ITLS Advanced Post-Test Questions &
Answers(RATED A+)
What should be completed upon arriving at the scene? - ANSWERScene Size-up
Prolonged scene times are often related to what factor? - ANSWERIneffective team collaboration
What ETCO2 value would indicate hyperventilation? - ANSWERless than 30mmHg
What 2 interventions should be performed on a patient with a flail chest segment? - ANSWER1. C-
Spine precautions
2. Positive Pressure Ventilations w/ a BVM
Can hypovolemic (high-space) shock occur without any obvious trauma? - ANSWERYES! Internal
bleeding is a big concern
How do you position the patient and their head when attempting an external jugular IV? -
ANSWERSupine with no head elevation. Head turned to the appropriate side
Do you wanted to establish IV access for a burn patient on scene or during transport? - ANSWEROn
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? - ANSWERLevel of
consciousness
Your patient has an isolated traumatic brain injury. How would you expect their BP and HR to be? -
ANSWERBP: elevated
HR: decreased
What motion do you need to avoid when applying a C-collar? - ANSWERNeck traction (pulling head
superiorly, stretching the spine)
, Does abdominal evisceration indicate a need for immediate transport? - ANSWERYES! Do everything
during transport (IV, bandaging, etc.)
Your patient has an extremity trapped. What can you do for them while waiting for extrication? -
ANSWERGather vital signs. Give pain management assuming vitals allow for it.
Hypotension in a geriatric patient can indicate what? - ANSWERAcute injury
Your patient is under the influence of alcohol and has a minor head injury. What kind of patient
should you treat them as? - ANSWERA 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? - ANSWERHypoxemia
If you are exposed to a contaminant, how soon should you seek treatment? - ANSWERWithin hours
of exposure
What 3 assessment findings after an MVC would suggest cardiac contusion? - ANSWERClear lung
sounds
Present chest pain
Sternal tenderness
What is not considered a potential complication of chest decompression? - ANSWERDifficulty
monitoring the decompression site
What assessment should be performed when you suspect a chest injury? - ANSWERAn ECG
What 3 assessments compose a neurological exam? - ANSWERGCS
blood glucose test
pupil examination
Answers(RATED A+)
What should be completed upon arriving at the scene? - ANSWERScene Size-up
Prolonged scene times are often related to what factor? - ANSWERIneffective team collaboration
What ETCO2 value would indicate hyperventilation? - ANSWERless than 30mmHg
What 2 interventions should be performed on a patient with a flail chest segment? - ANSWER1. C-
Spine precautions
2. Positive Pressure Ventilations w/ a BVM
Can hypovolemic (high-space) shock occur without any obvious trauma? - ANSWERYES! Internal
bleeding is a big concern
How do you position the patient and their head when attempting an external jugular IV? -
ANSWERSupine with no head elevation. Head turned to the appropriate side
Do you wanted to establish IV access for a burn patient on scene or during transport? - ANSWEROn
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? - ANSWERLevel of
consciousness
Your patient has an isolated traumatic brain injury. How would you expect their BP and HR to be? -
ANSWERBP: elevated
HR: decreased
What motion do you need to avoid when applying a C-collar? - ANSWERNeck traction (pulling head
superiorly, stretching the spine)
, Does abdominal evisceration indicate a need for immediate transport? - ANSWERYES! Do everything
during transport (IV, bandaging, etc.)
Your patient has an extremity trapped. What can you do for them while waiting for extrication? -
ANSWERGather vital signs. Give pain management assuming vitals allow for it.
Hypotension in a geriatric patient can indicate what? - ANSWERAcute injury
Your patient is under the influence of alcohol and has a minor head injury. What kind of patient
should you treat them as? - ANSWERA 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? - ANSWERHypoxemia
If you are exposed to a contaminant, how soon should you seek treatment? - ANSWERWithin hours
of exposure
What 3 assessment findings after an MVC would suggest cardiac contusion? - ANSWERClear lung
sounds
Present chest pain
Sternal tenderness
What is not considered a potential complication of chest decompression? - ANSWERDifficulty
monitoring the decompression site
What assessment should be performed when you suspect a chest injury? - ANSWERAn ECG
What 3 assessments compose a neurological exam? - ANSWERGCS
blood glucose test
pupil examination
