Pneumothorax MCQ Quiz Questions And Answers

15 Questions | By Rnpedia | Updated: May 18, 2022 | Attempts: 7090

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Do you know everything about pneumothorax? You can take pneumothorax MCQ questions and answers to test your knowledge about this. It is a condition of collapsed lungs that could either be complete or partial. If you want to check how well you know about this problem, this quiz is for you. You can choose the correct answers and ace the quiz. If you miss out on any question, we are here to help you with the correct answer. Also, you can share the quiz with others who want to learn about pneumothorax.

Questions and Answers

1.

In a recumbent, immobilized patient, lung ventilation may become altered, leading to the respiratory complications such as:
- A.
  
  Respiratory acidosis, ateclectasis, and hypostatic pneumonia
- B.
  
  Appneustic breathing, atypical pneumonia and respiratory alkalosis
- C.
  
  Cheyne-Strokes respirations and spontaneous pneumothorax
- D.
  
  Kussmail’s respirations and hypoventilation
2.

An emergency room nurse assesses a female client who has sustained a blunt injury in the chest wall. Which of the following signs would indicate the presence of a pneumothorax in this patient?
- A.
  
  A low respiration
- B.
  
  Diminished breathing sounds
- C.
  
  The presence of a barrel chest
- D.
  
  A sucking sound on the site of injury
3.

A male client was admitted with chest trauma after a motorbike accident and has undergone subsequent intubation. The nurse checks the client when the high-pressure alarm on the ventilator makes sounds and notes down that the client has an absence of breathing sounds in the right upper lobe of his lung. What other signs does the nurse immediately assess?
- A.
  
  Right pneumothorax
- B.
  
  Pulmonary embolism
- C.
  
  Displaced endotracheal tube
- D.
  
  Acute respiratory distress syndrome
4.

The doctor inserts a chest tube into a female patient to treat pneumothorax. The tube is then connected to water-seal drainage. The available nurse in charge can prevent chest tube air leakage by:
- A.
  
  Checking and taping all the connections.
- B.
  
  Checking patency of the patient's chest tube.
- C.
  
  Keeping the head of the bed elevated.
- D.
  
  Keeping the patient's chest drainage system below the level of the chest.
5.

A patient is diagnosed with a spontaneous pneumothorax showing the need for the insertion of a chest tube. What could be the best explanation for the nurse to provide this patient?
- A.
  
  “The tube will drain fluid from your chest.”
- B.
  
  “The tube will remove excess air from your chest.”
- C.
  
  “The tube controls the amount of air that enters your chest.”
- D.
  
  “The tube will seal the hole in your lung.”
6.

Which of these measures best determines that a patient with pneumothorax no longer needs the chest tube?
- A.
  
  A lot of drainage from the chest tube is observed.
- B.
  
  Arterial blood gas (ABG) levels are observed to be normal.
- C.
  
  The chest X-ray show the lung is 35% deflated.
- D.
  
  The water-seal chamber doesn’t fluctuate till no suction is applied.
7.

The nurse will replace the Pleur-O-Vac attached to the patient with a small, persistent left-upper lobe pneumothorax with a Heimlich Flutter Valve. Which of these is the best rationale for this?
- A.
  
  Promote air and pleural drainage
- B.
  
  Prevent kinking of the tube
- C.
  
  Eliminate the need for a dressing
- D.
  
  Eliminate the need for a water-seal drainage
8.

Thoracentesis is performed on a chest-injured client, and no fluid or air is found. Blood and fluids are administered intravenously (IV), but the client’s vital signs do not improve. A central venous pressure line is inserted, and the initial reading is 20 cm H^O. The most likely cause of these findings is one of the following?
- A.
  
  Spontaneous pneumothorax
- B.
  
  Ruptured diaphragm
- C.
  
  Hemothorax
- D.
  
  Pericardial tamponade
9.

The nurse is planning to teach the client about a spontaneous pneumothorax. The nurse would base the teaching on the understanding that:
- A.
  
  Inspired air will move from the lung into the pleural space.
- B.
  
  There is greater negative pressure within the chest cavity.
- C.
  
  The heart and great vessels shift to the affected side.
- D.
  
  The other lung will collapse if not treated immediately.
10.

Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?
- A.
  
  The system is functioning normally
- B.
  
  The client has a pneumothorax
- C.
  
  The system has an air leak.
- D.
  
  The chest tube is obstructed
11.

After a lateral crushing chest injury, the obvious right-sided paradoxical motion of the client’s chest demonstrates multiple rib fractures, resulting in a flail chest. The complication the nurse should carefully observe would be:
- A.
  
  Mediastinal shift
- B.
  
  Tracheal laceration
- C.
  
  Open pneumothorax
- D.
  
  Pericardial tamponade
12.

When a person is suffering from pneumothorax, which of the following are the anatomic alterations that occur?
- A.
  
  The chest wall moves outward
- B.
  
  The lung on the affected side collapses.
- C.
  
  The visceral and parietal pleura separate
- D.
  
  All of the above
13.

According to the way gas enters the pleural space, a pneumothorax is classified as:
- A.
  
  Open
- B.
  
  Closed
- C.
  
  Intrinsic
- D.
  
  Extrinsic
14.

An iatrogenic pneumothorax is NOT caused by which of the following:
- A.
  
  Pleural Biopsy
- B.
  
  Positive-pressure mechanical ventilation
- C.
  
  Endotracheal intubation
- D.
  
  Subclavian vein cannulation
15.

Which hemodynamic indices are found in a patient with a large hemothorax?
- A.
  
  Increased CI
- B.
  
  Decreased CO
- C.
  
  Decreased QS/QT
- D.
  
  Increased SV