ITLS Exam: Questions & Complete Solutions (Solved)
Upon arrival at a trauma scene, you should complete a(n) Right Ans - Scene
Size-up
pg 2
Prolonged scene times may reflect: Right Ans - Ineffective team
collaboration
pg 34
Which of the following indicates a state of hyperventilation? Right Ans - An
end tidal CO2 level less than 30 mmHG
pg 79
A 23 year old female fell from a 2nd floor balcony. Upon arrival, you find her
lying in the grass. She responds to verbal commands and your assessment
reveals flat neck veins, & normal chest/abdomen/pelvic examinations. Vital
signs are: BP 74/40, P 54 & Weak, and R 16. You should suspect: Right Ans
- Relative hypovolemic (high-space) shock
pg 161
Rationale: The condition causing the vascular space to be too large for a
normal amount of blood has been called "shock", or relative hypovolemia.
Neurogenic shock, commonly called spinal shock, is a form of relative
hypovolemia. The clinical presentation of neurogenic shock differs from
hemorrhagic shock in that there is no catecholamine release and this no pallor
(vasoconstriction), tachycardia, or sweating. The patient will have a decreased
BP but the HR will be normal or slow, and the skin is usually warm, dry and
pink
An unresponsive 34 y/o female was struck by a 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?
Right Ans - Stabilize the chest wall
pg 131
Which of the following regarding PT positioning for external jugular
cannulation is Incorrect? Right Ans - Elevate the head to distend the vein
and prevent air embolism.
, pg 178
Rationale: The PT must be in the supine position, preferably head down, to
distend the vein and prevent air embolism.
Which of the following set of vital signs is most compatible with a diagnosis of
isolated traumatic brain injury with increasing ICP? Right Ans - BP
170/100, P 50
pg 193
Rationale: When the ICP increases, the systemic BP increases to try to
preserve blood flow to the brain. The body senses the rise in systemic BP, and
this triggers a drop in the pulse rate as the body tries to lower the systemic BP
Which of the following statements is incorrect regarding spinal motion
restriction? Right Ans - Neck traction should be applied to extend the neck
upward during cervical collar application
pg 219
A 15 y/o male was stabbed and has an abdominal evisceration. The PT is A/O,
BP 112/68, P 94, R18. You should? Right Ans - Prepare PT for transport &
establish vascular access during transport.
pg 259
A 33yo female's leg was trapped in a piece of industrial equipment and has
been extricated. She is now complaining of secure lower leg pain. PT is A/O
with no signs of external hemorrhage. Vital signs are:
BP 132/78, P 96, R 20. Which of the following is indicated? Right Ans -
Administer pain medication
pg 274
Establishing vascular access on scene is indicated: Right Ans - To
administer medication
pg 311
Which of the following changes is most useful to monitor in the child with
head injury? Right Ans - Level of consciousness
pg342
Upon arrival at a trauma scene, you should complete a(n) Right Ans - Scene
Size-up
pg 2
Prolonged scene times may reflect: Right Ans - Ineffective team
collaboration
pg 34
Which of the following indicates a state of hyperventilation? Right Ans - An
end tidal CO2 level less than 30 mmHG
pg 79
A 23 year old female fell from a 2nd floor balcony. Upon arrival, you find her
lying in the grass. She responds to verbal commands and your assessment
reveals flat neck veins, & normal chest/abdomen/pelvic examinations. Vital
signs are: BP 74/40, P 54 & Weak, and R 16. You should suspect: Right Ans
- Relative hypovolemic (high-space) shock
pg 161
Rationale: The condition causing the vascular space to be too large for a
normal amount of blood has been called "shock", or relative hypovolemia.
Neurogenic shock, commonly called spinal shock, is a form of relative
hypovolemia. The clinical presentation of neurogenic shock differs from
hemorrhagic shock in that there is no catecholamine release and this no pallor
(vasoconstriction), tachycardia, or sweating. The patient will have a decreased
BP but the HR will be normal or slow, and the skin is usually warm, dry and
pink
An unresponsive 34 y/o female was struck by a 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?
Right Ans - Stabilize the chest wall
pg 131
Which of the following regarding PT positioning for external jugular
cannulation is Incorrect? Right Ans - Elevate the head to distend the vein
and prevent air embolism.
, pg 178
Rationale: The PT must be in the supine position, preferably head down, to
distend the vein and prevent air embolism.
Which of the following set of vital signs is most compatible with a diagnosis of
isolated traumatic brain injury with increasing ICP? Right Ans - BP
170/100, P 50
pg 193
Rationale: When the ICP increases, the systemic BP increases to try to
preserve blood flow to the brain. The body senses the rise in systemic BP, and
this triggers a drop in the pulse rate as the body tries to lower the systemic BP
Which of the following statements is incorrect regarding spinal motion
restriction? Right Ans - Neck traction should be applied to extend the neck
upward during cervical collar application
pg 219
A 15 y/o male was stabbed and has an abdominal evisceration. The PT is A/O,
BP 112/68, P 94, R18. You should? Right Ans - Prepare PT for transport &
establish vascular access during transport.
pg 259
A 33yo female's leg was trapped in a piece of industrial equipment and has
been extricated. She is now complaining of secure lower leg pain. PT is A/O
with no signs of external hemorrhage. Vital signs are:
BP 132/78, P 96, R 20. Which of the following is indicated? Right Ans -
Administer pain medication
pg 274
Establishing vascular access on scene is indicated: Right Ans - To
administer medication
pg 311
Which of the following changes is most useful to monitor in the child with
head injury? Right Ans - Level of consciousness
pg342
