PHTLS 10th Edition Actual Final Exam – Latest 2025 Update with
Certified Practice Questions
1. 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
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.
2. 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
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.
,3. 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
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.
4. 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
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.
1. You are called to the scene of a possible mass casualty motor vehicle
collision on the highway. Once you arrive on scene, what is your first
priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
, C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - ANSWER >>>>>Question 1: D
Ensure safety for responders, bystanders, and patient(s). The first
consideration when approaching any scene is the safety of all emergency
responders. When EMS personnel become victims, they not only can no
longer assist others, but also add to the number of patients.
2. A trauma patient from the highway incident is holding her right arm, and
you note a significant amount of blood steadily flowing from a long gash. This
is an example of what type of hemorrhage?
A. Capillary bleeding
B. Venous bleeding
C. Arterial bleeding
D. Road rash - ANSWER >>>>>Question 2: B
Venous bleeding typically results in a steady flow of dark red blood.
3. What is the best way to control the bleeding?
A. Direct pressure
B. Elevation of the arm above the heart
C. Tourniquet
D. Occlusive dressing - ANSWER >>>>>Question 3: A
With venous bleeds, direct pressure isusually sufficient to stop the flow.
4. The patient is wearing long sleeves, and you are having trouble visualizing
the wound. What should you do?
A. Cut the cloth away from the site until the entire wound site is visible.
B. Leave the clothing in place. Put gauze over the wound.
C. Remove the patient's shirt.
Certified Practice Questions
1. 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
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.
2. 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
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.
,3. 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
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.
4. 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
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.
1. You are called to the scene of a possible mass casualty motor vehicle
collision on the highway. Once you arrive on scene, what is your first
priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
, C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - ANSWER >>>>>Question 1: D
Ensure safety for responders, bystanders, and patient(s). The first
consideration when approaching any scene is the safety of all emergency
responders. When EMS personnel become victims, they not only can no
longer assist others, but also add to the number of patients.
2. A trauma patient from the highway incident is holding her right arm, and
you note a significant amount of blood steadily flowing from a long gash. This
is an example of what type of hemorrhage?
A. Capillary bleeding
B. Venous bleeding
C. Arterial bleeding
D. Road rash - ANSWER >>>>>Question 2: B
Venous bleeding typically results in a steady flow of dark red blood.
3. What is the best way to control the bleeding?
A. Direct pressure
B. Elevation of the arm above the heart
C. Tourniquet
D. Occlusive dressing - ANSWER >>>>>Question 3: A
With venous bleeds, direct pressure isusually sufficient to stop the flow.
4. The patient is wearing long sleeves, and you are having trouble visualizing
the wound. What should you do?
A. Cut the cloth away from the site until the entire wound site is visible.
B. Leave the clothing in place. Put gauze over the wound.
C. Remove the patient's shirt.
