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Chest Tube Competency Validation Quiz

Quiz by Laura Gauldin

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17 questions
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  • Q1
    Normally, pressure in the pleural space is ___________.
    positive
    negative
    positive only during breathing
    4 cm H2O to 10 cm H2O
    120s
  • Q2
    The Atrium Oasis dry suction water seal chest drain is latex free.
    False
    True
    120s
  • Q3
    Continuous bubbling in the water seal chamber could indicate all of the following except:
    the system has disconnected from the chest tube
    the pneumothorax is resolved and no air leak is present
    a system air leak requiring system replacement is present
    an active air leak is present in the patient's thoracic cavity
    120s
  • Q4
    A water seal allows for all of the following except:
    monitoring changes in intrathoracic pressure
    monitoring air leak trends
    air to exit the chest and prevent air from returning to the patient
    the prevention of tension pneumothorax during accidental suction line occlusion.
    120s
  • Q5
    Wall suction should be set at what setting or higher and connected directly to the blue suction port?
    -80 mm Hg
    -40 mm Hg
    -20 mm Hg
    -10 mm Hg
    120s
  • Q6
    The prepackaged sterile water ampule is opened and contents are squeezed into the patient connector.
    True
    False
    120s
  • Q7
    The physician has ordered a sample of fluid from the chest drainage be sent to the laboratory. The nurse should:
    Draw from the dependent loop of the tube using an 18 gauge needle after it is cleaned.
    Disconnect the patient connector and empty contents of drainage tube into specimen container.
    Draw from the grommet on the system using a 20 gauge or smaller needle after it is cleaned.
    Draw from the dependent loop of the tube using a 20 gauge needle after it is cleaned.
    120s
  • Q8
    In the attached image, which of the following best describes "A"
    Question Image
    Dry Suction Control
    Water Seal Column
    Collection Chamber
    Air leak monitor
    120s
  • Q9
    Stripping the length of the chest tube produces transient high negative pressure in the pleural space which can damane tissues in the pleural space.
    True
    False
    120s
  • Q10
    Clamping a chest tube may cause air trapped in the pleural space to accumulate resulting in a tension pneumothorax.
    False
    True
    120s
  • Q11
    The manual high negativity vent is used to ________________________________________.
    Question Image
    lower the height of the water-seal column or to lower patient pressure when connected to suction
    allow the patient to draw as much intrathoracic pressure as is required during breathing.
    indicate presence of air leaks
    raise the height of the water-seal column or to raise the patient pressure when connected to suction
    120s
  • Q12
    When monitoring a chest tube, reportable conditions would include all of the following except:
    Absence of fluctuations in the water-seal chamber with respiratory distress.
    Developing subcutaneous emphysema.
    A gradual change of drainage from bloody to pink to straw colored.
    Excessive chest tube output.
    120s
  • Q13
    When transporting a patient with a chest tube, the nurse should ________________.
    Clamp the tube before removing it from the suction source.
    Ensure that portable suction equipment is available during the transport.
    Disconnect from suction and transport drain in upright position below the level of the patient's thorax .
    Disconnect from suction and transport the chest drainage system in the patient's bed.
    120s
  • Q14
    After walking a patient with a mediastinal chest tube, the nurse notices an increase in the amount of drainage from the patient's chest tube and an absence of tidaling. Which statement is true about this finding?
    The physician should be notified as this could indicate a ruptured suture line.
    Increased drainage after ambulation and absence of tidaling is normal but the drainage should be monitored closely.
    This indicates increased bleeding and necessitates transfusion.
    A chest x-ray should be obtained to rule out tamponade.
    120s
  • Q15
    A confused patient pulls out his chest tube. A nurse should do all of the following except:
    Monitor the patient's vital signs.
    Notify the practitioner.
    Apply a sterile occlusive dressing on the site.
    Monitor the patient's oxygenation.
    120s

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