Chapter 29 Exam

In cases of sexual assault, which of the following is true? A. You should always examine the genitalia for any sign of injury B. Advise the patient not to wash, urinate or defecate C. In addition to recording the facts, it is important to include your personal thoughts D. You should use plastic bags when collecting items such as clothes

Advise the patient not to wash, urinate or defecate

When performing a history on a patient with abdominal trauma, which of the following questions would be appropriate regarding trauma? A. Is there any blood in your stool? B. Does your pain go anywhere? C. Do you have any nausea, vomiting or diarrhea? D. All of the above

All of the above

Which of the following is most likely to cause immediate death? Select one: A. Aortic dissection B. Aortic rupture C. Pulmonary contusion D. Myocardial contusion

Aortic rupture

The phrenic nerves control the diaphragm and exit the spinal cord at: Select one: A. C3, C4, and C5. B. C3 and C4. C. C1 and C2. D. C1, C2, and C3.

C3, C4, and C5.

30. You are transporting a stable patient with a possible pneumothorax. The patient is receiving 100% oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely causing this patient's deterioration? A. A total collapse of the affected lung B. Hidden bleeding in the thoracic cavity C. Compression of the aorta and vena cava D. Blood accumulation in the pleural space

Compression of the aorta and vena cava

_____ takes place in the solid organs. A. digestion B. Excretion C. Energy production D. Absorption

Energy production

Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for a cardiac tamponade? Select one: A. Diminished breath sounds B. A rapid, irregular pulse C. Widening pulse pressure D. Engorged jugular veins

Engorged jugular veins

A 66 year old male presents with dark red rectal bleeding and abdominal pain. He is conscious and alert, however, his skin is cool and clammy and his heart rate is elevated. Further assessment reveals that his blood pressure is 112/60 mm Hg. Which of the following questions would be MOST pertinent to ask him? A. Do you take any over-the-counter medications? B. Have you experienced recent abdominal trauma? C. Has blood soaked through your undergarments? D. What does your blood pressure normally run?

Have you experienced recent abdominal trauma?

Which of the following is true regarding injury to the kidneys? Select one: A. Injury to the kidneys usually indicates injury to other organs. B. Only minimal force is needed to damage the kidneys. C. The kidneys are not well protected. D. Kidney injuries are rarely caused by blunt trauma.

Injury to the kidneys usually indicates injury to other organs.

Following blunt abdominal trauma, a 30 year old male complains of referred pain to the left shoulder. This finding is called the: A. Grey Turner sign B. Kehr sign C. Brudzinski sign D. Cullen sign

Kehr sign

Which of the following is NOT a hollow organ of the abdomen? A. Stomach B. Liver C. Bladder D. Urters

Liver

Which of the following organs or structures does NOT reside within the mediastinum? Select one: A. Esophagus B. Lungs C. Vena cavae D. Trachea

Lungs

Which of the following statements regarding abdominal evisceration's is correct? A. Adherent material is preferred when covering an evisceration. B. The organs should be replaced carefully to avoid heat loss. C. Most evisceration's occur to the left upper quadrant D. The protruding organs should be kept warm and moist.

The protruding organs should be kept warm and moist.

Suspect kidney damage if the patient has a history or physical evidence of all of the following EXCEPT: A. an abrasion, laceration, or contusion in the flank B. a penetrating wound in the lower rib cage or the upper abdomen C. fractures on either side of the lower rib cage D. a hematoma in the umbilical region

a hematoma in the umbilical region

The mesentery is: Select one: A. a membranous fold that attaches the intestines to the walls of the body. B. a complex network of blood vessels that supply blood to the liver. C. the point of attachment between the small and large intestines. D. a layer of thick skeletal muscles that protects the abdominal organs.

a membranous fold that attaches the intestines to the walls of the body.

21. A 33-year-old male was stabbed in the left anterior chest. He is conscious, but is experiencing signs of shock. Further assessment reveals that his jugular veins are distended and his breath sounds are bilaterally equal and clear. This patient is MOST likely experiencing: A. multiple rib fractures. B. a tension pneumothorax. C. a myocardial contusion. D. a pericardial tamponade.

a pericardial tamponade.

