Question 1

Your 40-year-old patient is having a chest tube placed to remove the air from her pleural space. All of the following are necessary aspects of this process EXCEPT:

Accepted Answer

A)  apply about -5 cm H2O pressure to the chest tube. 
B) a No. 28 to 36 French gauge tube will be used. 
C) place the tube at the apex of the lung. 
D) place the tube at the base of the lung. 
A)  apply about -5 cm H2O pressure to the chest tube. 
B) a No. 28 to 36 French gauge tube will be used. 
C) place the tube at the apex of the lung. 
D) place the tube at the base of the lung. D

Question 2

Your patient has a pneumothorax with a sucking chest wound resulting in the movement of air from one lung to another. This is called:

Accepted Answer

A)  panting. 
B) shunting. 
C) bidirectional flow. 
D) pendelluft. 
A)  panting. 
B) shunting. 
C) bidirectional flow. 
D) pendelluft. D

Question 3

According to the way gas enters the pleural space, a pneumothorax will be classified as:
1) one-sided.
2) bilateral.
3) open.
4) closed.

Accepted Answer

A) 1, 3 
B) 2, 4 
C) 3, 4 
D) 1, 2, 3, 4 
A) 1, 3 
B) 2, 4 
C) 3, 4 
D) 1, 2, 3, 4 C

Question 4

Which of the following chest assessment findings would be expected in a patient with a tension pneumothorax?

Accepted Answer

A)  Tracheal shift toward the pneumothorax 
B) Dull percussion note 
C) Tracheal shift away from the pneumothorax 
D) Hyperresonant breath sounds 
A)  Tracheal shift toward the pneumothorax 
B) Dull percussion note 
C) Tracheal shift away from the pneumothorax 
D) Hyperresonant breath sounds

Question 5

Your patient has had a puncture wound through her chest wall. This has resulted in a check valve so that room air is drawn into the chest during each inspiration and cannot get out. This will result in what type of pneumothorax?

Accepted Answer

A)  Spontaneous 
B) Tension 
C) Open 
D) Closed 
A)  Spontaneous 
B) Tension 
C) Open 
D) Closed

Question 6

A 17-year-old male has been brought to the hospital because he felt short of breath after being tackled in a football game. A chest radiograph shows a broken rib and a 10% pneumothorax. The type of pneumothorax that he has is called:

Accepted Answer

A)  closed. 
B) sports related. 
C) spontaneous. 
D) iatrogenic. 
A)  closed. 
B) sports related. 
C) spontaneous. 
D) iatrogenic.

Question 7

Your patient with a large pneumothorax has tachycardia and a low blood pressure. What could cause this?

Accepted Answer

A)  Shock 
B) Decreased venous return to the heart 
C) Tracheal compression 
D) Compression of the abdominal aorta 
A)  Shock 
B) Decreased venous return to the heart 
C) Tracheal compression 
D) Compression of the abdominal aorta

Question 8

After the patient has had repeated pneumothoraces of her right lung, the physician has recommended that the patient have the problem permanently eliminated. What should be done?

Accepted Answer

A)  Pleurodesis 
B) Right pneumonectomy 
C) Permanent right sided chest tube 
D) Right upper lobectomy 
A)  Pleurodesis 
B) Right pneumonectomy 
C) Permanent right sided chest tube 
D) Right upper lobectomy

Question 9

The lung on the affected side collapses.
2) The visceral and parietal pleura separate.
3) The visceral pleura adheres to the parietal pleura.
4) The chest wall moves outward.

Accepted Answer

A) 1, 3 
B) 3, 4 
C) 2, 4 
D) 1, 2, 4 
A) 1, 3 
B) 3, 4 
C) 2, 4 
D) 1, 2, 4

Question 10

If the a patient has a pneumothorax, all of the following chest radiograph findings would be expected EXCEPT:

Accepted Answer

A)  elevated hemidiaphragm. 
B) lung collapse. 
C) depressed hemidiaphragm. 
D) atelectasis. 
A)  elevated hemidiaphragm. 
B) lung collapse. 
C) depressed hemidiaphragm. 
D) atelectasis.

Question 11

Treatment of a 30% pneumothorax may include:
1) endotracheal intubation.
2) giving the patient supplemental oxygen.
3) placing a chest tube into the pleural space.
4) placing a chest tube into the pericardial space.

Accepted Answer

A) 1, 3 
B) 2, 3 
C) 2, 4 
D) 1, 2, 3, 4 
A) 1, 3 
B) 2, 3 
C) 2, 4 
D) 1, 2, 3, 4

Question 12

Which of the following hemodynamic indices will be found in a patient with a large hemothorax?

Accepted Answer

A)  Decreased Qs/Qt 
B) Decreased CO 
C) Increased CI 
D) Increased SV 
A)  Decreased Qs/Qt 
B) Decreased CO 
C) Increased CI 
D) Increased SV

Question 13

A 6-foot-tall, 130-pound, 22-year-old female patient has come to the emergency department with a complaint of a sudden sharp pain in the right upper chest followed by shortness of breath. She was participating in deep breathing exercises in her yoga class when this happened. The physician has determined that she has a 15% pneumothorax. How should it be classified?

