NREMT Trauma questions with correct answers
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.
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