Practice Quiz

NREMT Paramedic Trauma Exam Prep - Question List

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11. A 28-year-old male sustained second and third-degree burns over 30% of TBSA from hot roofing tar that landed on him after he fell from a third story building. The burn area is localized mostly to the chest and left leg. The patient’s right leg is shortened and rotated, the pelvis is tender and mobile, and the patient appears pale.

Vital signs show a heart rate of 134, blood pressure of 86/34, and respiratory rate of 14. GCS is 15.

Which of the following is most appropriate for this patient?
  1. Spinal immobilization, pelvic binding, rapid transport to the nearest burn center.
  2. Pelvic bindings, IV fluids, pain medication, application of burn sheets, and rapid transport to the nearest trauma center.
  3. Spinal immobilization, pelvic binding, and rapid transport to the nearest trauma center.
  4. IV fluids, spinal immobilization, running cool water over burn, and rapid transport to the nearest burn center.
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12. Your patient is a 5-year-old male who injured his leg while jumping on a trampoline. The patient describes that he felt a “snap” when the leg became entangled. The leg appears to have a closed fracture. No other injuries are identified and the child appears stable.

What is the most appropriate transport destination for this patient?
  1. A pediatric Level II trauma center located 35 minutes away by ground.
  2. The local community hospital that is not a trauma center, 5 minutes away by ground.
  3. A Level I regional trauma center, 90 minutes away by ground
  4. This patient can be safely transported by his mother and does not need to go by ambulance.
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13. You are called to the home of a 90-year-old female with advanced dementia. She appears pale and unwell. The family states she has been acting tired and has not been herself since the prior day when she slipped out of her wheelchair. The family also states the patient can normally verbalize her needs, and they are concerned that she may have a UTI or heart problem. The patient has a valid, signed DNR form.

Upon assessing the patient, she is nonverbal, but cries out in pain when you touch her left leg.

What is the most appropriate hospital for this patient?
  1. Regional heart hospital that she normally visits and has her patient records
  2. Level I trauma center located 20 minutes away
  3. Local subacute hospital
  4. The patient’s condition is normal progression of her dementia symptoms and, per her DNR, does not need to be transported
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14. What is the primary cause of death for victims of penetrating trauma?
  1. Collapsed lung
  2. Hollow organ damage
  3. Sepsis
  4. Hemorrhage
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15. Which of these patients is most at risk for massive internal hemorrhage and hypovolemia?
  1. A 7-year-old child who was properly restrained during a motor vehicle accident
  2. A 80-year-old female who fell down a half flight of stairs and complains of hip pain
  3. A 22-year-old male who was shot in the forearm by a handgun with no other injuries
  4. A 36-year-old female who was struck in the head by a baseball
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