NREMT: Trauma
Which of the following patients involved in a car crash has the most severe
findings?
A.A 32-year-old female complains of head and chest pain, she was ejected from
the vehicle, her vital signs are P 104, R 18, and BP 116/92
B.A 28-year-old male complains of abdominal pain, he was the restrained driver,
his vital signs are P 106, R 18, and BP 88/62
C.A 42-year-old female complains of chest pain, another passenger in the vehicle
died, her vital signs are P 88, R 20, and BP 142/90
D.A 19-year-old male complains of head pain, the vehicle rolled over twice, his
vital signs are P 98, R 16, and BP 114/72 - correct answer✔️✔️A 28-year-old male
complains of abdominal pain, he was the restrained driver, his vital signs are P
106, R 18, and BP 88/62
A 23-year-old male complained of chest pain after he was stabbed in the right
chest with a knife. You applied an occlusive dressing and continued your
treatment. His initial vital signs were P 92, R 18, BP 128/82, and SpO2 was 93% on
room air. During transport, he complains of difficulty breathing, and his vital signs
are P 114, R 22, BP 104/88, and SpO2 is 91% on oxygen 12 L/minute by non-
rebreather mask. You should:
A. place him on his right side.
B. burp the occlusive dressing.
C. increase the oxygen flow rate.
D. assist his ventilation - correct answer✔️✔️burp the occlusive dressing.
,A 60-year-old male tells you that he was sexually assaulted by a staff member
where he lives. He denies any bleeding, and you do not see any blood on his
undergarments. He appears frightened and tells you he doesn't want to go to the
hospital. You should:
A. ask him if he has a friend who can stay home with him.
B. tell him that everything will be fine and transport him.
C. encourage him to go to the hospital for evaluation.
D. inspect his groin for bleeding - correct answer✔️✔️encourage him to go to the
hospital for evaluation.
A 21-year-old female tells you she was stabbed by a piece of metal in her
abdomen 15 minutes ago. When you examine the area, you observe minimal
bleeding and pink sausage-like tissue protruding from the opening in her left
lower abdominal quadrant. You should suspect a(n):
A. evisceration.
B. tumor.
C. uterine inversion.
D. impaled object - correct answer✔️✔️evisceration.
During compensated hemorrhagic shock, why can the skin become pale and cool?
A. Anaerobic metabolism is reduced in the skin.
B. Blood flow is reduced to the skin.
C. Cardiac output is reduced.
,D. Peripheral vascular resistance is reduced. - correct answer✔️✔️Blood flow is
reduced to the skin.
A 36-year-old female was struck by a car and thrown eight feet. She complains of
pain in her left hip, and her leg is externally rotated. When you press on her iliac
crests, she complains of increased pain, and you feel instability. You should
suspect a(n):
A. posterior femur dislocation.
B. femur fracture.
C. pelvic fracture.
D. anterior femur dislocation. - correct answer✔️✔️pelvic fracture.
A 20-year-old male was shot in the neck. You observe life-threatening bleeding
from the wound. After you apply direct pressure with your gloved hand, you
should:
A. pack the wound with a hemostatic dressing.
B. apply a circumferential compression dressing.
C. apply a cervical collar.
D. apply an occlusive dressing. - correct answer✔️✔️apply an occlusive dressing.
A 21-year-old female was stabbed in her right upper abdominal quadrant with a
pencil. She complains of pain to the area. Her abdomen is tender to palpation,
and you observe blood trickling from the wound. Her vital signs are P 120, R 18,
BP 108/86, and SpO2 is 94% on room air. What organ should you suspect was
injured?
, A. Spleen
B. Stomach
C. Kidney
D. Liver - correct answer✔️✔️Liver
An 11-month-old female was stabbed in the chest with a knife. You open her shirt
and observe a half-inch laceration to the right side of her chest that is bubbling.
You should immediately:
A. place a vented occlusive dressing over the wound.
B. pack the wound with hemostatic gauze.
C. place your gloved hand over the wound.
D. place an occlusive dressing over the wound. - correct answer✔️✔️place your
gloved hand over the wound.
Why should you irrigate the eye of a patient who was splashed with drain cleaner
longer than a patient who was splashed with muriatic acid?
A. The pH of muriatic acid is similar to the eye and does not cause significant
damage.
B. Drain cleaner coagulates tissue and can damage more tissue.
C. Drain cleaner liquifies tissue and can damage more tissue.
D. Muriatic acid is more soluble in water than drain cleaner. - correct
answer✔️✔️Drain cleaner liquifies tissue and can damage more tissue.
