NREMT: TRAUMA QUESTIONS WITH ACCURATE
ANSWERS
A 75-year-old female complains of burning pain in her arms. She was working
in her garden and spilled a dry powder on them. After you remove the
powder, you observe circumferential blistered and mottled skin of both her
forearms and hands. What percentage of her Total Body Surface Area should
you estimate is burned? Accurate Answer - 9
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): Accurate Answer - Pelvic Fracture
A 5-year-old male complains of pain in his left hand after he spilled liquid
drain cleaner on it. His hand is reddened, and you smell a strong chemical
odor. You should: Accurate Answer - flush his hand with water.
A 50-year-old male was lifting a heavy weight when he felt a tearing sensation
in his right bicep. His bicep is tender to palpation, but you do not note any
instability of his arm. His distal motor, circulation, and sensation are intact.
You should apply a(n): Accurate Answer - Sling and cold pack
A 4-year-old male complains of difficulty breathing. He tells you he was struck
by a car. You observe contusions and abrasions to his chest and abdomen. You
auscultate decreased lung sounds and bowel sounds in his left lower chest. His
vital signs are P 112, R 40, BP 100/74, and SpO2 is 92% on room air. You
should: Accurate Answer - administer oxygen
A 77-year-old female complains of pain in her left upper arm. She tells you she
tripped on a rug and fell. Her left proximal humerus is unstable, she can move
her fingers, feel your touch, and the radial pulse is present. You should apply
a(n): Accurate Answer - sling and swathe
A 68-year-old male complains of pain after he slammed his right second
phalange in a door. You observe bleeding and angulation of the distal tip. He
has a capillary refill of two seconds. You should apply a sterile dressing and:
Accurate Answer - tape his 2nd and 3rd phalanges together
,An 85-year-old male complains of severe pain in his right thigh after he was
struck above his knee with a metal pole. He complains of weakness in his leg,
and you observe bruising where he was struck. You do not palpate any
instability or deformity. You should: Accurate Answer - apply a padded
board splint
An unresponsive 20-year-old male was shot in the left upper abdominal
quadrant. His skin is pale and diaphoretic. His airway is open, and his lungs
are clear to auscultation. You palpate a pulsating mass midline between his
xiphoid process and umbilicus. You should immediately: Accurate
Answer - transport him
A disoriented 19-year-old male was struck in the right temple with a golf club.
You observe an expanding hematoma to the area and clear fluid draining from
his ear. His vital signs are P 64, R 14, BP 192/102, and SpO2 is 94% on room
air. You should: Accurate Answer - apply a cervical collar
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): Accurate Answer
- evisceration
A 24-year-old female complains of chest pain and difficulty breathing. She tells
you a horse kicked her in the chest. Her skin is pale and diaphoretic. You
observe a contusion to the left side of her anterior chest wall. Breath sounds
are absent over her left lower lung. Her vital signs are P 116, R 22, BP 92/80,
and SpO2 is 95% on room air. You should suspect: Accurate Answer -
hemothorax
A 43-year-old female tells you that she was sexually assaulted. She complains
of pain in her chest and groin from being kicked. You do not see any signs of
bleeding through her outer clothing. You should listen to her lung sounds and:
Accurate Answer - ask her if she is bleeding
An 88-year-old male spilled muriatic acid on himself while cleaning metal. He
complains of pain to his chest and abdomen. You observe that his clothing is
, wet where he spilled the acid. You should first: Accurate Answer -
remove his clothing
A 21-year-old female complains of chest pain. She has a gunshot wound to her
left chest wall, and she has mild dyspnea. Her skin is pink and dry. You should
first: Accurate Answer - place your gloved hand over the wound
A 6-year-old male fell off his bicycle and cut his upper arm. His mother is
holding a blood-soaked towel over the wound. When you examine the wound,
you see a five-inch laceration that is spraying blood. You should immediately
Accurate Answer - apply direct pressure
An unresponsive 28-year-old male's face appears flattened, and you observe
clear fluid draining from his nose. He was an unrestrained front seat
passenger and struck his face on the dash during a high-speed car crash. He is
lying supine on your stretcher, and you hear gurgling when he breathes. You
should: Accurate Answer - suction his airway
A 5-year-old female who was only wearing a lap belt when she was involved
in a car crash complains of abdominal pain. Her skin is pale and cool. The only
injury you observe is a reddened three-inch wide mark across her abdomen at
the level of her umbilicus. Her vital signs are P 130, R 34, BP 98/80, and SpO2
is unobtainable. Her capillary refill is three seconds. You should administer
oxygen and: Accurate Answer - keep her warm
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: Accurate Answer - place your
gloved hand over the wound
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: Accurate Answer - encourage him to go to the
hospital for evaluation
Why should you not remove an impaled object from the chest wall?
