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National Registry Emergency Medical Technician Questions 369–376 (page: 48)

Updated On: 5-Jul-2026

An 86-year-old patient involved in a motor vehicle collision struck a knee on the dashboard.
What injuries are most associated with the knee impacting the dashboard? (Choose two.)

  1. Tibia fracture
  2. Femur fracture
  3. Ruptured peritoneum
  4. Rupture of the bladder
  5. Posterior hip dislocation

Answer(s): D,E

Explanation:

A knee striking the dashboard transmits force along the femur, commonly causing posterior hip dislocation and can also injure the bladder due to associated pelvic trauma.



Which of the following bones is most likely to cause external leg rotation when fractured?

  1. Pubis
  2. Femur
  3. Patella
  4. L5 vertebra

Answer(s): B

Explanation:

Fractures involving the femur, especially proximal femur or hip fractures, are classically associated with external rotation of the leg. Current clinical references describe hip fracture patients as often presenting with a shortened, externally rotated leg.



You are treating a 10-year-old child who was involved in a motor vehicle accident. He was an unrestrained passenger and the car he was in was struck from the rear. This child is complaining of neck pain.
Which of the following actions should be taken first?

  1. Manual cervical spine precautions must be taken.
  2. You should apply an appropriately sized cervical collar.
  3. You should assess the child’s pulse, motor, sensation in all extremities.
  4. You should perform a secondary assessment.

Answer(s): A

Explanation:

Manual c-spine precautions should definitely be taken before applying a cervical collar, assessing PMS, or before performing a secondary assessment.



You have an elderly patient who has fallen and is now complaining of hip pain. You are conducting the primary assessment and while assessing the patient’s circulation, what must you also check?

  1. You should also check skin condition, pulse oximetry and capillary refill.
  2. You should also check pulses, external bleeding and skin condition.
  3. You should also check distal pulses in the lower extremities.
  4. You should also check pulses, motor function and sensation.

Answer(s): B

Explanation:

Pulses, bleeding, and skin conditions are three aspects of circulation that should be included in the primary assessment. Pulse oximetry, lower extremities, motor function, and sensation are not part of the circulatory component of the primary assessment.



А 13-year-old patient has partial and full-thickness bums to the chest and both arms after falling into a campfire.
What actions should the EMT take for this patient? (Choose two.)

  1. Remove jewelry from the injured area
  2. Cover the area with a dry sterile sheet
  3. Apply a conventional topical agent to soothe the burn
  4. Continue to cool the burn with saline en route to the hospital
  5. Remove any clothes melted to the skin after soaking with saline

Answer(s): A,B

Explanation:

Jewelry should be removed early because burned tissues swell and can cause constriction. Burned areas should be covered with a dry sterile sheet to protect against contamination and reduce heat loss.



One of the complications of splinting is:

  1. increased bleeding due to tissue damage caused by bone ends.
  2. compression of nerves, tissues, and blood vessels.
  3. potential for a closed injury to become an open injury.
  4. pain associated with free movement of bone ends.

Answer(s): B

Explanation:

Splints that are applied too tightly can impair circulation and compress nerves and soft tissues, leading to complications such as decreased perfusion and nerve damage.



Dyspnea, hypoxia, rales, and hemoptysis in the presence of blunt chest trauma are indicative of:

  1. pulmonary contusion.
  2. flail chest.
  3. pericardial tamponade.
  4. myocardial contusion.

Answer(s): A

Explanation:

Blunt chest trauma causing injury to lung tissue leads to pulmonary contusion, which results in impaired gas exchange, producing dyspnea, hypoxia, rales, and hemoptysis.



What phase of an explosion is most likely to produce injuries to the gas-containing organs of the body?

  1. Primary
  2. Secondary
  3. Tertiary
  4. Quaternary

Answer(s): A

Explanation:

The primary blast phase involves the pressure wave, which affects gas-containing organs like the lungs, ears, and gastrointestinal tract, causing barotrauma.



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