ITLS 8th Edition Additional UPDATED ACTUAL Questions and
CORRECT Answers
1. Upon arrival at a trauma scene, Scene Size-up
you should complete a(n)
2. Prolonged scene times may re- Ineffective team collaboration
flect:
3. Which of the following indi- An end tidal CO2 level less than 30 mmHG
cates a state of hyperventila-
tion?
4. A 23 year old female fell from Relative hypovolemic (high-space) shock
a 2nd floor balcony. Upon ar-
rival, you find her lying in the Rationale: The condition causing the vascular space to be too
grass. She responds to verbal large for a normal amount of blood has been called "shock",
commands and your assess- or relative hypovolemia. Neurogenic shock, commonly called
ment reveals flat neck veins, & spinal shock, is a form of relative hypovolemia. The clinical
normal chest/abdomen/pelvic presentation of neurogenic shock differs from hemorrhagic
examinations. Vital signs are: shock in that there is no catecholamine release and this no
BP 74/40, P 54 & Weak, and R pallor (vasoconstriction), tachycardia, or sweating. The patient
16. You should suspect: will have a decreased BP but the HR will be normal or slow,
and the skin is usually warm, dry and pink
5. An unresponsive 34 y/o female Stabilize the chest wall
was struck by a vehicle. You ob-
serve Asymmetrical chest wall
movement with a flail seg-
ment on the right. Following
delegation of c-spine control
and opening the airway, you
should?
6. Which of the following regard- Elevate the head to distend the vein and prevent air embolism.
ing PT positioning for exter-
, nal jugular cannulation is In- Rationale: The PT must be in the supine position, preferably
correct? head down, to distend the vein and prevent air embolism.
7. Which of the following set of BP 170/100, P 50
vital signs is most compatible
with a diagnosis of isolated
Rationale: When the ICP increases, the systemic BP increases
traumatic brain injury with in-
to try to preserve blood flow to the brain. The body senses the
creasing ICP?
rise in systemic BP, and this triggers a drop in the pulse rate
as the body tries to lower the systemic BP
8. Which of the following state- Neck traction should be applied to extend the neck upward
ments is incorrect regarding during cervical collar application
spinal motion restriction?
9. A 15 y/o male was stabbed and Prepare PT for transport & establish vascular access during
has an abdominal evisceration. transport.
The PT is A/O, BP 112/68, P 94,
R18. You should?
10. A 33yo female's leg was Administer pain medication
trapped in a piece of industrial
equipment and has been extri-
cated. 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?
11. Establishing vascular access To administer medication
on scene is indicated:
12.
CORRECT Answers
1. Upon arrival at a trauma scene, Scene Size-up
you should complete a(n)
2. Prolonged scene times may re- Ineffective team collaboration
flect:
3. Which of the following indi- An end tidal CO2 level less than 30 mmHG
cates a state of hyperventila-
tion?
4. A 23 year old female fell from Relative hypovolemic (high-space) shock
a 2nd floor balcony. Upon ar-
rival, you find her lying in the Rationale: The condition causing the vascular space to be too
grass. She responds to verbal large for a normal amount of blood has been called "shock",
commands and your assess- or relative hypovolemia. Neurogenic shock, commonly called
ment reveals flat neck veins, & spinal shock, is a form of relative hypovolemia. The clinical
normal chest/abdomen/pelvic presentation of neurogenic shock differs from hemorrhagic
examinations. Vital signs are: shock in that there is no catecholamine release and this no
BP 74/40, P 54 & Weak, and R pallor (vasoconstriction), tachycardia, or sweating. The patient
16. You should suspect: will have a decreased BP but the HR will be normal or slow,
and the skin is usually warm, dry and pink
5. An unresponsive 34 y/o female Stabilize the chest wall
was struck by a vehicle. You ob-
serve Asymmetrical chest wall
movement with a flail seg-
ment on the right. Following
delegation of c-spine control
and opening the airway, you
should?
6. Which of the following regard- Elevate the head to distend the vein and prevent air embolism.
ing PT positioning for exter-
, nal jugular cannulation is In- Rationale: The PT must be in the supine position, preferably
correct? head down, to distend the vein and prevent air embolism.
7. Which of the following set of BP 170/100, P 50
vital signs is most compatible
with a diagnosis of isolated
Rationale: When the ICP increases, the systemic BP increases
traumatic brain injury with in-
to try to preserve blood flow to the brain. The body senses the
creasing ICP?
rise in systemic BP, and this triggers a drop in the pulse rate
as the body tries to lower the systemic BP
8. Which of the following state- Neck traction should be applied to extend the neck upward
ments is incorrect regarding during cervical collar application
spinal motion restriction?
9. A 15 y/o male was stabbed and Prepare PT for transport & establish vascular access during
has an abdominal evisceration. transport.
The PT is A/O, BP 112/68, P 94,
R18. You should?
10. A 33yo female's leg was Administer pain medication
trapped in a piece of industrial
equipment and has been extri-
cated. 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?
11. Establishing vascular access To administer medication
on scene is indicated:
12.
