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1. A patient has sustained an injury to his mediastinum. Which structure
may have been injured?
A. The Heart
B. The Lungs
C. The Esophagus
D. The Trachea
2. A pneumothorax occurs when:
A. Blood accumulates in the pleural cavity
B. Air accumulates between the inner chest wall and the lung, causing
collapse
C. Fluid fills the alveoli
D. The trachea shifts to the left
3. Which sign is most indicative of a pneumothorax?
A. Chest pain on inspiration
B. Decreased breath sounds in the right lung
C. Increased breath sounds bilaterally
D. Bruising over the sternum
4. Which phrase best describes a flail segment?
A. Two or more adjacent ribs broken in two or more places
B. Single rib fracture
C. Collapsed trachea
D. Lung tissue collapse
,5. What finding best helps determine that a patient has a flail segment?
A. Rapid breathing
B. Paradoxical chest wall movement
C. Subcutaneous emphysema
D. Diminished breath sounds
6. A patient with a large flail segment in the right chest is at immediate risk
for:
A. Hypoxia
B. Cardiac arrest
C. Hypothermia
D. Pulmonary embolism
7. A patient with paradoxical chest movement and rapid, shallow breathing
should be treated by:
A. Administering oxygen via nonrebreather facemask
B. Applying cold compresses
C. Providing water
D. Sitting the patient upright
8. You are asked to apply a dressing over a sucking chest wound. Which
should you use?
A. Sterile gauze
B. Vaseline gauze
C. Cotton pad
D. Dry dressing
9. After placing an occlusive dressing on a chest wound, your primary
concern should be monitoring for:
A. Hypothermia
B. Tension pneumothorax
C. Hemothorax
D. Infection
,10.Which statement best distinguishes a pneumothorax from a tension
pneumothorax?
A. A tension pneumothorax causes cardiac output to decrease; a
pneumothorax does not
B. A pneumothorax is more painful
C. Both have equal severity
D. A tension pneumothorax resolves on its own
11.Signs of a hemothorax include:
A. Respiratory distress and signs of shock
B. Wheezing
C. Cyanosis without shock
D. Flat neck veins
12.Which injury is characteristic of traumatic asphyxia?
A. Bluish discoloration of the neck and face
B. Puncture wound to chest
C. Broken clavicle
D. Swollen abdomen
13.The thorax is enclosed by:
A. The ribs, sternum, thoracic spine, and diaphragm
B. The ribs and lungs only
C. The lungs and spine
D. The chest wall only
14.The heart and lungs are located in the:
A. Abdominal cavity
B. Thoracic cavity
C. Pleural cavity
D. Mediastinum only
15.The diaphragm separates the:
A. Lungs from the ribs
B. Thoracic cavity from the abdominal cavity
, C. Liver from the stomach
D. Spine from the lungs
16.A 35-year-old with chest trauma has distended neck veins and pulsus
paradoxus. This suggests:
A. Pneumothorax
B. Pericardial tamponade
C. Hemothorax
D. Aortic rupture
17.The most serious chest injury from rapid deceleration is:
A. Pulmonary contusion
B. Aortic rupture
C. Flail chest
D. Pneumothorax
18.Commotio cordis is sudden cardiac death resulting from:
A. Blunt trauma, usually in children under 16 years old
B. Penetrating trauma
C. Electric shock
D. Hypothermia
19.The L.A.P. method of examining the thorax stands for:
A. Look, Auscultate, Palpate
B. Listen, Act, Perform
C. Locate, Assess, Palpate
D. Lift, Apply, Press
20.A 26-year-old male with right chest pain and rapid shallow breathing after
a fall should be treated by:
A. Performing a rapid body survey and assisting ventilations with BVM and
high-flow oxygen
B. Applying a cold pack
C. Immobilizing the spine only
D. Giving oral fluids