ARRT Limited Scope of Practice in Radiography

Before a radiographic exam, the limited X-ray operator must verify patient identity. Which approach meets accepted patient-care standards?

• AConfirm only the room number against the requisition
• BUse two patient identifiers (e.g., name and date of birth) and compare to the order
• CTrust the wristband alone without verbal confirmation
• DAsk a family member to confirm identity for an alert adult patient

Under HIPAA, which of the following best describes protected health information (PHI)?

• AOnly paper medical records stored in the imaging department
• BAny individually identifiable health information in any form (verbal, written, or electro…
• COnly the patient's name and Social Security number
• DImaging studies, but not technologist progress notes

Which legal doctrine means 'let the master answer' and holds an employer responsible for the negligent acts of an employee performed within the scope of employment?

• ARes ipsa loquitur
• BRespondeat superior
• CBeneficence
• DStare decisis

A patient says 'I don't want this exam.' What is the limited X-ray operator's correct first action?

• AProceed because the physician ordered the exam
• BUse light physical guidance to position the patient
• CStop the exam and notify the ordering provider; document the refusal
• DBring in another technologist to convince the patient

Which of the following best demonstrates effective nonverbal communication during a radiographic exam?

• ASpeaking quickly to keep on schedule
• BStanding across the room while giving instructions
• CMaintaining eye contact and using calm gestures
• DAvoiding any touch when guiding the patient

Which body mechanics principle is most important when transferring a heavy patient from a wheelchair to the radiographic table?

• AKeep your knees straight and bend at the waist
• BHold the load away from your body for balance
• CKeep the load close, bend the knees, and maintain a wide base of support
• DTwist at the spine while lifting to save time

Normal adult resting vital sign ranges for a healthy patient are approximately:

• AHR 40-50, RR 8-10, BP 90/50
• BHR 60-100, RR 12-20, BP 90/60-120/80
• CHR 100-130, RR 22-30, BP 140/90
• DHR 60-100, RR 30-40, BP 80/50

Which of these is the correct response if a patient becomes unresponsive and pulseless on the radiographic table?

• AContinue the exam and call the provider after
• BActivate the emergency response system, begin CPR with chest compressions, and call for t…
• CMove the patient to a chair before starting CPR
• DWait for a physician to arrive before starting compressions

A patient receiving iodinated contrast develops urticaria, hoarseness, and wheezing. This is best classified as:

• AA mild reaction requiring observation only
• BA moderate to severe reaction; notify provider, prepare for epinephrine and oxygen
• CAn expected pharmacologic response
• DA vasovagal reaction; have the patient stand up

Which infection-control practice is the single most effective at reducing the spread of healthcare-associated infections?

• AWearing N95 respirators for every patient
• BHand hygiene before and after every patient contact
• CCleaning the exam table once per shift
• DWearing sterile gloves for all imaging

Which describes the correct difference between sterile technique and aseptic (medical asepsis) technique?

• ASterile and aseptic technique are identical
• BSterile means free of all microorganisms; aseptic means reducing microorganisms and break…
• CAseptic technique requires sterile gloves
• DSterile technique is used only in the radiology department

When working with a patient on contact precautions, the operator should:

• AWear a surgical mask only
• BWear gown and gloves entering the room and remove them before leaving
• CAvoid imaging the patient entirely
• DUse a sterile gown only

Which of the following is NOT a route of pathogen transmission?

• AContact (direct or indirect)
• BDroplet
• CAirborne
• DLinear non-threshold

Which oxygen-delivery device delivers approximately 24-44% FiO2 at 1-6 L/min?

• ANasal cannula
• BNon-rebreather mask
• CVenturi mask
• DBag-valve mask

A patient on a urinary catheter must be transferred to the table. The collection bag should be:

• APlaced on the table near the patient's chest
• BKept above the bladder during transfer
• CKept below the level of the bladder at all times
• DDisconnected during the imaging exam

Which patient population is most at risk for an acute kidney injury (AKI) following iodinated contrast administration?

• AA 25-year-old healthy athlete
• BA patient with known severely reduced eGFR
• CA patient on routine vitamins
• DA pediatric patient with no medical history