ITLS PRE TEST 9TH EDITION |ACTUAL QUESTIONS
AND VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
In a rear-impact motor vehicle collision, which area of the spine is most susceptible to
injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal
CORRECT ANSWER
A. Cervical
Question 2
A pericardiocentesis is performed to:
A. To remove fluid from the lining around the lungs
B. To remove fluid from the lining around the heart
C. To inject medications directly into the heart
D. To monitor stroke volume
CORRECT ANSWER
B. To remove fluid from the lining around the heart
Question 3
A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a load-and-
go patient. Which of the following should be performed on the scene?
1
,A. Obtain an ECG
B. Establish vascular access
C. Obtain a finger stick serum lactate level
D. Assess for other potentially life-threatening conditions
CORRECT ANSWER
D. Assess for other potentially life-threatening conditions
Question 4
The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration
CORRECT ANSWER
C. Improves glottis visualization
Question 5
A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP 74/32, P
136 present only at the carotid, and R 24 and shallow. The target of fluid resuscitation is:
A. Return of peripheral pulses
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100
CORRECT ANSWER
A. Return of peripheral pulses
2
, Question 6
An unconscious 15-year-old male was struck on the head with a baseball bat. His arms and
legs are extended and his right pupil is dilated and fixed. You should:
A. Insert an oropharyngeal airway, administer oxygen, and restrict fluids
B. Apply a non-rebreather mask, restrict fluids, and administer Mannitol
C. Perform nasotracheal intubation, restrict fluids, and provide adequate ventilation
D. Perform bag-mask ventilation at 20 per minute
CORRECT ANSWER
D. Perform bag-mask ventilation at 20 per minute
Question 7
Which of the following mechanisms of injury does not commonly cause damage to the
spinal cord?
A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression
CORRECT ANSWER
C. Lateral stress
Question 8
A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the
best method to pen the airway?
A. Modified jaw-thrust
B. Head tilt
3
AND VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
In a rear-impact motor vehicle collision, which area of the spine is most susceptible to
injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal
CORRECT ANSWER
A. Cervical
Question 2
A pericardiocentesis is performed to:
A. To remove fluid from the lining around the lungs
B. To remove fluid from the lining around the heart
C. To inject medications directly into the heart
D. To monitor stroke volume
CORRECT ANSWER
B. To remove fluid from the lining around the heart
Question 3
A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a load-and-
go patient. Which of the following should be performed on the scene?
1
,A. Obtain an ECG
B. Establish vascular access
C. Obtain a finger stick serum lactate level
D. Assess for other potentially life-threatening conditions
CORRECT ANSWER
D. Assess for other potentially life-threatening conditions
Question 4
The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration
CORRECT ANSWER
C. Improves glottis visualization
Question 5
A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP 74/32, P
136 present only at the carotid, and R 24 and shallow. The target of fluid resuscitation is:
A. Return of peripheral pulses
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100
CORRECT ANSWER
A. Return of peripheral pulses
2
, Question 6
An unconscious 15-year-old male was struck on the head with a baseball bat. His arms and
legs are extended and his right pupil is dilated and fixed. You should:
A. Insert an oropharyngeal airway, administer oxygen, and restrict fluids
B. Apply a non-rebreather mask, restrict fluids, and administer Mannitol
C. Perform nasotracheal intubation, restrict fluids, and provide adequate ventilation
D. Perform bag-mask ventilation at 20 per minute
CORRECT ANSWER
D. Perform bag-mask ventilation at 20 per minute
Question 7
Which of the following mechanisms of injury does not commonly cause damage to the
spinal cord?
A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression
CORRECT ANSWER
C. Lateral stress
Question 8
A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the
best method to pen the airway?
A. Modified jaw-thrust
B. Head tilt
3
