NREMT Trauma Exam with all Correct & 100% Verified
Answers |Actual Complete Exam |Already Graded A+
A 6-year-old male fell off his bicycle and cut his upper arm. His mother is holding a blood-soaked
towel over the wound. When you examine the wound, you see a five-inch laceration that is spraying
blood. You should immediately:
A) apply direct pressure. B) compress his brachial artery.
C) apply a tourniquet two inches above the laceration. D) elevate his arm above his heart.
✔Correct Answer-A) apply direct pressure.
A 5-year-old female who was only wearing a lap belt when she was involved in a car crash complains
of abdominal pain. Her skin is pale and cool. The only injury you observe is a reddened three-inch
wide mark across her abdomen at the level of her umbilicus. Her vital signs are P 130, R 34, BP
98/80, and SpO2 is unobtainable. Her capillary refill is three seconds. You should administer oxygen
and:
A) apply a pelvic binder. B) transport her in Trendelenburg position.
C) transport her in a position of comfort. D) keep her warm. ✔Correct Answer-D) keep her warm.
A 7-year-old male was struck in his left chest with a baseball bat. He complains of pain to the area,
and you observe a large red mark. He has equal chest wall expansion, and his neck veins are flat. You
auscultate rales on the left side of his chest. You should suspect:
A) cardiac tamponade. B) tension pneumothorax.
C) congestive heart failure. D) pulmonary contusion. ✔Correct Answer-D) pulmonary contusion.
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 an occlusive dressing over the wound. B) place your gloved hand over the wound.
C) place a vented occlusive dressing over the wound. D) pack the wound with hemostatic gauze.
✔Correct Answer-B) place your gloved hand over the wound.
An 8-year-old male was stabbed in the chest with a knife. You observe a half-inch laceration an inch
lateral to the sternum at the third intercostal space. You do not see any active bleeding, and his neck
veins are distended. His lungs are clear to auscultation. His capillary refill is three seconds, and his
skin is pale and cool. You should suspect:
A) tension pneumothorax. B) hypovolemic shock.
C) obstructive shock. D) hemothorax. ✔Correct Answer-C) obstructive shock.
A 3-month-old female was cut across her abdomen by a piece of broken glass. You observe bowel
contents protruding from the wound. You should:
A) wrap the abdomen with an elastic dressing. B) cover the wound with a dry, sterile dressing.
C) cover the wound with a moist, sterile dressing. D) cleanse the bowel with sterile water and gently
replace it. ✔Correct Answer-C) cover the wound with a moist, sterile dressing.
A 4-year-old male complains of difficulty breathing. He tells you he was struck by a car. You observe
contusions and abrasions to his chest and abdomen. You auscultate decreased lung sounds and
bowel sounds in his left lower chest. His vital signs are P 112, R 40, BP 100/74, and SpO2 is 92% on
room air. You should:
A) transport him on his right side. B) transport him on his left side.
C) assist his ventilation. D) administer oxygen. ✔Correct Answer-D) administer oxygen.
,Why is a 7-year-old female more prone to fracture her spleen in a car crash than an adult?
A) It is encapsulated in the liver. B) Her abdominal muscles displace it superiorly.
C) Her ribs do not protect it as well.D) It has not become fully calcified ✔Correct Answer-C) Her
ribs do not protect it as well
Why can a fracture to the proximal end of a 3-year-old male's humerus be more serious than a
fracture in the same location of a 33-year-old female if it is not treated properly?
A) His arm may be less moveable. B) He may have increased hemorrhaging.
C) He may have increased soft tissue injuries.D) His arm may not grow properly ✔Correct Answer-
D) His arm may not grow properly
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. ✔Correct Answer-A) pelvis
A 5-year-old male complains of pain in his left hand after he spilled liquid drain cleaner on it. His
hand is reddened, and you smell a strong chemical odor. You should:
A) flush his hand with water. B) neutralize the substance with baking soda.
C) apply a sterile dressing. D) brush the substance off his hand. ✔Correct Answer-A) flush his hand
with water.
