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National Registry Emergency Medical Technician Questions 305–312 (page: 40)

Updated On: 5-Jul-2026

Select the best option to identify possible symptoms of a genitourinary (GU) injury.

  1. bloody stool, hematuria
  2. hematoma, ureteral bleeding
  3. hematuria, blood at opening of urethra
  4. perineal bleeding, ecchymosis

Answer(s): C

Explanation:

Impact to the GU system or kidney is indicated by blood in the urine or at the urethral opening.



Which of these is the most likely indication of a head injury?

  1. epistaxis
  2. impaled object in scapula
  3. eye hyph-ema
  4. unequal pupil dilation

Answer(s): D

Explanation:

Abnormal eye function or appearance is often a symptom after a head injury.
Note that a stroke could also cause unequal pupil changes, but in this question, “unequal pupils” is the most appropriate response.



Select the safest method for handling a patient with an impaled object in the thigh.

  1. Stabilize the impaled object with bulky dressing; do not remove the object.
  2. Only remove impaled objects that are in the mouth.
  3. Hold pressure around site with sterile gauze, carefully remove the object and apply an occlusive dressing.
  4. Complete patient assessment and, if stable, hold pressure with sterile gauze, carefully remove the object,
    and apply pressure dressing.

Answer(s): A

Explanation:

Most impaled injuries must be handled by an MD unless they are causing airway obstruction or the patient has no pulse.



The best method to care for a non-traumatic nosebleed is to put the _______________.

  1. patient in an upright sitting position, head forward, and pinch nostrils.
  2. patient in a side-lying position and pinch nostrils.
  3. patient in an upright sitting position, head tilted slightly back, and pinch nostrils.
  4. patient in an upright sitting position, head backward, and ice pack to the forehead.

Answer(s): A

Explanation:

If the head is positioned backward, the blood may drain down the throat, causing aspiration, or into the stomach, causing nausea and vomiting.



What type of injury should be suspected when the patient presents with “raccoon eyes”?

  1. epistaxis
  2. skull injury or fracture
  3. mandibular fracture
  4. rupture of tympanic membranes

Answer(s): B

Explanation:

As a result of head injury blood can collect in the space around the eyes, causing dark bilateral peri-orbital circles.



Select the best technique or device to use if extremity bleeding does not stop with pressure.

  1. limb elevation with pressure dressing
  2. occlusive dressing over a pressure dressing with limb elevation
  3. tourniquet
  4. tourniquet with limb elevation

Answer(s): C

Explanation:

If pressure does not stop the bleeding, use of a tourniquet with extremity bleeding is the advised next step. The use of elevation is not a best practice technique and may cause additional harm.



What does the acronym HAPE mean?

  1. high atmosphere physical exposure
  2. high altitude pulmonary edema
  3. high altitude pulmonary ecchymosis
  4. high atmosphere pulmonary edema

Answer(s): B

Explanation:

HAPE is the standard acronym for high altitude pulmonary edema.



What is the first step to consider in the process of caring for a patient in extreme cold with exposure?

  1. Obtain patient temperature and begin warming patient.
  2. Assess MOI and begin warming patient.
  3. Check patient airway and stabilize.
  4. Prepare to prevent personal harm from cold exposure.

Answer(s): D

Explanation:

The emergency team must first prepare to work in the elements and prevent personal harm in order to care for the patient.



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