ITLS Advanced Pre-Test (9th
Edition - Version 9.1) Exam
80 questions and latest
solutions 2025/2026 Graded
A+.
1/
16
,1. In a rear-impact motor vehicle collision, which area of the spine is most susceptible to injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal ANSWER A. Cervical
2. A pericardiocentesis is performed to ANSWER
A. To remove fluid from the lining around the lungs
B. To remove fluid from the lining around the heart
C. To inject medications directly into the heart
D. To monitor stroke volume ANSWER B. To remove fluid from the lining around the heart
3. 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?
A. Obtain an ECG
B. Establish vascular access
C. Obtain a finger stick serum lactate level
D. Assess for other potentially life-threatening conditions ANSWER D. Assess for other potentially life-threatening
conditions
4. The use of external laryngeal manipulation ANSWER
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration ANSWER C. Improves glottis visualization
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
A. Return of peripheral pulses
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100 ANSWER A. 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
A. Insert an oropharyngeal airway, administer oxygen, and restrict fluids
B. Apply a non-rebreather mask, restrict fluids, and administer Mannitol
C. Perform nasotracheal intubation, restrict fluids, and provide adequate ven- tilation
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, D. Perform bag-mask ventilation at 20 per minute ANSWER D. Perform bag-mask ventila- tion at 20 per minute
7. Which of the following mechanisms of injury does not commonly cause damage to the spinal cord?
A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression ANSWER C. Lateral stress
8. A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the best method to pen
the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift ANSWER A. Modified jaw-thrust
9. When performing the ITLS Primary Survey, the team leader may minimize errors by ANSWER
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions ANSWER D. Delegating interventions
10. You have placed an NPA in your patient and now observe mild hemorrhage from the nares. You should
ANSWER
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or reactivate bleeding
D. Contact medical control as an NPA will not cause hemorrhage ANSWER C. 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 collisions as successfully intubated at the
scene. While ventilating the patient, you note resistance with absence of right chest wall movement. You should
suspect a ANSWER
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax ANSWER D. Tension pneumothorax
12. A 34-year-old man has a gunshot wound to the right groin area. Arterial bleeding, which cannot be
3/
16
Edition - Version 9.1) Exam
80 questions and latest
solutions 2025/2026 Graded
A+.
1/
16
,1. In a rear-impact motor vehicle collision, which area of the spine is most susceptible to injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal ANSWER A. Cervical
2. A pericardiocentesis is performed to ANSWER
A. To remove fluid from the lining around the lungs
B. To remove fluid from the lining around the heart
C. To inject medications directly into the heart
D. To monitor stroke volume ANSWER B. To remove fluid from the lining around the heart
3. 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?
A. Obtain an ECG
B. Establish vascular access
C. Obtain a finger stick serum lactate level
D. Assess for other potentially life-threatening conditions ANSWER D. Assess for other potentially life-threatening
conditions
4. The use of external laryngeal manipulation ANSWER
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration ANSWER C. Improves glottis visualization
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
A. Return of peripheral pulses
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100 ANSWER A. 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
A. Insert an oropharyngeal airway, administer oxygen, and restrict fluids
B. Apply a non-rebreather mask, restrict fluids, and administer Mannitol
C. Perform nasotracheal intubation, restrict fluids, and provide adequate ven- tilation
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16
, D. Perform bag-mask ventilation at 20 per minute ANSWER D. Perform bag-mask ventila- tion at 20 per minute
7. Which of the following mechanisms of injury does not commonly cause damage to the spinal cord?
A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression ANSWER C. Lateral stress
8. A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the best method to pen
the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift ANSWER A. Modified jaw-thrust
9. When performing the ITLS Primary Survey, the team leader may minimize errors by ANSWER
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions ANSWER D. Delegating interventions
10. You have placed an NPA in your patient and now observe mild hemorrhage from the nares. You should
ANSWER
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or reactivate bleeding
D. Contact medical control as an NPA will not cause hemorrhage ANSWER C. 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 collisions as successfully intubated at the
scene. While ventilating the patient, you note resistance with absence of right chest wall movement. You should
suspect a ANSWER
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax ANSWER D. Tension pneumothorax
12. A 34-year-old man has a gunshot wound to the right groin area. Arterial bleeding, which cannot be
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16
