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ITLS Final Exam | 2025/2026 | 100 Solved Questions | TBI, Burns, ICP, Hemorrhage, Perfusion | Advanced Paramedic & Trauma Nursing

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This document provides a fully solved set of 100 exam questions and answers from the ITLS (International Trauma Life Support) Final Exam, 2025/2026 edition. It covers high-priority trauma topics with an advanced clinical focus, ideal for students and practitioners preparing for final certification assessments in prehospital and emergency care. The material dives deep into the pathophysiology and management of traumatic brain injuries (TBI), cerebral perfusion and intracranial pressure (ICP), various types of hemorrhage (epidural, subdural, intracerebral, subarachnoid), burn classifications and treatment (thermal, chemical, electrical, radiation), hip dislocations, compartment syndrome, and pediatric trauma protocols. Key concepts such as cerebral herniation syndrome, ventilation strategies, Parkland formula for burn resuscitation, shock indicators in pregnancy and children, the Pediatric Assessment Triangle, and electrical injury complications are also clearly explained. Each question is paired with a concise and correct answer, making it an ideal tool for exam preparation, clinical review, and trauma simulation training. Best suited for learners in: – Paramedic Science and EMS Advanced Certification Programs – Trauma Nursing (TNCC), Emergency Nursing, and Critical Care Studies – Medical and Nursing Schools focusing on Emergency/Acute Care – PHTLS, Pre-Hospital Trauma, and Tactical Combat Casualty Care (TCCC) This resource aligns with ITLS advanced trauma concepts and is structured for both academic and professional environments. Keywords: ITLS, trauma exam, cerebral herniation, intracranial pressure, TBI, subdural hematoma, epidural hematoma, pediatric trauma, burn management, Parkland formula, perfusion pressure, compartment syndrome, EMS final exam, paramedic prep, trauma nursing, hemorrhagic injuries, ICP ventilation, head injury, advanced trauma life support, university EMS resource

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ITLS
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ITLS

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ITLS Exam Final 2025/2026 Exam
Questions and Answers 100%
Guaranteed Success | Already Rated A+



What is normal paCO2 - 🧠 ANSWER ✔✔35-45mmHg


When is intercranial pressure considered dangerous - 🧠 ANSWER ✔✔They

rise in 15 mmHg and cerebral herniation may occur at pressures above 25

mmHg


How is cerebral perfusion pressure calculated - 🧠 ANSWER ✔✔Subtracting

intercranial pressure from mean arterial blood pressure


What is map - 🧠 ANSWER ✔✔Mean arterial pressure


If ICP increases then what happens to cerebral perfusion pressure - 🧠

ANSWER ✔✔Cerebral perfusion pressure will decrease

, Through perfusion pressure must maintain at least what - 🧠 ANSWER

✔✔60 mmHg which requires maintaining a systolic blood pressure of 110


What is cerebral herniation syndrome - 🧠 ANSWER ✔✔A critical syndrome

in which swelling of the brain forces portions of the brain through the

magnum foremen causing coma, dilation of pupils, contralateral paralysis,

elevated blood pressure and bradycardia


When is hyperventilation indicated - 🧠 ANSWER ✔✔Cerebral herniation

syndrome

How many breaths per minute for children and infants with cerebral

herniation syndrome - 🧠 ANSWER ✔✔25 for children and 30 for infants


Patients with ICP should have an end title CO2 of what - 🧠 ANSWER ✔✔30

to 35

What are normal ventilation rate for adults children and infants - 🧠

ANSWER ✔✔8 to 10,15 and 20


What is non-reflow phenomenon - 🧠 ANSWER ✔✔The inability of restoring

oxygenation and blood pressure to restore perfusion to the cortex after and

anoxic episode of 4 to 6 minutes

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