ITLS UPDATED ACTUAL Questions and CORRECT Answers
1. An unresponsive 52-year-old male was struck in the a rate of 8-10 per minute
head by the bucket of a crane. Vital signs are BP
134/80, P 88 and R 8 and shallow. The patient should
be ventilated at:
2. A 32-year-old male is involved in a motor vehicle crash. Cardiac tamponade
The steering wheel is bent. Your assessment reveals
present and equal bilateral breath sounds, a rapid and
weak radial pulse that disappears upon inspiration.
You should suspect:
3. When performing a needle decompression, which of Directly over the top of the
the following is the correct anatomical location? fourth rib in the midaxillary
line
4. You have a patient with an isolated stab wound to the Spinal motion restriction
lateral chest. According to recent studies, which of the
following procedures should be avoided?
5. What is the most common cause of cardiopulmonary Hypoxemia
arrest in the trauma patient?
6. A 42-year-old male is involved in a motorcycle accident. External arterial bleeding
Which of the following assessment findings should be
managed first?
7. Which of the following is true regarding trauma in the Fatal outcomes are more
elderly? likely in the elderly than in
the young
8. A 25-year-old female was stabbed in the left arm. She Apply a tourniquet proxi-
presents with an altered mental status and signs of mal to the injury
, shock. Bleeding is uncontrolled despite direct pres-
sure. You should:
9. A 35-year-old male is alert and oriented at the scene Ocular trauma
of a motor vehicle collision complaining of knee pain
and a headache. Your assessment reveals a contusion
above the left eye, swelling to the left knee and un-
equal pupils (left is dilated). Vital signs are: BP 116/72,
P 88 and R 16. You should suspect:
10. If hemorrhage is unable to be controlled with a tourni- Just below the first tourni-
quet, a second tourniquet should be applied: quet
11. A 34-year-old male is injured in a motor vehicle colli- Administer intravenous
sion. He complains of diffuse abdominal tenderness. fluids at a "keep open" rate
Vital signs are BP 100/60, P 120 and R 28 and shallow.
You should:
12. Which of the following should always be performed Control major external
prior to transport? bleeding
13. An unresponsive 36-year-old female was involved in a Increased intracranial
motorcycle crash. Vital signs are BP 170/100, P 50, R 8 pressure
and GCS 3. You should suspect:
14. A 34-year-old female was struck by a vehicle caus- Provide positive pressure
ing blunt force chest trauma. She is unconscious with ventilation
gasping respirations, almost no air movement, a rapid,
thready carotid pulse and flat neck veins. You should:
15. Which of the following distinguishes a tension pneu- Shock
mothorax from a simple pneumothorax?
16. Lung
2/7
1. An unresponsive 52-year-old male was struck in the a rate of 8-10 per minute
head by the bucket of a crane. Vital signs are BP
134/80, P 88 and R 8 and shallow. The patient should
be ventilated at:
2. A 32-year-old male is involved in a motor vehicle crash. Cardiac tamponade
The steering wheel is bent. Your assessment reveals
present and equal bilateral breath sounds, a rapid and
weak radial pulse that disappears upon inspiration.
You should suspect:
3. When performing a needle decompression, which of Directly over the top of the
the following is the correct anatomical location? fourth rib in the midaxillary
line
4. You have a patient with an isolated stab wound to the Spinal motion restriction
lateral chest. According to recent studies, which of the
following procedures should be avoided?
5. What is the most common cause of cardiopulmonary Hypoxemia
arrest in the trauma patient?
6. A 42-year-old male is involved in a motorcycle accident. External arterial bleeding
Which of the following assessment findings should be
managed first?
7. Which of the following is true regarding trauma in the Fatal outcomes are more
elderly? likely in the elderly than in
the young
8. A 25-year-old female was stabbed in the left arm. She Apply a tourniquet proxi-
presents with an altered mental status and signs of mal to the injury
, shock. Bleeding is uncontrolled despite direct pres-
sure. You should:
9. A 35-year-old male is alert and oriented at the scene Ocular trauma
of a motor vehicle collision complaining of knee pain
and a headache. Your assessment reveals a contusion
above the left eye, swelling to the left knee and un-
equal pupils (left is dilated). Vital signs are: BP 116/72,
P 88 and R 16. You should suspect:
10. If hemorrhage is unable to be controlled with a tourni- Just below the first tourni-
quet, a second tourniquet should be applied: quet
11. A 34-year-old male is injured in a motor vehicle colli- Administer intravenous
sion. He complains of diffuse abdominal tenderness. fluids at a "keep open" rate
Vital signs are BP 100/60, P 120 and R 28 and shallow.
You should:
12. Which of the following should always be performed Control major external
prior to transport? bleeding
13. An unresponsive 36-year-old female was involved in a Increased intracranial
motorcycle crash. Vital signs are BP 170/100, P 50, R 8 pressure
and GCS 3. You should suspect:
14. A 34-year-old female was struck by a vehicle caus- Provide positive pressure
ing blunt force chest trauma. She is unconscious with ventilation
gasping respirations, almost no air movement, a rapid,
thready carotid pulse and flat neck veins. You should:
15. Which of the following distinguishes a tension pneu- Shock
mothorax from a simple pneumothorax?
16. Lung
2/7
