Hesi RN practice test , chapter 17 emt & Chapter 25 Trauma Overview
ACCOMBINATION EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
Chapter 25 Trauma Overview:
A 20-year-old man has major open facial injuries after his vehicle struck a tree
head-on. Which of the following findings within the car would MOST likely
explain his injury pattern?
Deployed airbag
Bent steering wheel
Nonintact windshield
Crushed instrument panel
Nonintact windshield
Which of the following would MOST likely result from the third collision in the
"three-collision" effect that occurs during a high-speed, frontal impact motor
vehicle crash?
Extensive damage to the automobile
Flail chest and lower extremity fractures
Massive external trauma with severe bleeding
Aortic rupture or compression injury to the brain
Aortic rupture or compression injury to the brain
A young male experienced severe blunt chest trauma when his passenger car
struck another vehicle head-on. During your inspection of the interior of his
vehicle, you would MOST likely find:
deployed airbags.
steering wheel deformity.
starring of the windshield.
a crushed instrument panel.
steering wheel deformity.
An unrestrained driver collided with a bridge pillar. Upon inspection of the
interior of his vehicle, you note that the lower dashboard is crushed. During
your assessment of the patient, you will MOST likely encounter:
trauma to the pelvis.
blunt abdominal trauma.
a severe closed head injury.
penetrating thoracic trauma.
trauma to the pelvis.
Whiplash injuries are MOST common following _________ impacts.
rear-end
rollover
frontal
lateral
rear-end
Death from a rollover motor vehicle crash is MOST often secondary to:
crushing injuries.
airbag-related trauma.
,multiple collisions to the interior of the car.
ejection of the patient from the motor vehicle.
ejection of the patient from the motor vehicle.
Severe abrasion injuries can occur when motorcycle riders are slowed after a
collision by road drag. Road drag is most often associated with which type of
motorcycle impact?
Head-on collision
Angular collision
Ejection
Controlled crash
Ejection
When assessing a stab wound, it is important for the EMT to remember that:
stabbings to an extremity are rarely associated with an exit wound.
the majority of the internal trauma will be near the path of the knife.
most stabbings are unintentional and cause less severe internal injury.
more internal damage may be present than the external wound suggests.
more internal damage may be present than the external wound suggests.
A 40-year-old man was standing near a building when it exploded. He has
multiple injuries, including a depressed skull fracture, severe burns, and an
impaled object in his abdomen. His head injury was MOST likely caused by
___________ blast injuries.
primary
secondary
tertiary
quaternary
tertiary
You would use the Revised Trauma Score scoring system for a patient due to
the potential for what type of trauma?
A. Abdominal
B. Head
C. Chest
D. Extremity
B. Head
What is index of suspicion?
A. Life-threatening injuries are present with a significant mechanism of injury.
B. The patient has an illness that is not caused by an outside force.
C. Awareness that due to the mechanism of injury, unseen injuries may be
present.
D. Awareness that the mechanism of injury will rule out any life-threatening
injuries.
C. Awareness that due to the mechanism of injury, unseen injuries may be present.
What is a coup-contrecoup injury?
a brain injury that occurs when force is applied to the head and energy transmission
through the brain tissue causes injury on the opposite side of the original impact.
What are the three collisions involved in a frontal motor vehicle crash?
The collision of the car against some type of object. The collision of the passenger
against the interior of the car. The collision of the passenger's internal organs against
the solid structures of the body.
When assessing the interior of a crashed motor vehicle for damage, you are
gathering information regarding the:
,a. index of suspicion.
b. mechanism of injury.
c. kinetic energy.
d. potential energy
b. mechanism of injury.
Passengers who are seated in the rear of a vehicle and are wearing only lap
belts have a higher incidence of injuries to the _____________ spine during a
rear-end crash.
a. thoracic and sacral
b. lumbar and coccygeal
c. thoracic and lumbar
d. lumbar and sacral
c. thoracic and lumbar
The energy of a moving object is called:
a. latent energy.
b. kinetic energy.
c. potential energy.
d. converted energy.
b. kinetic energy.
Which of the following factors has the greatest impact on the risk of injury?
Mass
Speed
Distance
Gravity
Speed
How many collisions are there in a typical vehicle impact?
1
2
3
4
3
In which type of vehicle crash are you most likely to find a patient with
whiplash injuries?
Frontal
Rear-end
Rollover
Rotational
Rear-end
The phenomenon in which the rapid changes in tissue and fluid pressure that
occur with the passage of a projectile result in serious injury to internal organs
distant to the actual path of the bullet is known as:
cavitation.
drag.
fragmentation.
tumble.
cavitation
, What type of blast injury occurs when objects are propelled by the force of the
blast wave and strike the victim, causing injury?
Primary
Secondary
Tertiary
Quaternary
Secondary
What level of trauma center provides prompt assessment, resuscitation, and
stabilization of injured patients and emergency operations?
Level I
Level II
Level III
Level IV
Level III
You are assessing a patient who opens her eyes when you speak to her, who
can respond to you but seems confused as to time and place, and who
localizes pain. What is her Glasgow Coma Scale score?
7
10
12
15
12
You are assessing a patient who was in a front-end car crash. His CGS score
is 12, his systolic blood pressure is 81 mm Hg, and his respiratory rate is 22
breaths/min. What is this patient's Revised Trauma Score?
7
10
12
15
10
You would mostly commonly use the Revised Trauma Score scoring system
for a patient with the potential for what type of trauma?
Abdominal
Head
Chest
Extremity
Head
At what step in the ACS-COT/CDC updated field triage decision scheme would
you assess the mechanism of injury and evidence of high-energy impact?
Step 1
Step 2
Step 3
Step 4
Step 3
Kinetic energy is a calculation of:
weight and size.
weight and speed.
mass and weight.
speed and force.
weight and speed.
