Pneumothorax Quiz: Can You Catch The Collapse?

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3. Which finding on chest tube assessment suggests the lung has re-expanded in pneumothorax?

Continuous bubbling in water seal

No bubbling with breathing (tidaling only)

Bright red drainage

Kinked tubing

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6. A patient reports sharp pleuritic chest pain and new dyspnea. Physical exam shows unilateral hyperresonance and decreased breath sounds. What is the most likely diagnosis?

Acute myocardial infarction

Spontaneous pneumothorax

Acute pulmonary embolism

Pneumonia

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8. A patient with a chest tube for hemothorax has 400 mL of blood drainage in the first hour. What is the next nursing action?

Continue monitoring; this is normal

Notify the provider immediately

Increase suction pressure

Clamp the chest tube

9. Which imaging modality is most sensitive for detecting a small pneumothorax?

Chest X-ray (supine)

CT scan

Bedside ultrasound

Fluoroscopy

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11. A patient presents with sudden sharp chest pain, dyspnea, and diminished breath sounds on the left. Chest X-ray shows a collapsed lung with no mediastinal shift. What is this condition?

Tension pneumothorax

Simple pneumothorax

Hemothorax

Pleural effusion

12. A patient with chest trauma has unilateral absent breath sounds, dullness to percussion, and hypotension. What is the most likely diagnosis?

Pneumothorax

Massive hemothorax

Pulmonary contusion

Flail chest

13. Which patient is at highest risk for secondary spontaneous pneumothorax?

COPD patient

Healthy 25-year-old

Postoperative abdominal surgery

Patient on anticoagulation therapy

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15. After chest tube insertion for pneumothorax, you observe continuous bubbling in the water seal chamber. What does this indicate?

Normal lung re-expansion

Air leak in the system

Proper fluid drainage

Adequate suction pressure

16. A spontaneous pneumothorax in a tall, thin young male is associated with what?

Subpleural bleb rupture

Cardiac tamponade

Pulmonary edema

Aspiration pneumonia

17. Which assessment finding is most specific for tension pneumothorax?

Tracheal deviation toward the affected side

Tracheal deviation away from the affected side

Decreased cardiac output with clear lung sounds

Stable vital signs with hypoxia

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19. A trauma patient requires immediate needle decompression. Where is the needle inserted?

Second intercostal space, midclavicular line

Fourth intercostal space, midaxillary line

Fifth intercostal space, anterior axillary line

Third intercostal space, midsternal line

20. Which clinical finding indicates tension pneumothorax rather than simple pneumothorax?

Tracheal deviation and hypotension

Mild dyspnea only

Hyperresonance to percussion

Unilateral breath sound decrease

Pneumothorax Quiz: Can You Catch the Collapse?

1. When assessing a chest tube for pneumothorax, gentleness during milking or stripping is important to____.

2.

What first name or nickname would you like us to use?

2. A trauma patient with hemothorax requires massive transfusion protocol activation. This suggests____.

3. Which finding on chest tube assessment suggests the lung has re-expanded in pneumothorax?

4. A chest X-ray shows a pneumothorax with mediastinal shift and cardiac compression. This is a medical emergency requiring immediate____.

5. In a small pneumothorax (

6. A patient reports sharp pleuritic chest pain and new dyspnea. Physical exam shows unilateral hyperresonance and decreased breath sounds. What is the most likely diagnosis?

7. Pneumothorax and hemothorax both require chest tube insertion primarily to____.

8. A patient with a chest tube for hemothorax has 400 mL of blood drainage in the first hour. What is the next nursing action?

9. Which imaging modality is most sensitive for detecting a small pneumothorax?

10. A patient with tension pneumothorax who receives needle decompression should then have____.

11. A patient presents with sudden sharp chest pain, dyspnea, and diminished breath sounds on the left. Chest X-ray shows a collapsed lung with no mediastinal shift. What is this condition?

12. A patient with chest trauma has unilateral absent breath sounds, dullness to percussion, and hypotension. What is the most likely diagnosis?

13. Which patient is at highest risk for secondary spontaneous pneumothorax?

14. The primary goal of chest tube placement in hemothorax is to____.

15. After chest tube insertion for pneumothorax, you observe continuous bubbling in the water seal chamber. What does this indicate?

16. A spontaneous pneumothorax in a tall, thin young male is associated with what?

17. Which assessment finding is most specific for tension pneumothorax?

18. A patient with pneumothorax shows blood in the pleural space on imaging. This is called____.

19. A trauma patient requires immediate needle decompression. Where is the needle inserted?

20. Which clinical finding indicates tension pneumothorax rather than simple pneumothorax?