Deck 20: Medical Emergencies

Question 1

What is the first thing you should do if a patient who is standing turns pale and says he feels dizzy?

A)Quickly take the exposure.
B)Have the patient inhale ammonia.
C)Take the patient's blood pressure.
D)Have the patient lie down.

Answer 1

D
A patient who experiences vertigo should be assisted to a seated or recumbent position,which prevents injury from falling as a result of problems with equilibrium.

Question 2

What type of shock is caused by a failure of the heart to pump enough blood to the vital organs?

A)Cardiogenic
B)Septic
C)Anaphylactic
D)Neurogenic

Answer 2

A
Shock is a general term that indicates a failure of the circulatory system to support vital body functions.Cardiogenic shock,caused by a variety of cardiac disorders,including myocardial infarction,causes a major circulatory disruption to the body's vital organs.

Question 3

A 16-year-old patient comes to the diagnostic imaging department for a CT examination.He is lying on the table in a supine position and suddenly seems to lose consciousness and begins to move violently,with jerking motions.You realize that he is having a generalized seizure.The action that you must take is

A)go to the patient immediately and prevent him from harm.
B)call for help but do not leave the patient.
C)place the patient on the floor and begin cardiopulmonary resuscitation (CPR).
D)to do both a and b.

Answer 3

D
Severe seizures are characterized by involuntary contraction of muscles on either one or both sides of the body.The goal is,to the extent possible,to prevent the patient from being injured.The technologist should certainly call for help and remain by the patient.

Question 4

When comparing hyperglycemia with hypoglycemia,hyperglycemia

A)indicates a low blood glucose level.
B)is typically of rapid onset.
C)portrays clinical symptoms of excessive thirst and urination as well as dry mouth.
D)requires the patient receive a quick form of glucose.

Question 5

What type of shock can result from a severe reaction to the contrast media used in radiographic examinations?

A)Hypovolemic
B)Septic
C)Anaphylactic
D)Cardiogenic

Question 6

Which of the following is most appropriate for a patient to counteract hypoglycemia?

A)Orange juice
B)Diet soda
C)Hamburger
D)Buttered toast

Question 7

What type of shock is caused by loss of blood from a knife or gunshot wound?

A)Cardiogenic
B)Septic
C)Anaphylactic
D)Hypovolemic

Question 8

A common name for an emergency cart within medical imaging is the _____ cart.

A)first aid
B)crash
C)red
D)code

Question 9

The single most important action for the radiographer when administering emergency care is

A)reacting to the emergent situation and providing any and all care needed to save the patient's life.
B)not getting involved for fear of medical and professional liability.
C)providing a competent level of care,recognizing when advanced care is needed,and calling for assistance.
D)waiting to provide care until any doctor arrives.

Question 10

The type of shock that is a result of severe loss of blood is

A)hypovolemic.
B)septic.
C)vasogenic.
D)anaphylactic.

Question 11

When comparing a semiautomatic AED device with an automatic device,

A)both devices determine the patient's cardiac rhythm.
B)the automatic device robotically places the AED paddles on the patient.
C)the semiautomatic AED automatically shocks the patient without action by the operator.
D)none of the above are correct.

Question 12

As you are radiographing a patient from the emergency department who has a knife wound to the upper extremity,you notice that his wound dressing is becoming saturated with blood quickly,and he is getting lightheaded.You should

A)remove the dressing to assess the degree of bleeding.
B)tell the patient to lean over to get his arm lower than his heart.
C)call for help,apply pressure to the wound site,and elevate his arm.
D)lay the patient down and begin CPR.

Question 13

Symptoms of a head injury include

A)respiratory distress.
B)change in state of consciousness.
C)increased appetite.
D)both a and b.

Question 14

An effective method to handle a patient with an asthmatic attack during a radiographic procedure would be to

A)tell the patient to breathe faster and with less depth to avoid losing consciousness.
B)tell the patient to hold his or her breath for 30 seconds to recover.
C)have the patient sit down and allow the patient to use his or her aerosol inhaler.
D)recognize the patient's situation and work faster to get the examination done and the patient returned to the nursing floor.

