ENA Thoracic Review Practice Exam Questions & Answers.
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Course
Ena
Institution
Ena
ENA Thoracic Review Practice Exam Questions & Answers.
A tracheostomy may be indicated for which injury?
A. Laryngeal injury B. Bronchial injury C. Esophageal injury D. Diaphragmatic injury - CORRECT ANSWER Your correct answer: A Treatment of a laryngeal injury includes intubation, cricothyrot...
ENA Thoracic Review Practice Exam
Questions & Answers.
A tracheostomy may be indicated for which injury?
A. Laryngeal injury B. Bronchial injury C. Esophageal injury D. Diaphragmatic injury - CORRECT ANSWER
Your correct answer: A Treatment of a laryngeal injury includes intubation, cricothyrotomy, or
tracheostomy. Treatment of a bronchial injury includes bronchoscopy and possibly operative repair.
Treatment of an esophageal injury requires urgent surgical repair. Treatment of a diaphragmatic injury
requires gastric tube insertion and operative repair.
Which injury should you suspect in a patient with abrasions or bruising on the anterior chest and cardiac
dysrhythmias? A. Pneumothorax B. Blunt cardiac injury C. Tracheal injury D. Esophageal injury -
CORRECT ANSWER Your correct answer: B
Hemoptysis is a finding in which injury? A. Diaphragmatic injury B. Pulmonary contusion C. Tension
pneumothorax D. Esophageal injury - CORRECT ANSWER Your incorrect answer: C Hemoptysis is a
finding in pulmonary contusion, bronchial injuries, open pneumothorax, and aortic disruptions. It is not
associated with diaphragmatic injury, tension pneumothorax, or esophageal injury.
A patient with a sternal fracture is at increased risk for developing which complication? A. Esophageal
tear B. Fracture of the larynx C. Ruptured diaphragm D. Cardiac tamponade - CORRECT ANSWER Your
correct answer: D A sternal fracture has a significant potential for underlying cardiac and pulmonary
injury, including pulmonary contusion, blunt cardiac injury, and cardiac tamponade. A sternal fracture
does not cause injury to the larynx, diaphragm, or esophagus.
A patient who sustained a crush injury of the chest develops cyanosis of the face and neck and
subconjunctival and retinal hemorrhages. Which injury should you suspect? A. Pulmonary contusion B.
Traumatic asphyxia C. Flail chest D. Cardiac tamponade - CORRECT ANSWER Your correct answer: B A
patient with cyanosis of the face and neck and subconjunctival and retinal hemorrhages after a crush
injury to the chest is likely to have traumatic asphyxia. Patients with a pulmonary contusion experience
dyspnea, hemoptysis, hypoxia, and possible chest wall abrasion or ecchymosis. Patients with flail chest
exhibit pain, difficulty breathing, and paradoxical chest wall movement. Patients with cardiac
tamponade exhibit hypotension, muffled heart tones, jugular vein distention, air hunger, agitation, and a
decreased level of consciousness.
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