ITLS Advanced Pre-Test Certification Actual Exam
Newest 2026-2027 Actual Exam With Complete 100
Questions And Correct Detailed Answers (Verified
Answers) |Already Graded A+
A 27-year-old male with blunt chest trauma from a motor vehicle
collisions as successfully intubated at the scene. While ventilating the
patient, you note resistance with absence of right chest wall movement.
You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ANSWER-D. Tension pneumothorax
A 34-year-old man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure or tourniquet,
is coming from the wound. The patient appears confused, diaphoretic,
and has weak peripheral pulses. What is the appropriate fluid
resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral pulses
C. Intravenous fluid at a "wide open" rate
pg. 1
,D. No intravenous access should be established in this situation -
ANSWER-B. Intravenous fluid; give enough fluid to maintain peripheral
pulses
The gold standard to confirm that the endotracheal tube is placed in the
trachea is:
A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
D. Presence of condensation in the tube - ANSWER-C. Waveform
capnography
Which of the causes of pediatric injury listed below is most likely to
result in severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites - ANSWER-B. Motor vehicle collisions
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
pg. 2
,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
What is the most frequent cause for an intubated trauma patient to
develop poor lung compliance while being ventilated?
A. Tracheal extubation
B. Pericardial tamponade
C. Gastric distention
D. Tension pneumothorax - ANSWER-D. 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
pg. 3
, Routine use of hyperventilation in the traumatic brain injury (TBI)
patient will:
A. Cause vasoconstriction and increased cerebral ischemia
B. Cause vasodilation and decreased intracranial pressure (ICP)
C. Cause in increase of end-tidal CO2
D. Cause peripheral hypoxia and cyanosis - ANSWER-A. Cause
vasoconstriction and increased cerebral ischemia
Which finding requires interruption of the ITLS Primary Survey?
A. Complete airway obstruction
B. Gasping respirations
C. Impaled object in abdomen
D. Very weak pulse - ANSWER-A. Complete airway obstruction
Bag-valve-mask ventilation:
A. Rarely causes gastric distention due to low airway pressures
B. Is more effective in patient whose dentures have been removed
C. Is easily accomplished by one rescuer at the head
D. May exceed 60cm H2O pressure in the airway - ANSWER-D. May
exceed 60cm H2O pressure in the airway
Which of the following is true regarding pulmonary contusion?
pg. 4
Newest 2026-2027 Actual Exam With Complete 100
Questions And Correct Detailed Answers (Verified
Answers) |Already Graded A+
A 27-year-old male with blunt chest trauma from a motor vehicle
collisions as successfully intubated at the scene. While ventilating the
patient, you note resistance with absence of right chest wall movement.
You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ANSWER-D. Tension pneumothorax
A 34-year-old man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure or tourniquet,
is coming from the wound. The patient appears confused, diaphoretic,
and has weak peripheral pulses. What is the appropriate fluid
resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral pulses
C. Intravenous fluid at a "wide open" rate
pg. 1
,D. No intravenous access should be established in this situation -
ANSWER-B. Intravenous fluid; give enough fluid to maintain peripheral
pulses
The gold standard to confirm that the endotracheal tube is placed in the
trachea is:
A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
D. Presence of condensation in the tube - ANSWER-C. Waveform
capnography
Which of the causes of pediatric injury listed below is most likely to
result in severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites - ANSWER-B. Motor vehicle collisions
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
pg. 2
,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
What is the most frequent cause for an intubated trauma patient to
develop poor lung compliance while being ventilated?
A. Tracheal extubation
B. Pericardial tamponade
C. Gastric distention
D. Tension pneumothorax - ANSWER-D. 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
pg. 3
, Routine use of hyperventilation in the traumatic brain injury (TBI)
patient will:
A. Cause vasoconstriction and increased cerebral ischemia
B. Cause vasodilation and decreased intracranial pressure (ICP)
C. Cause in increase of end-tidal CO2
D. Cause peripheral hypoxia and cyanosis - ANSWER-A. Cause
vasoconstriction and increased cerebral ischemia
Which finding requires interruption of the ITLS Primary Survey?
A. Complete airway obstruction
B. Gasping respirations
C. Impaled object in abdomen
D. Very weak pulse - ANSWER-A. Complete airway obstruction
Bag-valve-mask ventilation:
A. Rarely causes gastric distention due to low airway pressures
B. Is more effective in patient whose dentures have been removed
C. Is easily accomplished by one rescuer at the head
D. May exceed 60cm H2O pressure in the airway - ANSWER-D. May
exceed 60cm H2O pressure in the airway
Which of the following is true regarding pulmonary contusion?
pg. 4
