NREMT Trauma Exam 2025 Practice Test Bank With
315 Questions and Correct Detailed Answers for Real
Exam Prep| Emergency Medical Technician (Trauma)
Exam 2025-2026 Latest Prep Test Bank
Following blunt trauma to the chest, a 33-year-old male has shallow, painful
breathing. On assessment, you note that an area to the left side of his chest
collapses during inhalation and bulges during exhalation. These are signs of a/an:
A:isolated rib fracture.
B:flail chest.
C:pulmonary contusion.
D:pneumothorax.
B;
Reason:
If two or more ribs are fractured in two or more places or if the sternum is
fractured along with several ribs, a segment of chest wall may be detached from
the rest of the thoracic cage. This injury is called a flail chest. In a flail chest, the
detached portion of the chest wall moves opposite of normal. It moves in during
inhalation and out during exhalation (paradoxical motion). Isolated (single) rib
fractures are not associated with paradoxical motion because they are usually only
fractured in one place. In a pneumothorax, the patient's respirations are often
labored; in severe cases, an entire side of the chest may not move at all
(asymmetrical chest movement). A pulmonary contusion (bruising of the lung
tissue) does not cause paradoxical chest motion unless associated with a flail chest.
pg. 1
,If a passenger strikes his or her head on the windshield during a motor-vehicle
crash:
A:the posterior portion of the brain will receive the initial impact, resulting in
severe intracerebral hemorrhage.
B:you will always see a starburst fracture of the windshield at the location where
the patient struck his or her head.
C:he or she will likely experience a hyperflexion injury, resulting in fractures of
the vertebrae in the cervical spine.
D:the anterior part of the brain sustains a compression injury, while the posterior
part sustains a stretching injury.
D;
Reason:
Although the presence of a starburst fracture on the windshield is a good indicator
that the patient impacted the windshield with his or her head, it is not always
present or grossly obvious, especially if the windshield is broken in multiple
places. As the passenger's head strikes the windshield, the brain continues its
forward movement until it collides with the inside of the skull. Direct injury to the
anterior part of the brain results in compression injuries. Indirect injury occurs to
the posterior part of the brain due to stretching or tearing. This is an example of a
coup-contracoup injury. Although hyperflexion injuries of the neck can occur
when the head impacts the windshield, hyperextension injuries are more common.
A 42-year-old man was ejected from his car after it struck a bridge pillar at a high
rate of speed. You find him in a prone position approximately 50 feet from his car.
He is not moving and does not appear to be breathing. You should:
A:manually stabilize his head.
B:administer high-flow oxygen.
pg. 2
,C:assess his breathing effort.
D:use the jaw-thrust maneuver.
A; This is correct!
Reason:
When a trauma patient is found in a prone (face-down) position, especially if he or
she is unresponsive, your first action should be to manually stabilize his or her
head; this action is based on the assumption that he or she has a spinal injury. Next,
log roll the patient to a supine position (while continuing to manually stabilize the
head), open the airway with the jaw-thrust maneuver, clear the airway with suction
if needed, and assess for breathing. It would be extremely difficult to adequately
open the patient's airway while he or she is in a prone position. Depending on the
patient's breathing effort, administer high-flow oxygen or ventilate using a bag-
mask device.
A 40-year-old man has burns to the entire head, anterior chest, and both anterior
upper extremities. Using the adult Rule of Nines, what percentage of his total body
surface area has been burned?
A:45%
B:18%
C:36%
D:27%
D;
Reason:
Using the adult Rule of Nines, the head accounts for 9% of the total body surface
area (TBSA), the anterior chest for 9% (the entire anterior trunk [chest and
abdomen] accounts for 18%), and the anterior upper extremities for 4.5% each
(each entire upper extremity is 9% of the TBSA). On the basis of this, the patient
has sustained 27% TBSA burns.
pg. 3
, Shock following major trauma is MOST often the result of:
A:spinal injury.
B:long bone fractures.
C:head injury.
D:hemorrhage.
D;
Reason:
Shock following major trauma is usually caused by hemorrhage (bleeding), which
can be external and obvious (gross), internal and hidden (occult), or both. Trauma
to the chest and/or abdomen and multiple long bone fractures are common causes
of hemorrhage that result in shock. An isolated head injury usually does not cause
shock; it causes increased intracranial pressure. If the patient with a seemingly
isolated head injury has signs of shock, look for other injuries. Major trauma may
also be associated with spinal injury. If the spinal cord is injured, the patient may
develop shock because the nerves that control the diameter of the blood vessels are
damaged, resulting in widespread vasodilation (neurogenic shock).
A gang member was cut on the left side of the neck during a fight and is bleeding
heavily from the wound. His airway is patent and his breathing is adequate. You
should immediately:
A:apply a tight pressure dressing and secure it in place with tape.