ACCOMBINATION EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
Chapter 25 Trauma Overview:
A 20-year-old man has major open facial injuries after his vehicle struck a tree
head-on. Which of the following findings within the car would MOST likely
explain his injury pattern?
Deployed airbag
Bent steering wheel
Nonintact windshield
Crushed instrument panel
Nonintact windshield
Which of the following would MOST likely result from the third collision in the
"three-collision" effect that occurs during a high-speed, frontal impact motor
vehicle crash?
Extensive damage to the automobile
Flail chest and lower extremity fractures
Massive external trauma with severe bleeding
Aortic rupture or compression injury to the brain
Aortic rupture or compression injury to the brain
A young male experienced severe blunt chest trauma when his passenger car
struck another vehicle head-on. During your inspection of the interior of his
vehicle, you would MOST likely find:
deployed airbags.
steering wheel deformity.
starring of the windshield.
a crushed instrument panel.
steering wheel deformity.
An unrestrained driver collided with a bridge pillar. Upon inspection of the
interior of his vehicle, you note that the lower dashboard is crushed. During
your assessment of the patient, you will MOST likely encounter:
trauma to the pelvis.
blunt abdominal trauma.
a severe closed head injury.
penetrating thoracic trauma.
trauma to the pelvis.
Whiplash injuries are MOST common following _________ impacts.
rear-end
rollover
frontal
lateral
rear-end
Death from a rollover motor vehicle crash is MOST often secondary to:
crushing injuries.
airbag-related trauma.
,multiple collisions to the interior of the car.
ejection of the patient from the motor vehicle.
ejection of the patient from the motor vehicle.
Severe abrasion injuries can occur when motorcycle riders are slowed after a
collision by road drag. Road drag is most often associated with which type of
motorcycle impact?
Head-on collision
Angular collision
Ejection
Controlled crash
Ejection
When assessing a stab wound, it is important for the EMT to remember that:
stabbings to an extremity are rarely associated with an exit wound.
the majority of the internal trauma will be near the path of the knife.
most stabbings are unintentional and cause less severe internal injury.
more internal damage may be present than the external wound suggests.
more internal damage may be present than the external wound suggests.
A 40-year-old man was standing near a building when it exploded. He has
multiple injuries, including a depressed skull fracture, severe burns, and an
impaled object in his abdomen. His head injury was MOST likely caused by
___________ blast injuries.
primary
secondary
tertiary
quaternary
tertiary
You would use the Revised Trauma Score scoring system for a patient due to
the potential for what type of trauma?
A. Abdominal
B. Head
C. Chest
D. Extremity
B. Head
What is index of suspicion?
A. Life-threatening injuries are present with a significant mechanism of injury.
B. The patient has an illness that is not caused by an outside force.
C. Awareness that due to the mechanism of injury, unseen injuries may be
present.
D. Awareness that the mechanism of injury will rule out any life-threatening
injuries.
C. Awareness that due to the mechanism of injury, unseen injuries may be present.
What is a coup-contrecoup injury?
a brain injury that occurs when force is applied to the head and energy transmission
through the brain tissue causes injury on the opposite side of the original impact.
What are the three collisions involved in a frontal motor vehicle crash?
The collision of the car against some type of object. The collision of the passenger
against the interior of the car. The collision of the passenger's internal organs against
the solid structures of the body.
When assessing the interior of a crashed motor vehicle for damage, you are
gathering information regarding the:
,a. index of suspicion.
b. mechanism of injury.
c. kinetic energy.
d. potential energy
b. mechanism of injury.
Passengers who are seated in the rear of a vehicle and are wearing only lap
belts have a higher incidence of injuries to the _____________ spine during a
rear-end crash.
a. thoracic and sacral
b. lumbar and coccygeal
c. thoracic and lumbar
d. lumbar and sacral
c. thoracic and lumbar
The energy of a moving object is called:
a. latent energy.
b. kinetic energy.
c. potential energy.
d. converted energy.
b. kinetic energy.
Which of the following factors has the greatest impact on the risk of injury?
Mass
Speed
Distance
Gravity
Speed
How many collisions are there in a typical vehicle impact?
1
2
3
4
3
In which type of vehicle crash are you most likely to find a patient with
whiplash injuries?
Frontal
Rear-end
Rollover
Rotational
Rear-end
The phenomenon in which the rapid changes in tissue and fluid pressure that
occur with the passage of a projectile result in serious injury to internal organs
distant to the actual path of the bullet is known as:
cavitation.
drag.
fragmentation.
tumble.
cavitation
, What type of blast injury occurs when objects are propelled by the force of the
blast wave and strike the victim, causing injury?
Primary
Secondary
Tertiary
Quaternary
Secondary
What level of trauma center provides prompt assessment, resuscitation, and
stabilization of injured patients and emergency operations?
Level I
Level II
Level III
Level IV
Level III
You are assessing a patient who opens her eyes when you speak to her, who
can respond to you but seems confused as to time and place, and who
localizes pain. What is her Glasgow Coma Scale score?
7
10
12
15
12
You are assessing a patient who was in a front-end car crash. His CGS score
is 12, his systolic blood pressure is 81 mm Hg, and his respiratory rate is 22
breaths/min. What is this patient's Revised Trauma Score?
7
10
12
15
10
You would mostly commonly use the Revised Trauma Score scoring system
for a patient with the potential for what type of trauma?
Abdominal
Head
Chest
Extremity
Head
At what step in the ACS-COT/CDC updated field triage decision scheme would
you assess the mechanism of injury and evidence of high-energy impact?
Step 1
Step 2
Step 3
Step 4
Step 3
Kinetic energy is a calculation of:
weight and size.
weight and speed.
mass and weight.
speed and force.
weight and speed.