NSG 223 Mod 1.1 Practice Exam | Questions with 100% Co
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rrect Answers | Verified | Latest Update 2026
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Why is eliciting a medical history crucial during the initial asse
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ssment after a traumatic injury?
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A. Comorbidities alter the physiologic response to trauma
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B. It is essential to determining the mechanism of injury
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C. A medical history helps to identify the cause of injury.
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D. The client may become comatose later. - correct answer A.
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Which consideration will the nurse apply to the assessment of a
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patient who sustained penetrating trauma?
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1. The extent of injury is related to the amount of energy transf
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erred to the body tissues.
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2. The amount of trauma sustained is related to the patient's nut
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ritional status before the injury.
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3. If the patient was well hydrated at the time of injury, the ext
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ent will be diminished.
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4. The primary determinant of injury is the arc traveled by the
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penetrating object. - ../ ../
correct answer Answer: 1 Explanation: 1. Penetrating trauma r
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efers to injury sustained by the transmission of energy to body
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,tissues from a moving object that interrupts skin integrity. Pene
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trating trauma produces actual tissue penetration and may also
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cause surrounding tissue deformation based on the energy trans
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ferred by the penetrating object. 2. Pre-
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injury nutritional status is not a major factor in the amount of i
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njury sustained. 3. The patient's fluid volume status has little to
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do with the amount of injury sustained. 4. The physics of injur
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y does include arc, direction of travel, diameter of the object, a
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nd other components, but these measures all relate to a more sp
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ecific concept. ../
A patient brought into the emergency department with injuries
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sustained from a motor vehicle accident (MVA) is complaining
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of abdominal pain and begins to vomit. The nurse suspects inju
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ry from which most likely source?
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1. Shearing
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2. Deceleration
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3. Compression
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4. Acceleration -
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correct answer Answer: 3 Explanation: 1. Shearing occurs whe
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n two parts of the same structure move in opposite direction ca
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using a tear. Shearing forces are common in MVAs, but this is
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not the most specific injury pattern for this patient. 2. Decelerat
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ion is a decrease in the speed of velocity of a moving object. D
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,eceleration injury is common in MVAs but is not the most spec
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ific injury in this situation. 3. Compression is the process of bei
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ng pressed or squeezed together with a resulting reduction in v
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olume or size. The small bowel may be compressed between th
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e vertebral column and the lower part of the steering wheel or
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an improperly placed seat belt. The bowel may rupture. Becaus
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e the patient complained of abdominal pain and started to vomi
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t, the nurse should suspect that the patient sustained a compress
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ion force injury. 4. Acceleration is the increase in the rate of ve
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locity or speed of a moving object and frequently occurs in M
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VAs. It is not the most specific injury pattern suggested by this
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scenario.
/
A teenage patient comes into the emergency department with a
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n arrow lodged in his right lower thoracic region. Which nursin
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g intervention is indicated?
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1. Have the patient assume a left side lying position and pull o
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n the arrow to remove it.
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2. Slowly move the arrow to the left and right to attempt to disl
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odge it. ../
3. Stabilize the arrow by padding around the wound with gauze
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rolls.
./
4. Slowly rotate the arrow to attempt to dislodge it. -
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correct answer Answer: 3 Explanation: 1. The nurse should no
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, t pull on the arrow to attempt to remove it. 2. The nurse should
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ .
not move the arrow to the left and right since impaled objects
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may actually be controlling a hemorrhage from damaged struct
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ures and removal may precipitate exsanguination. 3. If the offe
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nding weapon is impaled in the body, it is critical that the obje
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ct be left in place and protected from further movement until d
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efinitive surgical intervention is available. Protective padding c
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an be placed around the object, such as gauze rolls or abdomin
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al pads. The nurse should stabilize the arrow by padding aroun
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d the wound with gauze rolls. 4. The nurse should not rotate th
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e arrow since impaled objects may actually be controlling a he
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morrhage from damaged structures and removal may precipitat
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e exsanguination.
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The nurse is preparing to assess a motor vehicle accident victi
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m who was lap and shoulder harness restrained. Due to the me
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chanism of injury the nurse will look for which most common i
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njuries? ../
Select all that apply. ../ ../ ../
1. Lumbar spine fractures
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2. Fractured patella
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3. Pulmonary contusion
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4. Flexion fracture of the cervical spine
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../ ../ ../ ../ ../ ../ ../ ../ ../ ../
rrect Answers | Verified | Latest Update 2026
../ ../ ../ ../ ../ ../ ../
Why is eliciting a medical history crucial during the initial asse
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ssment 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. - correct answer A.
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
Which consideration will the nurse apply to the assessment of a
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
patient who sustained penetrating trauma?
../ ../ ../ ../ ../
1. The extent of injury is related to the amount of energy transf
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
erred to the body tissues.
