©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
NSG 229 Exam 2 Questions With Correct
Answers
Blunt Trauma - answer✔Striking or being struck by an object
Appears minor
Penetrating Trauma - answer✔Foreign object impales or passes through the body
Open wound
Chest Injuries - answer✔Pulmonary contusion
Rib fracture
Flail chest
Pneumothorax
Hemothorax
Tracheobronchial trauma
Chest Trauma Assessment/Findings - answer✔Respiratory: dyspnea, cough, hemoptysis,
tracheal deviation, diminished breath sounds, hypoxemia
Cardiac: rapid thready pulse, hypotension, muffled heart sounds, asymmetric blood pressure,
narrowed pulse pressure
Skin: bruising, abrasions, wound, hypoxia, cyanosis, asymmetric chest movement,
subcutaneous emphysema
Chest Trauma Initial Assessment - answer✔Monitor & apply oxygen
SpO2 > 90%
IV access and fluid resuscitation
Remove clothing
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
Apply occlusive dressing
Stabilize impaled objects (DO NOT REMOVE)
Needle decompression: midclavicular line, 2nd/3rd intercoastal space
Pulmonary Contusion - answer✔Bruise of the lung without puncture caused by chest trauma
Capillary damage causes blood/fluids to seep into lung tissue
Pulmonary Contusion Signs & Symptoms - answer✔Asymptomatic (early)
Respiratory failure
Hemoptysis
Diminished breath sounds
Crackles
Wheezes
Tachycardia
Tachypnea
Dry cough
Dullness to percussion
Bruising over injury site
Pulmonary Contusion Diagnostics - answer✔Visual assessment
Chest x-ray
Pulmonary Contusion Treatment - answer✔Focused on maintaining ventilation and
oxygenation
Nursing Interventions: IV fluids, High fowler's or good lung down, frequent respiratory
assessment, prevent ARDS
Rib Fracture Signs & Symptoms - answer✔Pain with movement
Splints chest defensively
Shallow breathing
2|Page
11/16/2024 10:16 AM
NSG 229 Exam 2 Questions With Correct
Answers
Blunt Trauma - answer✔Striking or being struck by an object
Appears minor
Penetrating Trauma - answer✔Foreign object impales or passes through the body
Open wound
Chest Injuries - answer✔Pulmonary contusion
Rib fracture
Flail chest
Pneumothorax
Hemothorax
Tracheobronchial trauma
Chest Trauma Assessment/Findings - answer✔Respiratory: dyspnea, cough, hemoptysis,
tracheal deviation, diminished breath sounds, hypoxemia
Cardiac: rapid thready pulse, hypotension, muffled heart sounds, asymmetric blood pressure,
narrowed pulse pressure
Skin: bruising, abrasions, wound, hypoxia, cyanosis, asymmetric chest movement,
subcutaneous emphysema
Chest Trauma Initial Assessment - answer✔Monitor & apply oxygen
SpO2 > 90%
IV access and fluid resuscitation
Remove clothing
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
Apply occlusive dressing
Stabilize impaled objects (DO NOT REMOVE)
Needle decompression: midclavicular line, 2nd/3rd intercoastal space
Pulmonary Contusion - answer✔Bruise of the lung without puncture caused by chest trauma
Capillary damage causes blood/fluids to seep into lung tissue
Pulmonary Contusion Signs & Symptoms - answer✔Asymptomatic (early)
Respiratory failure
Hemoptysis
Diminished breath sounds
Crackles
Wheezes
Tachycardia
Tachypnea
Dry cough
Dullness to percussion
Bruising over injury site
Pulmonary Contusion Diagnostics - answer✔Visual assessment
Chest x-ray
Pulmonary Contusion Treatment - answer✔Focused on maintaining ventilation and
oxygenation
Nursing Interventions: IV fluids, High fowler's or good lung down, frequent respiratory
assessment, prevent ARDS
Rib Fracture Signs & Symptoms - answer✔Pain with movement
Splints chest defensively
Shallow breathing
2|Page
