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HESI RADIOGRAPHY PRACTICE TEST 1
2025/2026 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
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
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B. A 18-year-old female for an intravenous urogram
C. An 83-year-old female for a chest x-ray
D. A two-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.
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
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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
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.
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The Radiographer Is Assisting A Patient To Move From A
Wheelchair To The X-Ray Table. Which Represents The Safest
Practice By The Radiographer When Moving This Patient?
A. Maintain The Center Of Gravity Over The Base Of Support.
B. Extend The Arms As Far As Possible To Increase The Base
Of Support.
C. Bend At The Waist So The Center Of Gravity Is Midway
Between The Patient And The Base Of Support.
D. Reduce The Base Of Support Slightly So The Center Of
Gravity Is Easier To Maintain. - CORRECT ANSWER- A.
Maintain The Center Of Gravity Over The Base Of Support.
The Radiographer Should Maintain The Center Of Gravity Over
The Base Of Support. If Movement Is Required, Then The
Feet Should Be Moved To Maintain This Relationship. All
Other Responses Violate Proper Body Mechanics.
Which Term Best Describes The Process Of Cleaning The
Surfaces In A Radiology Department With 10% Bleach Solution
In Water?
A. Sterile Technique
B. Medical Asepsis
C. Sterilization
D. Surgical Asepsis - CORRECT ANSWER- B. Medical Asepsis
HESI RADIOGRAPHY PRACTICE TEST 1
2025/2026 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
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
,2 | Page
B. A 18-year-old female for an intravenous urogram
C. An 83-year-old female for a chest x-ray
D. A two-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.
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
,3 | Page
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
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.
, 4 | Page
The Radiographer Is Assisting A Patient To Move From A
Wheelchair To The X-Ray Table. Which Represents The Safest
Practice By The Radiographer When Moving This Patient?
A. Maintain The Center Of Gravity Over The Base Of Support.
B. Extend The Arms As Far As Possible To Increase The Base
Of Support.
C. Bend At The Waist So The Center Of Gravity Is Midway
Between The Patient And The Base Of Support.
D. Reduce The Base Of Support Slightly So The Center Of
Gravity Is Easier To Maintain. - CORRECT ANSWER- A.
Maintain The Center Of Gravity Over The Base Of Support.
The Radiographer Should Maintain The Center Of Gravity Over
The Base Of Support. If Movement Is Required, Then The
Feet Should Be Moved To Maintain This Relationship. All
Other Responses Violate Proper Body Mechanics.
Which Term Best Describes The Process Of Cleaning The
Surfaces In A Radiology Department With 10% Bleach Solution
In Water?
A. Sterile Technique
B. Medical Asepsis
C. Sterilization
D. Surgical Asepsis - CORRECT ANSWER- B. Medical Asepsis
