Emergency Care and Transportation of the Sick and Injured D2L Quiz Chapter 29

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? A) Engorged jugular veins B) Widening pulse pressure C) Diminished breath sounds D) A rapid, irregular pulse

A) Engorged jugular veins

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

A) Lungs

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

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: A) administer oxygen and transport to the hospital. B) immediately perform a rapid head-to-toe exam. C) recognize that he needs a needle decompression. D) circumferentially tape a dressing around his chest.

A) administer oxygen and transport to the hospital.

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 secondary assessment. D) suspect a severe hemopneumothorax.

A) aggressively manage his airway.

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.

B) air enters the pleural space from outside the body.

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: A) begin ventilatory assistance. B) partially remove the dressing. C) begin rapid transport at once. D) call for a paramedic ambulance.

B) partially remove the dressing.

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 providing supplemental oxygen, you should: A) apply an AED and assess his BP. B) prepare for immediate transport. C) determine if he has cardiac problems. D) apply bulky dressings to the sternum.

B) prepare for immediate transport.

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

B) tachypnea

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: A) request a paramedic to decompress the chest. B) make note of it and continue your assessment. C) assist ventilations with a bag-valve mask. D) apply high-flow oxygen via nonrebreathing mask.

C) assist ventilations with a bag-valve mask.

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

D) Aortic rupture

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

D) C3, C4, and C5.

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

D) primary assessment

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

D) requires prompt ventilation and oxygenation.