NSG 223 Mod 1.1 Practice Exam | Questions with
100% Correct Answers | Verified | Latest Update
2026
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Terms in this set (47)
Why is eliciting a medical history A.
crucial during the initial assessment
after a traumatic injury?
A. Comorbidities alter the
physiologic response to trauma
B. It is essential to determining the
mechanism of injury
C. A medical history helps to identify
the cause of injury.
D. The client may become comatose
later.
,Which consideration will the nurse Answer: 1 Explanation: 1. Penetrating trauma refers
apply to the assessment of a patient to injury sustained by the transmission of energy to
who sustained penetrating trauma? body tissues from a moving object that interrupts
1. The extent of injury is related to the skin integrity. Penetrating trauma produces actual
amount of energy transferred to the tissue penetration and may also cause surrounding
body tissues. tissue deformation based on the energy
2. The amount of trauma sustained is transferred by the penetrating object. 2. Pre-injury
related to the patient's nutritional nutritional status is not a major factor in the amount
status before the injury. of injury sustained. 3. The patient's fluid volume
3. If the patient was well hydrated at status has little to do with the amount of injury
the time of injury, the extent will be sustained. 4. The physics of injury does include arc,
diminished. direction of travel, diameter of the object, and
4. The primary determinant of injury other components, but these measures all relate to
is the arc traveled by the penetrating a more specific concept.
object.
, A patient brought into the Answer: 3 Explanation: 1. Shearing occurs when two
emergency department with injuries parts of the same structure move in opposite
sustained from a motor vehicle direction causing a tear. Shearing forces are
accident (MVA) is complaining of common in MVAs, but this is not the most specific
abdominal pain and begins to vomit. injury pattern for this patient. 2. Deceleration is a
The nurse suspects injury from which decrease in the speed of velocity of a moving
most likely source? object. Deceleration injury is common in MVAs but
1. Shearing is not the most specific injury in this situation. 3.
2. Deceleration Compression is the process of being pressed or
3. Compression squeezed together with a resulting reduction in
4. Acceleration volume or size. The small bowel may be
compressed between the vertebral column and the
lower part of the steering wheel or an improperly
placed seat belt. The bowel may rupture. Because
the patient complained of abdominal pain and
started to vomit, the nurse should suspect that the
patient sustained a compression force injury. 4.
Acceleration is the increase in the rate of velocity
or speed of a moving object and frequently occurs
in MVAs. It is not the most specific injury pattern
suggested by this scenario.
100% Correct Answers | Verified | Latest Update
2026
Save
Terms in this set (47)
Why is eliciting a medical history A.
crucial during the initial assessment
after a traumatic injury?
A. Comorbidities alter the
physiologic response to trauma
B. It is essential to determining the
mechanism of injury
C. A medical history helps to identify
the cause of injury.
D. The client may become comatose
later.
,Which consideration will the nurse Answer: 1 Explanation: 1. Penetrating trauma refers
apply to the assessment of a patient to injury sustained by the transmission of energy to
who sustained penetrating trauma? body tissues from a moving object that interrupts
1. The extent of injury is related to the skin integrity. Penetrating trauma produces actual
amount of energy transferred to the tissue penetration and may also cause surrounding
body tissues. tissue deformation based on the energy
2. The amount of trauma sustained is transferred by the penetrating object. 2. Pre-injury
related to the patient's nutritional nutritional status is not a major factor in the amount
status before the injury. of injury sustained. 3. The patient's fluid volume
3. If the patient was well hydrated at status has little to do with the amount of injury
the time of injury, the extent will be sustained. 4. The physics of injury does include arc,
diminished. direction of travel, diameter of the object, and
4. The primary determinant of injury other components, but these measures all relate to
is the arc traveled by the penetrating a more specific concept.
object.
, A patient brought into the Answer: 3 Explanation: 1. Shearing occurs when two
emergency department with injuries parts of the same structure move in opposite
sustained from a motor vehicle direction causing a tear. Shearing forces are
accident (MVA) is complaining of common in MVAs, but this is not the most specific
abdominal pain and begins to vomit. injury pattern for this patient. 2. Deceleration is a
The nurse suspects injury from which decrease in the speed of velocity of a moving
most likely source? object. Deceleration injury is common in MVAs but
1. Shearing is not the most specific injury in this situation. 3.
2. Deceleration Compression is the process of being pressed or
3. Compression squeezed together with a resulting reduction in
4. Acceleration volume or size. The small bowel may be
compressed between the vertebral column and the
lower part of the steering wheel or an improperly
placed seat belt. The bowel may rupture. Because
the patient complained of abdominal pain and
started to vomit, the nurse should suspect that the
patient sustained a compression force injury. 4.
Acceleration is the increase in the rate of velocity
or speed of a moving object and frequently occurs
in MVAs. It is not the most specific injury pattern
suggested by this scenario.