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of: A. air bag deployment B. a poorly placed lap belt C. failure to wear seat belts D. rapid vehicle deceleration

a poorly placed lap belt

19. A flail chest occurs when: A. a segment of the chest wall is detached from the thoracic cage. B. more than three ribs are fractured on the same side of the chest. C. multiple ribs are fractured on both sides of the thoracic cage. D. a segment of fractured ribs bulges during the inhalation phase.

a segment of the chest wall is detached from the thoracic cage

A flail chest occurs when: Select one: A. a segment of fractured ribs bulges during the inhalation phase. B. a segment of the chest wall is detached from the thoracic cage. C. multiple ribs are fractured on both sides of the thoracic cage. D. more than three ribs are fractured on the same side of the chest.

a segment of the chest wall is detached from the thoracic cage.

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

accumulation of air in the pleural space.

26. While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. During your focused exam, you note that he has diminished breath sounds over the left side of the chest. You should: A. administer oxygen and transport to the hospital. B. immediately perform a rapid trauma assessment. C. recognize that he needs a needle decompression. D. circumferentially tape a dressing around his chest.

administer oxygen and transport to the hospital.

While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should: Select one: A. immediately perform a rapid head-to-toe exam. B. administer oxygen and transport to the hospital. C. recognize that he needs a needle decompression. D. circumferentially tape a dressing around his chest.

administer oxygen and transport to the hospital.

25. 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: A. aggressively manage his airway. B. request a paramedic ambulance. C. perform a rapid trauma assessment. D. suspect a severe hemopneumothorax.

aggressively manage his airway.

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: Select one: A. suspect a severe hemopneumothorax. B. request a paramedic ambulance. C. perform a secondary assessment. D. aggressively manage his airway.

aggressively manage his airway.

12. An open pneumothorax occurs when: A. a fractured rib perforates the tissue of the lung. B. air enters the pleural space from outside the body. C. extreme pleural pressure causes the lung to rupture. D. air enters the pleural space from a perforated lung.

air enters the pleural space from outside the body.

An open pneumothorax occurs when: Select one: A. air enters the pleural space from a perforated lung. B. extreme pleural pressure causes the lung to rupture. C. a fractured rib perforates the tissue of the lung. D. air enters the pleural space from outside the body.

air enters the pleural space from outside the body.

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

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

You are called to the local bar where a fight has taken place. The police department tells you that you have a 36 year old man who has been stabbed twice in the abdomen. Upon your arrival, the patient is alert and oriented. His airway is open. His respirations are at 24 breaths/min, pulse is rapid, regular and weak. He has distal pulses. With the penetrating trauma, you should assume that the object: A. has penetrated the peritoneum B. has entered the abdominal cavity C. has possibly injured one or more organs D. all of the above

all of the above

Injuries to the external male genitalia _______. Select one: A. usually result in permanent damage B. are often life-threatening C. frequently lead to hypovolemic shock D. are rarely life-threatening

are rarely life-threatening

During your assessment of a patient with blunt chest trauma, you note that the patient has shallow breathing and paradoxical movement of the left chest wall. You should: Select one: A. request a paramedic to decompress the chest. B. assist ventilations with a bag-valve mask. C. apply high-flow oxygen via nonrebreathing mask. D. make note of it and continue your assessment.

assist ventilations with a bag-valve mask.

A 20 year old male was accidentally shot in the right upper abdominal quadrant with an arrow during an archery contest. Prior to your arrival, the patient removed the arrow. Your assesment reveals that he is conscious and alert with stable vital signs. The entrance wound is bleeding minimally and appears to be superifical. You should: A. carefully probe the wound to determine its depth B. assume that the arrow injured an internal organ C. clean the wound and apply a dry, sterile dressing D. transport only if signs of shock begin to develop.

assume that the arrow injured an internal organ

Your documentation on a sexual assault victim should _______. Select one: A. include your opinion of the nature of the incident B. describe the status of the suspect(s) C. be subjective and summarize the crime D. be objective and factual

be objective and factual

Closed chest injuries are typically caused by _______. Select one: A. high-velocity weapons B. penetrating trauma C. flying debris D. blunt trauma

blunt trauma

18. Patients with rib fractures will commonly: A. breathe rapidly and shallowly. B. take a series of deep breaths. C. prefer to lie in a supine position. D. develop a sucking chest wound.

breathe rapidly and shallowly.