Question 15

The medical term for a temporary suspension of consciousness is

A)epistaxis.
B)vertigo.
C)syncope.
D)aura.

Question 16

When caring for a patient with epistaxis,the patient

A)should lean forward and pinch his or her nostrils against the midline septum for 10 to 15 minutes.
B)should lie down quickly and tilt his or her head back.
C)needs to be treated for a life-threatening condition and a code announced.
D)should sit back with his or her head tilted,and heparin gel should be applied inside the nose.

Question 17

After the administration of an iodine-based contrast into a patient,it is important for the technologist to observe the patient for

A)signs of a reaction such as increased hunger,cold extremities,and bladder swelling.
B)urticaria,nausea,shortness of breath,tightening in the throat,and cardiac arrest.
C)blurred vision,syncope,and epistaxis.
D)excessive salivation,dry eyes,and nasal dryness.

Question 18

When working with burn patients,it is critically important to

A)increase the air circulation in the room to encourage healing.
B)position the patient with positioning aids such as clamps,sandbags,and tape.
C)spray the burn dressing with lidocaine to relieve the pain.
D)use an extraordinary level of aseptic technique.

Question 19

In preparation for any emergent situation,the professional technologist should become familiar with

A)the location of and access to the crash cart.
B)automatic external defibrillator (AED)operation.
C)institutional numbers for emergency code announcements.
D)all of the above.

Question 20

Providing care in an emergency situation is intended to
1)prepare the injured patient for surgery.
2)prevent further harm to the patient.
3)preserve life.
4)place the patient into an unconscious state for transport.
5)stabilize the patient until the appropriate medical assistance arrives.

A)2,3,and 5 only.
B)1,3,4,and 5 only.
C)3,4,and 5 only.
D)1,4,and 5 only.

Question 21

CPR can be stopped when

A)the rescuer is physically exhausted.
B)a physician says it's time to stop CPR.
C)the patient responds and shows signs of recovery.
D)all of the above are correct.

Question 22

You have come upon a motor vehicle accident as the first person to arrive.As you assess the victim's level of consciousness,you begin to ask questions and encourage the victim to respond.During your efforts to do so,the victim has no verbal response to any stimuli,but his leg moves with your touch and pinch.This person demonstrates what level of consciousness?

A)Alert and responsive
B)Drowsy but can be aroused
C)Unconscious but reflexive
D)Comatose and unresponsive

Question 23

When performing CPR on a patient who is lying supine in a patient bed with a soft mattress,you would first look for what item in the emergency crash cart?

A)Backboard
B)Benadryl
C)Hemostat
D)Suction bottle

Question 24

When performing two-person CPR,

A)compressions are at rate of 100 per minute.
B)compressions are paused briefly to give two ventilations.
C)the rescuers can smoothly switch positions as they choose.
D)all of the above are correct.

Question 25

When using an AED,

A)it is used simultaneously with CPR compressions.
B)two AED chest pads are used,one on the upper right side of the chest and the other on the lower left ribs.
C)the heart is in normal sinus rhythm.
D)CPR can be terminated because it is of no value after the AED is attached.

Question 26

When performing CPR as a single rescuer,

A)the compression rate is performed at 60 compressions per minute.
B)assess circulation using the temporal artery of the forehead.
C)after each group of 30 compressions,give two quick ventilations.
D)sternal compressions should have a maximum depth of 1 inch

Question 27

The Heimlich maneuver is

A)used to start an intravenous line for drug administration.
B)never used on a pregnant patient.
C)modified for infants to include back slaps and chest thrusts.
D)none of the above are correct.

Question 28

All of the following are related EXCEPT

A)airway.
B)breathing.
C)circulation.
D)chest compression.

Question 29

A disorganized cardiac rhythm in which the ventricle "flutters" and loses cardiac output is called

A)syncope.
B)fibrillation.
C)pallor.
D)lethargy.

Question 30

CPR performed on an infant

A)is basically the same as on an adult but adjusted based on patient size.
B)requires chest compressions of 1 to 2 inches.
C)uses a ventilation depth that should be as deep as for an adult.
D)uses two arms locked at the elbows,just as in an adult.