ATCN Pretest – Questions & Answers A+
GRADED…
10 Signs and sx of tension pneumothorax - CORRECT ANSWERS--1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign)
Signs and sx of cardiac tamponade - CORRECT ANSWERS--1. Becks Triad=
increased venous pressure(distended neck veins), decreased arterial
pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
tension pneumothorax can often be confused with cardiac tamponade, how do you
differentiate? - CORRECT ANSWERS--Careful assessment of the pt's breath
sounds is paramount to differentiate the two
Tx of tension pneumothorax - CORRECT ANSWERS--1. Needle decompression-
large bore needle 2nd intercostal space midclavicular line 2. chest tube 4 or 5th
intercostal space mid axillary
triad of death - CORRECT ANSWERS---Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
rule of 9's adult - CORRECT ANSWERS--Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%)
Rule of 9's - Pediatric - CORRECT ANSWERS--Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
Anterior/Posterior Arms - 4.5% Each
Anterior/Posterior Legs - 7% Each
signs and symptoms of compartment syndrome - CORRECT ANSWERS--Early
signs and sx
1. increased pain, greater than expected and out of proportion to the injury
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