NREMT Trauma Practice Exam

These questions are part of the practice quiz. Start practicing

• Using the adult Rule of Nines, what percentage of body surface area does the head represent?
• Which BEST describes the mechanism of injury (MOI)?
• Which immobilization steps are essential for suspected spinal injury during transport?
• A woman stabbed her boyfriend in the cheek with a dinner fork; you should:
• After applying a tourniquet, which assessment should you perform to evaluate distal circulation?
• Which airway device is contraindicated with suspected basilar skull fracture?
• A 22-year-old woman who was shot is conscious but extremely restless, pale, and diaphoretic. As your partner administers high-flow oxygen, you should:
• Which practice should be avoided in the resuscitation of a patient in hypovolemic shock?
• Mottling on the skin is a sign of what?
• A 22-year-old man is pulseless and apneic after a chest stab with an impaled knife. What should be done?
• In suspected spinal injury with a responsive but disoriented patient, what is the recommended approach?
• What is the focus of the pediatric rapid trauma evaluation?
• Which action best aligns with the exposure component of the primary survey?
• During the rapid head-to-toe assessment of a patient with multiple injuries, you expose the chest and find an open wound with blood bubbling from it. You should:
• In a three-collision motor vehicle crash, which statement best describes the typical pattern of injuries and their severity?
• Which finding would be considered a late sign of a tension pneumothorax?
• What is the initial step in managing most musculoskeletal injuries?
• Which of the following is correct management of an open abdominal wound with evisceration?
• Which triad is associated with cardiac tamponade?
• In a trauma patient with suspected cervical spine injury and an unresponsive airway, which maneuver is recommended to open the airway?
• When a gunshot wound is near a limb, which distal assessments should you perform?
• In pediatric trauma, what is a key consideration due to higher desaturation risk?
• When is it appropriate to remove a helmet from a trauma patient?
• When should a tourniquet be used?
• Which of the following is the MOST reliable indicator of a fracture to a spinal vertebra?
• In facial trauma with airway risk, which statement is true regarding airway management?
• If after establishing an airway a patient is not breathing, what is your next action?
• A blunt head injury patient presents with blood-tinged drainage from the ear and bruising behind the ear. The most appropriate treatment includes:
• When should a rapid head-to-toe secondary assessment be performed?
• A 19-year-old woman with a closed deformity to her left forearm has no distal pulse and is 45 miles from hospital. Which action is appropriate?
• Full-thickness burns are best described as which of the following?
• What is the recommended management for a suspected pneumothorax that deteriorates on scene?
• Which technique is used to safely log-roll a trauma patient with suspected spinal injury?
• What is the purpose of performing a rapid head-to-toe assessment after primary assessment has addressed life threats?
• What type of shock is most common in trauma patients?
• If an open chest wound shows signs of developing tension pneumothorax, what is the immediate corrective action you should take?
• During the trauma primary survey, what does the A-B-C-D-E sequence primarily prioritize?
• You arrive at a motorcycle crash. The patient is prone, not wearing a helmet. First action?
• After needle decompression for suspected tension pneumothorax, what is the next priority on scene?
• A 42-year-old man was ejected from his car and is found prone, not moving and not breathing. The first action is:
• Which statement best describes overall management for airway in suspected basilar skull fracture?
• What signs indicate basilar skull fracture?
• When caring for a trauma patient with signs of intraabdominal bleeding, what is MOST important?
• Which statement about tourniquet use is correct?
• Air leakage into soft tissues, such as after neck trauma, is described by which term?
• In a patient with facial trauma at risk of airway compromise, what is the recommended action?
• In a trauma patient with a penetrating groin injury and spurting arterial bleed, what is the first priority?
• A near-drowning patient is likely to have which additional condition?
• A patient has partial-thickness burns to the anterior chest and both anterior arms. Using the Rule of Nines, what percentage of TBSA is burned?
• You respond to a shooting at a local bar. A patient with bright red blood spurting from a wound near his groin should:
• Which mnemonic guides the head-to-toe secondary survey in trauma?
