Trivia Questions On Pneumothorax: Quiz!
(126).jpg "Trivia Questions On Pneumothorax: Quiz!")
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- 1.
- A.
Do nothing, because this is an expected finding.
- B.
Immediately clamp the chest tube and notify the physician.
- C.
Check for an air leak because the bubbling should be intermittent.
- D.
Increase the suction pressure so that bubbling becomes vigorous.
- 2.An emergency room nurse is assessing a female client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?
- A.
A low respiratory
- B.
Diminished breathe sounds
- C.
The presence of a barrel chest
- D.
A sucking sound at the site of injury
- 3.A male client has been admitted with chest trauma after a motor vehicle accident and has undergone subsequent intubation. A nurse checks the client when the high-pressure alarm on the ventilator sounds and notes that the client has an absence of breathing sounds in the right upper lobe of the lung. The nurse immediately assesses for other signs of:
- A.
Right pneumothorax
- B.
Pulmonary embolism
- C.
Displaced endotracheal tube
- D.
Acute respiratory distress syndrome
- 4.The physician inserts a chest tube into a female client to treat pneumothorax. The tube is connected to water-seal drainage. The nurse in-charge can prevent chest tube air leaks by:
- A.
Checking and taping all connections.
- B.
Checking patency of the chest tube.
- C.
Keeping the head of the bed slightly elevated.
- D.
Keeping the chest drainage system below the level of the chest.
- 5.A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client
- 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.A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the BEST explanation for the nurse to provide this client?
- 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.”
- 7.Which of the following measures best determines that a patient who had a pneumothorax no longer needs a chest tube?
- A.
You see a lot of drainage from the chest tube.
- B.
Arterial blood gas (ABG) levels are normal.
- C.
The chest X-ray continues to show the lung is 35% deflated.
- D.
The water-seal chamber doesn’t fluctuate when no suction is applied.
- 8.The nurse is going to replace the Pleur-O-Vac attached to the client with a small, persistent left upper lobe pneumothorax with a Heimlich Flutter Valve. Which of the following 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
- 9.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 which of the following?
- A.
Spontaneous pneumothorax
- B.
Ruptured diaphragm
- C.
Hemothorax
- D.
Pericardial tamponade
- 10.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.
- 11.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
- 12.In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications 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
- 13.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 for would be:
- A.
Mediastinal shift
- B.
Tracheal laceration
- C.
Open pneumothorax
- D.
Pericardial tamponade
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