Suspect a possible injury of the urinary bladder in all of the following findings EXCEPT: A. bruising to the left upper quadrant B. blood at the urethral opening C. blood at the tip of the penis or a stain on the patient's underwear D. physical signs of trauma on the lower abdomen, pelvis or perineum

bruising to the left upper quadrant

You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately, you should: Select one: A. begin documenting the call on the patient care form. B. perform a comprehensive secondary assessment. C. forgo the hospital radio report because of his condition. D. closely monitor him and reassess him frequently.

closely monitor him and reassess him frequently.

14. Signs and symptoms of a tension pneumothorax include all of the following, EXCEPT: A. profound cyanosis. B. collapsed jugular veins. C. contralateral tracheal deviation. D. unilaterally absent breath sounds.

collapsed jugular veins

Your presence is requested by law enforcement to assess a 33 year old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mm Hg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should: A. arrange for a rape crisis center representative to speak with the patient. B. control any external bleeding, administer oxygen, and transport at once. C. visualize the vaginal area and pack the vagina with sterile dressings D. allow her to change her clothes and take a shower before you transport

control any external bleeding, administer oxygen, and transport at once.

When treating a patient with an amputation of the penile shaft, your top priority is: A. locating the amputated part B. controlling bleeding C. keeping the remaining tissue dry D. delaying transport until bleeding is controlled

controlling bleeding

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

coughing up blood.

When treating a patient with an evisceration, you should: A. attempt to replace the abdominal contents B. cover the protruding organs with a dry, sterile dressing C. cover the protruding contents with moist, sterile gauze compresses

cover the protruding contents with moist, sterile gauze compresses

Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured: Select one: A. stomach. B. aorta. C. spleen. D. diaphragm.

diaphragm

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

diaphragm

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

diaphragm.

Air in the abdominal cavity can cause all of the following EXCEPT: A. pain B. diarrhea C. infection D. tissue ischemia and infarction

diarrhea

13. A spontaneous pneumothorax would MOST likely occur as the result of: A. exertion of a person with a congenital lung defect. B. excessive coughing in a patient with pneumonitis. C. abnormally slow breathing in a patient with pleurisy. D. blunt or penetrating trauma to the anterior chest wall.

exertion of a person with a congenital lung defect.

When a patient stiffens the muscles of the abdomen, it is known as _______. Select one: A. crepitus. B. distention. C. instability. D. guarding.

guarding

7. Common signs and symptoms of a chest injury include all of the following, EXCEPT: A. tachypnea. B. hematemesis. C. localized pain. D. chest wall ecchymosis.

hematemesis.

Because solid organs have a rich supply of blood, any injury can result in major: A. hemorrhaging B. damage C. pain D. guarding

hemorrhaging

27. You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilations, you should: A. insert an oropharyngeal airway. B. obtain a set of baseline vital signs. C. perform a detailed physical exam. D. immediately request ALS support.

immediately request ALS support.

You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilations, you should: Select one: A. immediately request ALS support. B. obtain a set of baseline vital signs. C. insert an oropharyngeal airway. D. perform a focused secondary exam.

immediately request ALS support.

Signs of injury to the kidney may include any of the following EXCEPT: A. bruises or lacerations on the overlying skin B. shock C. increased urgency of urination D. hematuria

increased urgency of urination

Abdominal pain, vomiting, and fever are most likely due to _______. Select one: A. infection B. hemorrhage C. evisceration D. hypovolemia

infection

You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should: Select one: A. perform a comprehensive secondary assessment to determine why his clinical status has changed. B. reassess his vital signs and then notify the receiving hospital of the change in his clinical status. C. suction his oropharynx to ensure it is clear of secretions and then increase the oxygen flow rate to 15 L/min. D. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM.

insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM.

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

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

A simple pneumothorax: Select one: A. often has a nontraumatic cause. B. is caused by penetrating chest trauma. C. heals on its own without any treatment. D. is commonly caused by blunt chest trauma.

is commonly caused by blunt chest trauma.

