NREMT: Trauma Exam Questions with
Correct Answers
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. apply 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 administer 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 transport 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. administer 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.
C. administer oxygen by non-rebreather mask.
D. assess his vital signs transport immediately.
,An unresponsive 43-year-old female was struck in the chest with a metal pipe during an assault.
You observe a portion of her left chest wall moves outward when she exhales. She is taking
rapid, shallow breaths. While your partner stabilizes her head, you should next:
A. assist her ventilation with a BVM.
B. immobilize her to a long backboard.
C. assess her vital signs.
D. administer oxygen by non-rebreather mask. assist her ventilation with a BVM.
A 51-year-old male has a quarter-inch diameter metal bar that is six feet long impaled in his
forearm. There is minor bleeding around the bar. He can move his fingers with a slight increase
in his pain. You should:
A. cut the bar while stabilizing it.
B. stabilize the bar and transport him.
C. remove the bar and pack the wound with hemostatic gauze.
D. apply a tourniquet and remove the bar cut the bar while stabilizing it.
An unresponsive 11-year-old female jumped from a second-story window and landed on an
uneven surface. Her skin is pale, cool, and you do not observe any bruising. She has a capillary
refill of four seconds. Her left leg is shortened. When you compare her femurs, they are the
same. Her abdomen is soft to palpation, and you feel crepitus when you assess her pelvis. You
should suspect torn blood vessels in her:
A. pelvis.
B. liver.
C. thigh.
D. spleen pelvis.
, What characteristic must an open wound to the parietal pleura have for it to allow air to be drawn
into the pleural space through the chest wall?
A. It must penetrate the visceral pleural membrane.
B. The pressure inside the chest cavity must be higher than outside the pleural space.
C. It must be similar in size to the glottic opening.
D. The pressure outside the chest wall must be lower than inside the pleural space. It must be
similar in size to the glottic opening.
An 82-year-old female was bitten by a dog. You observe an irregularly shaped flap of skin on her
arm. You should suspect a(n):
A. amputation.
B. abrasion.
C. avulsion.
D. laceration. avulsion.
An unresponsive 78-year-old male fell down a flight of stairs. You hear snoring respirations and
see uncontrolled bleeding from a laceration on his head. You should first:
A. apply a cervical collar.
B. suction his airway.
C. insert an oropharyngeal airway.
D. apply direct pressure to the laceration apply direct pressure to the laceration
Correct Answers
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. apply 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 administer 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 transport 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. administer 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.
C. administer oxygen by non-rebreather mask.
D. assess his vital signs transport immediately.
,An unresponsive 43-year-old female was struck in the chest with a metal pipe during an assault.
You observe a portion of her left chest wall moves outward when she exhales. She is taking
rapid, shallow breaths. While your partner stabilizes her head, you should next:
A. assist her ventilation with a BVM.
B. immobilize her to a long backboard.
C. assess her vital signs.
D. administer oxygen by non-rebreather mask. assist her ventilation with a BVM.
A 51-year-old male has a quarter-inch diameter metal bar that is six feet long impaled in his
forearm. There is minor bleeding around the bar. He can move his fingers with a slight increase
in his pain. You should:
A. cut the bar while stabilizing it.
B. stabilize the bar and transport him.
C. remove the bar and pack the wound with hemostatic gauze.
D. apply a tourniquet and remove the bar cut the bar while stabilizing it.
An unresponsive 11-year-old female jumped from a second-story window and landed on an
uneven surface. Her skin is pale, cool, and you do not observe any bruising. She has a capillary
refill of four seconds. Her left leg is shortened. When you compare her femurs, they are the
same. Her abdomen is soft to palpation, and you feel crepitus when you assess her pelvis. You
should suspect torn blood vessels in her:
A. pelvis.
B. liver.
C. thigh.
D. spleen pelvis.
, What characteristic must an open wound to the parietal pleura have for it to allow air to be drawn
into the pleural space through the chest wall?
A. It must penetrate the visceral pleural membrane.
B. The pressure inside the chest cavity must be higher than outside the pleural space.
C. It must be similar in size to the glottic opening.
D. The pressure outside the chest wall must be lower than inside the pleural space. It must be
similar in size to the glottic opening.
An 82-year-old female was bitten by a dog. You observe an irregularly shaped flap of skin on her
arm. You should suspect a(n):
A. amputation.
B. abrasion.
C. avulsion.
D. laceration. avulsion.
An unresponsive 78-year-old male fell down a flight of stairs. You hear snoring respirations and
see uncontrolled bleeding from a laceration on his head. You should first:
A. apply a cervical collar.
B. suction his airway.
C. insert an oropharyngeal airway.
D. apply direct pressure to the laceration apply direct pressure to the laceration