• In which circumstance would external bleeding be the least difficult to control?
• When airway management is needed in suspected basilar skull fracture, what is recommended regarding nasal devices?
• Factors that affect a person's ability to compensate for internal or external blood loss include all of the following EXCEPT which?
• A young man fell on his outstretched hand, resulting in pain and deformity to the left midshaft forearm. Distal circulation should be assessed at which pulse location?
• Which sign most clearly indicates the patient is in decompensated shock?
• When caring for a critically injured patient, it is MOST appropriate to perform your secondary assessment:
• In which situation would external bleeding be the MOST difficult to control?
• Which mechanism best describes axial loading injuries to the spine?
• What is the primary purpose of the rapid physical examination in trauma?
• Which initial management step is recommended for a suspected pelvic fracture?
• Basic shock treatment includes:
• In a patient with suspected major trauma and signs of shock, what is the most critical initial action?
• Which statement best describes the role of oxygen therapy in trauma care?
• Despite direct pressure, a large laceration continues to spurt bright red blood. You should:
• What is the recommended action when a patient has a penetrating chest wound with active bleeding?
• What is the standard approach to controlling external bleeding from an extremity when direct pressure fails?
• When immobilizing a patient with suspected spinal injury, which sequence is recommended?
• During a secondary assessment en route, you note an increased respiratory rate. What is the best course of action?
• Shock following major trauma is MOST often the result of:
• Which statement about capillary bleeding is true?
• Following blunt injury to the anterior torso, a patient is coughing up bright red blood. You should be MOST suspicious of:
• In a supine patient with a tight-fitting helmet and suspected spinal injury, what is the most appropriate initial management?
• During assessment of a gunshot wound to the chest, you note that the skin is pale. This finding is the result of:
• A 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 score?
• What is a common presenting feature of a severe head injury in the field?
• How do you determine transport priority when multiple injuries are present?
• During transport of a patient with a head injury, which finding provides the most information about the patient's condition?
• Partial-thickness burns are characterized by which of the following?
• Which statement best describes the purpose of a pelvic binder in trauma care?
• In the field, for suspected basilar skull fracture with unconscious patient, which airway device is most appropriate?
• A 42-year-old man has a large knife impaled in the center of his chest. He is unresponsive, pulseless, and not breathing. You should:
• Which finding is MOST indicative of decompensated shock in a trauma patient with internal bleeding?
• What critical information must be documented when a tourniquet is applied?
• Which sign most clearly indicates progression to shock in a trauma patient?
• In an eye irrigation scenario involving a strong acid or alkali, irrigation should continue for how long?
• Which statement best describes authorship of triage tags?
• Which technique should be used to move a patient with suspected spinal injury to preserve spinal alignment?
• In which injuries are hemostatic dressings most beneficial?
• Where do the nerves that supply the diaphragm (phrenic nerves) exit the spinal cord?
• A patient with blunt chest trauma and asymmetrical chest wall movement MOST likely indicates:
• A closed head injury patient opens eyes to pain, is mumbling, and localizes to pain. What is the GCS score?
• Displaced fractures of the proximal femur are characterized by which deformity?
• A 22-year-old female knee injury with severe pain; knee is flexed and severely deformed; leg cold to the touch and distal pulse not palpated. You should:
• Which assessment parameter is MOST reliable for determining if a patient with a head injury is improving or deteriorating?
• The pneumatic antishock garment (PASG) is indicated for which scenario?
• Which scenario requires immediate rapid transport to a trauma center?
• The primary purpose of applying an occlusive dressing to a neck wound is to prevent what?
• A carotid artery injury should be suspected if there is which sign after blunt neck trauma?
• During a soccer game, a 20-year-old man has an anterior bulge in the left shoulder. The most effective method of immobilizing this injury is:
• A 44-year-old male with burns to the anterior trunk and both arms has partial‑thickness burns that cover what percentage of total body surface area?
• In contrast to an incision, a laceration is typically described as which of the following?
