TRAUMA TEST QUESTIONS AND
ANSWERS
A0construction0worker0fell0approximately0300and0landed0in0a0pile0of0steel0rods.0Your0a
ssessment0reveals0that0he0is0pulseless0and0apneic0and0has0a0100steel0rod0impaled0in
0his0left0leg.0You0should:
A0control0the0bleeding,0carefully0remove0the0steel0rod,0begin0CPR,0and0transport0as0s
oon0as0possible.
B0stabilize0the0steel0rod,0control0the0bleeding,0begin0CPR,0and0rapidly0transport0to0a0tr
auma0center.
C0control0the0bleeding,0begin0cardiopulmonary0resuscitation0(CPR),0stabilize0the0steel0
rod,0immobilize0his0spine,0and0transport0immediately.
D0remove0the0steel0rod,0control0the0bleeding,0apply0an0automated0external0defibrillator
0(AED),0begin0CPR,0and0transport0to0a0trauma0center.0-0ans✔C
A0young0male0was0shot0in0the0abdomen0by0an0unknown0type0of0gun.0He0is0semicons
cious,0has0shallow0breathing,0and0is0bleeding0externally0from0the0wound.0As0you0contr
ol0the0external0bleeding,0your0partner0should:
A0perform0a0secondary0assessment.
Bobtain0baseline0vital0signs.
C0assist0the0patient's0ventilations.
D0apply0a0nonrebreathing0mask.0-0ans✔C
Following0direct0trauma0to0the0left0upper0back,0a044-year-
old0male0presents0with0diaphoresis0and0restlessness.0His0blood0pressure0is0100/500m
m0Hg,0his0pulse0rate0is01200beats/
min0and0weak,0and0his0respirations0are0240breaths/
min0and0labored.0Your0assessment0reveals0abrasions0and0contusions0over0the0left0sc
apula.0You0should:
A0apply0high-flow0oxygen,0consider0spinal0precautions,0and0transport0without0delay.
B0hyperventilate0him0with0a0bag-mask0device0and0monitor0his0oxygen0saturation.
C0apply0high-flow0oxygen,0perform0a0detailed0secondary0assessment,0and0transport.
D0focus0your0assessment0on0his0scapulae0and0clavicles0and0apply0high-flow0oxygen.0-
0ans✔A
,A06-year-
old0female0was0riding0her0bicycle0and0struck0a0clothesline0with0her0throat.0She0is0brea
thing,0but0with0obvious0difficulty.0Your0assessment0reveals0a0crackling0sensation0in0th
e0soft0tissues0of0her0neck0and0facial0cyanosis.0In0addition0to0the0appropriate0airway0m
anagement,0the0intervention0that0will0MOST0likely0improve0her0chance0of0survival0is:
A0careful0monitoring0her0vital0signs.
B0rapidly0transporting0her0to0the0hospital.
C0quickly0immobilizing0her0spinal0column.
D0requesting0a0paramedic0ambulance.0-0ans✔B
Following0direct0trauma0to0the0upper0part0of0the0anterior0neck,0a0young0male0presents
0with0labored0breathing,0loss0of0voice,0and0subcutaneous0emphysema0in0the0soft0tissu
es0around0his0neck.0You0should0suspect0a(n):
A0crushed0cricoid.
B0laryngeal0fracture.
C0esophageal0tear.
D0collapsed0trachea.0-0ans✔B
During0your0assessment0of0a0patient0with0blunt0chest0trauma,0you0note0paradoxical0m
ovement0of0the0left0chest0wall.0As0your0partner0is0administering0oxygen0to0the0patient,
0you0should:
A0make0note0of0it0and0continue0your0assessment.
B0stabilize0the0chest0wall0with0a0bulky0dressing.
C0reassess0the0adequacy0of0the0patient's0breathing.
