ITLS COMPLETE STUDY GUIDE 2026
TRAUMA ASSESSMENT AND
MANAGEMENT VERIFIED SOLUTIONS
◉ In a trauma patient, what is the most common cause of
preventable death?
Answer: Uncontrolled hemorrhage
◉ During the rapid trauma assessment, which area is assessed first?
Answer: Chest
◉ You arrive at the scene of a motor vehicle collision. Your first
action should be to:
Answer: Ensure scene safety and take standard precautions
◉ The "X" in the XABCDE assessment stands for:
Answer: eXsanguinating hemorrhage
◉ Which of the following is the earliest sign of inadequate perfusion
(shock) in a trauma patient?
Answer: Altered mental status
,◉ A 22-year-old male was stabbed in the right anterior chest. He is
anxious, tachypneic, and has absent breath sounds on the right with
neck vein distension. Your priority is:
Answer: Perform needle decompression
◉ What is the preferred method for managing a suspected unstable
pelvic fracture in the prehospital setting?
Answer: Apply pelvic binder
◉ The Glasgow Coma Scale (GCS) score that indicates the need for
advanced airway management is:
Answer: Less than 8
◉ During the rapid trauma assessment, you note paradoxical
movement of a segment of the chest wall. This finding is most
consistent with:
Answer: Flail chest
◉ A 45-year-old pedestrian struck by a car has a deformed left
femur, a blood pressure of 80/50, and a heart rate of 130. After
controlling external bleeding, your next priority is:
Answer: Administer high-flow oxygen.
, ◉ You are caring for a head-injured patient with a GCS of 10. Which
of the following ventilation strategies is most appropriate?
Answer: Ventilate at 10-12 breaths per minute to maintain ETCO2 at
35-40 mmHg.
◉ The mnemonic DCAP-BTLS is used during which part of the
patient assessment?
Answer: Detailed secondary assessment
◉ A patient with blunt abdominal trauma has a seatbelt sign and
tenderness. The most likely underlying injury is:
Answer: Bowel perforation
◉ Which of the following best differentiates cardiogenic shock from
hypovolemic shock?
Answer: Jugular vein distension
◉ A 6-year-old child is involved in a fall. The pediatric assessment
triangle (PAT) shows abnormal appearance, visible severe injury,
and work of breathing. Your next action is:
Answer: Immediately load and go with interventions en route.
◉ The BEST method to confirm proper endotracheal tube placement
in a trauma patient is:
TRAUMA ASSESSMENT AND
MANAGEMENT VERIFIED SOLUTIONS
◉ In a trauma patient, what is the most common cause of
preventable death?
Answer: Uncontrolled hemorrhage
◉ During the rapid trauma assessment, which area is assessed first?
Answer: Chest
◉ You arrive at the scene of a motor vehicle collision. Your first
action should be to:
Answer: Ensure scene safety and take standard precautions
◉ The "X" in the XABCDE assessment stands for:
Answer: eXsanguinating hemorrhage
◉ Which of the following is the earliest sign of inadequate perfusion
(shock) in a trauma patient?
Answer: Altered mental status
,◉ A 22-year-old male was stabbed in the right anterior chest. He is
anxious, tachypneic, and has absent breath sounds on the right with
neck vein distension. Your priority is:
Answer: Perform needle decompression
◉ What is the preferred method for managing a suspected unstable
pelvic fracture in the prehospital setting?
Answer: Apply pelvic binder
◉ The Glasgow Coma Scale (GCS) score that indicates the need for
advanced airway management is:
Answer: Less than 8
◉ During the rapid trauma assessment, you note paradoxical
movement of a segment of the chest wall. This finding is most
consistent with:
Answer: Flail chest
◉ A 45-year-old pedestrian struck by a car has a deformed left
femur, a blood pressure of 80/50, and a heart rate of 130. After
controlling external bleeding, your next priority is:
Answer: Administer high-flow oxygen.
, ◉ You are caring for a head-injured patient with a GCS of 10. Which
of the following ventilation strategies is most appropriate?
Answer: Ventilate at 10-12 breaths per minute to maintain ETCO2 at
35-40 mmHg.
◉ The mnemonic DCAP-BTLS is used during which part of the
patient assessment?
Answer: Detailed secondary assessment
◉ A patient with blunt abdominal trauma has a seatbelt sign and
tenderness. The most likely underlying injury is:
Answer: Bowel perforation
◉ Which of the following best differentiates cardiogenic shock from
hypovolemic shock?
Answer: Jugular vein distension
◉ A 6-year-old child is involved in a fall. The pediatric assessment
triangle (PAT) shows abnormal appearance, visible severe injury,
and work of breathing. Your next action is:
Answer: Immediately load and go with interventions en route.
◉ The BEST method to confirm proper endotracheal tube placement
in a trauma patient is:
