Timing chain
Assuming this is a small block Chevy V8, pull the distributor cap and crank the engine to see if the rotor turns. If the rotor turns, your chain is still connecting the cam to the crankshaft,. However, these engines used a nylon covered cam gear and the nylon has a tendency to age and break off. This allows the timing chain to skip teeth.
If you do need to replace the timing chain, start by pulling all the spark plugs, then the radiator, then the water pump, then the crankshaft pulley, then the harmonic balancer (you will need a puller for this). Then loosen the oil pan bolts a turn or two. Now remove the timing cover. You will see the chain running from the crank to the cam and 3 bolts on the cam gear. Line up the timing marks: Cam at 6 o'clock and crank at 12 o'clock EXACTLY opposite each other. If the cam tries to turn after removing the gear, you may have to pull both valve covers and back off all the rocker arms to remove pressure from the valve springs.
Now remove the cam gear and chain. Reinstall in reverse order. Make sure you replace the cam gear and the chain and double check the timing marks.
Having said all this, it's probably a cold morning and your old truck just wanted to stay home that day.
If the cam gear has stripped plastic teeth and the marks are off upon disassembly then the valves very well could have smacked the pistons. You could throw a timing set on it and do a compression test before fully reassembling everything. If the numbers are ok run it. If not pull the heads...