Accepted Answer

A)  Open 
B) Exercise related 
C) Spontaneous 
D) Traumatic 
A)  Open 
B) Exercise related 
C) Spontaneous 
D) Traumatic

Question 14

An iatrogenic pneumothorax may be caused by all of the following EXCEPT:

Accepted Answer

A)  positive-pressure mechanical ventilation. 
B) pleural biopsy. 
C) subclavian vein cannulation. 
D) endotracheal intubation. 
A)  positive-pressure mechanical ventilation. 
B) pleural biopsy. 
C) subclavian vein cannulation. 
D) endotracheal intubation.

Question 15

A pneumothorax manifests itself clinically as a/an:

Accepted Answer

A)  restrictive pulmonary disorder. 
B) obstructive pulmonary disorder. 
C) equally restrictive and obstructive disorder. 
D) restrictive cardiac disorder. 
A)  restrictive pulmonary disorder. 
B) obstructive pulmonary disorder. 
C) equally restrictive and obstructive disorder. 
D) restrictive cardiac disorder.

Question 16

What are the anatomic alterations that occur when a person has a pneumothorax?
1.   The lung on the affected side collapses.
2.   The visceral and parietal pleura separate.
3.   The visceral pleura adheres to the parietal pleura.
4.   The chest wall moves outward.

Accepted Answer

A) 	1, 3 
B) 	3, 4 
C) 	2, 4 
D) 	1, 2, 4 
A) 	1, 3 
B) 	3, 4 
C) 	2, 4 
D) 	1, 2, 4

Exam 22: Pneumothorax

Your 40-year-old patient is having a chest tube placed to remove the air from her pleural space. All of the following are necessary aspects of this process EXCEPT:

Your patient has a pneumothorax with a sucking chest wound resulting in the movement of air from one lung to another. This is called:

According to the way gas enters the pleural space, a pneumothorax will be classified as: 1) one-sided. 2) bilateral. 3) open. 4) closed.

Which of the following chest assessment findings would be expected in a patient with a tension pneumothorax?

Your patient has had a puncture wound through her chest wall. This has resulted in a check valve so that room air is drawn into the chest during each inspiration and cannot get out. This will result in what type of pneumothorax?

A 17-year-old male has been brought to the hospital because he felt short of breath after being tackled in a football game. A chest radiograph shows a broken rib and a 10% pneumothorax. The type of pneumothorax that he has is called:

Your patient with a large pneumothorax has tachycardia and a low blood pressure. What could cause this?

After the patient has had repeated pneumothoraces of her right lung, the physician has recommended that the patient have the problem permanently eliminated. What should be done?

The lung on the affected side collapses. 2) The visceral and parietal pleura separate. 3) The visceral pleura adheres to the parietal pleura. 4) The chest wall moves outward.

If the a patient has a pneumothorax, all of the following chest radiograph findings would be expected EXCEPT:

Treatment of a 30% pneumothorax may include: 1) endotracheal intubation. 2) giving the patient supplemental oxygen. 3) placing a chest tube into the pleural space. 4) placing a chest tube into the pericardial space.

Which of the following hemodynamic indices will be found in a patient with a large hemothorax?

An iatrogenic pneumothorax may be caused by all of the following EXCEPT:

A pneumothorax manifests itself clinically as a/an:

What are the anatomic alterations that occur when a person has a pneumothorax? 1. The lung on the affected side collapses. 2. The visceral and parietal pleura separate. 3. The visceral pleura adheres to the parietal pleura. 4. The chest wall moves outward.

The Patient Interview

The Physical Examination and Its Basis in Physiology

Pulmonary Function Study Assessments

Arterial Blood Gas Assessments

Oxygenation Assessments

Cardiovascular System Assessments

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program and the Role of the Respiratory Care Practitioner

Recording Skills: the Basis for Data Collection, Organization, Assessment Skills, and Treatment Plans

Chronic Obstructive Pulmonary Disease Copd: Chronic Bronchitis, and Emphysema

Asthma

Bronchiectasis

Cystic Fibrosis

Pneumonia

Lung Abscess

Tuberculosis

Fungal Diseases of the Lung

Pulmonary Edema

Pulmonary Embolism

Flail Chest

Effusion and Empyema

Kyphoscoliosis

Interstitial Lung Diseases

Cancer of the Lung

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Sleep Apnea

Newborn and Early Childhood Respiratory Disorders

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndromes

Respiratory Syncytial Virus Infection Bronchiolitis or Pneumonitis

Bronchopulmonary Dysplasia

Congenital Diaphragmatic Hernia

Croup Syndrome: Laryngotracheobronchitis and Acute Epiglottitis

Near Drowning

Smoke Inhalation and Thermal Injuries

Postoperative Atelectasis

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