NREMT: TRAUMA EXAM QUESTIONS ||
400 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES 2024/2025
GUARANTEED 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 a tourniquet two inches above the laceration.
B. compress his brachial artery.
C. elevate his arm above his heart.
D. apply direct pressure. - ANSWER- D. 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. transport her in a position of comfort.
B. transport her in Trendelenburg position.
C. apply a pelvic binder.
D. keep her warm. - 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. tension pneumothorax.
B. congestive heart failure.
C. cardiac tamponade.
D. pulmonary contusion. - 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 a vented occlusive dressing over the wound.
C. pack the wound with hemostatic gauze.
D. place your gloved hand over the wound. - ANSWER- D. 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. hemothorax.
B. hypovolemic shock.
C. obstructive shock.
D. tension pneumothorax. - 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. cover the wound with a dry, sterile dressing.
B. cover the wound with a moist, sterile dressing.
C. wrap the abdomen with an elastic dressing.
D. cleanse the bowel with sterile water and gently replace it. - ANSWER- B. 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. - 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. Her abdominal muscles displace it superiorly.
B. It has not become fully calcified.
C. It is encapsulated in the liver.
D. Her ribs do not protect it as well. - ANSWER- D. 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 not grow properly.
B. He may have increased soft tissue injuries.
C. He may have increased hemorrhaging.
D. His arm may be less moveable. - ANSWER- A. 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.
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