A.

Immobilize the cervical spine and open

1. What is the primary focus during the the airway using the jaw-thrust maneuver
primary assessment in emergency care? B. Apply a cervical collar only after X-rays
A. Pain management C. Use the head-tilt, chin-lift method to
B. Rapid assessment of airway, breathing, open the airway
circulation, and disability D. Avoid moving the neck and only
C. Head-to-toe examination monitor
D. History-taking

7. What characterizes a concussion?

2. According to the AVPU scale, what does A. Bruising of brain tissue with bleeding
"P" represent? B. Significant bleeding in the skull
A. Patient responsive to pain C. Temporary loss of consciousness due
B. Patient pulse assessment to brain function disruption
C. Patient priority level D. Skull fracture
D. Patient's physiological state

8. Which of the following defines

3. What is the secondary assessment hypovolemic shock?
designed to identify? A. Failure of the heart to pump effectively
A. Chronic conditions B. Inadequate perfusion due to fluid loss
B. All injuries and underlying issues after C. Displacement of blood within the
life-threatening conditions are addressed vasculature
C. Risk of infection D. Severe allergic reaction
D. Past medical history

9. What is the most critical initial step in

4. What is the highest priority in triage level managing a bleeding wound?
I? A. Elevation of the affected limb
A. Emergent cases requiring care within B. Direct pressure over the wound
15 minutes C. Application of a tourniquet
B. Conditions requiring immediate D. Use of pressure points
intervention to prevent death or limb loss
C. Cases that can wait up to one hour
D. Routine medical checks
10. In a patient with heat stroke, which
symptom differentiates it from heat
exhaustion?
5. What is the purpose of the Heimlich A. Clammy skin
maneuver? B. Sweating and shallow breathing
A. Relieve respiratory arrest C. High body temperature with dry, flushed
B. Remove foreign body airway skin
obstruction D. Nausea and headache
C. Stabilize a cervical spine injury
D. Establish an emergency airway

11. What is the most common initial step in

managing a suspected spinal cord injury?
6. Which is the correct intervention for a A. Applying a cervical collar
patient with a suspected cervical spine B. Immobilizing the entire spine
injury?
 C. Intubating the patient immediately 17. Which symptom differentiates cardiogenic
D. Administering high-dose steroids shock from hypovolemic shock?
A. Tachycardia
B. Pulmonary edema
C. Cool and clammy skin
12. Which intervention is appropriate for D. Hypotension
controlling severe bleeding?
A. Elevation alone
B. Application of ice packs
C. Direct pressure and tourniquet if 18. What is the recommended position for a
necessary patient in hypovolemic shock?
D. Immediate surgical intervention A. Supine with legs elevated
B. Lateral decubitus position
C. Sitting upright at 90 degrees
D. Prone position
13. What is a characteristic symptom of
neurogenic shock?
A. Hypertension
B. Tachycardia 19. In blunt abdominal trauma, what is the
C. Bradycardia and warm skin priority nursing intervention?
D. Severe allergic reaction A. Provide oral fluids to maintain hydration
B. Apply compression to the abdomen
C. Assess for signs of internal bleeding
and hypovolemic shock
14. Which factor is the most significant risk for D. Place the patient in the Trendelenburg
septic shock? position
A. Trauma to the cervical spine
B. Recent surgical procedure
C. High blood pressure
D. Pre-existing diabetes mellitus 20. What is the main purpose of peritoneal
lavage in trauma patients?
A. Control internal bleeding
B. Remove toxic substances
15. What is the immediate intervention for an C. Detect abdominal injuries and internal
open fracture? bleeding
A. Apply direct pressure D. Prevent infection in the peritoneal
B. Immobilize the fracture and cover it with cavity
a sterile dressing
C. Realign the fracture manually
D. Elevate the limb above the heart
21. Which intervention is most appropriate for
a patient with a chemical burn to the
eyes?
16. What is the purpose of the jaw-thrust A. Apply an antibiotic ointment
maneuver in airway management? B. Irrigate the eyes with running tap water
A. To tilt the head backward for better for 15–20 minutes
airway access C. Cover the eyes with sterile gauze
B. To open the airway without extending D. Administer pain medication
the cervical spine
C. To ensure the tongue does not obstruct
the airway
D. To facilitate intubation in trauma 22. What is the correct sequence for patient
patients rescue in a fire?
A. Bedridden, critical patients, ambulatory
 B. Critical patients, ambulatory, bedridden 28. In hypothermia, which intervention is most
C. Ambulatory, bedridden, critical patients appropriate?
D. Critical patients first regardless of A. Rapidly heat the patient using hot water
condition bottles
B. Warm the patient gradually with
blankets
C. Administer cold IV fluids to prevent
23. What is the primary intervention for a shock
patient experiencing anaphylactic shock? D. Place the patient in a warm bath
A. Administer antihistamines immediately
B. Administer epinephrine
C. Place the patient in a supine position
D. Apply ice to the injection site
29. What is the purpose of using a RICE
method for sprains?
A. To improve blood circulation
24. Which symptom is most characteristic of B. To reduce pain and swelling
carbon monoxide poisoning? C. To promote muscle strengthening
A. Cyanosis D. To immobilize the joint permanently
B. Cherry-red skin
C. Cold, clammy skin
D. Increased respiratory rate
30. In shock management, what is the
function of vasopressors?
A. Increase urine output
25. What should you do immediately for a B. Reduce inflammation
patient struck by lightning? C. Maintain blood pressure when volume
A. Assess for spinal cord injuries replacement is insufficient
B. Initiate CPR if necessary D. Prevent blood clotting
C. Remove the patient from the area and
check vitals
D. Administer pain relief
31. What does the "A" in the fire safety
acronym RACE stand for?
A. Alarm
26. What intervention is NOT appropriate for a B. Assess
venomous snakebite? C. Assist
A. Immobilize the affected limb below D. Administer
heart level
B. Remove constrictive clothing and
jewelry
C. Apply ice directly to the wound 32. How should you manage a patient with
D. Use antivenom within 12 hours if alcohol withdrawal delirium?
indicated A. Give activated charcoal
B. Administer diazepam for sedation
C. Provide IV antibiotics
D. Force oral fluids
27. What is the primary method to control
bleeding in soft tissue injuries?
A. Apply pressure points
B. Apply a tourniquet immediately 33. In a suspected abdominal injury, what
C. Use direct pressure on the wound should you avoid?
D. Elevate the injured area A. Inserting an NG tube
B. Covering protruding abdominal viscera
 C. Giving oral fluids C. Elevate the head at 90 degrees
D. Applying compression to external D. Perform carotid massage
bleeding

