Trauma Practice Test Questions and
Answers
A construction worker fell approximately 30 and landed in a pile of steel
rods. Your assessment reveals that he is pulseless and apneic and has a
10 steel rod impaled in his left leg. You should:
A control the bleeding, carefully remove the steel rod, begin CPR, and
transport as soon as possible.
B stabilize the steel rod, control the bleeding, begin CPR, and rapidly
transport to a trauma center.
C control the bleeding, begin cardiopulmonary resuscitation (CPR),
stabilize the steel rod, immobilize his spine, and transport immediately.
D remove the steel rod, control the bleeding, apply an automated external
defibrillator (AED), begin CPR, and transport to a trauma center. - Correct
answer C
A young male was shot in the abdomen by an unknown type of gun. He is
semiconscious, has shallow breathing, and is bleeding externally from the
wound. As you control the external bleeding, your partner should:
A perform a secondary assessment.
Bobtain baseline vital signs.
C assist the patient's ventilations.
D apply a nonrebreathing mask. - Correct answer C
Following direct trauma to the left upper back, a 44-year-old male presents
with diaphoresis and restlessness. His blood pressure is 100/50 mm Hg,
his pulse rate is 120 beats/min and weak, and his respirations are 24
breaths/min and labored. Your assessment reveals abrasions and
contusions over the left scapula. You should:
A apply high-flow oxygen, consider spinal precautions, and transport
without delay.
B hyperventilate him with a bag-mask device and monitor his oxygen
saturation.
C apply high-flow oxygen, perform a detailed secondary assessment, and
transport.
D focus your assessment on his scapulae and clavicles and apply high-flow
oxygen. - Correct answer A
,A 6-year-old female was riding her bicycle and struck a clothesline with her
throat. She is breathing, but with obvious difficulty. Your assessment
reveals a crackling sensation in the soft tissues of her neck and facial
cyanosis. In addition to the appropriate airway management, the
intervention that will MOST likely improve her chance of survival is:
A careful monitoring her vital signs.
B rapidly transporting her to the hospital.
C quickly immobilizing her spinal column.
D requesting a paramedic ambulance. - Correct answer B
Following direct trauma to the upper part of the anterior neck, a young male
presents with labored breathing, loss of voice, and subcutaneous
emphysema in the soft tissues around his neck. You should suspect a(n):
A crushed cricoid.
B laryngeal fracture.
C esophageal tear.
D collapsed trachea. - Correct answer B
During your assessment of a patient with blunt chest trauma, you note
paradoxical movement of the left chest wall. As your partner is
administering oxygen to the patient, you should:
A make note of it and continue your assessment.
B stabilize the chest wall with a bulky dressing.
C reassess the adequacy of the patient's breathing.
D request a paramedic to decompress the chest. - Correct answer B
A young female experienced a laceration to her left eyeball from flying
glass when her boyfriend broke a soda bottle against a wall. There is
moderate bleeding and the patient states that she cannot see out of the
injured eye. You should:
A apply firm direct pressure to the injured eye and cover the opposite eye.
B ask her to move the injured eye to assess the integrity of the optic nerve.
C carefully examine her eye and remove any foreign objects if needed.
D avoid applying pressure to the globe when you are covering the eye. -
Correct answer D
A 54-year-old male experienced an avulsion to his penis when his foreskin
got caught in the zipper of his pants. He was able to unzip his pants and
remove the foreskin prior to your arrival. Your assessment reveals that he
, is in severe pain and that the avulsion is bleeding moderately. The MOST
appropriate treatment for this patient includes:
A requesting a paramedic to administer pain medication.
B administering 100% oxygen via a nonrebreathing mask.
C covering the avulsion with moist, sterile dressings.
D applying direct pressure with a dry, sterile dressing. - Correct answer D
A 22-year-old male was walking on the beach and had sand blown into his
eyes. He complains of pain and decreased vision to his right eye.
Treatment should include:
A covering both eyes and transporting.
B irrigating his right eye laterally.
C flushing his eye starting laterally.
D irrigating both eyes simultaneously. - Correct answer B
While jogging, a 19-year-old male experienced an acute onset of shortness
of breath and pleuritic chest pain. He is conscious and alert with stable vital
signs. Your assessment reveals that he has diminished breath sounds over
the left side of the chest. You should:
A recognize that he needs a needle decompression.
B administer oxygen and transport to the hospital.
C circumferentially tape a dressing around his chest.
D immediately perform a rapid head-to-toe exam. - Correct answer B
A 22-year-old male was kicked in the abdomen multiple times during an
attack by a gang. He is conscious but restless and his pulse is rapid. Your
assessment reveals a large area of bruising to the right upper quadrant of
his abdomen. The MOST appropriate treatment for this patient includes:
A a detailed assessment of his abdomen.
B performing a focused physical exam.
C preparing for immediate transport.
D applying oxygen via nasal cannula. - Correct answer C
A 5-year-old female pulled a pot of boiling water from the stove. She has
superficial and partial-thickness burns to her head and anterior trunk. What
percentage of her body surface area has been burned?
