ITLS EXAM QUESTIONS AND ANSWERS
1. Upon arrival at a trauma scene, you should complete a
A.)initial assessment
B.)scene size-up
C.)rapid trauma survey
D.)ITLS reassessment exam: B
2. Prolonged scene times may reflect
A.)a decrease in death rates
B.)delivery of better care
C.)accomplishment of interventions
D.)ineffective team collaboration: D
3. which of the following indicates a state of hyperventilation
A.)an adult respiratory rate >18 per minute
B.)a tidal volume <400mL
C.)an 02 sat >94%
D.)a capno of 30: D
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22
,4. an unresponsive 34 YO F was struck by a motor vehicle. You
observe asym- metrical chest wall movement with a flail segment
on the right. Following delegation of c-spine control and opening
the airway you should
A.)consider BVM
B.)place a c collar
C.)low-flo 02
D.)establish pain management meds: A
5. A 23 YO F fell from a second-floor balcony. Upon arrival, you find
her lying in the grass. She responds to verbal commands and your
assessment reveals flat neck veins, and normal chest, ABD, and
pelvis examinations. Vitals are BP: 74/40, P: 54 and weak, and
respers: 16. You should suspect
A.)hypovolemic shock
B.)relative hypovolemic(high space) shock
C.)mechanical(obstructive) shock
D.)cardiogenic shock: B
6. which of the following regarding positioning for external
jugular cannulation is incorrect?
A.)the pt must be supine
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22
, B.)if you suspect c-spine injury, the head must not be turned during
cannula- tion
C.) if no suspicion of c-spine injury exists, turn the pt's head to the
opposite side
D.)elevate the head to distend the vein and prevent air embolism: D
7. Which of the following sets of vital signs is most compatible w/ a
diagnosis of isolated traumatic brain injury w/ increasing ICP
A.) BP: 170/100 P: 50
B.) BP: 80/60 P: 130
C.) BP: 80/60 P: 50
D.) BP: 170/100 P: 130: A
8. which of the following statements is incorrect regarding spinal
motion restric- tion
A.)pts should be removed from the long spine board when it is
safe and practical to do so
B.)neck traction should be applied to extend the neck upward during
c-collar application
C.)remaining on the board for prolonged periods can produce
discomfort, pressure sores, and respiratory compromise
D.)a long backboard is not indicated in penetrating wounds of the
torso, neck, or head unless there is clinical evidence of a spine
3/
22
1. Upon arrival at a trauma scene, you should complete a
A.)initial assessment
B.)scene size-up
C.)rapid trauma survey
D.)ITLS reassessment exam: B
2. Prolonged scene times may reflect
A.)a decrease in death rates
B.)delivery of better care
C.)accomplishment of interventions
D.)ineffective team collaboration: D
3. which of the following indicates a state of hyperventilation
A.)an adult respiratory rate >18 per minute
B.)a tidal volume <400mL
C.)an 02 sat >94%
D.)a capno of 30: D
1/
22
,4. an unresponsive 34 YO F was struck by a motor vehicle. You
observe asym- metrical chest wall movement with a flail segment
on the right. Following delegation of c-spine control and opening
the airway you should
A.)consider BVM
B.)place a c collar
C.)low-flo 02
D.)establish pain management meds: A
5. A 23 YO F fell from a second-floor balcony. Upon arrival, you find
her lying in the grass. She responds to verbal commands and your
assessment reveals flat neck veins, and normal chest, ABD, and
pelvis examinations. Vitals are BP: 74/40, P: 54 and weak, and
respers: 16. You should suspect
A.)hypovolemic shock
B.)relative hypovolemic(high space) shock
C.)mechanical(obstructive) shock
D.)cardiogenic shock: B
6. which of the following regarding positioning for external
jugular cannulation is incorrect?
A.)the pt must be supine
2/
22
, B.)if you suspect c-spine injury, the head must not be turned during
cannula- tion
C.) if no suspicion of c-spine injury exists, turn the pt's head to the
opposite side
D.)elevate the head to distend the vein and prevent air embolism: D
7. Which of the following sets of vital signs is most compatible w/ a
diagnosis of isolated traumatic brain injury w/ increasing ICP
A.) BP: 170/100 P: 50
B.) BP: 80/60 P: 130
C.) BP: 80/60 P: 50
D.) BP: 170/100 P: 130: A
8. which of the following statements is incorrect regarding spinal
motion restric- tion
A.)pts should be removed from the long spine board when it is
safe and practical to do so
B.)neck traction should be applied to extend the neck upward during
c-collar application
C.)remaining on the board for prolonged periods can produce
discomfort, pressure sores, and respiratory compromise
D.)a long backboard is not indicated in penetrating wounds of the
torso, neck, or head unless there is clinical evidence of a spine
3/
22
