1|Page
ITLS 10TH EDITION NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
1. A 27-year-old male with blunt chest trauma from a motor
vehicle collision was successfully intubated at the scene. While
ventilating the patient, you note resistance with absence of right
chest wall movement. You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ANSWER-D. Tension pneumothorax
Rationale: The development of decreased lung compliance
(difficulty in squeezing the bag-mask device) in the intubated
patient should always alert you to the possibility of a tension
pneumothorax.
2. A 34-year-old man has a gunshot wound to the right groin area.
Arterial bleeding, which cannot be controlled with direct pressure
or tourniquet, is coming from the wound. The patient appears
,2|Page
confused, diaphoretic, and has weak peripheral pulses. What is
the appropriate fluid resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral
pulses
C. Intravenous fluid at a "wide open" rate
D. Intravenous access should be established in this situation -
ANSWER-B. Intravenous fluid; give enough fluid to maintain
peripheral pulses
Rationale: Give only enough normal saline to maintain a blood
pressure high enough for adequate peripheral perfusion.
Maintaining peripheral perfusion may be defined as producing a
peripheral pulse (such as a radial pulse).
3. The gold standard to confirm that the endotracheal tube is
placed in the trachea is:
A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
,3|Page
D. Presence of condensation in the tube - ANSWER-C. Waveform
capnography
Rationale: Although the most reliable method of ensuring proper
placement is actually visualizing the tube passing through the
glottic opening, even this is not 100% sure. In fact, it is only
reliable for the moment you see it. The gold standard for
confirming and monitoring ETT placement is waveform
capnography.
4. Common mechanisms of injury for the pediatric patient include
all of the following except:
A. Falls
B. Animal bites
C. Burns
D. Motor vehicle collisions - ANSWER-B. Animal bites
Rationale: Children are most commonly injured from falls (either
from standing height or higher), motor vehicle collisions,
, 4|Page
automobile-pedestrian or bicycle crashes, burns, submersion
injuries (drowning), and child abuse.
5. Which of the following injuries would change a trauma patient's
transport classification from "stable" to "load and go"?
A. Clavicle fracture
B. Pelvic fracture
C. Bilateral humerus fractures
D. Bilateral tibia fractures - ANSWER-B. Pelvic fracture
Rationale: Conditions that can rapidly lead to shock include
penetrating wounds to the torso, abnormal chest exam, tender
distended abdomen pelvic instability and bilateral fractures.
6. Which of the following findings would not make a patient
difficult to ventilate with a bag-valve mask?
A. Beard
B. Obesity
C. Elderly patient
ITLS 10TH EDITION NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
1. A 27-year-old male with blunt chest trauma from a motor
vehicle collision was successfully intubated at the scene. While
ventilating the patient, you note resistance with absence of right
chest wall movement. You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ANSWER-D. Tension pneumothorax
Rationale: The development of decreased lung compliance
(difficulty in squeezing the bag-mask device) in the intubated
patient should always alert you to the possibility of a tension
pneumothorax.
2. A 34-year-old man has a gunshot wound to the right groin area.
Arterial bleeding, which cannot be controlled with direct pressure
or tourniquet, is coming from the wound. The patient appears
,2|Page
confused, diaphoretic, and has weak peripheral pulses. What is
the appropriate fluid resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral
pulses
C. Intravenous fluid at a "wide open" rate
D. Intravenous access should be established in this situation -
ANSWER-B. Intravenous fluid; give enough fluid to maintain
peripheral pulses
Rationale: Give only enough normal saline to maintain a blood
pressure high enough for adequate peripheral perfusion.
Maintaining peripheral perfusion may be defined as producing a
peripheral pulse (such as a radial pulse).
3. The gold standard to confirm that the endotracheal tube is
placed in the trachea is:
A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
,3|Page
D. Presence of condensation in the tube - ANSWER-C. Waveform
capnography
Rationale: Although the most reliable method of ensuring proper
placement is actually visualizing the tube passing through the
glottic opening, even this is not 100% sure. In fact, it is only
reliable for the moment you see it. The gold standard for
confirming and monitoring ETT placement is waveform
capnography.
4. Common mechanisms of injury for the pediatric patient include
all of the following except:
A. Falls
B. Animal bites
C. Burns
D. Motor vehicle collisions - ANSWER-B. Animal bites
Rationale: Children are most commonly injured from falls (either
from standing height or higher), motor vehicle collisions,
, 4|Page
automobile-pedestrian or bicycle crashes, burns, submersion
injuries (drowning), and child abuse.
5. Which of the following injuries would change a trauma patient's
transport classification from "stable" to "load and go"?
A. Clavicle fracture
B. Pelvic fracture
C. Bilateral humerus fractures
D. Bilateral tibia fractures - ANSWER-B. Pelvic fracture
Rationale: Conditions that can rapidly lead to shock include
penetrating wounds to the torso, abnormal chest exam, tender
distended abdomen pelvic instability and bilateral fractures.
6. Which of the following findings would not make a patient
difficult to ventilate with a bag-valve mask?
A. Beard
B. Obesity
C. Elderly patient