An unresponsive 2-year-old female has burnt skin on her left hand and left knee. Her father tells you
he heard a loud noise and found her this way. She has irregular, slow, shallow respirations and a rapid
carotid pulse. You should first:
A) administer oxygen by nasal cannula. B) assist her ventilation.
C) assess her vital signs. D) administer oxygen by non-rebreather mask. ✔Correct Answer-B) assist
her ventilation.
A 6-year-old male was thrown 10 feet after he was struck by a car. He complains of neck and back
pain. The skin on his face, shoulders, and arms is pale and diaphoretic. He has no feeling below his
nipple line, and his skin is warm and pink. You should suspect an injury to his:
A) thoracic spine below T-5. B) thoracic spine above T-5.
C) cervical spine above C-4. D) cervical spine below C-4. ✔Correct Answer-B) thoracic spine above
T-5.
A 7-year-old female has a pencil impaled in her right cheek. She is upset but follows your
instructions. You can visualize that the tip of the pencil is impaled in her palate. You should:
A) remove the pencil and apply external and internal dressings.
B) twist the pencil to determine if it is lodged in her palate.
C) remove the pencil and apply an external dressing.
D) stabilize the pencil in place. ✔Correct Answer-D) stabilize the pencil in place.
Which of the following is a characteristic of pediatric trauma that can mask significant internal
injuries after a child is struck by a car?
A) Their abdominal organs are better protected by the ribs.
B) Children normally have bruises in multiple stages of healing.
C) There may be no obvious evidence of external trauma.
, D) Their compensatory mechanisms are not as well developed as adults. ✔Correct Answer-C)
There may be no obvious evidence of external trauma.
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) administer oxygen, and transport immediately.
C) splint her left arm, and apply a sling to her right arm.
D) splint her left arm in the position found, and apply a cold pack. ✔Correct Answer-B) administer
oxygen, and transport immediately.
An unresponsive 2-year-old male fell eight feet from a slide at a city park. You observe a hematoma
to his occiput. His skin above his axilla is pale and diaphoretic, and pink and dry below. His left
forearm is obviously fractured. His vital signs are P 156, R 48, and his capillary refill is less than two
seconds. Prior to transport, you should administer oxygen and:
A) perform a detailed assessment. B) perform spinal motion restriction.
C) wait for his mother to arrive. D) splint his arm. ✔Correct Answer-B) perform spinal motion
restriction.
A confused 52-year-old female has an eight-inch full thickness laceration diagonally across her right
thigh. Her skin is pale and diaphoretic, and you observe a steady flow of dark red blood oozing from
the wound onto the carpeted floor. The carpet under her leg is saturated. You should suspect:
A) massive hemorrhage.B) minor bleeding.C) capillary bleeding.D) arterial hemorrhage ✔Correct
Answer-A) massive hemorrhage
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 pressure to his brachial artery. B) apply a tourniquet proximal to the injury.
C) apply a pressure dressing. D) elevate his arm above his heart. ✔Correct Answer-B) apply a
tourniquet proximal to the injury.
Besides bound to hemoglobin, how is oxygen transported to the cells?
A) Dissolved in plasma B) Dissolved in bicarbonate
C) Bound to platelets D) Bound to leukocytes ✔Correct Answer-A) Dissolved in plasma
An unresponsive 21-year-old male was shot in the left upper abdominal quadrant. His skin is pale and
diaphoretic. You auscultate clear lung sounds, and his neck veins are flat. His vital signs are P 116, R
20, BP 100/72, and SpO2 is 92% on room air. What type of shock should you suspect?
A) Distributive B) Intrinsic Cardiogenic C) Hemorrhagic D) Extrinsic Cardiogenic ✔Correct Answer-C)
Hemorrhagic
A 23-year-old female has a five-inch laceration to her left thigh. You were unable to control her
hemorrhage, so you applied a tourniquet and stopped the bleeding. During transport, her vital signs
are P 104, R 18, BP 88/62, and SpO2 is 97% on oxygen by non-rebreather mask at 12 L/minute. Of
the following, which will help to improve her outcome the most?