Accurate Answer - it may be occluding life-threatening hemorrhage
ANSWERS
A 75-year-old female complains of burning pain in her arms. She was working
in her garden and spilled a dry powder on them. After you remove the
powder, you observe circumferential blistered and mottled skin of both her
forearms and hands. What percentage of her Total Body Surface Area should
you estimate is burned? Accurate Answer - 9
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): Accurate Answer - Pelvic Fracture
A 5-year-old male complains of pain in his left hand after he spilled liquid
drain cleaner on it. His hand is reddened, and you smell a strong chemical
odor. You should: Accurate Answer - flush his hand with water.
A 50-year-old male was lifting a heavy weight when he felt a tearing sensation
in his right bicep. His bicep is tender to palpation, but you do not note any
instability of his arm. His distal motor, circulation, and sensation are intact.
You should apply a(n): Accurate Answer - Sling and cold pack
A 4-year-old male complains of difficulty breathing. He tells you he was struck
by a car. You observe contusions and abrasions to his chest and abdomen. You
auscultate decreased lung sounds and bowel sounds in his left lower chest. His
vital signs are P 112, R 40, BP 100/74, and SpO2 is 92% on room air. You
should: Accurate Answer - administer oxygen
A 77-year-old female complains of pain in her left upper arm. She tells you she
tripped on a rug and fell. Her left proximal humerus is unstable, she can move
her fingers, feel your touch, and the radial pulse is present. You should apply
a(n): Accurate Answer - sling and swathe
A 68-year-old male complains of pain after he slammed his right second
phalange in a door. You observe bleeding and angulation of the distal tip. He
has a capillary refill of two seconds. You should apply a sterile dressing and:
Accurate Answer - tape his 2nd and 3rd phalanges together
,An 85-year-old male complains of severe pain in his right thigh after he was
struck above his knee with a metal pole. He complains of weakness in his leg,
and you observe bruising where he was struck. You do not palpate any
instability or deformity. You should: Accurate Answer - apply a padded
board splint
An unresponsive 20-year-old male was shot in the left upper abdominal
quadrant. His skin is pale and diaphoretic. His airway is open, and his lungs
are clear to auscultation. You palpate a pulsating mass midline between his
xiphoid process and umbilicus. You should immediately: Accurate
Answer - transport him
A disoriented 19-year-old male was struck in the right temple with a golf club.
You observe an expanding hematoma to the area and clear fluid draining from
his ear. His vital signs are P 64, R 14, BP 192/102, and SpO2 is 94% on room
air. You should: Accurate Answer - apply a cervical collar
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): Accurate Answer
- evisceration
A 24-year-old female complains of chest pain and difficulty breathing. She tells
you a horse kicked her in the chest. Her skin is pale and diaphoretic. You
observe a contusion to the left side of her anterior chest wall. Breath sounds
are absent over her left lower lung. Her vital signs are P 116, R 22, BP 92/80,
and SpO2 is 95% on room air. You should suspect: Accurate Answer -
hemothorax
A 43-year-old female tells you that she was sexually assaulted. She complains
of pain in her chest and groin from being kicked. You do not see any signs of
bleeding through her outer clothing. You should listen to her lung sounds and:
Accurate Answer - ask her if she is bleeding
An 88-year-old male spilled muriatic acid on himself while cleaning metal. He
complains of pain to his chest and abdomen. You observe that his clothing is
, wet where he spilled the acid. You should first: Accurate Answer -
remove his clothing
A 21-year-old female complains of chest pain. She has a gunshot wound to her
left chest wall, and she has mild dyspnea. Her skin is pink and dry. You should
first: Accurate Answer - place your gloved hand over the wound
A 6-year-old male fell off his bicycle and cut his upper arm. His mother is
holding a blood-soaked towel over the wound. When you examine the wound,
you see a five-inch laceration that is spraying blood. You should immediately
Accurate Answer - apply direct pressure
An unresponsive 28-year-old male's face appears flattened, and you observe
clear fluid draining from his nose. He was an unrestrained front seat
passenger and struck his face on the dash during a high-speed car crash. He is
lying supine on your stretcher, and you hear gurgling when he breathes. You
should: Accurate Answer - suction his airway
A 5-year-old female who was only wearing a lap belt when she was involved
in a car crash complains of abdominal pain. Her skin is pale and cool. The only
injury you observe is a reddened three-inch wide mark across her abdomen at
the level of her umbilicus. Her vital signs are P 130, R 34, BP 98/80, and SpO2
is unobtainable. Her capillary refill is three seconds. You should administer
oxygen and: Accurate Answer - keep her warm
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: Accurate Answer - place your
gloved hand over the wound
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: Accurate Answer - encourage him to go to the
hospital for evaluation
Why should you not remove an impaled object from the chest wall?
Accurate Answer - it may be occluding life-threatening hemorrhage
