NREMT Trauma Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
A 75-year-old female complains of burning pain in her arms. She was working in her garden and
spilled a dry powder on them. After you remove the powder, you observe circumferential blistered
and mottled skin of both her forearms and hands. What percentage of her Total Body Surface Area
should you estimate is burned? - CORRECT ANSWER 9
A 36-year-old female was struck by a car and thrown eight feet. She complains of pain in her left hip,
and her leg is externally rotated. When you press on her iliac crests, she complains of increased pain,
and you feel instability. You should suspect a(n): - CORRECT ANSWER Pelvic Fracture
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: - CORRECT
ANSWER flush his hand with water.
A 50-year-old male was lifting a heavy weight when he felt a tearing sensation in his right bicep. His
bicep is tender to palpation, but you do not note any instability of his arm. His distal motor,
circulation, and sensation are intact. You should apply a(n): - CORRECT ANSWER Sling and
cold pack
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: - CORRECT ANSWER administer oxygen
A 77-year-old female complains of pain in her left upper arm. She tells you she tripped on a rug and
fell. Her left proximal humerus is unstable, she can move her fingers, feel your touch, and the radial
pulse is present. You should apply a(n): - CORRECT ANSWER sling and swathe
A 68-year-old male complains of pain after he slammed his right second phalange in a door. You
observe bleeding and angulation of the distal tip. He has a capillary refill of two seconds. You should
apply a sterile dressing and: - CORRECT ANSWER tape his 2nd and 3rd phalanges together
, An 85-year-old male complains of severe pain in his right thigh after he was struck above his knee
with a metal pole. He complains of weakness in his leg, and you observe bruising where he was
struck. You do not palpate any instability or deformity. You should: - CORRECT
ANSWER apply a padded board splint
An unresponsive 20-year-old male was shot in the left upper abdominal quadrant. His skin is pale and
diaphoretic. His airway is open, and his lungs are clear to auscultation. You palpate a pulsating mass
midline between his xiphoid process and umbilicus. You should immediately: - CORRECT
ANSWER transport him
A disoriented 19-year-old male was struck in the right temple with a golf club. You observe an
expanding hematoma to the area and clear fluid draining from his ear. His vital signs are P 64, R 14,
BP 192/102, and SpO2 is 94% on room air. You should: - CORRECT ANSWER apply a
cervical collar
A 21-year-old female tells you she was stabbed by a piece of metal in her abdomen 15 minutes ago.
When you examine the area, you observe minimal bleeding and pink sausage-like tissue protruding
from the opening in her left lower abdominal quadrant. You should suspect a(n): - CORRECT
ANSWER evisceration
A 24-year-old female complains of chest pain and difficulty breathing. She tells you a horse kicked
her in the chest. Her skin is pale and diaphoretic. You observe a contusion to the left side of her
anterior chest wall. Breath sounds are absent over her left lower lung. Her vital signs are P 116, R 22,
BP 92/80, and SpO2 is 95% on room air. You should suspect: - CORRECT
ANSWER hemothorax
A 43-year-old female tells you that she was sexually assaulted. She complains of pain in her chest and
groin from being kicked. You do not see any signs of bleeding through her outer clothing. You should
listen to her lung sounds and: - CORRECT ANSWER ask her if she is bleeding
An 88-year-old male spilled muriatic acid on himself while cleaning metal. He complains of pain to
his chest and abdomen. You observe that his clothing is wet where he spilled the acid. You should
first: - CORRECT ANSWER remove his clothing
A 21-year-old female complains of chest pain. She has a gunshot wound to her left chest wall, and she
has mild dyspnea. Her skin is pink and dry. You should first: - CORRECT ANSWER place your
gloved hand over the wound
ACTUAL QUESTIONS AND CORRECT
ANSWERS
A 75-year-old female complains of burning pain in her arms. She was working in her garden and
spilled a dry powder on them. After you remove the powder, you observe circumferential blistered
and mottled skin of both her forearms and hands. What percentage of her Total Body Surface Area
should you estimate is burned? - CORRECT ANSWER 9
A 36-year-old female was struck by a car and thrown eight feet. She complains of pain in her left hip,
and her leg is externally rotated. When you press on her iliac crests, she complains of increased pain,
and you feel instability. You should suspect a(n): - CORRECT ANSWER Pelvic Fracture
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: - CORRECT
ANSWER flush his hand with water.
A 50-year-old male was lifting a heavy weight when he felt a tearing sensation in his right bicep. His
bicep is tender to palpation, but you do not note any instability of his arm. His distal motor,
circulation, and sensation are intact. You should apply a(n): - CORRECT ANSWER Sling and
cold pack
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: - CORRECT ANSWER administer oxygen
A 77-year-old female complains of pain in her left upper arm. She tells you she tripped on a rug and
fell. Her left proximal humerus is unstable, she can move her fingers, feel your touch, and the radial
pulse is present. You should apply a(n): - CORRECT ANSWER sling and swathe
A 68-year-old male complains of pain after he slammed his right second phalange in a door. You
observe bleeding and angulation of the distal tip. He has a capillary refill of two seconds. You should
apply a sterile dressing and: - CORRECT ANSWER tape his 2nd and 3rd phalanges together
, An 85-year-old male complains of severe pain in his right thigh after he was struck above his knee
with a metal pole. He complains of weakness in his leg, and you observe bruising where he was
struck. You do not palpate any instability or deformity. You should: - CORRECT
ANSWER apply a padded board splint
An unresponsive 20-year-old male was shot in the left upper abdominal quadrant. His skin is pale and
diaphoretic. His airway is open, and his lungs are clear to auscultation. You palpate a pulsating mass
midline between his xiphoid process and umbilicus. You should immediately: - CORRECT
ANSWER transport him
A disoriented 19-year-old male was struck in the right temple with a golf club. You observe an
expanding hematoma to the area and clear fluid draining from his ear. His vital signs are P 64, R 14,
BP 192/102, and SpO2 is 94% on room air. You should: - CORRECT ANSWER apply a
cervical collar
A 21-year-old female tells you she was stabbed by a piece of metal in her abdomen 15 minutes ago.
When you examine the area, you observe minimal bleeding and pink sausage-like tissue protruding
from the opening in her left lower abdominal quadrant. You should suspect a(n): - CORRECT
ANSWER evisceration
A 24-year-old female complains of chest pain and difficulty breathing. She tells you a horse kicked
her in the chest. Her skin is pale and diaphoretic. You observe a contusion to the left side of her
anterior chest wall. Breath sounds are absent over her left lower lung. Her vital signs are P 116, R 22,
BP 92/80, and SpO2 is 95% on room air. You should suspect: - CORRECT
ANSWER hemothorax
A 43-year-old female tells you that she was sexually assaulted. She complains of pain in her chest and
groin from being kicked. You do not see any signs of bleeding through her outer clothing. You should
listen to her lung sounds and: - CORRECT ANSWER ask her if she is bleeding
An 88-year-old male spilled muriatic acid on himself while cleaning metal. He complains of pain to
his chest and abdomen. You observe that his clothing is wet where he spilled the acid. You should
first: - CORRECT ANSWER remove his clothing
A 21-year-old female complains of chest pain. She has a gunshot wound to her left chest wall, and she
has mild dyspnea. Her skin is pink and dry. You should first: - CORRECT ANSWER place your
gloved hand over the wound
