UTC Emergency Procedures & Response 5

Question 1

During a renal ultrasound, a dialysis patient reports sudden severe headache and visual changes. Blood pressure reads 230/140 mmHg. This presentation is consistent with:

Accepted Answer

Hypertensive emergency requiring immediate escalation

Answer

A BP of 230/140 mmHg with end-organ symptom signs (headache, visual changes) constitutes a hypertensive emergency requiring immediate physician notification.

Question 2

A patient on anticoagulation therapy develops a hematoma at a biopsy site that is rapidly expanding. The sonographer should:

Accepted Answer

Apply firm manual pressure and immediately notify the physician

Answer

A rapidly expanding hematoma in an anticoagulated patient can cause hemorrhagic shock; immediate pressure and physician notification are required.

Question 3

When documenting a critical ultrasound finding that changes patient management immediately, the sonographer should:

Accepted Answer

Verbally communicate the finding to the ordering provider and document the notification time

Answer

Critical values require direct verbal communication to the ordering provider with documentation of the time and person notified.

Question 4

A patient undergoing a transesophageal echocardiogram (TEE) has the probe in place when they begin vomiting. The sonographer should:

Accepted Answer

Remove the probe, position the patient on their side, and call for assistance

Answer

Active vomiting with an esophageal probe in place risks aspiration; the probe must be removed and the patient turned to lateral position immediately.

Question 5

A code blue is called in the ultrasound suite. As the first responder, after confirming unresponsiveness, your next step before starting CPR is to:

Accepted Answer

Check for absence of normal breathing and a pulse simultaneously (no more than 10 seconds)

Answer

After confirming unresponsiveness, AHA guidelines direct you to check for absent or abnormal breathing and lack of pulse simultaneously for no more than 10 seconds before starting CPR.

(UTC) Ultrasound Technologist Certification Practice Test

(UTC) Ultrasound Technologist Certification Practice Test

UTC Emergency Procedures & Response 5