HESI Patient Care
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? - ANSA 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. The geriatric patient, however, is not required to
fast. Patients with diabetes who have postponed their insulin should also be given special
consideration. Since type 2 diabetes is non-insulin dependent, the two-year-old child represents
the best option. In addition, the 18-year-old female is likely able to handle being NPO.
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? - ANSBattery
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. Invasion of privacy is defined
as unjustifiable intrusion on another's right of privacy. Assault may be alleged if the radiographer
threatens to perform the x-ray, however, battery occurs when the x-ray is actually performed.
Negligence represents a breach in established standards of care resulting in harm to the
patient. Negligence would exist in this case, if the patient were demonstrably harmed.
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? - ANSAnaphylactoid 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.
Acute bronchospasm is unrelated to itching or rash formation. The effects of acute renal failure
will not typically manifest immediately, although patients may develop symptoms such as
shortness of breath and generalized swelling. The symptoms described cannot be allergic,
because of the lack of prior exposure to contrast media. Allergy occurs due to the formation of
antibodies in a prior exposure to the allergen.
A patient who complains of blurred vision and dizziness upon standing for an upright chest x-ray
may be experiencing which condition? - ANSOrthostatic hypotension
, A patient exhibiting blurred vision and dizziness upon standing is most likely experiencing
orthostatic hypotension which is a sudden drop in blood pressure. Orthostatic hypertension is an
increase in blood pressure upon standing or sitting up. Hypoglycemia exhibits as excessive
sweating, weak and shakiness in the patient. Hyperglycemia exhibits as excessive thirst and
urination in the patient.
Place the types of contrast media in order of decreasing opacity. - ANSThick barium sulfate.
Thin barium sulfate.
Ionic, water soluble.
Carbon dioxide.
In which clinical situation has valid consent been obtained?
A 17-year-old male provides consent for a myelogram to be performed. Incorrect
Consent to perform an angiogram on a mentally disabled adult is provided by a healthcare
worker from the facility where the patient resides.
A 16-year-old mother provides consent to perform an x-ray her 6-month-old child. Correct
Consent to perform an x-ray on a 3-year-old grandchild is provided by the child's grandmother. -
ANSA 16-year-old mother provides consent to perform an x-ray her 6-month-old child.
A 16-year-old mother is considered an emancipated minor and has the legal right to grant
consent for procedures to be performed on her child. Without authority in the form of legal
guardianship or power of medical attorney, other people may not offer legal consent for medical
procedures to be performed on another individual.
A radiographer prepares to transfer a patient from a wheelchair to the x-ray table. The patient
recently suffered a stroke, exhibits left-sided weakness, and is able to bear some weight. How
should the radiographer move the patient to the table? - ANSPosition the right side of the
wheelchair next to the table.
Because the patient's strongest side is the right side, the radiographer should position the right
side of the wheelchair next to the table. Hydraulic lifts are used for patients who cannot bear
weight and are too heavy to lift. Positioning the left side of the wheelchair to the table places the
patient's strong side away from the table. Two radiographers to move the patient is called a
two-person lift and is used when the patient cannot bear weight but can be lifted manually.
What is required under the Health Insurance Portability and Accountability Act (HIPAA)? (Select
the three that apply.) - ANSThe patient must receive written information on how the health
information will be used.
Patients have the right to request restrictions on disclosures of their information.
The patients are able to request amendments to their records.
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? - ANSA 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. The geriatric patient, however, is not required to
fast. Patients with diabetes who have postponed their insulin should also be given special
consideration. Since type 2 diabetes is non-insulin dependent, the two-year-old child represents
the best option. In addition, the 18-year-old female is likely able to handle being NPO.
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? - ANSBattery
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. Invasion of privacy is defined
as unjustifiable intrusion on another's right of privacy. Assault may be alleged if the radiographer
threatens to perform the x-ray, however, battery occurs when the x-ray is actually performed.
Negligence represents a breach in established standards of care resulting in harm to the
patient. Negligence would exist in this case, if the patient were demonstrably harmed.
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? - ANSAnaphylactoid 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.
Acute bronchospasm is unrelated to itching or rash formation. The effects of acute renal failure
will not typically manifest immediately, although patients may develop symptoms such as
shortness of breath and generalized swelling. The symptoms described cannot be allergic,
because of the lack of prior exposure to contrast media. Allergy occurs due to the formation of
antibodies in a prior exposure to the allergen.
A patient who complains of blurred vision and dizziness upon standing for an upright chest x-ray
may be experiencing which condition? - ANSOrthostatic hypotension
, A patient exhibiting blurred vision and dizziness upon standing is most likely experiencing
orthostatic hypotension which is a sudden drop in blood pressure. Orthostatic hypertension is an
increase in blood pressure upon standing or sitting up. Hypoglycemia exhibits as excessive
sweating, weak and shakiness in the patient. Hyperglycemia exhibits as excessive thirst and
urination in the patient.
Place the types of contrast media in order of decreasing opacity. - ANSThick barium sulfate.
Thin barium sulfate.
Ionic, water soluble.
Carbon dioxide.
In which clinical situation has valid consent been obtained?
A 17-year-old male provides consent for a myelogram to be performed. Incorrect
Consent to perform an angiogram on a mentally disabled adult is provided by a healthcare
worker from the facility where the patient resides.
A 16-year-old mother provides consent to perform an x-ray her 6-month-old child. Correct
Consent to perform an x-ray on a 3-year-old grandchild is provided by the child's grandmother. -
ANSA 16-year-old mother provides consent to perform an x-ray her 6-month-old child.
A 16-year-old mother is considered an emancipated minor and has the legal right to grant
consent for procedures to be performed on her child. Without authority in the form of legal
guardianship or power of medical attorney, other people may not offer legal consent for medical
procedures to be performed on another individual.
A radiographer prepares to transfer a patient from a wheelchair to the x-ray table. The patient
recently suffered a stroke, exhibits left-sided weakness, and is able to bear some weight. How
should the radiographer move the patient to the table? - ANSPosition the right side of the
wheelchair next to the table.
Because the patient's strongest side is the right side, the radiographer should position the right
side of the wheelchair next to the table. Hydraulic lifts are used for patients who cannot bear
weight and are too heavy to lift. Positioning the left side of the wheelchair to the table places the
patient's strong side away from the table. Two radiographers to move the patient is called a
two-person lift and is used when the patient cannot bear weight but can be lifted manually.
What is required under the Health Insurance Portability and Accountability Act (HIPAA)? (Select
the three that apply.) - ANSThe patient must receive written information on how the health
information will be used.
Patients have the right to request restrictions on disclosures of their information.
The patients are able to request amendments to their records.