• Subcutaneous emphysema after blunt anterior neck trauma most strongly suggests injury to which structure?
• How should you treat a sucking chest wound in the field?
• What is Kehr’s sign, and what does it indicate?
• Cushing's triad consists of which findings?
• How often should you reassess a stable trauma patient on scene?
• You arrive at a residence and find a man unresponsive with no witnesses. You should assume that he:
• Which device is contraindicated in suspected basilar skull fracture due to risk of cranial penetration?
• When applying a vest-style immobilization device to a patient with traumatic neck pain, which step is performed first?
• Which of the following is the MOST appropriate initial management for a patient with widespread full-thickness burns?
• A patient with a spinal injury may still be able to use his or her diaphragm to breathe, but would lose control of the intercostal muscles if the spinal cord is injured:
• After you control external bleeding, what is the next assessment step in soft-tissue care?
• Which statement best describes the cooling of full-thickness burns?
• Which question is LEAST pertinent initially when assessing a responsive 40-year-old woman who fell from standing?
• Following penetrating abdominal trauma with a large loop of protruding bowel, how should you manage this injury?
• Which statement aligns with the recommended management for airway in suspected basilar skull fracture?
• How often should you reassess an unstable trauma patient on scene?
• Which of the following is a sign of pericardial tamponade?
• In assessing distal circulation in a patient with a swollen deformed femur, which action should you perform?
• In trauma assessment, when a significant MOI is present, the rapid head-to-toe assessment should be performed:
• The pneumatic antishock garment (PASG) is indicated for which injuries?
• In a patient with traumatic cardiac arrest due to blunt chest injury, what is the role of the AED?
• In pediatric trauma, which vital sign is often the first to change?
• Which finding is most consistent with a chest injury causing decreased breath sounds on one side?
• A baseball bat strikes a patient in the face; his eyes are swollen and he has extensive facial injuries. His most immediate concern is which?
• Which action is most essential in the initial management of a patient in hypovolemic shock in the field?
• Which finding is MOST indicative of compensated shock in an adult?
• When managing suspected abdominal bleeding with referred shoulder pain, which organ injury is most likely?
• Which sign may be present in tension pneumothorax but not in simple pneumothorax, according to the described signs?
• A firefighter rescued man with significant respiratory distress shows brassy cough and singed nasal hairs. The most immediate threat is?
• During vest-style immobilization, the head must be kept in what position throughout the procedure?
• What is the purpose of maintaining body temperature in trauma patients?
• Which statement is true regarding airway devices in suspected basilar skull fracture?
• Following head injury with nose and ear bleed, what is the most appropriate immediate action?
• Damage to small blood vessels beneath the skin after blunt trauma most commonly presents as which of the following?
• Which statement is true about nasal airways in basilar skull fracture?
• An unresponsive patient with multi-systems trauma has slow, shallow breathing; weak radial pulses; and severe bleeding from a lower-extremity wound. You should direct your partner to:
• During rapid extrication, what is essential to protect the cervical spine?
• During assessment of a patient with blunt facial trauma, a hyphema is observed. This finding indicates:
• What is a common consideration in geriatric trauma patients?
• In the secondary survey, which parameter is part of the DCAP-BTLS assessment?
• Which mechanism of injury would necessitate performing a rapid head-to-toe assessment?
• What aligns with definitive care for basilar skull fracture airway management?
• Upon discovering an open chest wound, you should which of the following?
• A 56-year-old unrestrained driver has an amputated arm; which statement is correct?
• In suspected knee dislocation with absent distal pulses, what is the recommended course?
• Which is an early sign indicating shock before hypotension develops?
• When should you reassess airway status after initial management?
• Severe neck pain with tingling in the extremities after trauma is most indicative of which condition?
• When assessing a gunshot wound, which of the following should you routinely check?
• How should you handle a patient with suspected spinal injury who requires extrication from a vehicle?
• For a partially amputated extremity with heavy bleeding, what is the recommended management?