D0request0a0paramedic0to0decompress0the0chest.0-0ans✔B
A0young0female0experienced0a0laceration0to0her0left0eyeball0from0flying0glass0when0he
r0boyfriend0broke0a0soda0bottle0against0a0wall.0There0is0moderate0bleeding0and0the0pa
tient0states0that0she0cannot0see0out0of0the0injured0eye.0You0should:
A0apply0firm0direct0pressure0to0the0injured0eye0and0cover0the0opposite0eye.
B0ask0her0to0move0the0injured0eye0to0assess0the0integrity0of0the0optic0nerve.
C0carefully0examine0her0eye0and0remove0any0foreign0objects0if0needed.
D0avoid0applying0pressure0to0the0globe0when0you0are0covering0the0eye.0-0ans✔D
A054-year-
old0male0experienced0an0avulsion0to0his0penis0when0his0foreskin0got0caught0in0the0zip
per0of0his0pants.0He0was0able0to0unzip0his0pants0and0remove0the0foreskin0prior0to0you
r0arrival.0Your0assessment0reveals0that0he0is0in0severe0pain0and0that0the0avulsion0is0b
leeding0moderately.0The0MOST0appropriate0treatment0for0this0patient0includes:
A0requesting0a0paramedic0to0administer0pain0medication.
B0administering0100%0oxygen0via0a0nonrebreathing0mask.
C0covering0the0avulsion0with0moist,0sterile0dressings.
D0applying0direct0pressure0with0a0dry,0sterile0dressing.0-0ans✔D
, A022-year-
old0male0was0walking0on0the0beach0and0had0sand0blown0into0his0eyes.0He0complains0
of0pain0and0decreased0vision0to0his0right0eye.0Treatment0should0include:
A0covering0both0eyes0and0transporting.
B0irrigating0his0right0eye0laterally.
C0flushing0his0eye0starting0laterally.
D0irrigating0both0eyes0simultaneously.0-0ans✔B
While0jogging,0a019-year-
old0male0experienced0an0acute0onset0of0shortness0of0breath0and0pleuritic0chest0pain.0
He0is0conscious0and0alert0with0stable0vital0signs.0Your0assessment0reveals0that0he0ha
s0diminished0breath0sounds0over0the0left0side0of0the0chest.0You0should:
A0recognize0that0he0needs0a0needle0decompression.
B0administer0oxygen0and0transport0to0the0hospital.
C0circumferentially0tape0a0dressing0around0his0chest.
D0immediately0perform0a0rapid0head-to-toe0exam.0-0ans✔B
A022-year-
old0male0was0kicked0in0the0abdomen0multiple0times0during0an0attack0by0a0gang.0He0is
0conscious0but0restless0and0his0pulse0is0rapid.0Your0assessment0reveals0a0large0area0
of0bruising0to0the0right0upper0quadrant0of0his0abdomen.0The0MOST0appropriate0treatm
ent0for0this0patient0includes:
A0a0detailed0assessment0of0his0abdomen.
B0performing0a0focused0physical0exam.
C0preparing0for0immediate0transport.
D0applying0oxygen0via0nasal0cannula.0-0ans✔C
A05-year-
old0female0pulled0a0pot0of0boiling0water0from0the0stove.0She0has0superficial0and0partia
l-
thickness0burns0to0her0head0and0anterior0trunk.0What0percentage0of0her0body0surface0
area0has0been0burned?
A027%
B030%
C036%
D018%0-0ans✔B
A050-year-
old0male0was0splashed0in0the0eyes0with0radiator0fluid0when0he0was0working0on0his0ca
r.0During0your0assessment,0he0tells0you0that0he0wears0soft0contact0lenses.0You0should
:
A0carefully0remove0the0contact0lenses0and0then0irrigate0his0eyes0with0saline.
B0leave0the0contact0lenses0in0place0and0flush0his0eyes0with0sterile0water.
C0remove0the0contact0lenses0and0cover0his0eyes0with0a0dry,0sterile0dressing.
