |
goes first based on other factors. Since none of the cases are
| | | | | | | | | | | |
emergent, consideration should be given to pediatric and
| | | | | | | |
geriatric patients because they have the most difficulty being
| | | | | | | | |
NPO for long periods of time.
| | | | | |
,3 | Page
| | | | | |
Which type of contrast agent is preferred for low risk and low cost
| | | | | | | | | | | |
for a patient diagnosed with a possible perforated bowel?
| | | | | | | | |
A. Barium sulfate suspension, flavored
| | | |
B. Gaseous media in the form of crystals
| | | | | | |
C. Ionic, water soluble, diluted with juice
| | | | | |
D. Nonionic, water soluble, diluted with juice - correct answer-
| | | | | | | | |
C. Ionic, water soluble, diluted with juice
| | | | | |
The least risk with the least cost would dictate ionic, water soluble
| | | | | | | | | | |
media. Barium should definitely be avoided, because of the risk of
| | | | | | | | | | |
introducing contrast into the peritoneum. Barium sulfate
| | | | | | |
suspension might cause adhesions if it spills into the peritoneum
| | | | | | | | | |
via a perforation. Gaseous media will not yield all of the
| | | | | | | | | | |
information that positive media will in this case.
| | | | | | | |
A patient reports symptoms including itching, rash formation, and
| | | | | | | |
difficulty breathing immediately following the administration of
| | | | | | |
intravenous (IV) contrast media. Assuming the patient has had
| | | | | | | | |
no prior exposure to radiopaque contrast media, what is the most
| | | | | | | | | | |
likely cause of these symptoms?
| | | | |
A.Acute bronchospasm
| |
B.Allergic reaction
| |
C. Anaphylactoid reaction
| |
D. Acute renal failure - correct answer- C. Anaphylactoid reaction
| | | | | | | | |
, 4 | Page
| | | | | |
The symptoms described in this scenario are the result of an
| | | | | | | | | |
anaphylactoid reaction, a type of reaction that clinically mimics
| | | | | | | | |
anaphylaxis but requires no previous exposure to contrast
| | | | | | | |
media.
|
A patient received 100 ml of IV contrast media as a part of an
| | | | | | | | | | | | |
abdominal computed tomography (CT) scan, as well as 500 ml of
| | | | | | | | | | |
dilute, oral contrast, prior to coming to Radiology for a separate
| | | | | | | | | | |
order, an intravenous urogram (IVU). The patient's creatinine is
| | | | | | | | |
0.4 mg/dl and BUN is 36 mg/dl. Why should this IVU be
| | | | | | | | | | | |
rescheduled?
|
A. The presence of the previous oral contrast in the abdomen
| | | | | | | | | |
precludes an IVU.
| | |
B. The lab values indicate increased risk for contrast injection.
| | | | | | | | |
C. The lab values indicate that the contrast would not be excreted
| | | | | | | | | | |
in sufficient quantity to be useful for an IVU.
| | | | | | | | |
D. The presence of the previous intravenous contrast precludes an
| | | | | | | | |
IVU - correct answer- A. The presence of the previous oral
| | | | | | | | | | |
contrast in the abdomen precludes an IVU.
| | | | | | |
The single, most compelling reason to reschedule this IVU is the
| | | | | | | | | |
presence of previous oral contrast in the abdomen.
| | | | | | | |