• A patient with a stab wound to the right lower chest is semiconscious, has labored breathing, collapsed jugular veins, and absent breath sounds on the right side. Which injury is most likely?
• Which symptom suggests hollow-organ injury in the abdomen?
• Which patient would be MOST in need of a rapid head-to-toe assessment?
• In suspected basilar skull fracture, which airway device should be avoided?
• A young male with trauma after a 35-foot fall is semiconscious with an unstable chest wall, numerous long bone fractures, and a large hematoma to the head. He will have the GREATEST chance for survival if you:
• What is prioritized when airway management is necessary in suspected basilar skull fracture?
• A gang member with a heavy neck wound is bleeding heavily. His airway is patent and breathing is adequate. You should immediately:
• A 45-year-old male stabbed in the left anterior chest; along with high-flow oxygen, what should you do?
• How would you recognize a pneumothorax progressing to tension in the field?
• During vest-style immobilization, what breathing instruction should you give the patient before securing the torso straps?
• Which finding is most consistent with early poor perfusion in trauma?
• After a nosebleed following trauma, what is the first action you should take to minimize risk of aspiration?
• A 21-year-old male bitten on the forearm by a dog has a large avulsion with a peeled-back flap. In addition to bleeding control, you should:
• Which of the following statements is not a component of the trauma primary survey sequence?
• Which of the following is NOT appropriate care for an amputated body part?
• During a soccer game, an 18-year-old woman with a knee injury has a flexed, obviously deformed knee. What is the correct immobilization approach?
• Which statement best describes the cause of the most common shock in trauma?
• In a critically injured patient, which actions are appropriate to perform at the scene?
• If airway compromise occurs in suspected basilar skull fracture, what is recommended?
• What does MOI stand for in trauma assessment?
• Following blunt chest trauma, a patient has shallow, painful breathing and the left chest wall collapses in during inhalation and bulges during exhalation. This pattern indicates which injury?
• In blunt chest trauma with an irregular pulse and signs of shock, what is the most appropriate prehospital management?
• During which part of the assessment would you MOST likely discover a small caliber gunshot wound to the back with minimal bleeding?
• Patients with closed head injuries often have pupillary abnormalities and:
• Which of the following is a late sign of shock?
• What is the recommended transport plan if basilar skull fracture is suspected and airway management is needed?
• Which action should you take when a rapid secondary assessment is indicated to identify injuries that could affect transport decisions?
• Which immobilization device is most appropriate for a supine patient with suspected spinal injury?
• Best practice for managing thermal burns that threaten the airway?
• Which statement about protecting the cervical spine during airway management is true?
• Which finding is a late sign of hypovolemic shock in trauma?
• What is the initial management for severe external bleeding?
• What is the correct field management for an abdominal wound with evisceration?
• Which action is MOST important when immobilizing a patient with a suspected spinal injury?
• Which statement regarding the motorcycle crash patient is FALSE?
• A 33-year-old factory worker pinned between two pieces of machinery; after a rapid head-to-toe assessment, you should:
• Which of the following sets of vital signs is MOST suggestive of increased intracranial pressure in a patient who has experienced a traumatic brain injury?
• In a patient with suspected basilar skull fracture requiring airway management, which action is recommended?
• A traumatic leg amputation below the knee with profuse bleeding and unresponsiveness. How should you control the bleeding?
• In managing a large avulsion, what is the immediate priority?
• Which sign would prompt you to suspect abdominal internal bleeding?
• In a burn patient, which item should be removed to prevent constriction during swelling?
• After stopping the burning process, emergency care for a patient with partial- and full-thickness burns to the chest and upper extremities includes all of the following EXCEPT:
• Capnography values help confirm what during prehospital trauma care?
• After treating a 19-year-old male assaulted with trauma to multiple body systems, you should:
• Which airway technique best preserves cervical spine alignment in a suspected spinal injury?
• Which statement accurately describes when a rapid head-to-toe assessment is most appropriate?
• Which sign would you expect in the early stages of shock?
