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ITLS ADVANCED PRE-TEST 9TH
EDITION 2026 EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS |
ALREADY A GRADED | NEW AND
REVISED
A 27-year-old male with blunt chest trauma from a motor vehicle
collisions as successfully intubated at the scene. While ventilating the
patient, you note resistance with absence of right chest wall movement.
You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ANSWER- D. Tension pneumothorax
A 34-year-old man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure or tourniquet,
is coming from the wound. The patient appears confused, diaphoretic,
and has weak peripheral pulses. What is the appropriate fluid
resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral pulses
C. Intravenous fluid at a "wide open" rate
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D. No intravenous access should be established in this situation -
ANSWER- B. Intravenous fluid; give enough fluid to maintain
peripheral pulses
The gold standard to confirm that the endotracheal tube is placed in the
trachea is:
A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
D. Presence of condensation in the tube - ANSWER- C. Waveform
capnography
Which of the causes of pediatric injury listed below is most likely to
result in severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites - ANSWER- B. Motor vehicle collisions
Which of the following injuries would change a trauma patient's
transport classification from "stable" to "load and go"?
A. Clavicle fracture
B. Pelvic fracture
C. Bilateral humerus fractures
D. Bilateral tibia fractures - ANSWER- B. Pelvic fracture
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Which of the following findings would not make a patient difficult to
ventilate with a bag-valve mask?
A. Beard
B. Obesity
C. Elderly patient
D. Multiple nose piercings - ANSWER- D. Multiple nose piercings
What is the most frequent cause for an intubated trauma patient to
develop poor lung compliance while being ventilated?
A. Tracheal extubation
B. Pericardial tamponade
C. Gastric distention
D. Tension pneumothorax - ANSWER- D. Tension pneumothorax
Hemostatic agents applied directly to the source of bleeding must be
used in conjunction with:
A. Direct pressure to the wound
B. Tourniquets proximal to the wound
C. Pressure points to arteries proximal to the wound
D. Elevation of the wound above the level of the heart - ANSWER- A.
Direct pressure to the wound
Routine use of hyperventilation in the traumatic brain injury (TBI)
patient will:
ITLS ADVANCED PRE-TEST 9TH
EDITION 2026 EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS |
ALREADY A GRADED | NEW AND
REVISED
A 27-year-old male with blunt chest trauma from a motor vehicle
collisions as successfully intubated at the scene. While ventilating the
patient, you note resistance with absence of right chest wall movement.
You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ANSWER- D. Tension pneumothorax
A 34-year-old man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure or tourniquet,
is coming from the wound. The patient appears confused, diaphoretic,
and has weak peripheral pulses. What is the appropriate fluid
resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral pulses
C. Intravenous fluid at a "wide open" rate
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D. No intravenous access should be established in this situation -
ANSWER- B. Intravenous fluid; give enough fluid to maintain
peripheral pulses
The gold standard to confirm that the endotracheal tube is placed in the
trachea is:
A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
D. Presence of condensation in the tube - ANSWER- C. Waveform
capnography
Which of the causes of pediatric injury listed below is most likely to
result in severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites - ANSWER- B. Motor vehicle collisions
Which of the following injuries would change a trauma patient's
transport classification from "stable" to "load and go"?
A. Clavicle fracture
B. Pelvic fracture
C. Bilateral humerus fractures
D. Bilateral tibia fractures - ANSWER- B. Pelvic fracture
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Which of the following findings would not make a patient difficult to
ventilate with a bag-valve mask?
A. Beard
B. Obesity
C. Elderly patient
D. Multiple nose piercings - ANSWER- D. Multiple nose piercings
What is the most frequent cause for an intubated trauma patient to
develop poor lung compliance while being ventilated?
A. Tracheal extubation
B. Pericardial tamponade
C. Gastric distention
D. Tension pneumothorax - ANSWER- D. Tension pneumothorax
Hemostatic agents applied directly to the source of bleeding must be
used in conjunction with:
A. Direct pressure to the wound
B. Tourniquets proximal to the wound
C. Pressure points to arteries proximal to the wound
D. Elevation of the wound above the level of the heart - ANSWER- A.
Direct pressure to the wound
Routine use of hyperventilation in the traumatic brain injury (TBI)
patient will:
