NREMT Trauma Exam Questions And Answers All
Correct
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 - AnswerA 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 - Answerburp 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 - Answerencourage 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 - Answerevisceration.
/.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. - AnswerBlood 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. - Answerpelvic 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. - Answerapply 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 - AnswerLiver
/.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. - Answerplace 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. - AnswerDrain cleaner
liquifies tissue and can damage more tissue.
, /.A 63-year-old male has an irregular three-inch laceration across his right forearm. He
tells you he feels nauseated and light-headed. You observe a steady flow of dark, red
blood. You are unable to stop the flow with direct pressure. You should next:
A. apply a pressure dressing.
B. apply a tourniquet proximal to the injury.
C. elevate his arm above his heart.
D. apply pressure to his brachial artery. - Answerapply a tourniquet proximal to the
injury.
/.A 9-year-old female was struck by a car while she was riding her bicycle. She
complains of pain in her left forearm, right shoulder, and abdomen. Her skin is pale and
cool. Her right shoulder appears uninjured. You observe an angulated injury to her
forearm, and distal pulses are present. She has an abrasion to her right upper
abdominal quadrant, and the pain increases with palpation. You should perform spinal
motion restriction,
A. gently realign her left arm into the position of function, and apply a splint.
B. splint her left arm, and apply a sling to her right arm.
C. splint her left arm in the position found, and apply a cold pack.
D. administer oxygen, and transport immediately - Answeradminister oxygen, and
transport immediately
/.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:
A. transport him.
B. apply a cervical collar and secure him to a long backboard.
C. apply a dry, sterile dressing.
D. assess his vital signs - Answertransport him.
/.A 58-year-old male complains of midsternal chest pain after a car crash. He tells you
that he was pain-free before the crash. His skin is pale and diaphoretic. His lungs are
clear to auscultation, and the pain increases with deep inspiration. His vital signs are P
112, R 18, BP 118/86, and SpO2 is 95% on room air. You should:
A. administer oxygen.
B. assess for orthostatic hypotension.
C. administer aspirin.
D. assist with the administration of his nitroglycerin. - Answeradminister oxygen.
/.A 71-year-old male has partial thickness flash burns to his face. He tells you he was
smoking in the bathroom while on oxygen by nasal cannula when it happened. The hair
in his nostrils and eyebrows is singed. While he is speaking to you, you notice his voice
is becoming more hoarse. He complains that his throat is tightening, and he has trouble
breathing. You should:
A. transport immediately.
B. administer oxygen by nasal cannula.
Correct
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 - AnswerA 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 - Answerburp 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 - Answerencourage 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 - Answerevisceration.
/.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. - AnswerBlood 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. - Answerpelvic 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. - Answerapply 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 - AnswerLiver
/.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. - Answerplace 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. - AnswerDrain cleaner
liquifies tissue and can damage more tissue.
, /.A 63-year-old male has an irregular three-inch laceration across his right forearm. He
tells you he feels nauseated and light-headed. You observe a steady flow of dark, red
blood. You are unable to stop the flow with direct pressure. You should next:
A. apply a pressure dressing.
B. apply a tourniquet proximal to the injury.
C. elevate his arm above his heart.
D. apply pressure to his brachial artery. - Answerapply a tourniquet proximal to the
injury.
/.A 9-year-old female was struck by a car while she was riding her bicycle. She
complains of pain in her left forearm, right shoulder, and abdomen. Her skin is pale and
cool. Her right shoulder appears uninjured. You observe an angulated injury to her
forearm, and distal pulses are present. She has an abrasion to her right upper
abdominal quadrant, and the pain increases with palpation. You should perform spinal
motion restriction,
A. gently realign her left arm into the position of function, and apply a splint.
B. splint her left arm, and apply a sling to her right arm.
C. splint her left arm in the position found, and apply a cold pack.
D. administer oxygen, and transport immediately - Answeradminister oxygen, and
transport immediately
/.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:
A. transport him.
B. apply a cervical collar and secure him to a long backboard.
C. apply a dry, sterile dressing.
D. assess his vital signs - Answertransport him.
/.A 58-year-old male complains of midsternal chest pain after a car crash. He tells you
that he was pain-free before the crash. His skin is pale and diaphoretic. His lungs are
clear to auscultation, and the pain increases with deep inspiration. His vital signs are P
112, R 18, BP 118/86, and SpO2 is 95% on room air. You should:
A. administer oxygen.
B. assess for orthostatic hypotension.
C. administer aspirin.
D. assist with the administration of his nitroglycerin. - Answeradminister oxygen.
/.A 71-year-old male has partial thickness flash burns to his face. He tells you he was
smoking in the bathroom while on oxygen by nasal cannula when it happened. The hair
in his nostrils and eyebrows is singed. While he is speaking to you, you notice his voice
is becoming more hoarse. He complains that his throat is tightening, and he has trouble
breathing. You should:
A. transport immediately.
B. administer oxygen by nasal cannula.
