ENA Thoracic Trauma Study Guide 2026 | Emergency Nursing Chest
Injury Review & Exam Prep
C. Autotransfusion - correct answer ✔✔A patient puts out 500 mL of blood immediately after
chest tube insertion for a hemothorax. You should prepare this patient for which additional
intervention? A. Emergency thoracotomy
B. Pericardiocentesis
C. Autotransfusion
D. Needle thoracentesis
C. Hemothorax - correct answer ✔✔Which injury causes dullness on percussion?
A. Tension pneumothorax
B. Ruptured diaphragm
C. Hemothorax
D. Pneumothorax
A. Control external bleeding. - correct answer ✔✔During the circulation assessment, which
intervention may the nurse need to perform?
A. Control external bleeding.
B. Place an airway adjunct.
C. Apply a three-sided occlusive dressing.
D. Assist with needle thoracentesis.
C. Pneumothorax - correct answer ✔✔In which injury does air accumulation in the pleural
space cause a loss of negative intrapleural pressure?
A. Hemothorax
B. Flail chest
, C. Pneumothorax
D. Pulmonary contusion
C. Skin color - correct answer ✔✔Observation of which factor helps determine breathing
effectiveness?
A. Loose teeth in the mouth
B. Tongue obstruction
C. Skin color
D. Capillary refill time
B. Receiving a karate blow to the neck - correct answer ✔✔Which mechanism is the most likely
cause of a fractured larynx?
A. Falling backward and injuring the neck
B. Receiving a karate blow to the neck
C. Being a restrained passenger in a rear-end motor vehicle collision
D. Striking the chest against the handlebars of a bicycle
B. Blunt cardiac injury - correct answer ✔✔Which injury should you suspect in a patient with
abrasions or bruising on the anterior chest and cardiac dysrhythmias? A. Pneumothorax
B. Blunt cardiac injury
C. Tracheal injury
D. Esophageal injury
B. Pulmonary contusion - correct answer ✔✔Hemoptysis is a finding in which injury? A.
Diaphragmatic injury
B. Pulmonary contusion
C. Tension pneumothorax
Injury Review & Exam Prep
C. Autotransfusion - correct answer ✔✔A patient puts out 500 mL of blood immediately after
chest tube insertion for a hemothorax. You should prepare this patient for which additional
intervention? A. Emergency thoracotomy
B. Pericardiocentesis
C. Autotransfusion
D. Needle thoracentesis
C. Hemothorax - correct answer ✔✔Which injury causes dullness on percussion?
A. Tension pneumothorax
B. Ruptured diaphragm
C. Hemothorax
D. Pneumothorax
A. Control external bleeding. - correct answer ✔✔During the circulation assessment, which
intervention may the nurse need to perform?
A. Control external bleeding.
B. Place an airway adjunct.
C. Apply a three-sided occlusive dressing.
D. Assist with needle thoracentesis.
C. Pneumothorax - correct answer ✔✔In which injury does air accumulation in the pleural
space cause a loss of negative intrapleural pressure?
A. Hemothorax
B. Flail chest
, C. Pneumothorax
D. Pulmonary contusion
C. Skin color - correct answer ✔✔Observation of which factor helps determine breathing
effectiveness?
A. Loose teeth in the mouth
B. Tongue obstruction
C. Skin color
D. Capillary refill time
B. Receiving a karate blow to the neck - correct answer ✔✔Which mechanism is the most likely
cause of a fractured larynx?
A. Falling backward and injuring the neck
B. Receiving a karate blow to the neck
C. Being a restrained passenger in a rear-end motor vehicle collision
D. Striking the chest against the handlebars of a bicycle
B. Blunt cardiac injury - correct answer ✔✔Which injury should you suspect in a patient with
abrasions or bruising on the anterior chest and cardiac dysrhythmias? A. Pneumothorax
B. Blunt cardiac injury
C. Tracheal injury
D. Esophageal injury
B. Pulmonary contusion - correct answer ✔✔Hemoptysis is a finding in which injury? A.
Diaphragmatic injury
B. Pulmonary contusion
C. Tension pneumothorax