D0leave0the0contact0lenses0in0place0and0cover0both0eyes0with0a0dry0dressing.0-
0ans✔A
ANSWERS
A0construction0worker0fell0approximately0300and0landed0in0a0pile0of0steel0rods.0Your0a
ssessment0reveals0that0he0is0pulseless0and0apneic0and0has0a0100steel0rod0impaled0in
0his0left0leg.0You0should:
A0control0the0bleeding,0carefully0remove0the0steel0rod,0begin0CPR,0and0transport0as0s
oon0as0possible.
B0stabilize0the0steel0rod,0control0the0bleeding,0begin0CPR,0and0rapidly0transport0to0a0tr
auma0center.
C0control0the0bleeding,0begin0cardiopulmonary0resuscitation0(CPR),0stabilize0the0steel0
rod,0immobilize0his0spine,0and0transport0immediately.
D0remove0the0steel0rod,0control0the0bleeding,0apply0an0automated0external0defibrillator
0(AED),0begin0CPR,0and0transport0to0a0trauma0center.0-0ans✔C
A0young0male0was0shot0in0the0abdomen0by0an0unknown0type0of0gun.0He0is0semicons
cious,0has0shallow0breathing,0and0is0bleeding0externally0from0the0wound.0As0you0contr
ol0the0external0bleeding,0your0partner0should:
A0perform0a0secondary0assessment.
Bobtain0baseline0vital0signs.
C0assist0the0patient's0ventilations.
D0apply0a0nonrebreathing0mask.0-0ans✔C
Following0direct0trauma0to0the0left0upper0back,0a044-year-
old0male0presents0with0diaphoresis0and0restlessness.0His0blood0pressure0is0100/500m
m0Hg,0his0pulse0rate0is01200beats/
min0and0weak,0and0his0respirations0are0240breaths/
min0and0labored.0Your0assessment0reveals0abrasions0and0contusions0over0the0left0sc
apula.0You0should:
A0apply0high-flow0oxygen,0consider0spinal0precautions,0and0transport0without0delay.
B0hyperventilate0him0with0a0bag-mask0device0and0monitor0his0oxygen0saturation.
C0apply0high-flow0oxygen,0perform0a0detailed0secondary0assessment,0and0transport.
D0focus0your0assessment0on0his0scapulae0and0clavicles0and0apply0high-flow0oxygen.0-
0ans✔A
,A06-year-
old0female0was0riding0her0bicycle0and0struck0a0clothesline0with0her0throat.0She0is0brea
thing,0but0with0obvious0difficulty.0Your0assessment0reveals0a0crackling0sensation0in0th
e0soft0tissues0of0her0neck0and0facial0cyanosis.0In0addition0to0the0appropriate0airway0m
anagement,0the0intervention0that0will0MOST0likely0improve0her0chance0of0survival0is:
A0careful0monitoring0her0vital0signs.
B0rapidly0transporting0her0to0the0hospital.
C0quickly0immobilizing0her0spinal0column.
D0requesting0a0paramedic0ambulance.0-0ans✔B
Following0direct0trauma0to0the0upper0part0of0the0anterior0neck,0a0young0male0presents
0with0labored0breathing,0loss0of0voice,0and0subcutaneous0emphysema0in0the0soft0tissu
es0around0his0neck.0You0should0suspect0a(n):
A0crushed0cricoid.
B0laryngeal0fracture.
C0esophageal0tear.
D0collapsed0trachea.0-0ans✔B
During0your0assessment0of0a0patient0with0blunt0chest0trauma,0you0note0paradoxical0m
ovement0of0the0left0chest0wall.0As0your0partner0is0administering0oxygen0to0the0patient,
0you0should:
A0make0note0of0it0and0continue0your0assessment.
B0stabilize0the0chest0wall0with0a0bulky0dressing.
C0reassess0the0adequacy0of0the0patient's0breathing.
D0request0a0paramedic0to0decompress0the0chest.0-0ans✔B
A0young0female0experienced0a0laceration0to0her0left0eyeball0from0flying0glass0when0he
r0boyfriend0broke0a0soda0bottle0against0a0wall.0There0is0moderate0bleeding0and0the0pa
tient0states0that0she0cannot0see0out0of0the0injured0eye.0You0should:
A0apply0firm0direct0pressure0to0the0injured0eye0and0cover0the0opposite0eye.
B0ask0her0to0move0the0injured0eye0to0assess0the0integrity0of0the0optic0nerve.
C0carefully0examine0her0eye0and0remove0any0foreign0objects0if0needed.
D0avoid0applying0pressure0to0the0globe0when0you0are0covering0the0eye.0-0ans✔D
A054-year-
old0male0experienced0an0avulsion0to0his0penis0when0his0foreskin0got0caught0in0the0zip
per0of0his0pants.0He0was0able0to0unzip0his0pants0and0remove0the0foreskin0prior0to0you
r0arrival.0Your0assessment0reveals0that0he0is0in0severe0pain0and0that0the0avulsion0is0b
leeding0moderately.0The0MOST0appropriate0treatment0for0this0patient0includes:
A0requesting0a0paramedic0to0administer0pain0medication.
B0administering0100%0oxygen0via0a0nonrebreathing0mask.
C0covering0the0avulsion0with0moist,0sterile0dressings.
D0applying0direct0pressure0with0a0dry,0sterile0dressing.0-0ans✔D
, A022-year-
old0male0was0walking0on0the0beach0and0had0sand0blown0into0his0eyes.0He0complains0
of0pain0and0decreased0vision0to0his0right0eye.0Treatment0should0include:
A0covering0both0eyes0and0transporting.
B0irrigating0his0right0eye0laterally.
C0flushing0his0eye0starting0laterally.
D0irrigating0both0eyes0simultaneously.0-0ans✔B
While0jogging,0a019-year-
old0male0experienced0an0acute0onset0of0shortness0of0breath0and0pleuritic0chest0pain.0
He0is0conscious0and0alert0with0stable0vital0signs.0Your0assessment0reveals0that0he0ha
s0diminished0breath0sounds0over0the0left0side0of0the0chest.0You0should:
A0recognize0that0he0needs0a0needle0decompression.
B0administer0oxygen0and0transport0to0the0hospital.
C0circumferentially0tape0a0dressing0around0his0chest.
D0immediately0perform0a0rapid0head-to-toe0exam.0-0ans✔B
A022-year-
old0male0was0kicked0in0the0abdomen0multiple0times0during0an0attack0by0a0gang.0He0is
0conscious0but0restless0and0his0pulse0is0rapid.0Your0assessment0reveals0a0large0area0
of0bruising0to0the0right0upper0quadrant0of0his0abdomen.0The0MOST0appropriate0treatm
ent0for0this0patient0includes:
A0a0detailed0assessment0of0his0abdomen.
B0performing0a0focused0physical0exam.
C0preparing0for0immediate0transport.
D0applying0oxygen0via0nasal0cannula.0-0ans✔C
A05-year-
old0female0pulled0a0pot0of0boiling0water0from0the0stove.0She0has0superficial0and0partia
l-
thickness0burns0to0her0head0and0anterior0trunk.0What0percentage0of0her0body0surface0
area0has0been0burned?
A027%
B030%
C036%
D018%0-0ans✔B
A050-year-
old0male0was0splashed0in0the0eyes0with0radiator0fluid0when0he0was0working0on0his0ca
r.0During0your0assessment,0he0tells0you0that0he0wears0soft0contact0lenses.0You0should
:
A0carefully0remove0the0contact0lenses0and0then0irrigate0his0eyes0with0saline.
B0leave0the0contact0lenses0in0place0and0flush0his0eyes0with0sterile0water.
C0remove0the0contact0lenses0and0cover0his0eyes0with0a0dry,0sterile0dressing.
D0leave0the0contact0lenses0in0place0and0cover0both0eyes0with0a0dry0dressing.0-
0ans✔A
