Ch. 27 Quiz

Pneumothorax is defined as: Choose one answer. A. accumulation of air between the lungs. B. blood collection within the pleural space. C. accumulation of air in the pleural space. D. blood collection within the lung tissue.

C. accumulation of air in the pleural space.

Signs and symptoms of a tension pneumothorax include all of the following, EXCEPT: Choose one answer. A. profound cyanosis. B. unilaterally absent breath sounds. C. collapsed jugular veins. D. bulging intercostal muscles.

C. collapsed jugular veins.

A 37-year-old male was pinned between a flatbed truck and a loading dock. On exam, you find bruising to the chest, distended neck veins, bilaterally diminished breath sounds, and bilateral scleral hemorrhaging. You should: Choose one answer. A. aggressively manage his airway. B. request a paramedic ambulance. C. suspect a severe hemopneumothorax. D. perform a secondary assessment.

A. aggressively manage his airway.

Hemoptysis is defined as: Choose one answer. A. coughing up blood. B. abnormal blood clotting. C. vomiting blood. D. blood in the pleural space.

A. coughing up blood.

The MOST critical treatment for a tension pneumothorax involves: Choose one answer. A. inserting a needle through the rib cage into the pleural space. B. assisting the patient's breathing with increased tidal volume. C. surgically removing the portion of the lung that is damaged. D. placing a bulky dressing over the affected side of the chest.

A. inserting a needle through the rib cage into the pleural space.

Subcutaneous emphysema is an indication that: Choose one answer. A. your patient is experiencing a pericardial tamponade. B. blood is slowly accumulating within the tissue of the lung. C. at least half of one lung has completely collapsed. D. air is escaping into the chest wall from a damaged lung.

D. air is escaping into the chest wall from a damaged lung.

The thoracic cavity is separated from the abdominal cavity by the: Choose one answer. A. intercostal margin. B. costovertebral angle. C. anterior rib cage. D. diaphragm.

D. diaphragm.

A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to applying 100% oxygen, you should: Choose one answer. A. apply bulky dressings to the sternum. B. apply an automated external defibrillator (AED) and take his blood pressure. C. determine if he has cardiac problems. D. prepare for immediate transport.

D. prepare for immediate transport.

Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, reduced tidal volume, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should: Choose one answer. A. apply 100% oxygen and immediately transport. B. perform a rapid head-to-toe physical assessment. C. place her supine and elevate her lower extremities. D. provide some form of positive-pressure ventilation.

D. provide some form of positive-pressure ventilation.

A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what MOST likely occurred? Choose one answer. A. asystole secondary to massive intrathoracic hemorrhage due to traumatic rupture of the aorta B. collapse of both lungs due to fractured ribs that perforated the lung tissue and caused cardiac arrest C. fracture of the sternum that caused a rupture of the myocardium and led to a cardiac dysrhythmia D. ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle

D. ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle