ITLS Question and Answer [2026] | UPDATED
ACTUAL Exam | 100% Verified Answers
Prolonged scene times may reflect
A.) a decrease in death rates
B.) delivery of better care
C.) accomplishment of interventions
D.) ineffective team collaboration . CORRECT ANSWER: D
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 . CORRECT ANSWER: D
an unresponsive 34 YO F was struck by a motor 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
A.) consider BVM
B.) place a c collar
C.) low-flo 02
D.) establish pain management meds . CORRECT ANSWER: A
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 . CORRECT ANSWER: B
which of the following regarding positioning for external jugular cannulation is incorrect?
A.) the pt must be supine
B.) if you suspect c-spine injury, the head must not be turned during cannulation
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 . CORRECT
ANSWER: D
, 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 . CORRECT ANSWER: A
which of the following statements is incorrect regarding spinal motion restriction
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 injury . CORRECT ANSWER: B
a 15 YO M was stabbed and has an abdominal evisceration. The pt is AO, BP: 112/68,
P: 94, and respers:18. You should
A.) irrigate any protruding organs or viscera and gently push back into the wound
B.) pack the wound w/ a hemostatic agent and perform complete spinal motion
restriction
C.) cover any protruding organs or viscera w/ gauze moistened with normal saline
D.) prepare the pt for immediate transport and establish vascular access en route .
CORRECT ANSWER: D
a 33 YO F's leg was trapped in a piece of industrial equipment and has been extricated.
She is now complaining of severe lower leg pain. Pt is AO w/ no signs of external
hemorrhage. Vitals: BP:132/78, P:96, respers:20. which of the following is indicated?
A.) apply a TQ proximal to the injury site
B.) administer sodium bicarb
C.) administer a pain med
D.) apply a traction splint . CORRECT ANSWER: c
establishing vascular access on scene for burn management is indicated:
A.) to administer meds
B.) to initiate fluid resuscitation based on the Parkland Formula
C.) to cool a thermal burn
D.) to dilute a chemical burn . CORRECT ANSWER: A
Which of the following changes is most useful to monitor in the child with head injury?
ACTUAL Exam | 100% Verified Answers
Prolonged scene times may reflect
A.) a decrease in death rates
B.) delivery of better care
C.) accomplishment of interventions
D.) ineffective team collaboration . CORRECT ANSWER: D
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 . CORRECT ANSWER: D
an unresponsive 34 YO F was struck by a motor 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
A.) consider BVM
B.) place a c collar
C.) low-flo 02
D.) establish pain management meds . CORRECT ANSWER: A
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 . CORRECT ANSWER: B
which of the following regarding positioning for external jugular cannulation is incorrect?
A.) the pt must be supine
B.) if you suspect c-spine injury, the head must not be turned during cannulation
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 . CORRECT
ANSWER: D
, 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 . CORRECT ANSWER: A
which of the following statements is incorrect regarding spinal motion restriction
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 injury . CORRECT ANSWER: B
a 15 YO M was stabbed and has an abdominal evisceration. The pt is AO, BP: 112/68,
P: 94, and respers:18. You should
A.) irrigate any protruding organs or viscera and gently push back into the wound
B.) pack the wound w/ a hemostatic agent and perform complete spinal motion
restriction
C.) cover any protruding organs or viscera w/ gauze moistened with normal saline
D.) prepare the pt for immediate transport and establish vascular access en route .
CORRECT ANSWER: D
a 33 YO F's leg was trapped in a piece of industrial equipment and has been extricated.
She is now complaining of severe lower leg pain. Pt is AO w/ no signs of external
hemorrhage. Vitals: BP:132/78, P:96, respers:20. which of the following is indicated?
A.) apply a TQ proximal to the injury site
B.) administer sodium bicarb
C.) administer a pain med
D.) apply a traction splint . CORRECT ANSWER: c
establishing vascular access on scene for burn management is indicated:
A.) to administer meds
B.) to initiate fluid resuscitation based on the Parkland Formula
C.) to cool a thermal burn
D.) to dilute a chemical burn . CORRECT ANSWER: A
Which of the following changes is most useful to monitor in the child with head injury?
