Rapid Emergency Assessment · NCLEX Exam

How does the nurse identify a flail chest during the primary survey in breathing assessment?

  1. The chest wall rises symmetrically with each breath
  2. A chest segment moves paradoxically, inward as the rest moves outward
  3. There is reduced air entry but symmetric chest expansion
  4. There is hyper-resonance with tracheal deviation only
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Correct answer: A chest segment moves paradoxically, inward as the rest moves outward

Flail chest presents with paradoxical movement of a chest segment, which significantly impairs ventilation and indicates an urgent breathing issue.

Difficulty: Hard Question 14 of 20

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