A) Keeping her warm B) Elevating her left leg
Answers |Actual Complete Exam |Already Graded A+
A 6-year-old male fell off his bicycle and cut his upper arm. His mother is holding a blood-soaked
towel over the wound. When you examine the wound, you see a five-inch laceration that is spraying
blood. You should immediately:
A) apply direct pressure. B) compress his brachial artery.
C) apply a tourniquet two inches above the laceration. D) elevate his arm above his heart.
✔Correct Answer-A) apply direct pressure.
A 5-year-old female who was only wearing a lap belt when she was involved in a car crash complains
of abdominal pain. Her skin is pale and cool. The only injury you observe is a reddened three-inch
wide mark across her abdomen at the level of her umbilicus. Her vital signs are P 130, R 34, BP
98/80, and SpO2 is unobtainable. Her capillary refill is three seconds. You should administer oxygen
and:
A) apply a pelvic binder. B) transport her in Trendelenburg position.
C) transport her in a position of comfort. D) keep her warm. ✔Correct Answer-D) keep her warm.
A 7-year-old male was struck in his left chest with a baseball bat. He complains of pain to the area,
and you observe a large red mark. He has equal chest wall expansion, and his neck veins are flat. You
auscultate rales on the left side of his chest. You should suspect:
A) cardiac tamponade. B) tension pneumothorax.
C) congestive heart failure. D) pulmonary contusion. ✔Correct Answer-D) pulmonary contusion.
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 an occlusive dressing over the wound. B) place your gloved hand over the wound.
C) place a vented occlusive dressing over the wound. D) pack the wound with hemostatic gauze.
✔Correct Answer-B) place your gloved hand over the wound.
An 8-year-old male was stabbed in the chest with a knife. You observe a half-inch laceration an inch
lateral to the sternum at the third intercostal space. You do not see any active bleeding, and his neck
veins are distended. His lungs are clear to auscultation. His capillary refill is three seconds, and his
skin is pale and cool. You should suspect:
A) tension pneumothorax. B) hypovolemic shock.
C) obstructive shock. D) hemothorax. ✔Correct Answer-C) obstructive shock.
A 3-month-old female was cut across her abdomen by a piece of broken glass. You observe bowel
contents protruding from the wound. You should:
A) wrap the abdomen with an elastic dressing. B) cover the wound with a dry, sterile dressing.
C) cover the wound with a moist, sterile dressing. D) cleanse the bowel with sterile water and gently
replace it. ✔Correct Answer-C) cover the wound with a moist, sterile dressing.
A 4-year-old male complains of difficulty breathing. He tells you he was struck by a car. You observe
contusions and abrasions to his chest and abdomen. You auscultate decreased lung sounds and
bowel sounds in his left lower chest. His vital signs are P 112, R 40, BP 100/74, and SpO2 is 92% on
room air. You should:
A) transport him on his right side. B) transport him on his left side.
C) assist his ventilation. D) administer oxygen. ✔Correct Answer-D) administer oxygen.
,Why is a 7-year-old female more prone to fracture her spleen in a car crash than an adult?
A) It is encapsulated in the liver. B) Her abdominal muscles displace it superiorly.
C) Her ribs do not protect it as well.D) It has not become fully calcified ✔Correct Answer-C) Her
ribs do not protect it as well
Why can a fracture to the proximal end of a 3-year-old male's humerus be more serious than a
fracture in the same location of a 33-year-old female if it is not treated properly?
A) His arm may be less moveable. B) He may have increased hemorrhaging.
C) He may have increased soft tissue injuries.D) His arm may not grow properly ✔Correct Answer-
D) His arm may not grow properly
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. ✔Correct Answer-A) pelvis
A 5-year-old male complains of pain in his left hand after he spilled liquid drain cleaner on it. His
hand is reddened, and you smell a strong chemical odor. You should:
A) flush his hand with water. B) neutralize the substance with baking soda.
C) apply a sterile dressing. D) brush the substance off his hand. ✔Correct Answer-A) flush his hand
with water.
