ATCN Exam Review | 85 Questions with 100% Correct Answers | Verified
Question : 10 Signs and sx of tension pneumothorax
Correct answer: 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)
Question : Signs and sx of cardiac tamponade
Correct answer: 1. Becks Triad= increased venous
pressure(distended neck veins), decreased arterial pressure(hypotension), muffled heart tones
2. PEA
- JVD &/or Kussmauls sign
- Use FAST to dx
Question : tension pneumothorax can often be confused with
cardiac tamponade, how do you differentiate?
Correct answer: Careful assessment of the pt's breath sounds
is paramount to differentiate the two
Question : Tx of tension pneumothorax
Correct answer: 1. Needle decompression- large bore needle
2nd intercostal space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary
Question : triad of death
Correct answer: -Acidosis
Hypothermia
Coagulopathy (blood can't clot resulting in continued bleeding)
Question : rule of 9's adult
Correct answer: 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%)
Question : Rule of 9's - Pediatric
Correct answer: Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each Anterior/Posterior Arms - 4.5% Each Anterior/Posterior Legs - 7% Each
Question : signs and symptoms of compartment syndrome
Correct answer: Early signs and sx
increased pain, greater than expected and out of proportion to the injury
Palpable tenseness of the compartment
asymmetry of the muscle compartment
pain on passive stretch 5.altered sensation
Note: Absent distal pulses and poor cap refill are not reliable
in dx compartment syndrome. May be a very late sign of C.S.possibility of proximal vascular injury should be considered
Question : Indications for thoracotomy
Correct answer: thoracotomy is indicated when output
exceeds 1500 mL within 24 hours, THE INDICATIONS for thoracotomy after traumatic injury typically include shock, arrest at presentation, diagnosis of specific injuries (such as blunt aortic injury), or ongoing thoracic hemorrhage.