Advanced ITLS 8TH Edition Pre-Test Questions
and Answers 100% Correct
1. In a rear-impact motor vehicle crash, which area of the spine is most susceptible to
injury? – ANSWER: Cervical
2. A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a
load- and-go patient. Which of the following should be performed on the scene? -
ANSWER: Assess for other potentially life-threatening conditions
3. The use of external laryngeal manipulation: - ANSWER: Improves glottic
visualization
4. A pericardiocentesis is performed to: - ANSWER: To remove fluid from the lining
around the heart
5. A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP
74/32, P 136 present only at the carotid, and R 24 and shallow. The target of fluid
resuscitation is: - ANSWER: Return of peripheral pulses
6. An unconscious 15-year-old male was struck on the head with a baseball bat. His
arms and legs are extended and his right pupil is dilated and fixed. You should: -
ANSWER: Perform bag-mask ventilation at 20 per minute Exam
7. Which of the following mechanisms of injury does not commonly cause damage to
the spinal cord? - ANSWER: Lateral stress
8. A 4-year-old female is unconscious after falling off a bicycle. Which of the following
is the best method to open the airway? - ANSWER: Modified jaw-thrust
9. When performing the ITLS Primary Survey, the team leader may minimize errors
by: - ANSWER: Delegating interventions
10. You have placed an NPA in your patient and now observe mild hemorrhage from
the nares. You should: - ANSWER: Leave the NPA in place so as not to disturb the clot
or reactivate bleeding
11. A 27-year-old male with blunt chest trauma from a motor vehicle collision was
successfully intubated at the scene. While ventilating the patient, you note resistance
with absence of right chest wall movement. You should suspect a: - ANSWER: Tension
pneumothorax
, 12. 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? - ANSWER:
Intravenous fluid; give enough fluid to maintain peripheral pulses
13. The gold standard to confirm that the endotracheal tube is placed in the trachea
is: - ANSWER: Waveform capnography
14. Common mechanisms of injury for the pediatric patient include all of the
following except: - ANSWER: Animal bites
15. Which of the following injuries would change a trauma patient's transport
classification from "stable" to "load and go"? - ANSWER: Pelvic fracture
16. Which of the following findings would not make a patient difficult to ventilate
with a bag-valve mask? - ANSWER: Multiple nose piercings
17. What is the most frequent cause for an intubated trauma patient to develop poor
lung compliance while being ventilated? - ANSWER: Tension pneumothorax
18. Hemostatic agents applied directly to the source of bleeding must be used in
conjunction with: - ANSWER: Direct pressure to the wound
19. Routine use of hyperventilation in the traumatic brain injured (TBI) patient will:
- ANSWER: Cause vasoconstriction and increased cerebral ischemia
20. Which finding requires interruption of the ITLS Primary Survey? - ANSWER:
Complete airway obstruction
21. Bag-valve-mask ventilation: - ANSWER: May exceed 60 cm H2O pressure in the
airway
22. Which of the following is true regarding pulmonary contusion? - ANSWER: It is
caused by hemorrhage into the lung parenchyma
23. A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is controlled by direct pressure and use of
a tourniquet. Which intravenous fluid therapy is appropriate? - ANSWER:
Intravenous fluid administration bolus of 500-1000 mL, then reassess
24. In the absence of herniation syndrome, adult patients with suspected traumatic
brain injury should be ventilated as a rate of: - ANSWER: 8-10 per minute
25. What is the most likely cause of unequal pupils in a patient whose mental status
is altered due to a head injury? - ANSWER: Increased intracranial pressure
and Answers 100% Correct
1. In a rear-impact motor vehicle crash, which area of the spine is most susceptible to
injury? – ANSWER: Cervical
2. A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a
load- and-go patient. Which of the following should be performed on the scene? -
ANSWER: Assess for other potentially life-threatening conditions
3. The use of external laryngeal manipulation: - ANSWER: Improves glottic
visualization
4. A pericardiocentesis is performed to: - ANSWER: To remove fluid from the lining
around the heart
5. A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP
74/32, P 136 present only at the carotid, and R 24 and shallow. The target of fluid
resuscitation is: - ANSWER: Return of peripheral pulses
6. An unconscious 15-year-old male was struck on the head with a baseball bat. His
arms and legs are extended and his right pupil is dilated and fixed. You should: -
ANSWER: Perform bag-mask ventilation at 20 per minute Exam
7. Which of the following mechanisms of injury does not commonly cause damage to
the spinal cord? - ANSWER: Lateral stress
8. A 4-year-old female is unconscious after falling off a bicycle. Which of the following
is the best method to open the airway? - ANSWER: Modified jaw-thrust
9. When performing the ITLS Primary Survey, the team leader may minimize errors
by: - ANSWER: Delegating interventions
10. You have placed an NPA in your patient and now observe mild hemorrhage from
the nares. You should: - ANSWER: Leave the NPA in place so as not to disturb the clot
or reactivate bleeding
11. A 27-year-old male with blunt chest trauma from a motor vehicle collision was
successfully intubated at the scene. While ventilating the patient, you note resistance
with absence of right chest wall movement. You should suspect a: - ANSWER: Tension
pneumothorax
, 12. 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? - ANSWER:
Intravenous fluid; give enough fluid to maintain peripheral pulses
13. The gold standard to confirm that the endotracheal tube is placed in the trachea
is: - ANSWER: Waveform capnography
14. Common mechanisms of injury for the pediatric patient include all of the
following except: - ANSWER: Animal bites
15. Which of the following injuries would change a trauma patient's transport
classification from "stable" to "load and go"? - ANSWER: Pelvic fracture
16. Which of the following findings would not make a patient difficult to ventilate
with a bag-valve mask? - ANSWER: Multiple nose piercings
17. What is the most frequent cause for an intubated trauma patient to develop poor
lung compliance while being ventilated? - ANSWER: Tension pneumothorax
18. Hemostatic agents applied directly to the source of bleeding must be used in
conjunction with: - ANSWER: Direct pressure to the wound
19. Routine use of hyperventilation in the traumatic brain injured (TBI) patient will:
- ANSWER: Cause vasoconstriction and increased cerebral ischemia
20. Which finding requires interruption of the ITLS Primary Survey? - ANSWER:
Complete airway obstruction
21. Bag-valve-mask ventilation: - ANSWER: May exceed 60 cm H2O pressure in the
airway
22. Which of the following is true regarding pulmonary contusion? - ANSWER: It is
caused by hemorrhage into the lung parenchyma
23. A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is controlled by direct pressure and use of
a tourniquet. Which intravenous fluid therapy is appropriate? - ANSWER:
Intravenous fluid administration bolus of 500-1000 mL, then reassess
24. In the absence of herniation syndrome, adult patients with suspected traumatic
brain injury should be ventilated as a rate of: - ANSWER: 8-10 per minute
25. What is the most likely cause of unequal pupils in a patient whose mental status
is altered due to a head injury? - ANSWER: Increased intracranial pressure
