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NURS752 Exam 2 Questions With Correct Answers

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©BRIGHTSTARS EXAM SOLUTIONS 11/16/2024 10:16 AM 1 | P a g e NURS752 Exam 2 Questions With Correct Answers Reasons to order an X ray - answerinfection, dyspnea, chest pain, trauma, hemoptysis, suspected mass What densities can be seen on Xray - answerair, fat, water (soft tissue), bone and metal How does air look on X ray? - answerblackest- less dense What would X ray for pt with emphysema or COPD exacerbation look like? - answerHyperinflated with flattened diaphragm and coarse bronchovesicular markings What would Xray for pneumonia pt look like? - answerGround glass opacities Why would you order a CT? - answerX ray and exam is inconclusive. Disease process ongoing w/o clear dx. Can detect things like PE, lung mass, and help stage tumors d/t better visualization of structures, soft tissues and vessels than X ray Special considerations for CT - answer-high resolution scan best for intersitial disease like pulm fibrosis -consider CT pulmonary angiography when ruling out PE -contrast scans preferred but contraindicated in renal impairment and allergies Which lung has 3 lobes? - answerright T or F: diaphragm marks the lowest part of the lungs - answerFalse Normal CTR - answer< 1:2 What are the most dense structures on a normal X ray? - answerbones How do you measure the adequacy of inspiration x ray? - answerclavicle and ribs are landmarks <5 ribs =incomplete inspiration >7=hyperexpansion ©BRIGHTSTARS EXAM SOLUTIONS 11/16/2024 10:16 AM 2 | P a g e Checklist for reading X ray - answer- heart: silhouette sign -mediastinum -diaphragm -lungs -skeleton When is radiological investigation not warranted? - answeruncomplicated URI, asthma, minor trauma, 3 criteria to determine the quality of a chest X ray - answerrotation, inspiration and penetration Does MRI use ionizing radiation? - answerno Advantages of MRI - answerNo ionising radiation, high quality image produced, distinguishes between different types of soft tissue, not stopped by bone, no known side effects, many details without contrast Disadvantages of MRI - answerhigh costs, longer scanning times than CT, cannot be used in people with implanted metal devices, not widely available, many exclusions, need protocol sequence MRI or CT: initial eval of trauma or hemorrhage - answerCT without contrast MRI or CT: eval of infection, inflammation, malignancy, seizure - answerMRI with and without contrast diagnostic test for epilepsy - answerEEG BEFAST - answerBalance Eyes Face Arms Speech Time for stroke- CT or MRI first? - answerCT to determine if bleed is hemorrhagic or ischemic

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©BRIGHTSTARS EXAM SOLUTIONS

11/16/2024 10:16 AM


NURS752 Exam 2 Questions With Correct
Answers


Reasons to order an X ray - answer✔infection, dyspnea, chest pain, trauma, hemoptysis,
suspected mass

What densities can be seen on Xray - answer✔air, fat, water (soft tissue), bone and metal

How does air look on X ray? - answer✔blackest- less dense
What would X ray for pt with emphysema or COPD exacerbation look like? -
answer✔Hyperinflated with flattened diaphragm and coarse bronchovesicular markings

What would Xray for pneumonia pt look like? - answer✔Ground glass opacities

Why would you order a CT? - answer✔X ray and exam is inconclusive. Disease process ongoing
w/o clear dx. Can detect things like PE, lung mass, and help stage tumors d/t better
visualization of structures, soft tissues and vessels than X ray

Special considerations for CT - answer✔-high resolution scan best for intersitial disease like
pulm fibrosis
-consider CT pulmonary angiography when ruling out PE
-contrast scans preferred but contraindicated in renal impairment and allergies

Which lung has 3 lobes? - answer✔right

T or F: diaphragm marks the lowest part of the lungs - answer✔False

Normal CTR - answer✔< 1:2

What are the most dense structures on a normal X ray? - answer✔bones

How do you measure the adequacy of inspiration x ray? - answer✔clavicle and ribs are
landmarks
<5 ribs =incomplete inspiration >7=hyperexpansion

1|Page

, ©BRIGHTSTARS EXAM SOLUTIONS

11/16/2024 10:16 AM

Checklist for reading X ray - answer✔- heart: silhouette sign
-mediastinum
-diaphragm
-lungs
-skeleton

When is radiological investigation not warranted? - answer✔uncomplicated URI, asthma, minor
trauma,

3 criteria to determine the quality of a chest X ray - answer✔rotation, inspiration and
penetration

Does MRI use ionizing radiation? - answer✔no

Advantages of MRI - answer✔No ionising radiation, high quality image produced, distinguishes
between different types of soft tissue, not stopped by bone, no known side effects, many
details without contrast

Disadvantages of MRI - answer✔high costs, longer scanning times than CT, cannot be used in
people with implanted metal devices, not widely available, many exclusions, need protocol
sequence

MRI or CT: initial eval of trauma or hemorrhage - answer✔CT without contrast

MRI or CT: eval of infection, inflammation, malignancy, seizure - answer✔MRI with and without
contrast

diagnostic test for epilepsy - answer✔EEG

BEFAST - answer✔Balance
Eyes
Face
Arms
Speech
Time

for stroke- CT or MRI first? - answer✔CT to determine if bleed is hemorrhagic or ischemic


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