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National Registry Emergency Medical Technician Questions 313–320 (page: 41)

Updated On: 5-Jul-2026

During the physical assessment of a patient with chest injuries, you palpate the chest and feel crepitus.
What does this indicate?

  1. pulmonary embolism
  2. pneumothorax
  3. bones grinding together
  4. lack of blood flow

Answer(s): C

Explanation:

Crepitus is the sensation of broken bones or joints rubbing together and is a grinding sensation.



A patient who is found unconscious after swimming in shallow water may have experienced ______________.

  1. fatigue syndrome
  2. a near drowning episode
  3. decompression sickness
  4. breath holding-syncope

Answer(s): D

Explanation:

The patient faints, due to a process of hyperventilation when preparing to hold the breath. This lowers carbon dioxide and reduces the impulse to breathe.



Which of these is not true about assessing for internal injuries and bleeding?

  1. Bruising and swelling may not be seen immediately after an internal injury.
  2. Pain is usually not an indicator of internal bleeding from injuries.
  3. Bruising and swelling are indicators of possible internal bleeding from injuries.
  4. Bleeding from any body opening is a serious indicator of internal bleeding from injuries.

Answer(s): B

Explanation:

Pain is actually the most common indicator of internal injuries. The other answer choices are true.
While bruising and swelling are indicators of internal injuries, they may not be immediately apparent until a significant amount of blood has collected in a body area. And bleeding from any body opening is a serious indicator of internal injuries.



What kind of injury is evident when the skin is intact and bruised?

  1. impaled wound
  2. avulsion
  3. abrasion
  4. contusion

Answer(s): D

Explanation:

Avulsion, impaled wounds, and abrasions are open wounds. A contusion is a closed injury.



Select the best treatment option for a patient with an open abdominal wound and organs protruding.

  1. cover with a sterile moistened gauze and seal with a pressure dressing
  2. cover with a sterile saline moistened gauze and secure with an occlusive dressing
  3. immediately apply a pressure dressing over a sterile gauze
  4. apply a sterile adhesive dressing

Answer(s): B

Explanation:

This technique will not adhere to the skin or evisceration and will keep the exposed organs from losing fluid rapidly.



What is a description of a partial thickness (second degree) burn?

  1. intense pain, blisters, moist skin
  2. mild pain, redness
  3. moderate pain, blisters
  4. redness and no blisters

Answer(s): A

Explanation:

Partial thickness (second degree) burns create blisters and are typically very painful.



What organ/system is at high risk for injury during blast injuries?

  1. cardiovascular system
  2. genitourinary system
  3. eyes and nose
  4. inner ear/auditory canal

Answer(s): D

Explanation:

Blast injuries typically impact hollow organs/systems that are at risk for increased pressure. This includes lungs, the GI system, and ears.



Severe internal bleeding is usually caused by an injury to which of the following organs?

  1. To the stomach.
  2. To the appendix.
  3. To the spleen.
  4. To the gallbladder.

Answer(s): C

Explanation:

There is a much greater risk of internal bleeding when there is an injury to solid organs such as the spleen. The stomach, the appendix and the gallbladder are all hollow organs. Any injury or damage to hollow organs usually leads to infection.



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