The presence of tachycardia following a significant abdominal injury: A. indicates a state of decompensated shock B. should be assumed to be a sign of shock C. is most commonly caused by severe pain D. is always accompanied by hypo tension

is most commonly caused by severe pain

In any case of trauma to a female patient, you should always determine if the patient: A. is on birth control B. is pregnant C. is currently menstruating D. has a history of ovarian cysts

is pregnant

You respond to an 18 year old high school football player who was hit in the right flank with a helmet several hours ago. He is complaining of pain in the area. He is alert and oriented. His airway is open and his respirations are within normal limits. His pulse is regular. He has a radial pulse. He tells you that he is noticing blood in his urine. Based on this information, the patient is likely to have an injury to the: A. liver B. kidney C. gallbladder D. appendix

kidney

The solid organs of the urinary system include the: A. kidneys B. ureters C. bladder D. urethra

kidneys

29. You arrive at the scene of a major motor-vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unconscious, tachycardic, and diaphoretic. Your rapid trauma assessment reveals bilaterally equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST suspicious that this patient has experienced a: A. massive hemothorax. B. tension pneumothorax. C. pericardial tamponade. D. laceration of the aorta.

laceration of the aorta.

You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unresponsive, tachycardic, and diaphoretic. Your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST suspicious that this patient has experienced a: Select one: A. laceration of the aorta. B. massive hemothorax. C. pericardial tamponade. D. tension pneumothorax.

laceration of the aorta.

In pediatric patients, the liver and spleen are _______. Select one: A. more protected by the thorax compared to adults B. smaller in proportion to the abdomen C. less likely to bleed when injured D. larger in proportion to the abdomen

larger in proportion to the abdomen

You are dispatched to a residence for a young female who was kicked in the abdomen by her boyfriend. While en route to the scene, you should ask the dispatcher if: A. the severity of the injury is known. B. the patient is conscious. C. there are other patients involved. D. law enforcement is at the scene.

law enforcement is at the scene.

While assessing a 21 year old female who struck a tree head-on with her small passenger car, you not that her air bag deployed. You should: A. life the air bag and look for deformity to the steering wheel. B. carefully assess her upper chest for seat belt-related injuries C. perform a head-to-toe assessment while she is in the car D. extricate her immediately and transport to a trauma center

life the air bag and look for deformity to the steering wheel.

The largest organ in the abdomen is the: A. liver B. spleen C. pancreas D. kidneys

liver

Your primary concern when dealing with an unresponsive patient with an open abdominal injury is: A. covering the wound with a moist dressing B. maintaining the airway C. controlling the bleeding D. monitoring vital signs

maintaining the airway

1. When a person is lying supine at the end of exhalation, the diaphragm: A. contracts and flattens inferiorly. B. may rise as high as the nipple line. C. is less prone to penetrating trauma. D. descends below the level of the navel.

may rise as high as the nipple line.

If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she: Select one: A. often breathes at a slower rate because of lung damage caused by the injury. B. will maintain adequate minute volume if his or her respiratory rate stays the same. C. will eliminate more carbon dioxide than if he or she were breathing deeply. D. must increase his or her respiratory rate to maintain adequate minute volume.

must increase his or her respiratory rate to maintain adequate minute volume

20. A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a: A. ruptured aorta. B. myocardial contusion. C. pericardial tamponade. D. tension pneumothorax.

myocardial contusion.

Late signs of peritonitis may include: A. soft abdomen B. nausea C. normal bowel sounds D. diarrhea

nausea

The first signs of peritonitis include all of the following EXCEPT: A. severe abdominal pain B. tenderness C. muscular spasm D. nausea

nausea

10. Asymmetry of the chest wall occurs when: A. the entire chest wall fails to move due to nerve damage. B. a segment of fractured ribs bulges out during exhalation. C. one side of the chest wall does not expand during inhalation. D. movement of both sides of the chest wall is extremely shallow.

one side of the chest wall does not expand during inhalation.

Patients with open abdominal injures often complain of: A. pain B. nausea C. vomiting D. dyspnea

pain

The major complaint of patients with abdominal injury is: A. pain B. tachycardia C. rigidity D. swelling

pain

A spinal cord injury at the level of C7 would MOST likely result in: Select one: A. paralysis of the diaphragm. B. paralysis of all the respiratory muscles. C. immediate cardiac arrest. D. paralysis of the intercostal muscles.

paralysis of the intercostal muscles.

23. You have sealed an open chest wound on a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should: A. begin ventilatory assistance. B. partially remove the dressing. C. begin rapid transport at once. D. call for a paramedic ambulance.

partially remove the dressing

You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should: Select one: A. begin rapid transport at once. B. call for a paramedic ambulance. C. begin ventilatory assistance. D. partially remove the dressing.

partially remove the dressing.

