Part of the Trauma practice questions exam area.
This page holds 200 free practice questions for Chapter 31, Bleeding, covering perfusion and circulatory physiology, arterial, venous, and capillary bleeding, XABCDE, direct pressure, wound packing, and hemostatic agents, tourniquets and junctional devices, Stop the Bleed, internal hemorrhage and the classes of hemorrhage, hemorrhagic shock and the shock index, permissive hypotension, whole blood and TXA, the lethal triad, and special situations from epistaxis and anticoagulants to pregnancy, children, and older adults. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.
Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.
A cold, bleeding trauma patient begins shivering hard in the ambulance. This is harmful mainly because shivering:
Answer: C. Raises oxygen demand when supply is low
Shivering can raise metabolic rate several-fold, so muscles consume more oxygen at a time when delivery is already reduced, deepening the oxygen debt. Cover the patient, warm the cab, and use warmed fluids. Shivering is a heat-producing response, not vasodilation, it does not itself make a wound bleed, and it says nothing about shock resolving.
Arterial bleeding is characterized by blood that is:
Answer: A. Bright red and spurting with each heartbeat
Arterial blood is oxygen rich and under high pressure, so it spurts in time with the pulse. A steady dark-red flow is venous; it can still be heavy but lacks the pulsatile pattern.
For most external bleeding, the first and most effective method of control is:
Answer: D. Firm direct pressure
Direct pressure over the bleeding point controls most external bleeding. Elevation and pressure points are no longer recommended because they lack evidence and delay effective control.
Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.
Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.
Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5 Ch. 6 Ch. 7 Ch. 8 Ch. 9 Ch. 10 Ch. 11 Ch. 12 Ch. 13 Ch. 14 Ch. 15 Ch. 16 Ch. 17 Ch. 18 Ch. 19 Ch. 20 Ch. 21 Ch. 22 Ch. 23 Ch. 24 Ch. 25 Ch. 26 Ch. 27 Ch. 28 Ch. 29 Ch. 30 Ch. 31 Ch. 32 Ch. 33 Ch. 34 Ch. 35 Ch. 36 Ch. 37 Ch. 38 Ch. 39 Ch. 40 Ch. 41 Ch. 42 Ch. 43 Ch. 44 Ch. 45 Ch. 46 Ch. 47 Ch. 48 Ch. 49 Ch. 50 Ch. 51 Ch. 52 Ch. 53
These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.