DANB RHS Practice Test

Answer choices

1. A. Use the highest available factors to prevent every possible retake. This would not correct the stated dental-radiography problem and could add avoidable error or exposure.
2. B. Use one fixed technique for every patient and receptor type.
3. C. Use patient- and receptor-appropriate settings that produce a diagnostic image without increasing kVp, mA, or time beyond clinical need.
4. D. Increase exposure time whenever positioning is difficult.

Wrong-answer review

• A. Use the highest available factors to prevent every possible retake. This would not correct the stated dental-radiography problem and could add avoidable error or exposure.: Incorrect. This response does not correctly address the dental-radiography technique, safety, patient-management, or infection-control issue.
• B. Use one fixed technique for every patient and receptor type.: Incorrect. This response does not correctly address the dental-radiography technique, safety, patient-management, or infection-control issue.
• D. Increase exposure time whenever positioning is difficult.: Incorrect. This response does not correctly address the dental-radiography technique, safety, patient-management, or infection-control issue.

Answer choices

1. A. Implement an alcohol-based disinfectant wipe protocol for detector cleaning between patients, ensuring adequate contact time and proper disposal of wipes.
2. B. Advise the radiographer to continue the current practice, as dry wiping effectively removes dust and debris, minimizing potential contamination. while following est
3. C. Recommend the clinic purchase disposable detector covers to be changed between each patient, reducing the need for cleaning.
4. D. Suggest the radiographer use a mild soap and water solution for detector cleaning, followed by a thorough rinsing and drying.

Answer choices

1. A. Document the observation in the audit report and recommend a refresher training for the entire radiography team on infection control practices. under the applicable office protocol
2. B. Issue a verbal warning to the technologist, reminding them to be more cautious with wipe usage and to avoid visible soiling.
3. C. Immediately retrain the technologist on proper disinfection techniques, emphasizing the use of a fresh wipe for each patient encounter and documenting adherence to the protocol.
4. D. Provide the technologist with additional disinfectant wipes and instruct them to use more wipes per patient, without further training or documentation.

Answer choices

1. A. Use general medical-radiography positioning rules instead of dental technique. This would not correct the stated dental-radiography problem and could add avoidable error or exposure.
2. B. Increase exposure factors whenever anatomy is difficult to position.
3. C. Use correct patient preparation, receptor positioning, beam alignment, and quality-control technique to obtain the needed diagnostic image without unnecessary retakes.
4. D. Repeat images routinely before checking whether the first image is diagnostic.

Answer choices

1. A. Reinforce the radiographer's practice, as standard disinfection is adequate for patient table surfaces.
2. B. Advise the radiographer to implement a dedicated barrier, such as disposable covers, for the patient table between examinations.
3. C. Recommend the radiographer utilize a sporicidal disinfectant, given the potential for resistant organisms on the patient table. under the applicable office protocol
4. D. Suggest the radiographer increase the frequency of disinfection to every other examination to minimize potential exposure.

Answer choices

1. A. Accept the radiologist's protocol as it is, as they are responsible for clinical decisions and image quality.
2. B. Immediately halt all pediatric CT scans using this protocol until the radiologist provides written justification for the increased tube current. under the applicable office protocol
3. C. Inform the radiology department manager that the radiologist should adjust the protocol to standard adult settings without further discussion.
4. D. Consult with the radiologist to discuss the necessity of the higher tube current and explore alternative imaging techniques or dose reduction strategies, documenting the discussion.

Answer choices

1. A. Use shielding when available, maximize distance, and remain out of the path of the primary beam.
2. B. Hold the receptor in the patient's mouth during exposure.
3. C. Stand directly behind the PID during exposure.
4. D. Remain close to the patient so the operator blocks scatter. This would not correct the stated dental-radiography problem and could add avoidable error or exposure.

Answer choices

1. A. Use the same image series and settings for every patient. This would not correct the stated dental-radiography problem and could add avoidable error or exposure.
2. B. Take duplicate images routinely to avoid missing disease.
3. C. Use patient-specific justification and optimized technique to obtain the needed diagnostic information with no unnecessary exposure.
4. D. Increase exposure factors whenever the patient is young.

Answer choices

1. A. Provide the radiographer with a refresher training module on the indications and limitations of panoramic imaging, emphasizing the potential for magnification and distortion.
2. B. Immediately prohibit the use of panoramic imaging for mandibular surveys, mandating a switch to bisecting-angle technique to ensure optimal image quality.
3. C. Document the radiographer's preference, noting the potential for increased repeat exposures, and proceed with the audit without further intervention.
4. D. Reinforce the radiographer’s technique, but mandate a review of collimation practices and image processing to minimize patient dose and reduce repeat exposures.

Answer choices

1. A. Use shielding when available, maximize distance, and remain out of the path of the primary beam.
2. B. Hold the receptor in the patient's mouth during exposure.
3. C. Stand directly behind the PID during exposure.
4. D. Remain close to the patient so the operator blocks scatter. This would not correct the stated dental-radiography problem and could add avoidable error or exposure.