NUR 445 EXAM 1 NEWEST 2025 ACTUAL EXAM COMPLETE
100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+/ARIZONA
COLLEGE OF NURSING EXAM WITH COMPLETE
QUESTIONS AND VERIFIED ANSWERS |ALREADY GRADED
A+|
What are the two types of chest traumas? - ANSWER-Blunt-force,
Penetrating
What is the most common injury as a result of chest trauma? -
ANSWER-Fractured ribs
What can occur due to these fractured ribs? - ANSWER-Flail
chest
What is the hallmark sign of a flail chest? - ANSWER-
'Paradoxical' chest-wall movement, with each inhalation, the
damaged area moves inward and on exhalation, the section
moves outward
, Page |2
What are s/s of chest trauma? - ANSWER-Tachypnea,
Hyperventilation, If unilateral, asymmetrical chest rise, breath
sounds, or tracheal deviation, Agitation or anxiety, SOB,
Subcutaneous emphysema (rice Krispy), Splinting
What are diagnostic tools to evaluate chest trauma? - ANSWER-
Chest x-ray, Ultrasonography, Chest CT
What is the treatment for chest trauma? - ANSWER-Airway: Is
airway patent, intubation may be needed, Breathing: Can pt
breathe without any compromise, give O2, chest tube, ventilation,
Circulation: IV fluids, blood transfusions
What is the pain medication used for chest trauma? - ANSWER-
Medications to reduce pain (narcotic) or prophylactic ABX to
prevent infection
What are complications of chest tube? - ANSWER-Tension
pneumothorax - Air or blood collected in pleural space; tracheal
deviation is hallmark sign
, Page |3
Cardiac tamponade - Beck's triad -> hypotension, muffled heart
sounds, distended neck veins
What is pneumothorax? - ANSWER-Collection of air in the pleural
space
What are causes of pneumothorax? - ANSWER-Severe blunt or
penetrating chest trauma
What does the air in the pleural space cause? - ANSWER-
Inspiration is more difficult due to the lungs not being able to
expand due to the air in the pleural space, causing hypoxemia
When is a chest tube indicated? - ANSWER-If a pneumo or
hemothorax occurs to allow the expulsion of air or fluid while
allowing the lung to re-expand
What are the components of a chest-drainage system? -
ANSWER-Collection chamber, water seal, suction