../ ../ ../ ../ ../
2. The amount of trauma sustained is related to the patient's nut
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ritional status before the injury.
../ ../ ../ ../
3. If the patient was well hydrated at the time of injury, the ext
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ent will be diminished.
../ ../ ../
4. The primary determinant of injury is the arc traveled by the
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
penetrating object. - ../ ../
correct answer Answer: 1 Explanation: 1. Penetrating trauma r
../ ../ ../ ../ ../ ../ ../ ../ ../
efers to injury sustained by the transmission of energy to body
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
,tissues from a moving object that interrupts skin integrity. Pene
../ ../ ../ ../ ../ ../ ../ ../ ../
trating trauma produces actual tissue penetration and may also
../ ../ ../ ../ ../ ../ ../ ../ ../
cause surrounding tissue deformation based on the energy trans
../ ../ ../ ../ ../ ../ ../ ../
ferred by the penetrating object. 2. Pre-
../ ../ ../ ../ ../ ../
injury nutritional status is not a major factor in the amount of i
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
njury sustained. 3. The patient's fluid volume status has little to
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ .
do with the amount of injury sustained. 4. The physics of injur
./ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
y does include arc, direction of travel, diameter of the object, a
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
nd other components, but these measures all relate to a more sp
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ecific concept. ../
A patient brought into the emergency department with injuries
../ ../ ../ ../ ../ ../ ../ ../ ../
sustained from a motor vehicle accident (MVA) is complaining
../ ../ ../ ../ ../ ../ ../ ../ ..
of abdominal pain and begins to vomit. The nurse suspects inju
/ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ry from which most likely source?
../ ../ ../ ../ ../ ../
1. Shearing
../
2. Deceleration
../
3. Compression
../
4. Acceleration -
../ ../
correct answer Answer: 3 Explanation: 1. Shearing occurs whe
../ ../ ../ ../ ../ ../ ../ ../ ../
n two parts of the same structure move in opposite direction ca
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
using a tear. Shearing forces are common in MVAs, but this is
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
not the most specific injury pattern for this patient. 2. Decelerat
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ion is a decrease in the speed of velocity of a moving object. D
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
,eceleration injury is common in MVAs but is not the most spec
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ific injury in this situation. 3. Compression is the process of bei
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ng pressed or squeezed together with a resulting reduction in v
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
olume or size. The small bowel may be compressed between th
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
e vertebral column and the lower part of the steering wheel or
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
an improperly placed seat belt. The bowel may rupture. Becaus
../ ../ ../ ../ ../ ../ ../ ../ ../
e the patient complained of abdominal pain and started to vomi
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
t, the nurse should suspect that the patient sustained a compress
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ion force injury. 4. Acceleration is the increase in the rate of ve
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
locity or speed of a moving object and frequently occurs in M
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
VAs. It is not the most specific injury pattern suggested by this
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ..
scenario.
/
A teenage patient comes into the emergency department with a
../ ../ ../ ../ ../ ../ ../ ../ ../
n arrow lodged in his right lower thoracic region. Which nursin
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
g intervention is indicated?
../ ../ ../ ../
1. Have the patient assume a left side lying position and pull o
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
n the arrow to remove it.
../ ../ ../ ../ ../
2. Slowly move the arrow to the left and right to attempt to disl
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
odge it. ../
3. Stabilize the arrow by padding around the wound with gauze
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ .
rolls.
./
4. Slowly rotate the arrow to attempt to dislodge it. -
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
correct answer Answer: 3 Explanation: 1. The nurse should no
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
, t pull on the arrow to attempt to remove it. 2. The nurse should
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ .
not move the arrow to the left and right since impaled objects
./ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
may actually be controlling a hemorrhage from damaged struct
../ ../ ../ ../ ../ ../ ../ ../
ures and removal may precipitate exsanguination. 3. If the offe
../ ../ ../ ../ ../ ../ ../ ../ ../
nding weapon is impaled in the body, it is critical that the obje
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ct be left in place and protected from further movement until d
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
efinitive surgical intervention is available. Protective padding c
../ ../ ../ ../ ../ ../ ../
an be placed around the object, such as gauze rolls or abdomin
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
al pads. The nurse should stabilize the arrow by padding aroun
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
d the wound with gauze rolls. 4. The nurse should not rotate th
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
e arrow since impaled objects may actually be controlling a he
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
morrhage from damaged structures and removal may precipitat
../ ../ ../ ../ ../ ../ ../
e exsanguination.
../
The nurse is preparing to assess a motor vehicle accident victi
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
m who was lap and shoulder harness restrained. Due to the me
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
chanism of injury the nurse will look for which most common i
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
njuries? ../
Select all that apply. ../ ../ ../
1. Lumbar spine fractures
../ ../ ../
2. Fractured patella
../ ../
3. Pulmonary contusion
../ ../
4. Flexion fracture of the cervical spine
../ ../ ../ ../ ../ ../
