Page 1 of 125
NREMT TRAUMA EXAM NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| NREMT TRAUMA EXAM PREP 2025
(MOST RECENT!!)
A young man fell and landed on his outstretched hand, resulting in pain
and deformity to the left midshaft forearm. Distal circulation should be
assessed at which of the following pulse locations?
A. Popliteal
B. Pedal
C. Radial
D. Brachial – Correct Answer - C
The radius and ulna are the bones of the forearm. The radial pulse can be
palpated on the lateral aspect (thumb side) of the wrist and is the most
distal pulse site relative to the injury. The brachial pulse is located on the
medial aspect of the upper arm. The popliteal pulse is located behind the
knee. The pedal (dorsalis pedis) pulse is located on top of the foot.
During a soccer game, an 18-year-old woman injured her knee. Her knee
is in a flexed position and is obviously deformed. You should:
A. assess circulatory function distal to her injury.
B. immobilize the knee in the position in which it was found.
C. manually stabilize the leg above and below the knee.
D. straighten the knee to facilitate immobilization. – Correct Answer - C
pg. 1
,Page 2 of 125
Treatment for any musculoskeletal injury begins by providing manual
stabilization above and below the injury (in this case, the distal femur
and proximal tibia); this will prevent further injury. Distal circulatory
(pulse), sensory, and motor functions should then be assessed. After
manually stabilizing the injury and assessing distal circulatory, sensory,
and motor functions, you should appropriately spint the injury. Reassess
distal circulatory, sensory, and motor functions after the splint has been
applied. Because of the vascularity of the knee, as well as the presence
of major nerves in that area, you should not straighten an injured knee.
Joint injuries should be immobilized in the position found. If there is no
distal pulse and transport will be delayed, medical control may authorize
you to make one attempt to gently manipulate the joint in order to
restore a pulse.
Priority treatment for a large avulsion includes:
A. cleaning the wound.
B. controlling any bleeding.
C. assessing distal circulation.
D. immobilizing the injured area. – Correct Answer - B
Immediate treatment for any soft-tissue injury begins with controlling
any external bleeding. Once the bleeding is controlled, distal circulation,
motor, and sensory functions should be assessed, the wound dressed and
bandaged, and then distal circulation, motor, and sensory functions
reassessed. The injured area can be immobilized as well to prevent
further injury and to help reduce bleeding. Generally, open wounds are
not cleaned in the field unless they are grossly contaminated with large
debris.
pg. 2
,Page 3 of 125
A 30-year-old man sustained partial-thickness burns to the anterior chest
and both anterior arms. Based on the Rule of Nines, what percentage of
his body surface area has been burned?
A. 9%
B. 36%
C. 27%
D. 18% – Correct Answer - D
According to the adult Rule of Nines, the anterior trunk (chest and
abdomen) accounts for 18% of the total body surface area (TBSA) and
each entire arm accounts for 9%. Therefore, the anterior chest, which is
one half of the trunk, would account for 9% of the TBSA, and both
anterior arms (4.5% each) would account for 9% TBSA, for a total of
18% TBSA burned.
Which of the following indicates that a patient is in decompensated
shock?
A. Diaphoresis and pallor
B. Tachycardia and tachypnea
C. Falling blood pressure
D. Restlessness and anxiety – Correct Answer - C
During shock, the compensatory mechanisms of the body attempt to
maintain the blood pressure. This is accomplished by increases in heart
rate, shunting of blood from the skin to more vital organs, and increasing
the respiratory rate to increase the oxygen content of the blood. Once
these compensatory mechanisms fail, the blood pressure will fall
(hypotension). Hypotension signifies a state of decompensated shock.
pg. 3
, Page 4 of 125
You must not rely on the patient's blood pressure as an indicator of
overall perfusion. Restlessness, anxiety, tachycardia, tachypnea, and
cool clammy skin (diaphoresis) are earlier signs of shock and do not
necessarily indicate a decompensated state.
Which of the following assessment parameters is the MOST reliable
when determining if a patient with a head injury is improving or
deteriorating?
A. rate and depth of breathing.
B. pupillary reaction.
C. systolic blood pressure.
D. level of consciousness. – Correct Answer - D
All of the options in this question are important parameters to monitor in
a patient with a head injury. However, the single most reliable parameter
is the patient's level of consciousness (LOC); a person's LOC indicates
how the brain is functioning from a global perspective. It should be
monitored frequently in order to determine whether the patient's
condition is improving (ie, concussion), or deteriorating (ie, intracerebral
hemorrhage). In general, level of consciousness serves as the most
reliable indicator of perfusion.
During your rapid assessment of a critically-injured patient, you should
assess the chest for:
A. symmetry and pain.
B. rigidity and guarding.
C. distention and guarding.
pg. 4
NREMT TRAUMA EXAM NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| NREMT TRAUMA EXAM PREP 2025
(MOST RECENT!!)