An unresponsive 2-year-old female has burnt skin on her left hand and left knee. Her father tells you
he heard a loud noise and found her this way. She has irregular, slow, shallow respirations and a rapid
carotid pulse. You should first:
A) administer oxygen by nasal cannula. B) assist her ventilation.
C) assess her vital signs. D) administer oxygen by non-rebreather mask. ✔Correct Answer-B) assist
her ventilation.
A 6-year-old male was thrown 10 feet after he was struck by a car. He complains of neck and back
pain. The skin on his face, shoulders, and arms is pale and diaphoretic. He has no feeling below his
nipple line, and his skin is warm and pink. You should suspect an injury to his:
A) thoracic spine below T-5. B) thoracic spine above T-5.
C) cervical spine above C-4. D) cervical spine below C-4. ✔Correct Answer-B) thoracic spine above
T-5.
A 7-year-old female has a pencil impaled in her right cheek. She is upset but follows your
instructions. You can visualize that the tip of the pencil is impaled in her palate. You should:
A) remove the pencil and apply external and internal dressings.
B) twist the pencil to determine if it is lodged in her palate.
C) remove the pencil and apply an external dressing.
D) stabilize the pencil in place. ✔Correct Answer-D) stabilize the pencil in place.
Which of the following is a characteristic of pediatric trauma that can mask significant internal
injuries after a child is struck by a car?
A) Their abdominal organs are better protected by the ribs.
B) Children normally have bruises in multiple stages of healing.
C) There may be no obvious evidence of external trauma.
, D) Their compensatory mechanisms are not as well developed as adults. ✔Correct Answer-C)
There may be no obvious evidence of external trauma.
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) administer oxygen, and transport immediately.
C) splint her left arm, and apply a sling to her right arm.
D) splint her left arm in the position found, and apply a cold pack. ✔Correct Answer-B) administer
oxygen, and transport immediately.
An unresponsive 2-year-old male fell eight feet from a slide at a city park. You observe a hematoma
to his occiput. His skin above his axilla is pale and diaphoretic, and pink and dry below. His left
forearm is obviously fractured. His vital signs are P 156, R 48, and his capillary refill is less than two
seconds. Prior to transport, you should administer oxygen and:
A) perform a detailed assessment. B) perform spinal motion restriction.
C) wait for his mother to arrive. D) splint his arm. ✔Correct Answer-B) perform spinal motion
restriction.
A confused 52-year-old female has an eight-inch full thickness laceration diagonally across her right
thigh. Her skin is pale and diaphoretic, and you observe a steady flow of dark red blood oozing from
the wound onto the carpeted floor. The carpet under her leg is saturated. You should suspect:
A) massive hemorrhage.B) minor bleeding.C) capillary bleeding.D) arterial hemorrhage ✔Correct
Answer-A) massive hemorrhage
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 pressure to his brachial artery. B) apply a tourniquet proximal to the injury.
C) apply a pressure dressing. D) elevate his arm above his heart. ✔Correct Answer-B) apply a
tourniquet proximal to the injury.
Besides bound to hemoglobin, how is oxygen transported to the cells?
A) Dissolved in plasma B) Dissolved in bicarbonate
C) Bound to platelets D) Bound to leukocytes ✔Correct Answer-A) Dissolved in plasma
An unresponsive 21-year-old male was shot in the left upper abdominal quadrant. His skin is pale and
diaphoretic. You auscultate clear lung sounds, and his neck veins are flat. His vital signs are P 116, R
20, BP 100/72, and SpO2 is 92% on room air. What type of shock should you suspect?
A) Distributive B) Intrinsic Cardiogenic C) Hemorrhagic D) Extrinsic Cardiogenic ✔Correct Answer-C)
Hemorrhagic
A 23-year-old female has a five-inch laceration to her left thigh. You were unable to control her
hemorrhage, so you applied a tourniquet and stopped the bleeding. During transport, her vital signs
are P 104, R 18, BP 88/62, and SpO2 is 97% on oxygen by non-rebreather mask at 12 L/minute. Of
the following, which will help to improve her outcome the most?
A) Keeping her warm B) Elevating her left leg
