X-Ray Certification Patient Care and Positioning 2 — Questions and Answers
Question 1: Which body position places the patient lying face down on the table?
- Supine
- Prone (Correct answer)
- Lateral recumbent
- Trendelenburg
Correct answer: Prone
Prone position places the patient face down (ventral surface down) on the imaging table.
Question 2: When performing a PA chest radiograph, the patient's midsagittal plane should be:
- Parallel to the IR
- Perpendicular to the IR (Correct answer)
- At a 45-degree angle to the IR
- Rotated 10 degrees toward the tube
Correct answer: Perpendicular to the IR
The midsagittal plane must be perpendicular to the IR to prevent rotation on a PA chest projection.
Question 3: During a pediatric radiograph, which immobilization device is commonly used to hold infants securely?
- Sandbags only
- Pigg-O-Stat (Correct answer)
- Bucky grid
- Lead apron wrap
Correct answer: Pigg-O-Stat
The Pigg-O-Stat is a commercially available immobilization device designed specifically for upright pediatric chest and abdomen radiographs.
Question 4: A patient arrives with a suspected cervical spine fracture from a motor vehicle accident. The FIRST priority before positioning is to:
- Remove the cervical collar for better imaging
- Maintain spinal immobilization and follow trauma protocols (Correct answer)
- Perform a lateral cervical spine with the patient standing
- Ask the patient to flex and extend the neck
Correct answer: Maintain spinal immobilization and follow trauma protocols
Spinal immobilization must be maintained until a fracture is ruled out; moving the patient improperly can cause permanent neurological injury.
Question 5: Which oblique position requires the patient to rotate so the right side is closest to the IR?
- LAO
- RAO
- LPO
- RPO (Correct answer)
Correct answer: RPO
RPO (Right Posterior Oblique) places the patient's right side closest to the IR with the posterior surface down.
Question 6: The standard source-to-image receptor distance (SID) for most routine radiographic procedures is:
- 36 inches (91 cm)
- 40 inches (102 cm) (Correct answer)
- 48 inches (122 cm)
- 72 inches (183 cm)
Correct answer: 40 inches (102 cm)
40 inches (102 cm) is the standard SID for most routine radiographic exams, balancing magnification and radiation dose.
Question 7: When transferring a patient from a wheelchair to the radiographic table, the technologist should:
- Lock the wheelchair wheels and use proper body mechanics (Correct answer)
- Lift the patient alone to save time
- Ask the patient to jump onto the table unassisted
- Leave the wheelchair unlocked for quick repositioning
Correct answer: Lock the wheelchair wheels and use proper body mechanics
Locking the wheelchair and using proper body mechanics prevents patient falls and protects the technologist from injury.
Which body position places the patient lying face down on the table?