A young man fell and landed on his outstretched hand, resulting in pain
and deformity to the left midshaft forearm. Distal circulation should be
assessed at which of the following pulse locations?
A. Popliteal
B. Pedal
C. Radial
D. Brachial – Correct Answer - C
The radius and ulna are the bones of the forearm. The radial pulse can be
palpated on the lateral aspect (thumb side) of the wrist and is the most
distal pulse site relative to the injury. The brachial pulse is located on the
medial aspect of the upper arm. The popliteal pulse is located behind the
knee. The pedal (dorsalis pedis) pulse is located on top of the foot.
During a soccer game, an 18-year-old woman injured her knee. Her knee
is in a flexed position and is obviously deformed. You should:
A. assess circulatory function distal to her injury.
B. immobilize the knee in the position in which it was found.
C. manually stabilize the leg above and below the knee.
D. straighten the knee to facilitate immobilization. – Correct Answer - C
pg. 1
,Page 2 of 125
Treatment for any musculoskeletal injury begins by providing manual
stabilization above and below the injury (in this case, the distal femur
and proximal tibia); this will prevent further injury. Distal circulatory
(pulse), sensory, and motor functions should then be assessed. After
manually stabilizing the injury and assessing distal circulatory, sensory,
and motor functions, you should appropriately spint the injury. Reassess
distal circulatory, sensory, and motor functions after the splint has been
applied. Because of the vascularity of the knee, as well as the presence
of major nerves in that area, you should not straighten an injured knee.
Joint injuries should be immobilized in the position found. If there is no
distal pulse and transport will be delayed, medical control may authorize
you to make one attempt to gently manipulate the joint in order to
restore a pulse.
Priority treatment for a large avulsion includes:
A. cleaning the wound.
B. controlling any bleeding.
C. assessing distal circulation.
D. immobilizing the injured area. – Correct Answer - B
Immediate treatment for any soft-tissue injury begins with controlling
any external bleeding. Once the bleeding is controlled, distal circulation,
motor, and sensory functions should be assessed, the wound dressed and
bandaged, and then distal circulation, motor, and sensory functions
reassessed. The injured area can be immobilized as well to prevent
further injury and to help reduce bleeding. Generally, open wounds are
not cleaned in the field unless they are grossly contaminated with large
debris.
pg. 2
,Page 3 of 125
A 30-year-old man sustained partial-thickness burns to the anterior chest
and both anterior arms. Based on the Rule of Nines, what percentage of
his body surface area has been burned?
A. 9%
B. 36%
C. 27%
D. 18% – Correct Answer - D
According to the adult Rule of Nines, the anterior trunk (chest and
abdomen) accounts for 18% of the total body surface area (TBSA) and
each entire arm accounts for 9%. Therefore, the anterior chest, which is
one half of the trunk, would account for 9% of the TBSA, and both
anterior arms (4.5% each) would account for 9% TBSA, for a total of
18% TBSA burned.
Which of the following indicates that a patient is in decompensated
shock?
A. Diaphoresis and pallor
B. Tachycardia and tachypnea
C. Falling blood pressure
D. Restlessness and anxiety – Correct Answer - C
During shock, the compensatory mechanisms of the body attempt to
maintain the blood pressure. This is accomplished by increases in heart
rate, shunting of blood from the skin to more vital organs, and increasing
the respiratory rate to increase the oxygen content of the blood. Once
these compensatory mechanisms fail, the blood pressure will fall
(hypotension). Hypotension signifies a state of decompensated shock.
pg. 3
, Page 4 of 125
You must not rely on the patient's blood pressure as an indicator of
overall perfusion. Restlessness, anxiety, tachycardia, tachypnea, and
cool clammy skin (diaphoresis) are earlier signs of shock and do not
necessarily indicate a decompensated state.
Which of the following assessment parameters is the MOST reliable
when determining if a patient with a head injury is improving or
deteriorating?
A. rate and depth of breathing.
B. pupillary reaction.
C. systolic blood pressure.
D. level of consciousness. – Correct Answer - D
All of the options in this question are important parameters to monitor in
a patient with a head injury. However, the single most reliable parameter
is the patient's level of consciousness (LOC); a person's LOC indicates
how the brain is functioning from a global perspective. It should be
monitored frequently in order to determine whether the patient's
condition is improving (ie, concussion), or deteriorating (ie, intracerebral
hemorrhage). In general, level of consciousness serves as the most
reliable indicator of perfusion.
During your rapid assessment of a critically-injured patient, you should
assess the chest for:
A. symmetry and pain.
B. rigidity and guarding.
C. distention and guarding.
pg. 4
