ATCN Exam Questions and Detailed
Correct Answers
10 Signs and sx of tension pneumothorax - Answer: 1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign)
Signs and sx of cardiac tamponade - Answer: 1. Becks Triad= increased venous pressure(distended
neck veins), decreased arterial pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate? -
Answer: Careful assessment of the pt's breath sounds is paramount to differentiate the two
Tx of tension pneumothorax - Answer: 1. Needle decompression- large bore needle 2nd intercostal
space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary
triad of death - Answer: -Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
rule of 9's adult - Answer: Head = 9%
Correct Answers
10 Signs and sx of tension pneumothorax - Answer: 1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign)
Signs and sx of cardiac tamponade - Answer: 1. Becks Triad= increased venous pressure(distended
neck veins), decreased arterial pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate? -
Answer: Careful assessment of the pt's breath sounds is paramount to differentiate the two
Tx of tension pneumothorax - Answer: 1. Needle decompression- large bore needle 2nd intercostal
space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary
triad of death - Answer: -Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
rule of 9's adult - Answer: Head = 9%