Open abdominal injuries are also known as: A. blunt injuries B. eviscerations C. penetrating injuries D. peritoneal injuries

penetrating injuries

5. The ________ nerves control the diaphragm. A. vagus B. costal C. phrenic D. intercostal

phrenic

The ________ nerves control the diaphragm. Select one: A. vagus B. phrenic C. costal D. intercostal

phrenic

8. Irritation or damage to the pleural surfaces that causes sharp chest pain during inhalation is called: A. pleurisy. B. dyspnea. C. pneumonitis. D. pneumothorax.

pleurisy.

In order to avoid exacerbating a patient's injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a: Select one: A. cardiac tamponade. B. myocardial contusion. C. flail chest. D. pneumothorax.

pneumothorax

28. 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: A. apply an AED and take his BP. B. prepare for immediate transport. C. determine if he has cardiac problems. D. apply bulky dressings to the sternum.

prepare for immediate transport.

Immediately life-threatening chest injuries must be found and managed during the _______. Select one: A. scene size-up B. primary assessment C. secondary assessment D. patient history

primary assessment

Because the depth of an open abdominal wound is often difficult to determine: Select one: A. the abdomen must be vigorously palpated. B. prompt transport to the hospital is essential. C. vital signs should be monitored frequently. D. the EMT must perform a thorough exam.

prompt transport to the hospital is essential.

22. 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: A. apply 100% oxygen and immediately transport. B. place her supine and elevate her lower extremities. C. perform a rapid head-to-toe physical assessment. D. provide some form of positive-pressure ventilation.

provide some form of positive-pressure ventilation.

A man called EMS 12 hours after injuring his chest. Your assessment reveals a flail segment to the right side of the chest. The patient is experiencing respiratory distress and his oxygen saturation is 78%. His breath sounds are equal bilaterally and his jugular veins are normal. You should suspect: Select one: A. pulmonary contusion. B. massive hemothorax. C. traumatic asphyxia. D. tension pneumothorax.

pulmonary contusion.

9. A patient who presents with profound cyanosis following a chest injury: A. should be placed in Trendelenburg's position. B. is most likely experiencing severe blood loss. C. has most likely experienced a ruptured aorta. D. requires prompt oxygenation and ventilation.

requires prompt oxygenation and ventilation.

Blunt abdominal injuries may result from: A. a stab wound B. seat belts C. a gunshot wound D. an impaled object

seat belts

All of the following male genitalia lie outside the pelvis cavity EXCEPT the: A. urethra B. penis C. seminal vesicles D. testes

seminal vesicles

16. When assessing a patient with a hemothorax, you would MOST likely find: A. jugular venous engorgement. B. ipsilateral tracheal deviation. C. distant or muffled heart tones. D. signs and symptoms of shock.

signs and symptoms of shock.

24. During your rapid trauma assessment of a patient with blunt chest trauma, you note paradoxical movement of the left chest wall. As your partner is administering oxygen to the patient, you should: A. request a paramedic to decompress the chest. B. make note of it and continue your assessment. C. stabilize the chest wall with a bulky dressing. D. reassess the adequacy of the patient's breathing.

stabilize the chest wall with a bulky dressing.

The most common sign of significant abdominal injury is: A. pain B. tachycardia C. rigidity D. distention

tachycardia

Patients with chest injuries will often present with _______. Select one: A. tachypnea B. agonal respirations C. Kussmaul respirations D. Cheyne-Stokes respirations

tachypnea

4. Elevation of the rib cage during inhalation occurs when: A. the diaphragm descends. B. abdominal contents descend. C. intrathoracic pressure decreases. D. the intercostal muscles contract.

the intercostal muscles contract.

Elevation of the rib cage during inhalation occurs when: Select one: A. intrathoracic pressure decreases. B. the diaphragm descends. C. the intercostal muscles contract. D. abdominal contents descend.

the intercostal muscles contract.

All of the following systems contain organs that make up the contents of the abominal cavity EXCEPT: A. the digestive system B. the urinary system C. the genitourinary system D. the limbic system

the limbic system

Children are often "belly breathers" because _______. Select one: A. they are routinely hypoxic B. their intercostal muscles are not developed C. they are consciously controlling ventilations D. their diaphragm is not functional

their intercostal muscles are not developed

2. Pleural fluid is contained between the: A. visceral and parietal pleurae. B. parietal pleura and the heart. C. visceral pleura and the lung. D. parietal pleura and chest wall.

visceral and parietal pleurae.