39. Which measure prevents further injury in

34. Which is the primary treatment for carbon patients with maxillofacial trauma?
monoxide poisoning? A. Applying pressure to the face
A. Administering diuretics B. Establishing and maintaining an airway
B. Providing 100% oxygen until C. Elevating the head of the bed
carboxyhemoglobin levels are below 5% D. Applying ice packs
C. Monitoring vital signs only
D. Performing gastric lavage

40. In case of suspected compartment

syndrome, what is a late sign?
35. What is the best immediate action for a A. Pain
patient with heat exhaustion? B. Pallor
A. Move them to a cool environment and C. Paralysis
provide oral fluids if not vomiting D. Pulselessness
B. Administer IV glucose
C. Immerse them in ice water
D. Encourage physical activity to promote
circulation 41. For a drowning victim, what is the first step
in management?
A. Initiate CPR
B. Assess and secure the airway
36. Which intervention is appropriate for C. Administer diuretics to reduce
penetrating chest trauma? pulmonary edema
A. Cover the wound with a sterile dressing D. Perform abdominal thrusts to expel
taped on all sides water
B. Use a chest tube immediately
C. Cover the wound with an occlusive
dressing taped on three sides
D. Allow air to escape freely 42. In an open fracture, which intervention is
NOT recommended?
A. Immobilizing the fracture
B. Covering the wound with a sterile
37. In case of severe drug overdose, which dressing
intervention is used to hasten excretion of C. Applying direct pressure over the
the substance? exposed bone
A. IV antibiotics D. Elevating the injured limb
B. Gastric lavage with activated charcoal
C. High-dose steroids
D. Sedation
43. What is the most common cause of
distributive shock?
A. Neurogenic injury
38. What is the initial management step for a B. Sepsis
suspected stroke patient in the C. Anaphylaxis
community? D. Hemorrhage
A. Administer aspirin immediately
B. Monitor vital signs and ensure airway
patency
44. Which phase of shock is characterized by below heart level
irreversible organ failure? C. Without any limb immobilization
A. Compensatory phase D. By carrying the patient on their back
B. Progressive phase
C. Refractory phase
D. Initial phase
50. In lightning injuries, what should rescuers
prioritize?
A. Immobilize the spine immediately
45. Which symptom indicates a possible B. Seek shelter and wait for assistance
pulmonary embolism? C. Perform CPR if the patient is
A. Bradycardia unresponsive
B. Hemoptysis D. Administer pain relief medications
C. Cyanosis and hypotension
D. Unilateral swelling

46. What should be avoided in managing a

patient with suspected hypoglycemia?
A. Administering oral glucose in a
conscious patient
B. Giving IV dextrose for unconscious
patients
C. Leaving the patient unattended
D. Monitoring blood glucose levels

47. What is the initial intervention for

toxicological emergencies?
A. Administer specific antidotes
immediately
B. Prevent further absorption of the toxic
substance
C. Induce vomiting in all cases
D. Perform blood tests

48. In thermal burns, which layer of dressing

is applied first?
A. Absorbent layer
B. Non-adherent hydrophilic dressing
C. Pressure layer
D. Occlusive wrap

49. How should a suspected snakebite victim

be transported to the hospital?
A. With the affected limb elevated above
heart level
B. With the affected limb immobilized