Prehospital Emergency Care, Chapter #34Actual Exam (2025) comprehensive questions
and verified answers ( detailed & elaborated) 2025-2026 TEST
1) When assessing a patient, which sign or symptom is most indicative of a
pneumothorax?
A) SpO2 of less than 90% on supplemental oxygen
B) Intense pain with each inspiration
C) Decreased breath sounds to the right lung
D) Crepitus and instability to the chest wall
C) Decreased breath sounds to the right lung
2) You are on the scene of a shooting. Your assessment reveals a 23-year-old
male who has been shot twice. The first wound is to the left lower quadrant of
the abdomen and is actively bleeding. The second wound is to the left lateral
chest and bubbles every time the patient exhales. What would your immediate
and best action be?
A) Obtain a sterile dressing and cover the chest wound
B) Cover the chest wound with a gloved hand
C) Place direct pressure over the abdominal gunshot wound
D) Place the patient on high-concentration oxygen with a nonrebreather face
mask
B) Cover the chest wound with a gloved hand
3) A new EMT who just started working with your EMS system asks you to
quickly describe a flail segment. Which statement best describes this injury?
A) "Multiple rib fractures have bruised the underlying lung."
B) "Fractured ribs have collapsed the underlying lung."
C) "Multiple fractures to the rib cage are caused by blunt trauma."
D) "Two or more adjacent ribs are broken in two or more places."
D) "Two or more adjacent ribs are broken in two or more places."
4) A 23-year-old female has been involved in a serious motor vehicle collision.
Which assessment finding best indicates that she has a flail segment?
A) Uneven chest wall movement during breathing
B) Shortness of breath upon exertion
, C) Intense pain with deep inspiration
D) Decreasing SpO2 reading despite high-flow oxygen
A) Uneven chest wall movement during breathing
5) A patient has sustained an injury to his mediastinum. Based on the anatomy
of his chest, which structure has been injured?
A) Diaphragm
B) Esophagus
C) Lungsm
D) Bronchiole
B) Esophagus
6) Which statement made by an EMT demonstrates an understanding of chest
trauma?
A) "Open chest injuries are more serious than closed chest injuries, because
air and bacteria can enter the chest through the open wound."
B) "In general, an open chest injury caused by blunt trauma is more life
threatening than a closed one due to increased potential for blood loss."
C) "Closed chest injuries are caused by blunt trauma, and can be just as
serious as open chest injuries."
D) "Closed chest injuries are caused by penetrating trauma and cause more
life-threatening injuries than do open chest injuries."
C) "Closed chest injuries are caused by blunt trauma, and can be just as serious as
open chest injuries."
7) A 39-year-old male has a single stab wound to the anterior chest. When
notifying the emergency department, you inform them that the patient has
a/an:
A) Flail chest
B) Evisceration
C) Laceration
D) Open chest injury
D) Open chest injury
8) An Emergency Medical Responder asks you to explain a pneumothorax.
You would explain that a pneumothorax occurs when:
A) The lung becomes overinflated with air the patient is unable to breathe
B) Air accumulates around the lung, causing a portion of it to collapse
and verified answers ( detailed & elaborated) 2025-2026 TEST
1) When assessing a patient, which sign or symptom is most indicative of a
pneumothorax?
A) SpO2 of less than 90% on supplemental oxygen
B) Intense pain with each inspiration
C) Decreased breath sounds to the right lung
D) Crepitus and instability to the chest wall
C) Decreased breath sounds to the right lung
2) You are on the scene of a shooting. Your assessment reveals a 23-year-old
male who has been shot twice. The first wound is to the left lower quadrant of
the abdomen and is actively bleeding. The second wound is to the left lateral
chest and bubbles every time the patient exhales. What would your immediate
and best action be?
A) Obtain a sterile dressing and cover the chest wound
B) Cover the chest wound with a gloved hand
C) Place direct pressure over the abdominal gunshot wound
D) Place the patient on high-concentration oxygen with a nonrebreather face
mask
B) Cover the chest wound with a gloved hand
3) A new EMT who just started working with your EMS system asks you to
quickly describe a flail segment. Which statement best describes this injury?
A) "Multiple rib fractures have bruised the underlying lung."
B) "Fractured ribs have collapsed the underlying lung."
C) "Multiple fractures to the rib cage are caused by blunt trauma."
D) "Two or more adjacent ribs are broken in two or more places."
D) "Two or more adjacent ribs are broken in two or more places."
4) A 23-year-old female has been involved in a serious motor vehicle collision.
Which assessment finding best indicates that she has a flail segment?
A) Uneven chest wall movement during breathing
B) Shortness of breath upon exertion
, C) Intense pain with deep inspiration
D) Decreasing SpO2 reading despite high-flow oxygen
A) Uneven chest wall movement during breathing
5) A patient has sustained an injury to his mediastinum. Based on the anatomy
of his chest, which structure has been injured?
A) Diaphragm
B) Esophagus
C) Lungsm
D) Bronchiole
B) Esophagus
6) Which statement made by an EMT demonstrates an understanding of chest
trauma?
A) "Open chest injuries are more serious than closed chest injuries, because
air and bacteria can enter the chest through the open wound."
B) "In general, an open chest injury caused by blunt trauma is more life
threatening than a closed one due to increased potential for blood loss."
C) "Closed chest injuries are caused by blunt trauma, and can be just as
serious as open chest injuries."
D) "Closed chest injuries are caused by penetrating trauma and cause more
life-threatening injuries than do open chest injuries."
C) "Closed chest injuries are caused by blunt trauma, and can be just as serious as
open chest injuries."
7) A 39-year-old male has a single stab wound to the anterior chest. When
notifying the emergency department, you inform them that the patient has
a/an:
A) Flail chest
B) Evisceration
C) Laceration
D) Open chest injury
D) Open chest injury
8) An Emergency Medical Responder asks you to explain a pneumothorax.
You would explain that a pneumothorax occurs when:
A) The lung becomes overinflated with air the patient is unable to breathe
B) Air accumulates around the lung, causing a portion of it to collapse
