NSG 223 Mod 1.1 Practice Exam Questions
and Answers with Verified Solutions | Latest
Updated 2026
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
apply to the assessment of a trauma refers
patient to injury sustained by the transmission of
who sustained penetrating energy to
trauma? body tissues from a moving object that
1. The extent of injury is related to interrupts
the skin integrity. Penetrating trauma produces
amount of energy transferred to actual
the tissue penetration and may also cause
body tissues. surrounding
2. The amount of trauma tissue deformation based on the energy
sustained is transferred by the penetrating object. 2.
related to the patient's nutritional Pre-injury
status before the injury. nutritional status is not a major factor in the
3. If the patient was well hydrated amount
at of injury sustained. 3. The patient's fluid
the time of injury, the extent will be volume
diminished. status has little to do with the amount of
4. The primary determinant of injury
injury sustained. 4. The physics of injury does
is the arc traveled by the include arc,
penetrating direction of travel, diameter of the object,
object. and
other components, but these measures all
relate to
a more specific concept.
,A patient brought into the Answer: 3 Explanation: 1. Shearing occurs
emergency department with when two
injuries parts of the same structure move in
sustained from a motor vehicle opposite
accident (MVA) is complaining of direction causing a tear. Shearing forces
abdominal pain and begins to are
vomit. common in MVAs, but this is not the most
The nurse suspects injury from specific
which injury pattern for this patient. 2.
most likely source? Deceleration is a
1. Shearing decrease in the speed of velocity of a
2. Deceleration moving
3. Compression object. Deceleration injury is common in
4. Acceleration MVAs but
is not the most specific injury in this
situation. 3.
Compression is the process of being
pressed or
squeezed together with a resulting
reduction in
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.
and Answers with Verified Solutions | Latest
Updated 2026
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
apply to the assessment of a trauma refers
patient to injury sustained by the transmission of
who sustained penetrating energy to
trauma? body tissues from a moving object that
1. The extent of injury is related to interrupts
the skin integrity. Penetrating trauma produces
amount of energy transferred to actual
the tissue penetration and may also cause
body tissues. surrounding
2. The amount of trauma tissue deformation based on the energy
sustained is transferred by the penetrating object. 2.
related to the patient's nutritional Pre-injury
status before the injury. nutritional status is not a major factor in the
3. If the patient was well hydrated amount
at of injury sustained. 3. The patient's fluid
the time of injury, the extent will be volume
diminished. status has little to do with the amount of
4. The primary determinant of injury
injury sustained. 4. The physics of injury does
is the arc traveled by the include arc,
penetrating direction of travel, diameter of the object,
object. and
other components, but these measures all
relate to
a more specific concept.
,A patient brought into the Answer: 3 Explanation: 1. Shearing occurs
emergency department with when two
injuries parts of the same structure move in
sustained from a motor vehicle opposite
accident (MVA) is complaining of direction causing a tear. Shearing forces
abdominal pain and begins to are
vomit. common in MVAs, but this is not the most
The nurse suspects injury from specific
which injury pattern for this patient. 2.
most likely source? Deceleration is a
1. Shearing decrease in the speed of velocity of a
2. Deceleration moving
3. Compression object. Deceleration injury is common in
4. Acceleration MVAs but
is not the most specific injury in this
situation. 3.
Compression is the process of being
pressed or
squeezed together with a resulting
reduction in
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.
