National Outdoor Leadership School (NOLS)
Wilderness First Responder (WFR)
NOLS WILDERNESS MEDICINE (WFR) FINAL TEST
QUESTIONS & ANSWERS. GENUINE 2025
SUUMMER/FALL ACTUAL EXAM GRADED A+.
Unusable athletic injuries are treated with:
CORRECT ANS>> a. immobilization and evacuation
Certification as a wilderness medicine provider:
CORRECT ANS>> a. indicates you have completed training
Wilderness medicine is different from urban medicine because wilderness medicine has:
CORRECT ANS>> a. Extended patient contact time, environmental challenges and improvised gear.
The most common injuries consistently reported on wilderness expeditions are
CORRECT ANS>> c. soft tissue wounds
A patient in compensatory shock:
CORRECT ANS>> c. maintains adequate perfusion with vasoconstriction, increased HR and RR.
Compartment syndrome is
CORRECT ANS>> c. pressure in a muscle secondary to an injury
A hypothermic patient
CORRECT ANS>> b. can be treated with a hypothermia wrap.
Your tent mate has accidentally swallowed a small amount of white gas. You recommend that she:
CORRECT ANS>> d. Call poison control.
We guard against an allergic response to a medication by
CORRECT ANS>> a. asking the patient if they have taken a medication previously.
Treatment principles for snow blindness include
CORRECT ANS>> d. cool compresses over the eyes.
A pneumothorax is
CORRECT ANS>> a. air in the chest
Sunscreens
CORRECT ANS>> b. should be applied several times a day.
, National Outdoor Leadership School (NOLS)
Wilderness First Responder (WFR)
Rapidly evacuate a patient with a headache if the headache
CORRECT ANS>> b. is sudden, severe or is associated with altered mental status.
Urinary tract infections
CORRECT ANS>> a. can be accompanied by fever and blood in the urine
Your 54-year-old co-instructor wakes up with chest pain and a sensation of tightness in his chest,
shortness of breath, anxiety, nausea and pale cool, clammy skin. Your treatment plan includes
CORRECT ANS>> c. suggesting he take one adult aspirin.
Which of the following statements about exercise in hot conditions is false?
CORRECT ANS>> d. over hydration can prevent heat illness.
The head-to-toe physical exam
CORRECT ANS>> d. is done on all patients.
In the wilderness we can stop CPR if:
CORRECT ANS>> a. the patient's pulse returns.
Abandonment occurs when:
CORRECT ANS>> d. you turn over patient care to a person unable to manage the patient.
To effectively make water safe to drink it needs to
CORRECT ANS>> d. be hot enough for a rolling boil.
In a hydrated person urine is commonly
CORRECT ANS>> b. light yellow or clear.
Recommended treatments for pit viper bites include:
CORRECT ANS>> d. Transporting the victim to the hospital for anti-venom.
A patient with a fever that is greater than 102F (39C) or that persists for 48 hours should be
CORRECT ANS>> a. evacuated to definitive care.
When we check the pelvis in the head-to-toe exam we
CORRECT ANS>> d. press in on the iliac crests.
Which of the following patients is the best candidate to be given a Focused Spine Assessment
performed by a WFR?
CORRECT ANS>> d. A 23-year-old female who fell approximately 15 feet onto hard ground, landing
on her back, with no midline pain or CSM deficit found during the head-to-toe exam.
Wilderness First Responder (WFR)
NOLS WILDERNESS MEDICINE (WFR) FINAL TEST
QUESTIONS & ANSWERS. GENUINE 2025
SUUMMER/FALL ACTUAL EXAM GRADED A+.
Unusable athletic injuries are treated with:
CORRECT ANS>> a. immobilization and evacuation
Certification as a wilderness medicine provider:
CORRECT ANS>> a. indicates you have completed training
Wilderness medicine is different from urban medicine because wilderness medicine has:
CORRECT ANS>> a. Extended patient contact time, environmental challenges and improvised gear.
The most common injuries consistently reported on wilderness expeditions are
CORRECT ANS>> c. soft tissue wounds
A patient in compensatory shock:
CORRECT ANS>> c. maintains adequate perfusion with vasoconstriction, increased HR and RR.
Compartment syndrome is
CORRECT ANS>> c. pressure in a muscle secondary to an injury
A hypothermic patient
CORRECT ANS>> b. can be treated with a hypothermia wrap.
Your tent mate has accidentally swallowed a small amount of white gas. You recommend that she:
CORRECT ANS>> d. Call poison control.
We guard against an allergic response to a medication by
CORRECT ANS>> a. asking the patient if they have taken a medication previously.
Treatment principles for snow blindness include
CORRECT ANS>> d. cool compresses over the eyes.
A pneumothorax is
CORRECT ANS>> a. air in the chest
Sunscreens
CORRECT ANS>> b. should be applied several times a day.
, National Outdoor Leadership School (NOLS)
Wilderness First Responder (WFR)
Rapidly evacuate a patient with a headache if the headache
CORRECT ANS>> b. is sudden, severe or is associated with altered mental status.
Urinary tract infections
CORRECT ANS>> a. can be accompanied by fever and blood in the urine
Your 54-year-old co-instructor wakes up with chest pain and a sensation of tightness in his chest,
shortness of breath, anxiety, nausea and pale cool, clammy skin. Your treatment plan includes
CORRECT ANS>> c. suggesting he take one adult aspirin.
Which of the following statements about exercise in hot conditions is false?
CORRECT ANS>> d. over hydration can prevent heat illness.
The head-to-toe physical exam
CORRECT ANS>> d. is done on all patients.
In the wilderness we can stop CPR if:
CORRECT ANS>> a. the patient's pulse returns.
Abandonment occurs when:
CORRECT ANS>> d. you turn over patient care to a person unable to manage the patient.
To effectively make water safe to drink it needs to
CORRECT ANS>> d. be hot enough for a rolling boil.
In a hydrated person urine is commonly
CORRECT ANS>> b. light yellow or clear.
Recommended treatments for pit viper bites include:
CORRECT ANS>> d. Transporting the victim to the hospital for anti-venom.
A patient with a fever that is greater than 102F (39C) or that persists for 48 hours should be
CORRECT ANS>> a. evacuated to definitive care.
When we check the pelvis in the head-to-toe exam we
CORRECT ANS>> d. press in on the iliac crests.
Which of the following patients is the best candidate to be given a Focused Spine Assessment
performed by a WFR?
CORRECT ANS>> d. A 23-year-old female who fell approximately 15 feet onto hard ground, landing
on her back, with no midline pain or CSM deficit found during the head-to-toe exam.
