PHTLS 10th Edition EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
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1. mutlisystem trauma - ANSWER ✔ more then one major body system
2. Single system truama - ANSWER ✔ One body part affected
3. If the patient is breathing faster than 30 - ANSWER ✔ Assist ventilation
4. Tachypnea could indicate - ANSWER ✔ Acidosis and anerobic
metabolism
5. Gcs under 14 with abnormal pupils can indicate - ANSWER ✔ Tbi
6. GCS eye opening - ANSWER ✔ Spontaneous=4
Speech 3
Command 2
Pressure 1
7. GCS verbal - ANSWER ✔ Oriented 5
Confused 4
Innaporite word 3
Noises 2
None 1
8. GCS motor response - ANSWER ✔ Follow command 6
Localizes 5
Flexion 4
Abnormal flexion 3
Extension 2
,None 1
9. How much fluids to give in truama - ANSWER ✔ Enough to keep vitals
organs perfusioning
10.Priorities of truama - ANSWER ✔ Control bleeding X
maintain open airway and spinal stabilization A
support ventilation to maintain spo2 above 94 B
manage perfusion n body temp C
gcs pupils D
expose E
11.SAMPLER - ANSWER ✔ symptoms
Allergies
Medication
Past history n surgical history
Events leading to injury
Risk factors for complication
12.Which of the following requires you to develop a plan of action, initiate the
plan, reassess the plan as care for the patient moves forward, and adjust the
plan as the patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process - ANSWER ✔ Question 1: D
13.To help achieve the PHTLS goals, you will apply your critical thinking skills
in the field. Critical thinking in medicine is a process in which the healthcare
practitioner assesses the situation, the patient, and the resources available
and uses the information to decide on and provide the best care for the
patient.
When using the XABCDE assessment, which of the following takes precedence
over all other actions?
A. Controlling severe bleeding from a limb or other compressible site
B. Airway stabilization and assessing circulatory status
C. Exposing the body to allow a thorough evaluation
D. Ensuring adequate breathing - ANSWER ✔ Question 2: A
,14.The "X" placed before "ABCDE" in the primary survey refers to the need to
address exsanguinating hemorrhage immediately after establishing scene
safety and before addressing airway. Severe exsanguinating hemorrhage,
particularly arterial bleeding, has the potential to lead to loss of total or near
total blood volume in a relatively short period of time.
Which of the following is the basis on which a patient's chance of survival is
maximized?
A. Preferences
B. Phases
C. Principles
D. Transport - ANSWER ✔ Question 3: C
15.The science of medicine provides the principles of medical care. Simply
stated, principles define the duties required of the prehospital care
practitioner in optimizing patient survival and outcome.
Which of the following is a goal of the Golden Period?
A. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
D. Use the XABCDE approach to patient assessment. - ANSWER ✔
Question 4: B
16.One of your most importantresponsibilities as a prehospital carepractitioner
is to spend as little time onthe scene as possible and expedite yourfield care
and transport of the patient.Studies show that the time from injuryto arrival
at the appropriate site fordefinitive care is critical to survival.
Your partner is compressing the bleeding site of a male patient who was
stabbed multiple times in the left chest. The bleeding seems to be controlled, yet
the patient becomes combative. He is pale and is breathing rapidly, yet states
that he "can't breath" and feels that he is about to die. Your next step in patient
management is to:
A. start assisted ventilations
B. give high-flow oxygen
C. decompress the left chest
, D. give a 250-mL fluid bolus - ANSWER ✔ C. decompress the left
chest
17.After X come A and B. You can quickly osculate the lungs (pneumothorax
is almost certain with multiple stabs in the chest) and decompress the chest.
Decompressing a tension pneumothorax is the quickest way to treat shock
The patient's respiration improves markedly, but he remains confused. He has
an absent radial pulse, and his carotid pulse is fast and thready. Your partner
asks if he can let the compression go to put in an IV. How should you respond?
A. "Oh, yes, that's a great idea!"
B. "Yes, but we have to immobilize him first."
C. "Take a blood pressure first to see if he needs an IV."
D. "No, keep the pressure and let's get out of here!" - ANSWER ✔ D.
"No, keep the pressure and let's get out of here!"
18.This patient is likely in decompensated shock with internal bleeding, so
rapid transport is the next priority. You should maintain pressure on the
wound, because having massive external bleeding start up again is the last
thing you want in this situation
well, in route to the hospital, you managed to put an 18 gauge IV in the right
arm. Your patient is still confused, and you still have no radio pulse. Your next
move is to:
A. give 1-L fluid bolts
B. give one 250-mL fluid bolus, and then stop
C. give fluid until you get a radial pulse
D. administer TXA - ANSWER ✔ C. give fluid until you get a radial
pulse
19.Now is the time to titrate IV fluids to restore tissue perfusion. Giving 1 L
blindly could overshoot your target pressure and reinforce internal bleeding.
TXA is not a priority, although it can run parallel fluids.
