ITLS Basic Pre-Test Questions With Correct Answers

In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? a. cervical b. thoracic c. lumbar d. sacral-coccygeal - Answer a. cervical Prolonged scene times may reflect: a. a decrease in death rates b. delivery of better care c. accomplishment of interventions d. ineffective team collaboration - Answer d. ineffective team collaboration Which of the following indicates a state of hyperventilation? a. an adult respiratory rate greater than 20 per minute b. a tidal volume of less than 400 mL c. an oxygen saturation greater than 94% d. an end tidal carbon dioxide level less than 30 mmHg - Answer d. an end tidal carbon dioxide level less than 30 mmHg A 54-year-old male is involved in a motor vehicle collision. The steering wheel is bent. During your initial assessment, you note his skin is pale, his radial pulses are present, and breath sounds are clear. The patient is tender over his sternum and complains of chest pain. Which intrathoracic injury should you suspect given the above findings? a. cardiac contusion b. traumatic aortic rupture c. flail chest d. tension pnuemothorax - Answer a. cardiac contusion Which of the following is considered one of the four essential components to maintain normal perfusion? a. serum lactate levels b. ETCO2 levels c. SaO2 levels d. fluid levels - Answer d. fluid levels As intracerebral pressure rises after an isolated head injury, what does the systolic blood pressure do? a. stays the same b. decreases c. increases d. changes randomly - Answer c. increases Which of the following mechanisms of injury does not commonly cause damage to the spinal cord? a. hyperextension b. hyperflexion c. lateral stress d. compression - Answer c. lateral stress A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the best method to open the airway? a. modified jaw-thrust b. head tilt c. neck flexion d. neck lift - Answer a. modified jaw-thrust When performing the ITLS Primary Survey, the team leader may minimize errors by: a. performing all interventions b. limiting crew roles c. permitting crew to continue the assessment d. delegating interventions - Answer d. delegating interventions You have placed an NPA in your patient and now observe mild hemorrhage from the nares. You should: a. immediately remove the NPA and pack the nose with gauze b. immediately remove the NPA and and reinsert in the opposite nare c. leave the NPA in place so as not to disturb the clot or reactivate bleeding d. contact medical control and an NPA will not cause hemorrhage - Answer c. leave the NPA in place so as not to disturb the clot or reactivate bleeding A 27-year-old male with blunt chest trauma from a motor vehicle collision was successfully intubated at the scene. While ventilating the patient, you note resistance with an absence of right chest wall movement. You should suspect: a. flail chest b. gastric distention c. mucus obstruction d. tension pneumothorax - Answer d. tension pneumothorax Which of the following assessment findings is associated with neurogenic shock? a. increased pulse, cool clammy skin b. increased pulse, normal skin color and temperature c. decreased pulse, cool clammy skin d. decreased pulse, normal skin color and temperature - Answer d. decreased pulse, normal skin color and temperature Which of the following sets of vital signs is most compatible with a diagnosis of isolated traumatic brain injury with increasing intracranial pressure? a. BP 170/100; P 50 b. BP 80/60; P 130 c. BP 80/60; P 50 d. BP 170/100; P 130 - Answer a. BP 170/100; P 50 Common mechanisms of injury for the pediatric patient include all of the following except: a. falls b. animal bites c. burns d. motor vehicle collisions - Answer b. animal bites 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 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 An unconscious 18-year-old male is involved in a motor vehicle collision. You find him unrestrained behind the bent steering wheel. He is unconscious with cool, pale, and clammy skin. Vitals are: BP 90/40, P 120, and thready, R 30 and shallow. Your assessment reveals that he is blue around the lips, has distended neck veins, and tracheal deviation to the right. He also has an asymmetrical chest with absent breath sounds on the left. You should suspect: a. cardiac tamponade b. tension pneumothorax c. massive hemothorax d. simple pneumothorax - Answer b. 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