Ms. Joni, a 54-year-old female was in a motor vehicle accident. She was the driver and the sole occupant of the vehicle. Ms. Joni had her seat belt on. She was at a complete stop at a traffic light and when she was rear-ended. The vehicle that hit her was traveling at a speed of 50 miles per hour. Airbags were deployed. Ms. Joni hit her head on the driver's side window. She has a significant laceration on left temporal side of her head. She is complaining of pain that worsens when neck is moved, headache, dizziness as well as upper back pain. She states she has numbness and tingling and can't feel her hands.
What kind of injury does joni have?
Hyperflexion
Excessive rotation
Hyperextension
Axial loading
The Correct Answer is C
Rationale:
A. Hyperflexion injuries occur when the head and neck are forcefully bent forward, often seen in head-on collisions where the occupant’s body moves forward violently. Ms. Joni’s mechanism involved being rear-ended, not a forward bend of the neck.
B. Excessive rotational injuries occur when the head is twisted forcefully relative to the torso, which can injure ligaments or vertebrae. There is no indication that Ms. Joni’s neck was rotated in this manner during the accident.
C. Hyperextension occurs when the head is forcefully thrown backward, stretching and potentially injuring the anterior structures of the cervical spine. Rear-end collisions commonly produce a whiplash mechanism, causing hyperextension of the neck. Ms. Joni’s complaints of neck pain worsened with movement, headache, dizziness, upper back pain, and numbness/tingling in the hands are consistent with cervical hyperextension injury affecting the spinal cord and nerve roots.
D. Axial loading occurs when a force is applied along the vertical axis of the spine, such as from diving into shallow water or a fall landing on the head, which can compress vertebrae. This mechanism does not match the circumstances of Ms. Joni’s rear-end collision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. EMTALA (Emergency Medical Treatment and Labor Act) is widely known as the “anti-dumping law” because it was enacted in 1986 in response to reports that some hospitals were refusing to treat or improperly transferring patients with emergency medical conditions based on inability to pay, insurance status, or other non-medical reasons. Under EMTALA, any patient who presents to a hospital emergency department must receive a medical screening exam, be stabilized for any emergency medical condition, and be treated or appropriately transferred if specialized care is required. The law ensures that hospitals cannot “dump” patients to other facilities simply for financial reasons, protecting patient rights and promoting equitable access to emergency care.
B. Although this phrase seems to summarize the intent of EMTALA, it is not an official or recognized name for the law. EMTALA is the legal term, and referring to it as the “Federal Must Treat All Law” is inaccurate and could cause confusion in clinical or legal contexts.
C. Diversion refers to the practice of hospitals redirecting incoming ambulances to other facilities when the emergency department is overcrowded or unable to provide immediate care. While diversion is related to emergency department operations, it is not synonymous with EMTALA. EMTALA governs the obligation to treat and stabilize patients, not ambulance routing.
D. FEMA (Federal Emergency Management Agency) is a federal agency responsible for disaster response, preparedness, and recovery. It is unrelated to EMTALA, which specifically regulates emergency care obligations in hospitals.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Explanation
Rationale:
A. While EMTALA (Emergency Medical Treatment and Labor Act) does address patient assessment and transfer, the key legal requirement is that patients must be stabilized and treated for emergency medical conditions, not just assessed and transferred.
B. FEMA (Federal Emergency Management Agency) deals with disaster management and does not govern emergency department care or patient rights. “Stabilized and discharged” is also incomplete, as EMTALA ensures treatment, not just discharge.
C. The Blue Campaign is focused on human trafficking awareness and prevention, not emergency medical treatment. Screening and discharge do not fulfill the legal obligation of emergency care.
D. The Emergency Medical Treatment and Labor Act (EMTALA) is a federal law requiring that anyone presenting to an emergency department must be screened for an emergency medical condition, stabilized, and treated, regardless of insurance status, ability to pay, or citizenship. This ensures access to emergency care for all individuals and prevents “patient dumping.”
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