NREMT – Trauma Exam with 250 Questions and Correct
Detailed Answers for Real Exam Prep| Emergency Medical
Technician (Trauma) Exam Practice Test Bank 2025|
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NREMT – Trauma
A woman has a painful, deformed humerus after she fell. The injured arm is cool and pale, and a
radial pulse cannot be palpated. The EMT should: - ⭐-ANSWER-⭐- apply gentle traction in order to
reestablish distal circulation
Injury to which of the following organs would MOST likely cause hemorrhagic shock? - ⭐-ANSWER-
⭐- liver
A patient experienced blunt trauma to the left upper abdominal quadrant. When he is positioned
supine, he experiences severe pain in his left shoulder. Which of the following should the EMT
suspect? - ⭐-ANSWER-⭐- ruptured spleen
When assessing distal circulation in a patient with a swollen deformed femur, you should: - ⭐-
ANSWER-⭐- palpate for a dorsalis pedis pulse
Following a head injury, a young woman is semiconscious and is bleeding from the nose and left
ear. You should: - ⭐-ANSWER-⭐- cover her ear and nose with a loose gauze pad to collect the blood
A 22-year-old woman fell on her knee and is in severe pain. Her knee is flexed and severely
deformed. Her leg is cold to the touch and you are unable to palpate a distal pulse. You should: - ⭐-
ANSWER-⭐- manually stabilize her injury and contact medical control for further stabilization
instructions
,2|P age
Factors that affect a person's ability to compensate for internal or external blood loss include all of
the following, EXCEPT: - ⭐-ANSWER-⭐- high cholesterol in the blood
During your assessment of a patient who experienced blunt facial trauma, you note the presence of
a hyphema. This indicates: - ⭐-ANSWER-⭐- directs trauma to the eyeball
Which of the following factors would reduce the blood's natural ability to clot, thus worsening
internal or external bleeding? - ⭐-ANSWER-⭐- hypothermia
In which of the following situations would external bleeding be the MOST difficult to control? - ⭐-
ANSWER-⭐- femoral artery laceration, BP of 140/90
Shock following major trauma is MOST often the result of: - ⭐-ANSWER-⭐- hemorrhage
Internal or external bleeding would be especially severe in a patient: - ⭐-ANSWER-⭐- with
hemophilia
Firefighters have rescued a man from his burning house. He is conscious and alert, but is
experiencing significant respiratory distress. He has a brassy cough and singed nasal hairs. The
MOST immediate threat to this patient's life is: - ⭐-ANSWER-⭐- airway swelling
Which of the following will provide you with the MOST information regarding a head-injured
patient's condition? - ⭐-ANSWER-⭐- mental status
Which of the following BEST describes the mechanism of injury? - ⭐-ANSWER-⭐- the way in which
traumatic injuries occur
A patient experienced blunt chest trauma and has asymmetrical chest wall movement. This finding
indicates: - ⭐-ANSWER-⭐- decreased air movement into one lung
In which of the following circumstances would external bleeding be the LEAST difficult to control? -
⭐-ANSWER-⭐- lacerated femoral vein; BP of 70/40 mm Hg
,3|P age
A man was kicked in the head and chest and stabbed in the abdomen. He is conscious, but restless,
and is coughing up blood. His breathing is rapid and shallow, his skin is cool and pale, and his pulse
is rapid and weak. The EMT should recognize that this patient's signs and symptoms are MOST
likely the result of: - ⭐-ANSWER-⭐- internal hemorrhage
A young man has a large laceration to his lateral neck, directly over his jugular vein. His airway is
patent and his breathing is adequate. Your MOST immediate priority should be to: - ⭐-ANSWER-⭐-
keep air out of the wound and control the bleeding
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? - ⭐-
ANSWER-⭐- 18%
When assessing and treating a patient with a gunshot wound, you should routinely: - ⭐-ANSWER-
⭐- look for the presence of an exit wound
An adult patient opens his eyes in response to a painful stimulus, moans when you ask him
questions, and pulls his arm away when you palpate it. What is his Glasgow Coma Scale (GCS)
score? - ⭐-ANSWER-⭐- 8
Following blunt injury to the anterior torso, a patient is coughing up bright red blood. You should
suspect: - ⭐-ANSWER-⭐- bleeding within the lungs
A high school student was splashed in the eyes with a strong acid chemical during a lab experiment.
He is in severe pain and is unable to open his eyes. You should: - ⭐-ANSWER-⭐- continuously flush
his eyes with saline for at least 20 minutes
A man's legs were pinned by a steel girder for 5 hours before he was found. He is conscious and
alert with stable vital signs but cannot feel his legs. The EMT should anticipate that: - ⭐-ANSWER-
⭐- intravenous fluids and certain drugs may be given before he is freed
A 22-year-old man had a strong acid chemical splashed into both of his eyes. He is conscious and
alert, is experiencing intense pain, and states that he is wearing contact lenses. Treatment should
include: - ⭐-ANSWER-⭐- removing the contact lenses and beginning irrigation of both eyes
, 4|P age
A soft-tissue injury that results in a flap of torn skin is called a/an: - ⭐-ANSWER-⭐- avulsion
During your assessment of a patient with a gunshot wound to the chest, you note that his skin is
pale. This finding is the result of: - ⭐-ANSWER-⭐- decreased blood flow to the skin
Which of the following injury mechanisms and clinical findings would MOST likely warrant
transport to a facility that provides the highest level of trauma care? - ⭐-ANSWER-⭐- motorcycle
crash; pelvic instability; systolic BP of 80 mm Hg
A 30-year-old woman has an open deformity to her left leg and is in severe pain. She is conscious
and alert, has a patent airway, and is breathing adequately. Your primary concern should be: - ⭐-
ANSWER-⭐- controlling any external bleeding
A man's arm was amputated during a car crash. The patient is unresponsive; has rapid, shallow
breathing; and has a rapid, weak pulse. As you and your partner are treating him, other responders
are attempting to locate his severed arm. Which of the following statements regarding this scenario
is correct? - ⭐-ANSWER-⭐- if the patient's arm has not been recovered by the time you are ready to
transport, you should transport without delay
Assessment of a patient with multisystem trauma reveals decerebrate posturing, rapid irregular
breathing, and bradycardia. These clinical signs indicate injury to the: - ⭐-ANSWER-⭐- brainstem
A patient presents with a swollen, painful deformity to the lateral bone of the left forearm. You
should recognize that he has injured his: - ⭐-ANSWER-⭐- radius
A 78-year-old woman reports pain to her right groin area after she fell. Her right leg is straight but
is externally rotated and shorter than the left. The EMT should suspect a: - ⭐-ANSWER-⭐- proximal
femur fracture
A 44-year-old man has a traumatic leg amputation just below the knee. He is lying in a large pool of
blood and the wound is bleeding profusely. The EMT should: - ⭐-ANSWER-⭐- cover the wound
with trauma dressing and apply a proximal tourniquet