B:apply high-flow oxygen via a nonrebreathing mask at 15 L/min.
pg. 4
315 Questions and Correct Detailed Answers for Real
Exam Prep| Emergency Medical Technician (Trauma)
Exam 2025-2026 Latest Prep Test Bank
Following blunt trauma to the chest, a 33-year-old male has shallow, painful
breathing. On assessment, you note that an area to the left side of his chest
collapses during inhalation and bulges during exhalation. These are signs of a/an:
A:isolated rib fracture.
B:flail chest.
C:pulmonary contusion.
D:pneumothorax.
B;
Reason:
If two or more ribs are fractured in two or more places or if the sternum is
fractured along with several ribs, a segment of chest wall may be detached from
the rest of the thoracic cage. This injury is called a flail chest. In a flail chest, the
detached portion of the chest wall moves opposite of normal. It moves in during
inhalation and out during exhalation (paradoxical motion). Isolated (single) rib
fractures are not associated with paradoxical motion because they are usually only
fractured in one place. In a pneumothorax, the patient's respirations are often
labored; in severe cases, an entire side of the chest may not move at all
(asymmetrical chest movement). A pulmonary contusion (bruising of the lung
tissue) does not cause paradoxical chest motion unless associated with a flail chest.
pg. 1
,If a passenger strikes his or her head on the windshield during a motor-vehicle
crash:
A:the posterior portion of the brain will receive the initial impact, resulting in
severe intracerebral hemorrhage.
B:you will always see a starburst fracture of the windshield at the location where
the patient struck his or her head.
C:he or she will likely experience a hyperflexion injury, resulting in fractures of
the vertebrae in the cervical spine.
D:the anterior part of the brain sustains a compression injury, while the posterior
part sustains a stretching injury.
D;
Reason:
Although the presence of a starburst fracture on the windshield is a good indicator
that the patient impacted the windshield with his or her head, it is not always
present or grossly obvious, especially if the windshield is broken in multiple
places. As the passenger's head strikes the windshield, the brain continues its
forward movement until it collides with the inside of the skull. Direct injury to the
anterior part of the brain results in compression injuries. Indirect injury occurs to
the posterior part of the brain due to stretching or tearing. This is an example of a
coup-contracoup injury. Although hyperflexion injuries of the neck can occur
when the head impacts the windshield, hyperextension injuries are more common.
A 42-year-old man was ejected from his car after it struck a bridge pillar at a high
rate of speed. You find him in a prone position approximately 50 feet from his car.
He is not moving and does not appear to be breathing. You should:
A:manually stabilize his head.
B:administer high-flow oxygen.
pg. 2
,C:assess his breathing effort.
D:use the jaw-thrust maneuver.
A; This is correct!
Reason:
When a trauma patient is found in a prone (face-down) position, especially if he or
she is unresponsive, your first action should be to manually stabilize his or her
head; this action is based on the assumption that he or she has a spinal injury. Next,
log roll the patient to a supine position (while continuing to manually stabilize the
head), open the airway with the jaw-thrust maneuver, clear the airway with suction
if needed, and assess for breathing. It would be extremely difficult to adequately
open the patient's airway while he or she is in a prone position. Depending on the
patient's breathing effort, administer high-flow oxygen or ventilate using a bag-
mask device.
A 40-year-old man has burns to the entire head, anterior chest, and both anterior
upper extremities. Using the adult Rule of Nines, what percentage of his total body
surface area has been burned?
A:45%
B:18%
C:36%
D:27%
D;
Reason:
Using the adult Rule of Nines, the head accounts for 9% of the total body surface
area (TBSA), the anterior chest for 9% (the entire anterior trunk [chest and
abdomen] accounts for 18%), and the anterior upper extremities for 4.5% each
(each entire upper extremity is 9% of the TBSA). On the basis of this, the patient
has sustained 27% TBSA burns.
pg. 3
, Shock following major trauma is MOST often the result of:
A:spinal injury.
B:long bone fractures.
C:head injury.
D:hemorrhage.
D;
Reason:
Shock following major trauma is usually caused by hemorrhage (bleeding), which
can be external and obvious (gross), internal and hidden (occult), or both. Trauma
to the chest and/or abdomen and multiple long bone fractures are common causes
of hemorrhage that result in shock. An isolated head injury usually does not cause
shock; it causes increased intracranial pressure. If the patient with a seemingly
isolated head injury has signs of shock, look for other injuries. Major trauma may
also be associated with spinal injury. If the spinal cord is injured, the patient may
develop shock because the nerves that control the diameter of the blood vessels are
damaged, resulting in widespread vasodilation (neurogenic shock).
A gang member was cut on the left side of the neck during a fight and is bleeding
heavily from the wound. His airway is patent and his breathing is adequate. You
should immediately:
A:apply a tight pressure dressing and secure it in place with tape.
B:apply high-flow oxygen via a nonrebreathing mask at 15 L/min.
pg. 4