Which of the following patients involved in a car crash has the most severe
findings?
A.A 32-year-old female complains of head and chest pain, she was ejected from
the vehicle, her vital signs are P 104, R 18, and BP 116/92
B.A 28-year-old male complains of abdominal pain, he was the restrained driver,
his vital signs are P 106, R 18, and BP 88/62
C.A 42-year-old female complains of chest pain, another passenger in the vehicle
died, her vital signs are P 88, R 20, and BP 142/90
D.A 19-year-old male complains of head pain, the vehicle rolled over twice, his
vital signs are P 98, R 16, and BP 114/72 - correct answer✔️✔️A 28-year-old male
complains of abdominal pain, he was the restrained driver, his vital signs are P
106, R 18, and BP 88/62
A 23-year-old male complained of chest pain after he was stabbed in the right
chest with a knife. You applied an occlusive dressing and continued your
treatment. His initial vital signs were P 92, R 18, BP 128/82, and SpO2 was 93% on
room air. During transport, he complains of difficulty breathing, and his vital signs
are P 114, R 22, BP 104/88, and SpO2 is 91% on oxygen 12 L/minute by non-
rebreather mask. You should:
A. place him on his right side.
B. burp the occlusive dressing.
C. increase the oxygen flow rate.
D. assist his ventilation - correct answer✔️✔️burp the occlusive dressing.
,A 60-year-old male tells you that he was sexually assaulted by a staff member
where he lives. He denies any bleeding, and you do not see any blood on his
undergarments. He appears frightened and tells you he doesn't want to go to the
hospital. You should:
A. ask him if he has a friend who can stay home with him.
B. tell him that everything will be fine and transport him.
C. encourage him to go to the hospital for evaluation.
D. inspect his groin for bleeding - correct answer✔️✔️encourage him to go to the
hospital for evaluation.
A 21-year-old female tells you she was stabbed by a piece of metal in her
abdomen 15 minutes ago. When you examine the area, you observe minimal
bleeding and pink sausage-like tissue protruding from the opening in her left
lower abdominal quadrant. You should suspect a(n):
A. evisceration.
B. tumor.
C. uterine inversion.
D. impaled object - correct answer✔️✔️evisceration.
During compensated hemorrhagic shock, why can the skin become pale and cool?
A. Anaerobic metabolism is reduced in the skin.
B. Blood flow is reduced to the skin.
C. Cardiac output is reduced.
,D. Peripheral vascular resistance is reduced. - correct answer✔️✔️Blood flow is
reduced to the skin.
A 36-year-old female was struck by a car and thrown eight feet. She complains of
pain in her left hip, and her leg is externally rotated. When you press on her iliac
crests, she complains of increased pain, and you feel instability. You should
suspect a(n):
A. posterior femur dislocation.
B. femur fracture.
C. pelvic fracture.
D. anterior femur dislocation. - correct answer✔️✔️pelvic fracture.
A 20-year-old male was shot in the neck. You observe life-threatening bleeding
from the wound. After you apply direct pressure with your gloved hand, you
should:
A. pack the wound with a hemostatic dressing.
B. apply a circumferential compression dressing.
C. apply a cervical collar.
D. apply an occlusive dressing. - correct answer✔️✔️apply an occlusive dressing.
A 21-year-old female was stabbed in her right upper abdominal quadrant with a
pencil. She complains of pain to the area. Her abdomen is tender to palpation,
and you observe blood trickling from the wound. Her vital signs are P 120, R 18,
BP 108/86, and SpO2 is 94% on room air. What organ should you suspect was
injured?
, A. Spleen
B. Stomach
C. Kidney
D. Liver - correct answer✔️✔️Liver
An 11-month-old female was stabbed in the chest with a knife. You open her shirt
and observe a half-inch laceration to the right side of her chest that is bubbling.
You should immediately:
A. place a vented occlusive dressing over the wound.
B. pack the wound with hemostatic gauze.
C. place your gloved hand over the wound.
D. place an occlusive dressing over the wound. - correct answer✔️✔️place your
gloved hand over the wound.
Why should you irrigate the eye of a patient who was splashed with drain cleaner
longer than a patient who was splashed with muriatic acid?
A. The pH of muriatic acid is similar to the eye and does not cause significant
damage.
B. Drain cleaner coagulates tissue and can damage more tissue.
C. Drain cleaner liquifies tissue and can damage more tissue.
D. Muriatic acid is more soluble in water than drain cleaner. - correct
answer✔️✔️Drain cleaner liquifies tissue and can damage more tissue.
