HESI RADIOGRAPHY EXIT EXAM NEWEST 2026
ACTUAL EXAM TEST BANK| RADIOGRAPHY HESI
EXIT EXAM REVIEW WITH 350 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
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
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.
pg. 1
,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.
How should a drug be administered to get the quickest response?
A. Subcutaneously
B. Intravenously
C. Orally
D. Rectally - Correct Answer -B. Intravenously
Intravenous medication administrations result in the quickest response.
A radiographer enters a room to take a portable foot series on a patient in
her final trimester of pregnancy. The patient is just finishing her lunch
and begins choking. How should the radiographer respond to this
medical emergency?
A. Place the patient in the Trendelenburg position.
B. Start cardiopulmonary resuscitation (CPR).
C. Apply an inward and upward thrust in the midline of the abdomen.
D. Initiate a backward thrust in the center of the sternum. - Correct
Answer -D. Initiate a backward thrust in the center of the sternum.
Abdominal thrusts can be dangerous in the late stages of pregnancy, so
the radiographer should use backward thrusts in the center of the
sternum.
pg. 2
,What is the wide spread of Methicillin-resistant Staphylococcus aureas
(MRSA) mainly attributed to?
A. Improper cleaning of medical equipment.
B. Poor hygiene and overuse of pain killers.
C. Over prescription of antibiotics and poor infection control practices.
D. Use of antibiotics with immunosuppressed patients. - Correct Answer
-C. Over prescription of antibiotics and poor infection control practices.
The overuse of antibiotics and lax infection control practices has lead to
infections that do not respond to normal antibiotics, such as MRSA. If
used properly, antibiotics may be used to treat immunosuppressed
patients. Improper cleaning of medical equipment may cause clostridium
difficile colitis, another hospital acquired infection, and poor hygiene
could lead to community-acquired MRSA.
Which is the most appropriate guideline to follow when radiographing
patients in their late adult years?
A. Perform the exam as quickly as possible.
B. Assume the patient has reduced mental capacity.
C. Repeat instructions often so the patient won't forget.
D. Speak slowly and in a low tone of voice. - Correct Answer -D. Speak
slowly and in a low tone of voice.
When speaking to patients in their late adult years, it is often helpful to
speak more slowly and in a lower tone.
Which legal concept is violated by a radiographer who performs an
examination without an examination order?
A. Malpractice
B. Battery
pg. 3
, C. Res ipsa loquitor
D. Respondeat superior - Correct Answer -B. Battery
A radiographer who performs an examination without an examination
order could be accused of battery.
Which angle of insertion is recommended when performing
venipuncture?
A. 5 degrees
B. 15 degrees
C. 45 degrees
D. 90 degrees - Correct Answer -B. 15 degrees
When the radiographer is inserting a needle into a vein, the needle
should be at approximately 15 degrees. Angles of insertion less than 15
degrees may result in the needle entering above the vein. A 90-degree
angle is recommended for intramuscular injections. A 45-degree angle of
insertion may result in the needle going through the vein.
A patient who complains of blurred vision and dizziness upon standing
for an upright chest x-ray may be experiencing which condition?
A. Orthostatic hypertension
B. Hyperglycemia
C. Hypoglycemia
D. Orthostatic hypotension - Correct Answer -D. Orthostatic
hypotension
A patient exhibiting blurred vision and dizziness upon standing is most
likely experiencing orthostatic hypotension which is a sudden drop in
blood pressure.
pg. 4
ACTUAL EXAM TEST BANK| RADIOGRAPHY HESI
EXIT EXAM REVIEW WITH 350 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
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
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.
pg. 1
,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.
How should a drug be administered to get the quickest response?
A. Subcutaneously
B. Intravenously
C. Orally
D. Rectally - Correct Answer -B. Intravenously
Intravenous medication administrations result in the quickest response.
A radiographer enters a room to take a portable foot series on a patient in
her final trimester of pregnancy. The patient is just finishing her lunch
and begins choking. How should the radiographer respond to this
medical emergency?
A. Place the patient in the Trendelenburg position.
B. Start cardiopulmonary resuscitation (CPR).
C. Apply an inward and upward thrust in the midline of the abdomen.
D. Initiate a backward thrust in the center of the sternum. - Correct
Answer -D. Initiate a backward thrust in the center of the sternum.
Abdominal thrusts can be dangerous in the late stages of pregnancy, so
the radiographer should use backward thrusts in the center of the
sternum.
pg. 2
,What is the wide spread of Methicillin-resistant Staphylococcus aureas
(MRSA) mainly attributed to?
A. Improper cleaning of medical equipment.
B. Poor hygiene and overuse of pain killers.
C. Over prescription of antibiotics and poor infection control practices.
D. Use of antibiotics with immunosuppressed patients. - Correct Answer
-C. Over prescription of antibiotics and poor infection control practices.
The overuse of antibiotics and lax infection control practices has lead to
infections that do not respond to normal antibiotics, such as MRSA. If
used properly, antibiotics may be used to treat immunosuppressed
patients. Improper cleaning of medical equipment may cause clostridium
difficile colitis, another hospital acquired infection, and poor hygiene
could lead to community-acquired MRSA.
Which is the most appropriate guideline to follow when radiographing
patients in their late adult years?
A. Perform the exam as quickly as possible.
B. Assume the patient has reduced mental capacity.
C. Repeat instructions often so the patient won't forget.
D. Speak slowly and in a low tone of voice. - Correct Answer -D. Speak
slowly and in a low tone of voice.
When speaking to patients in their late adult years, it is often helpful to
speak more slowly and in a lower tone.
Which legal concept is violated by a radiographer who performs an
examination without an examination order?
A. Malpractice
B. Battery
pg. 3
, C. Res ipsa loquitor
D. Respondeat superior - Correct Answer -B. Battery
A radiographer who performs an examination without an examination
order could be accused of battery.
Which angle of insertion is recommended when performing
venipuncture?
A. 5 degrees
B. 15 degrees
C. 45 degrees
D. 90 degrees - Correct Answer -B. 15 degrees
When the radiographer is inserting a needle into a vein, the needle
should be at approximately 15 degrees. Angles of insertion less than 15
degrees may result in the needle entering above the vein. A 90-degree
angle is recommended for intramuscular injections. A 45-degree angle of
insertion may result in the needle going through the vein.
A patient who complains of blurred vision and dizziness upon standing
for an upright chest x-ray may be experiencing which condition?
A. Orthostatic hypertension
B. Hyperglycemia
C. Hypoglycemia
D. Orthostatic hypotension - Correct Answer -D. Orthostatic
hypotension
A patient exhibiting blurred vision and dizziness upon standing is most
likely experiencing orthostatic hypotension which is a sudden drop in
blood pressure.
pg. 4