• Internal or external bleeding would be especially severe in a patient:
• During extrication, what approach best preserves spinal alignment for a patient with suspected spinal injury?
• A soft-tissue injury that results in a flap of torn skin is called a/an:
• In field management of chest injuries such as a flail chest, which action is most appropriate?
• What is the purpose of a rapid secondary assessment?
• What does DCAP-BTLS stand for, and when is it used?
• A young male has a large laceration to his lateral neck, directly over his jugular vein. Your MOST immediate priority should be to:
• In blunt chest trauma with irregular pulse, which statement best describes prehospital management?
• Which description best defines a laceration?
• In facial trauma with uncertain airway patency, which action is recommended?
• A high-school student was splashed in the eyes with a strong acid chemical during a lab; you should:
• How should you manage a patient with suspected hollow organ injury in the field?
• What is the recommended field management for a suspected pelvic fracture to stabilize and reduce bleeding?
• Which description matches paradoxical chest wall motion in a flail chest?
• For an unconscious patient without a gag reflex, which airway adjunct is appropriate?
• Using the adult Rule of Nines, what percentage of the total body surface area has been burned in a patient with burns to the head, anterior chest, and both anterior upper extremities?
• What is the minimum and maximum Glasgow Coma Scale score?
• Initial treatment for external blood loss should be guided by which factor?
• During the rapid assessment of a critically-injured patient, what should you assess in the chest?
• Which action should be taken in suspected basilar skull fracture with airway compromise?
• General care for an amputated body part includes:
• Despite direct pressure, a large laceration to the medial aspect of the arm continues to bleed profusely. You should:
• When should you immobilize the spine in a multi-trauma patient?
• If an open neck wound is covered with an occlusive dressing and signs of tension pneumothorax develop, what should you do first?
• Open wounds in the field are typically cleaned under what condition?
• An open abdominal wound with a loop of bowel protruding: what is the BEST initial treatment?
• Which injury mechanism is associated with hangings?
• Which airway adjunct is commonly used to confirm airway patency and ventilation in trauma?
• For a patient with a flail chest in the field, what is the most appropriate management?
• A swollen, painful deformity to the lateral bone of the left forearm suggests injury to which bone?
• Capnography in prehospital trauma care is primarily used to:
• What is the first action you take when arriving at a trauma scene?
• Which option correctly states the details that should be documented for a tourniquet application?
• Which airway adjunct is contraindicated in a patient with suspected skull fracture and CSF leakage from the nose or ears?
• Which action should be taken after protecting the airway in suspected basilar skull fracture?
• Rapid extrication from a vehicle should be performed by which approach?
• Which statement about tourniquet use is correct?
• If facial trauma is present and airway patency is uncertain, what management steps should you take?
• An elderly woman with full-thickness burns to approximately 50% of her body should be treated by:
• If a vehicle strikes a tree at 60 MPH, the unrestrained driver would experience the MOST severe injuries during the:
• A 30-year-old woman has an open deformity to her left leg and is in severe pain. She is conscious with a patent airway and breathing adequately. Your primary concern should be:
• If a passenger strikes his or her head on the windshield during a motor-vehicle crash, which statement is MOST accurate about brain injury patterns?
• Which finding indicates progression to hemorrhagic shock in the later stages?
• What is the primary rationale for avoiding nasal airways in basilar skull fracture?
• What is a key measure to prevent hypothermia-related coagulopathy in trauma patients?
• Prior to your arrival at the scene, a young female was submerged. You should manage her airway appropriately while considering the possibility of:
• After applying a tourniquet in a limb injury, which action is appropriate for monitoring perfusion?
• Which of the following is considered a significant mechanism of injury that would warrant rapid head-to-toe assessment?
• Why are geriatric trauma patients with decreased physiologic reserve presenting differently considered in field care?
• A trauma patient is not ventilating adequately and has unilateral chest movement with absent breath sounds. What is a likely life threat?
• Which item is not part of the DCAP-BTLS mnemonic used in the secondary survey?