ITLS Advanced Post-Test: Questions With Solutions
What should be completed upon arriving at the scene? Right Ans - Scene
Size-up
Prolonged scene times are often related to what factor? Right Ans -
Ineffective team collaboration
What ETCO2 value would indicate hyperventilation? Right Ans - less than
30mmHg
What 2 interventions should be performed on a patient with a flail chest
segment? Right Ans - 1. C-Spine precautions
2. Positive Pressure Ventilations w/ a BVM
Can hypovolemic (high-space) shock occur without any obvious trauma?
Right Ans - YES! Internal bleeding is a big concern
How do you position the patient and their head when attempting an external
jugular IV? Right Ans - Supine with no head elevation. Head turned to the
appropriate side
Your patient has an isolated traumatic brain injury. How would you expect
their BP and HR to be? Right Ans - BP: elevated
HR: decreased
What motion do you need to avoid when applying a C-collar? Right Ans -
Neck traction (pulling head superiorly, stretching the spine)
Does abdominal evisceration indicate a need for immediate transport?
Right Ans - YES! Do everything during transport (IV, bandaging, etc.)
Your patient has an extremity trapped. What can you do for them while
waiting for extrication? Right Ans - Gather vital signs. Give pain
management assuming vitals allow for it.
Do you wanted to establish IV access for a burn patient on scene or during
transport? Right Ans - On scene. Ensures you will get it so you can start
fluids and pain management.
, What assessment is useful for monitoring a pediatric patient with a head
injury? Right Ans - Level of consciousness
Hypotension in a geriatric patient can indicate what? Right Ans - Acute
injury
Your patient is under the influence of alcohol and has a minor head injury.
What kind of patient should you treat them as? Right Ans - A head injury
patient. You can no longer tell if they are altered due to ETOH or the head
injury ---> they do not have capacity to refuse
What is the most common cause of cardiac arrest in a trauma patient?
Right Ans - Hypoxemia
If you are exposed to a contaminant, how soon should you seek treatment?
Right Ans - Within hours of exposure
What assessment should be performed when you suspect a chest injury?
Right Ans - An ECG
What 3 assessments compose a neurological exam? Right Ans - GCS
blood glucose test
pupil examination
You hear gurgling sounds during your patient's respirations. What should you
do? Right Ans - suction
You accidentally overinflate a laryngeal mask airway. Do you need to worry
about the patient vomiting due to this? Right Ans - No
What 3 assessment findings after an MVC would suggest cardiac contusion?
Right Ans - Clear lung sounds
Present chest pain
Sternal tenderness
What is not considered a potential complication of chest decompression?
Right Ans - Difficulty monitoring the decompression site
What should be completed upon arriving at the scene? Right Ans - Scene
Size-up
Prolonged scene times are often related to what factor? Right Ans -
Ineffective team collaboration
What ETCO2 value would indicate hyperventilation? Right Ans - less than
30mmHg
What 2 interventions should be performed on a patient with a flail chest
segment? Right Ans - 1. C-Spine precautions
2. Positive Pressure Ventilations w/ a BVM
Can hypovolemic (high-space) shock occur without any obvious trauma?
Right Ans - YES! Internal bleeding is a big concern
How do you position the patient and their head when attempting an external
jugular IV? Right Ans - Supine with no head elevation. Head turned to the
appropriate side
Your patient has an isolated traumatic brain injury. How would you expect
their BP and HR to be? Right Ans - BP: elevated
HR: decreased
What motion do you need to avoid when applying a C-collar? Right Ans -
Neck traction (pulling head superiorly, stretching the spine)
Does abdominal evisceration indicate a need for immediate transport?
Right Ans - YES! Do everything during transport (IV, bandaging, etc.)
Your patient has an extremity trapped. What can you do for them while
waiting for extrication? Right Ans - Gather vital signs. Give pain
management assuming vitals allow for it.
Do you wanted to establish IV access for a burn patient on scene or during
transport? Right Ans - On scene. Ensures you will get it so you can start
fluids and pain management.
, What assessment is useful for monitoring a pediatric patient with a head
injury? Right Ans - Level of consciousness
Hypotension in a geriatric patient can indicate what? Right Ans - Acute
injury
Your patient is under the influence of alcohol and has a minor head injury.
What kind of patient should you treat them as? Right Ans - A head injury
patient. You can no longer tell if they are altered due to ETOH or the head
injury ---> they do not have capacity to refuse
What is the most common cause of cardiac arrest in a trauma patient?
Right Ans - Hypoxemia
If you are exposed to a contaminant, how soon should you seek treatment?
Right Ans - Within hours of exposure
What assessment should be performed when you suspect a chest injury?
Right Ans - An ECG
What 3 assessments compose a neurological exam? Right Ans - GCS
blood glucose test
pupil examination
You hear gurgling sounds during your patient's respirations. What should you
do? Right Ans - suction
You accidentally overinflate a laryngeal mask airway. Do you need to worry
about the patient vomiting due to this? Right Ans - No
What 3 assessment findings after an MVC would suggest cardiac contusion?
Right Ans - Clear lung sounds
Present chest pain
Sternal tenderness
What is not considered a potential complication of chest decompression?
Right Ans - Difficulty monitoring the decompression site