After 400 mL of LR solution, you get a radial pulse and his level of
consciousness improves. The monitor shows heart rate 110 bpm blood pressure
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. mutlisystem trauma - ANSWER ✔ more then one major body system
2. Single system truama - ANSWER ✔ One body part affected
3. If the patient is breathing faster than 30 - ANSWER ✔ Assist ventilation
4. Tachypnea could indicate - ANSWER ✔ Acidosis and anerobic
metabolism
5. Gcs under 14 with abnormal pupils can indicate - ANSWER ✔ Tbi
6. GCS eye opening - ANSWER ✔ Spontaneous=4
Speech 3
Command 2
Pressure 1
7. GCS verbal - ANSWER ✔ Oriented 5
Confused 4
Innaporite word 3
Noises 2
None 1
8. GCS motor response - ANSWER ✔ Follow command 6
Localizes 5
Flexion 4
Abnormal flexion 3
Extension 2
,None 1
9. How much fluids to give in truama - ANSWER ✔ Enough to keep vitals
organs perfusioning
10.Priorities of truama - ANSWER ✔ Control bleeding X
maintain open airway and spinal stabilization A
support ventilation to maintain spo2 above 94 B
manage perfusion n body temp C
gcs pupils D
expose E
11.SAMPLER - ANSWER ✔ symptoms
Allergies
Medication
Past history n surgical history
Events leading to injury
Risk factors for complication
12.Which of the following requires you to develop a plan of action, initiate the
plan, reassess the plan as care for the patient moves forward, and adjust the
plan as the patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process - ANSWER ✔ Question 1: D
13.To help achieve the PHTLS goals, you will apply your critical thinking skills
in the field. Critical thinking in medicine is a process in which the healthcare
practitioner assesses the situation, the patient, and the resources available
and uses the information to decide on and provide the best care for the
patient.
When using the XABCDE assessment, which of the following takes precedence
over all other actions?
A. Controlling severe bleeding from a limb or other compressible site
B. Airway stabilization and assessing circulatory status
C. Exposing the body to allow a thorough evaluation
D. Ensuring adequate breathing - ANSWER ✔ Question 2: A
,14.The "X" placed before "ABCDE" in the primary survey refers to the need to
address exsanguinating hemorrhage immediately after establishing scene
safety and before addressing airway. Severe exsanguinating hemorrhage,
particularly arterial bleeding, has the potential to lead to loss of total or near
total blood volume in a relatively short period of time.
Which of the following is the basis on which a patient's chance of survival is
maximized?
A. Preferences
B. Phases
C. Principles
D. Transport - ANSWER ✔ Question 3: C
15.The science of medicine provides the principles of medical care. Simply
stated, principles define the duties required of the prehospital care
practitioner in optimizing patient survival and outcome.
Which of the following is a goal of the Golden Period?
A. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
D. Use the XABCDE approach to patient assessment. - ANSWER ✔
Question 4: B
16.One of your most importantresponsibilities as a prehospital carepractitioner
is to spend as little time onthe scene as possible and expedite yourfield care
and transport of the patient.Studies show that the time from injuryto arrival
at the appropriate site fordefinitive care is critical to survival.
Your partner is compressing the bleeding site of a male patient who was
stabbed multiple times in the left chest. The bleeding seems to be controlled, yet
the patient becomes combative. He is pale and is breathing rapidly, yet states
that he "can't breath" and feels that he is about to die. Your next step in patient
management is to:
A. start assisted ventilations
B. give high-flow oxygen
C. decompress the left chest
, D. give a 250-mL fluid bolus - ANSWER ✔ C. decompress the left
chest
17.After X come A and B. You can quickly osculate the lungs (pneumothorax
is almost certain with multiple stabs in the chest) and decompress the chest.
Decompressing a tension pneumothorax is the quickest way to treat shock
The patient's respiration improves markedly, but he remains confused. He has
an absent radial pulse, and his carotid pulse is fast and thready. Your partner
asks if he can let the compression go to put in an IV. How should you respond?
A. "Oh, yes, that's a great idea!"
B. "Yes, but we have to immobilize him first."
C. "Take a blood pressure first to see if he needs an IV."
D. "No, keep the pressure and let's get out of here!" - ANSWER ✔ D.
"No, keep the pressure and let's get out of here!"
18.This patient is likely in decompensated shock with internal bleeding, so
rapid transport is the next priority. You should maintain pressure on the
wound, because having massive external bleeding start up again is the last
thing you want in this situation
well, in route to the hospital, you managed to put an 18 gauge IV in the right
arm. Your patient is still confused, and you still have no radio pulse. Your next
move is to:
A. give 1-L fluid bolts
B. give one 250-mL fluid bolus, and then stop
C. give fluid until you get a radial pulse
D. administer TXA - ANSWER ✔ C. give fluid until you get a radial
pulse
19.Now is the time to titrate IV fluids to restore tissue perfusion. Giving 1 L
blindly could overshoot your target pressure and reinforce internal bleeding.
TXA is not a priority, although it can run parallel fluids.
After 400 mL of LR solution, you get a radial pulse and his level of
consciousness improves. The monitor shows heart rate 110 bpm blood pressure
