ITLS EXAMINATION TEST PAPER 2026 FULL
TRAUMA CARE QUESTIONS AND
SOLUTIONS
◉ Prolonged scene times may reflect:
Answer: Ineffective team collaboration
pg 34
◉ Which of the following indicates a state of hyperventilation?
Answer: An end tidal CO2 level less than 30 mmHG
pg 79
◉ A 23 year old female fell from a 2nd floor balcony. Upon arrival,
you find her lying in the grass. She responds to verbal commands
and your assessment reveals flat neck veins, & normal
chest/abdomen/pelvic examinations. Vital signs are: BP 74/40, P 54
& Weak, and R 16. You should suspect:
Answer: Relative hypovolemic (high-space) shock
pg 161
,Rationale: The condition causing the vascular space to be too large
for a normal amount of blood has been called "shock", or relative
hypovolemia. Neurogenic shock, commonly called spinal shock, is a
form of relative hypovolemia. The clinical presentation of
neurogenic shock differs from hemorrhagic shock in that there is no
catecholamine release and this no pallor (vasoconstriction),
tachycardia, or sweating. The patient will have a decreased BP but
the HR will be normal or slow, and the skin is usually warm, dry and
pink
◉ An unresponsive 34 y/o female was struck by a vehicle. You
observe Asymmetrical chest wall movement with a flail segment on
the right. Following delegation of c-spine control and opening the
airway, you should?
Answer: Stabilize the chest wall
pg 131
◉ Which of the following regarding PT positioning for external
jugular cannulation is Incorrect?
Answer: Elevate the head to distend the vein and prevent air
embolism.
pg 178
Rationale: The PT must be in the supine position, preferably head
down, to distend the vein and prevent air embolism.
, ◉ Which of the following set of vital signs is most compatible with a
diagnosis of isolated traumatic brain injury with increasing ICP?
Answer: BP 170/100, P 50
pg 193
Rationale: When the ICP increases, the systemic BP increases to try
to preserve blood flow to the brain. The body senses the rise in
systemic BP, and this triggers a drop in the pulse rate as the body
tries to lower the systemic BP
◉ Which of the following statements is incorrect regarding spinal
motion restriction?
Answer: Neck traction should be applied to extend the neck upward
during cervical collar application
pg 219
◉ A 15 y/o male was stabbed and has an abdominal evisceration.
The PT is A/O, BP 112/68, P 94, R18. You should?
Answer: Prepare PT for transport & establish vascular access during
transport.
pg 259
TRAUMA CARE QUESTIONS AND
SOLUTIONS
◉ Prolonged scene times may reflect:
Answer: Ineffective team collaboration
pg 34
◉ Which of the following indicates a state of hyperventilation?
Answer: An end tidal CO2 level less than 30 mmHG
pg 79
◉ A 23 year old female fell from a 2nd floor balcony. Upon arrival,
you find her lying in the grass. She responds to verbal commands
and your assessment reveals flat neck veins, & normal
chest/abdomen/pelvic examinations. Vital signs are: BP 74/40, P 54
& Weak, and R 16. You should suspect:
Answer: Relative hypovolemic (high-space) shock
pg 161
,Rationale: The condition causing the vascular space to be too large
for a normal amount of blood has been called "shock", or relative
hypovolemia. Neurogenic shock, commonly called spinal shock, is a
form of relative hypovolemia. The clinical presentation of
neurogenic shock differs from hemorrhagic shock in that there is no
catecholamine release and this no pallor (vasoconstriction),
tachycardia, or sweating. The patient will have a decreased BP but
the HR will be normal or slow, and the skin is usually warm, dry and
pink
◉ An unresponsive 34 y/o female was struck by a vehicle. You
observe Asymmetrical chest wall movement with a flail segment on
the right. Following delegation of c-spine control and opening the
airway, you should?
Answer: Stabilize the chest wall
pg 131
◉ Which of the following regarding PT positioning for external
jugular cannulation is Incorrect?
Answer: Elevate the head to distend the vein and prevent air
embolism.
pg 178
Rationale: The PT must be in the supine position, preferably head
down, to distend the vein and prevent air embolism.
, ◉ Which of the following set of vital signs is most compatible with a
diagnosis of isolated traumatic brain injury with increasing ICP?
Answer: BP 170/100, P 50
pg 193
Rationale: When the ICP increases, the systemic BP increases to try
to preserve blood flow to the brain. The body senses the rise in
systemic BP, and this triggers a drop in the pulse rate as the body
tries to lower the systemic BP
◉ Which of the following statements is incorrect regarding spinal
motion restriction?
Answer: Neck traction should be applied to extend the neck upward
during cervical collar application
pg 219
◉ A 15 y/o male was stabbed and has an abdominal evisceration.
The PT is A/O, BP 112/68, P 94, R18. You should?
Answer: Prepare PT for transport & establish vascular access during
transport.
pg 259
