ITLS 8th Edition Additional Q&As | Exam Revision Questions and Correct
Answers With 100% Correct Answers | Latest 2025 Update.
Upon arrival at a trauma scene, you should complete a(n) - ANSWER- Scene Size-up
Prolonged scene times may reflect: - ANSWER- Ineffective team collaboration
Which of the following indicates a state of hyperventilation? - ANSWER- An end tidal CO2
level less than 30 mmHG
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
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
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.
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
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
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.
A 33yo female's leg was trapped in a piece of industrial equipment and has been extricated. She is
now complaining of secure lower leg pain. PT is A/O with no signs of external hemorrhage. Vital
signs are:
BP 132/78, P 96, R 20. Which of the following is indicated? - ANSWER- Administer pain
medication
Establishing vascular access on scene is indicated: - ANSWER- To administer medication
Which of the following changes is most useful to monitor in the child with head injury? -
ANSWER- Level of consciousness
Rationale: changing of LOC is the best indicator of traumatic brain injury
In the geriatric PT, which of the following findings is most likely caused by an acute injury? -
ANSWER- Hypotension
Answers With 100% Correct Answers | Latest 2025 Update.
Upon arrival at a trauma scene, you should complete a(n) - ANSWER- Scene Size-up
Prolonged scene times may reflect: - ANSWER- Ineffective team collaboration
Which of the following indicates a state of hyperventilation? - ANSWER- An end tidal CO2
level less than 30 mmHG
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
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
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.
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
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
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.
A 33yo female's leg was trapped in a piece of industrial equipment and has been extricated. She is
now complaining of secure lower leg pain. PT is A/O with no signs of external hemorrhage. Vital
signs are:
BP 132/78, P 96, R 20. Which of the following is indicated? - ANSWER- Administer pain
medication
Establishing vascular access on scene is indicated: - ANSWER- To administer medication
Which of the following changes is most useful to monitor in the child with head injury? -
ANSWER- Level of consciousness
Rationale: changing of LOC is the best indicator of traumatic brain injury
In the geriatric PT, which of the following findings is most likely caused by an acute injury? -
ANSWER- Hypotension