A patient has a flail chest but no respiratory failure. The flail segment alone means mechanical ventilation is required.
5 Chest Trauma Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Chest Trauma, test your knowledge, and prepare for your next test or exam.
After blunt chest trauma, a patient’s breathing difficulty is modest at first, but oxygenation worsens over the next several hours. Pulmonary contusion may become more apparent over time.
- A
True
- B
False
Name one finding that can be late in tension pneumothorax. Enter the finding as a brief term.
After chest trauma, a patient has decreased breath sounds on one side. What percussion quality, described in the material, adds concern for blood in the chest? Enter one word.
When reassessing a deteriorating chest-trauma patient, include , , vital signs, and .
A penetrating injury has left an open wound in the chest wall. While urgent help is arranged, which action is appropriate?
- A
Pack the wound deeply with gauze
- B
Apply an appropriate occlusive dressing configured to allow air to escape, according to protocol
- C
Leave the wound uncovered while waiting for imaging
- D
Probe the wound to estimate its depth
A patient with blunt chest trauma becomes severely short of breath and hypotensive, with markedly reduced breath sounds on the right. What is the priority?
- A
Arrange a chest radiograph before taking further action
- B
Alert the trauma team and prepare for immediate pleural decompression
- C
Place the patient flat and reassess in 15 minutes
- D
Encourage deep breathing and coughing
Four patients are being monitored after chest trauma. Which patient needs the most immediate reassessment?
- A
A stable patient with localized rib pain and equal breath sounds
- B
A patient with chest bruising whose oxygen saturation and work of breathing are worsening
- C
A patient with a small chest-wall abrasion and normal vital signs
- D
A patient with a stable, known rib fracture asking for pain medication
A patient has a sternal fracture after blunt chest trauma. Which interpretation is supported?
- A
A sternal fracture by itself establishes blunt cardiac injury
- B
A sternal fracture alone does not establish blunt cardiac injury
- C
A normal ECG by itself always rules out blunt cardiac injury
- D
Troponin I is not part of screening for suspected blunt cardiac injury
In suspected blunt cardiac injury, a normal ECG together with a normal troponin I can the injury.
A patient develops worsening oxygenation several hours after blunt chest trauma, despite having only modest breathing difficulty initially. Explain the concern, what should be reassessed and reported, and how the nurse should respond.
True or false: A sternal fracture alone establishes blunt cardiac injury.
- A
True
- B
False
When blunt cardiac injury is suspected, which two tests should the trauma team use for screening?
A penetrating injury has left an open wound in the chest wall. Which action is appropriate while urgent help is arranged?
- A
Pack the wound deeply with gauze.
- B
Apply an appropriate occlusive dressing that permits air to escape, according to protocol.
- C
Leave the wound uncovered while waiting for imaging.
- D
Probe the wound to estimate its depth.
After blunt chest trauma, a patient's breathing difficulty is initially modest but oxygenation worsens over the next several hours. Which injury should the nurse recognize as a possible cause?
A patient with multiple rib fractures has a chest segment that moves inward during inspiration and outward during expiration. Which care priority is most appropriate if respiratory failure is not present?
- A
Keep the patient flat and defer respiratory assessment unless oxygen saturation falls.
- B
Prepare for mechanical ventilation solely because a flail segment is present.
- C
Closely assess respiration, support oxygenation, manage pain effectively, and promote pulmonary hygiene.
- D
Avoid pain management so respiratory changes remain easier to detect.
After chest trauma, a patient is pale, tachycardic, and hypotensive, with decreased breath sounds and dullness to percussion on one side. Which injury is most concerning, and what should the nurse anticipate?
- A
Pulmonary contusion; prepare for pain management and pulmonary hygiene only.
- B
Potentially massive hemothorax; escalate immediately and prepare for clinician-directed tube thoracostomy and blood-product resuscitation.
- C
Flail chest; place the patient flat and reassess later.
- D
Open pneumothorax; probe the wound to establish its depth.
A patient with significant blunt trauma to the front of the chest has a normal ECG and a normal troponin I. What conclusion is supported by the screening guidance?
- A
A normal ECG alone rules out blunt cardiac injury, regardless of troponin I.
- B
A normal ECG together with a normal troponin I can rule out blunt cardiac injury.
- C
A sternal fracture confirms blunt cardiac injury even when the ECG and troponin I are normal.
- D
Blunt cardiac injury can be ruled out only when both ECG and troponin I are abnormal.
A patient with chest trauma may need urgent invasive treatment. Which actions are consistent with the nursing guidance? Select all that apply.
- A
Follow local trauma protocols.
- B
Independently perform invasive procedures when a patient appears unstable.
- C
Activate the trauma team when urgent trauma care is needed.
- D
Delay team activation until imaging confirms the injury.
- E
Assist with invasive procedures as directed by qualified clinicians.
A patient with chest trauma is unstable, and the team is considering an indicated emergency intervention. Which principles are consistent with the guidance? Select all that apply.
- A
Begin the trauma survey and escalate promptly.
- B
Prepare for urgent treatment when indicated.
- C
Wait for imaging before escalating, even if the patient is unstable.
- D
Do not postpone indicated emergency intervention for imaging in an unstable patient.
Related study packs and tools
- Quiz
1 Principles of Fundamental Care
A medium-difficulty quiz on applying person-centred principles of fundamental care, including dignity, choice, safety, independence, infection prevention, and observation.
- Study guide
1 Scene Assessment and Emergency Priorities
Learn how to make an emergency scene safer, rapidly identify and address immediate threats to life, prioritize patients, and reassess as conditions change.
- Quiz
2 Care Coordination and Continuity
A 14-question quiz on coordinating care, supporting safe transitions, and maintaining continuity across providers and settings.
NCLEX-PN Coordinated CareUpdated - Study guide
2 Immediate Stabilization Decisions
A practical guide to recognizing immediate threats, providing appropriate first aid while EMS is coming, and prioritizing emergency transport decisions.
- Study guide
4 Destination Decisions and Transport Planning
Learn how to select and communicate a patient destination by matching clinical risk and likely care needs to facility capability, travel conditions, and local EMS protocols.
- Study guide
4 Patient Identification
Learn how to verify a patient’s identity safely before care, what to do when information does not match, and how to proceed when a patient cannot confirm their identity.
- Study guide
4 Prioritize Hypotheses
Learn how to compare plausible explanations for a client’s findings and prioritize the concern that poses the greatest immediate risk.
- Study guide
05 Fundamental Patient Care
Learn how to provide respectful, individualized assistance with daily activities while supporting safety, comfort, independence, and early recognition of changes.
NCLEX-PN Practice TestUpdated - Quiz
5 Generate Solutions
A medium-difficulty quiz on setting measurable patient goals and selecting, implementing, and evaluating interventions that address the priority problem.
- Study guide
5 Urinary and Bowel Elimination
Learn how to support safe, comfortable, and independent toileting, provide elimination and skin care, and recognize changes that require reporting or urgent attention.
- Study guide
6 Take Action
Learn how to implement safe, prioritized nursing interventions, respond to deterioration, communicate concerns, and reassess patient outcomes.
- Quiz
8 Integrated NGN Case Studies
Practice applying the NGN clinical judgment steps, using common item formats, and interpreting client changes.