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Exam (elaborations)

ITLS Written Final Exam Review 2026: High-Yield Practice Questions

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Prepare for the ITLS Written Final Exam with this updated 2026 study guide covering essential prehospital trauma care concepts. Focused on airway management, shock, trauma assessment, and emergency interventions, this guide reinforces critical knowledge and decision-making skills. Includes ITLS-style practice questions with detailed rationales to strengthen understanding and clinical reasoning. Ideal for EMS professionals and students aiming to excel on the ITLS exam and provide safe patient care. Structured review strategies and scenario-based practice ensure confidence and readiness for the exam.

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Document information

Uploaded on
January 12, 2026
Number of pages
7
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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1|Page




ITLS written FINAL Review (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+ UPDATED 2026




Windshield survey is done when? - CORRECT ANSWER during scene
size-up


QUESTION : Signs and symptoms of a tension pneumothorax include: -
CORRECT ANSWER - AMS
- signs of shock (P/C/D, hypotension)
- JVD
- diminished/absent lung sounds on affected side


QUESTION : What priority is increased bag resistance in trauma? - CORRECT
ANSWER the lowest


QUESTION : What sort of assessment is done for an elderly patient involved in a
moderate auto accident? - CORRECT ANSWER a rapid trauma
assessment


QUESTION : Which is considered a "load-and-go" situation: open femur fracture
or bilateral femur fractures? - CORRECT ANSWER bilateral femur
fractures




2026 2027 GRADED A+

, 2|Page


QUESTION : A tension pneumothorax is considered what kind of shock? -
CORRECT ANSWER mechanical


QUESTION : All trauma patients EXCEPT which are fluid resuscitated until a
systolic BP of 80-90: - CORRECT ANSWER head injury patients


QUESTION : Pleural decompression entails what? - CORRECT ANSWER
- mid-clavicular
- second intercostal space
- above the third rib (*do not go under the second rib to avoid damage to the
blood vessels and nerves)


QUESTION : If you have a pediatric patient who is grunting, this is indicative of
what? How to treat? - CORRECT ANSWER respiratory failure; MUST
provide vent. support (BVM)


QUESTION : If you're presented wit ha patient who comes out of a house fire
with no obvious burns, who is complaining of being light-headed and dizzy,
suspect what? - CORRECT ANSWER toxic inhalation exposure


QUESTION : Knee dislocations are most likely to be associated with what other
damage? - CORRECT ANSWER damage to nerves and arteries


QUESTION : If you are presented with a trauma patient who has a BP above 90,
what rate is the IV to flow? - CORRECT ANSWER "KVO"




2026 2027 GRADED A+

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