A 27%
B 30%
C 36%
D 18% - Correct answer B
Answers
A construction worker fell approximately 30 and landed in a pile of steel
rods. Your assessment reveals that he is pulseless and apneic and has a
10 steel rod impaled in his left leg. You should:
A control the bleeding, carefully remove the steel rod, begin CPR, and
transport as soon as possible.
B stabilize the steel rod, control the bleeding, begin CPR, and rapidly
transport to a trauma center.
C control the bleeding, begin cardiopulmonary resuscitation (CPR),
stabilize the steel rod, immobilize his spine, and transport immediately.
D remove the steel rod, control the bleeding, apply an automated external
defibrillator (AED), begin CPR, and transport to a trauma center. - Correct
answer C
A young male was shot in the abdomen by an unknown type of gun. He is
semiconscious, has shallow breathing, and is bleeding externally from the
wound. As you control the external bleeding, your partner should:
A perform a secondary assessment.
Bobtain baseline vital signs.
C assist the patient's ventilations.
D apply a nonrebreathing mask. - Correct answer C
Following direct trauma to the left upper back, a 44-year-old male presents
with diaphoresis and restlessness. His blood pressure is 100/50 mm Hg,
his pulse rate is 120 beats/min and weak, and his respirations are 24
breaths/min and labored. Your assessment reveals abrasions and
contusions over the left scapula. You should:
A apply high-flow oxygen, consider spinal precautions, and transport
without delay.
B hyperventilate him with a bag-mask device and monitor his oxygen
saturation.
C apply high-flow oxygen, perform a detailed secondary assessment, and
transport.
D focus your assessment on his scapulae and clavicles and apply high-flow
oxygen. - Correct answer A
,A 6-year-old female was riding her bicycle and struck a clothesline with her
throat. She is breathing, but with obvious difficulty. Your assessment
reveals a crackling sensation in the soft tissues of her neck and facial
cyanosis. In addition to the appropriate airway management, the
intervention that will MOST likely improve her chance of survival is:
A careful monitoring her vital signs.
B rapidly transporting her to the hospital.
C quickly immobilizing her spinal column.
D requesting a paramedic ambulance. - Correct answer B
Following direct trauma to the upper part of the anterior neck, a young male
presents with labored breathing, loss of voice, and subcutaneous
emphysema in the soft tissues around his neck. You should suspect a(n):
A crushed cricoid.
B laryngeal fracture.
C esophageal tear.
D collapsed trachea. - Correct answer B
During your assessment of a patient with blunt chest trauma, you note
paradoxical movement of the left chest wall. As your partner is
administering oxygen to the patient, you should:
A make note of it and continue your assessment.
B stabilize the chest wall with a bulky dressing.
C reassess the adequacy of the patient's breathing.
D request a paramedic to decompress the chest. - Correct answer B
A young female experienced a laceration to her left eyeball from flying
glass when her boyfriend broke a soda bottle against a wall. There is
moderate bleeding and the patient states that she cannot see out of the
injured eye. You should:
A apply firm direct pressure to the injured eye and cover the opposite eye.
B ask her to move the injured eye to assess the integrity of the optic nerve.
C carefully examine her eye and remove any foreign objects if needed.
D avoid applying pressure to the globe when you are covering the eye. -
Correct answer D
A 54-year-old male experienced an avulsion to his penis when his foreskin
got caught in the zipper of his pants. He was able to unzip his pants and
remove the foreskin prior to your arrival. Your assessment reveals that he
, is in severe pain and that the avulsion is bleeding moderately. The MOST
appropriate treatment for this patient includes:
A requesting a paramedic to administer pain medication.
B administering 100% oxygen via a nonrebreathing mask.
C covering the avulsion with moist, sterile dressings.
D applying direct pressure with a dry, sterile dressing. - Correct answer D
A 22-year-old male was walking on the beach and had sand blown into his
eyes. He complains of pain and decreased vision to his right eye.
Treatment should include:
A covering both eyes and transporting.
B irrigating his right eye laterally.
C flushing his eye starting laterally.
D irrigating both eyes simultaneously. - Correct answer B
While jogging, a 19-year-old male experienced an acute onset of shortness
of breath and pleuritic chest pain. He is conscious and alert with stable vital
signs. Your assessment reveals that he has diminished breath sounds over
the left side of the chest. You should:
A recognize that he needs a needle decompression.
B administer oxygen and transport to the hospital.
C circumferentially tape a dressing around his chest.
D immediately perform a rapid head-to-toe exam. - Correct answer B
A 22-year-old male was kicked in the abdomen multiple times during an
attack by a gang. He is conscious but restless and his pulse is rapid. Your
assessment reveals a large area of bruising to the right upper quadrant of
his abdomen. The MOST appropriate treatment for this patient includes:
A a detailed assessment of his abdomen.
B performing a focused physical exam.
C preparing for immediate transport.
D applying oxygen via nasal cannula. - Correct answer C
A 5-year-old female pulled a pot of boiling water from the stove. She has
superficial and partial-thickness burns to her head and anterior trunk. What
percentage of her body surface area has been burned?
A 27%
B 30%
C 36%
D 18% - Correct answer B
