ATCN Review Test Questions with Verified Answers Graded A+
10 Signs and sx of tension pneumothorax -
ANSWER -1.chest pain
2.air hunger rule of 9's adult - ANSWER -Head = 9%
3.respiratory distress Chest (front) = 9%
4.tachycardia Abdomen (front) = 9%
5.hypotension Upper/mid/low back and buttocks = 18%
6.tracheal deviation away from injury Each arm = 9% (front = 4.5%, back = 4.5%)
7.unilateral absence of breath sounds Groin = 1%
8.elevated hemithorax w/out respiratory Each leg = 18% total (front = 9%, back = 9%)
movement
9.neck vein distention
10.cyanosis (late sign)
Rule of 9's - Pediatric - ANSWER -
Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
Signs and sx of cardiac tamponade - Anterior/Posterior Arms - 4.5% Each
ANSWER -1. Becks Triad= increased Anterior/Posterior Legs - 7% Each
venous pressure(distended neck veins),
decreased arterial pressure(hypotension),
muffled heart tones
2. PEA signs and symptoms of compartment syndrome -
3. JVD &/or Kussmauls sign ANSWER -Early signs and sx
4. Use FAST to dx 1. increased pain, greater than expected and out
of proportion to the injury
2. Palpable tenseness of the compartment
3. asymmetry of the muscle compartment
tension pneumothorax can often be confused 4. pain on passive stretch
with cardiac tamponade, how do you 5.altered sensation
differentiate? - ANSWER -Careful
assessment of the pt's breath sounds is Note: Absent distal pulses and poor cap refill are
paramount to differentiate the two not reliable in dx compartment syndrome. May be
a very late sign of C.S. possibility of proximal
vascular injury should be considered
Tx of tension pneumothorax - ANSWER -1.
Needle decompression- large bore needle 2nd
intercostal space midclavicular line 2. chest tube Indications for thoracotomy - ANSWER -
4 or 5th intercostal space mid axillary thoracotomy is indicated when output exceeds
1500 mL within 24 hours, THE INDICATIONS for
thoracotomy after traumatic injury typically
include shock, arrest at presentation, diagnosis of
triad of death - ANSWER --Acidosis specific injuries (such as blunt aortic injury), or
- Hypothermia ongoing thoracic hemorrhage.
- Coagulopathy (blood can't clot resulting in
continued bleeding)
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10 Signs and sx of tension pneumothorax -
ANSWER -1.chest pain
2.air hunger rule of 9's adult - ANSWER -Head = 9%
3.respiratory distress Chest (front) = 9%
4.tachycardia Abdomen (front) = 9%
5.hypotension Upper/mid/low back and buttocks = 18%
6.tracheal deviation away from injury Each arm = 9% (front = 4.5%, back = 4.5%)
7.unilateral absence of breath sounds Groin = 1%
8.elevated hemithorax w/out respiratory Each leg = 18% total (front = 9%, back = 9%)
movement
9.neck vein distention
10.cyanosis (late sign)
Rule of 9's - Pediatric - ANSWER -
Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
Signs and sx of cardiac tamponade - Anterior/Posterior Arms - 4.5% Each
ANSWER -1. Becks Triad= increased Anterior/Posterior Legs - 7% Each
venous pressure(distended neck veins),
decreased arterial pressure(hypotension),
muffled heart tones
2. PEA signs and symptoms of compartment syndrome -
3. JVD &/or Kussmauls sign ANSWER -Early signs and sx
4. Use FAST to dx 1. increased pain, greater than expected and out
of proportion to the injury
2. Palpable tenseness of the compartment
3. asymmetry of the muscle compartment
tension pneumothorax can often be confused 4. pain on passive stretch
with cardiac tamponade, how do you 5.altered sensation
differentiate? - ANSWER -Careful
assessment of the pt's breath sounds is Note: Absent distal pulses and poor cap refill are
paramount to differentiate the two not reliable in dx compartment syndrome. May be
a very late sign of C.S. possibility of proximal
vascular injury should be considered
Tx of tension pneumothorax - ANSWER -1.
Needle decompression- large bore needle 2nd
intercostal space midclavicular line 2. chest tube Indications for thoracotomy - ANSWER -
4 or 5th intercostal space mid axillary thoracotomy is indicated when output exceeds
1500 mL within 24 hours, THE INDICATIONS for
thoracotomy after traumatic injury typically
include shock, arrest at presentation, diagnosis of
triad of death - ANSWER --Acidosis specific injuries (such as blunt aortic injury), or
- Hypothermia ongoing thoracic hemorrhage.
- Coagulopathy (blood can't clot resulting in
continued bleeding)
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