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ITLS 10TH EDITION NEWEST 2025/2026 ACTUAL EXAM COMPLETE
100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
1. In a rear-impact motor vehicle crash, which area of the spine is most
susceptible to injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - ANSWER-A. Cervical
Rationale: The sudden increase in acceleration produces posterior
displacement of the occupants and possible hyperextension of the
cervical spine if the headrest is not properly adjusted. The potential for
cervical-spine injuries is great.
2. 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 EKG B.
B. Establish vascular access
C. Obtain a finger-stick serum lactate level
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D. Assess for other potentially life-threatening conditions - ANSWER-D.
Assess for other potentially life-threatening conditions
Rationale: The purpose of the initial assessment is to prioritize the
patient and to identify all immediately life-threatening conditions. The
information gathered is used to make decisions about critical
interventions and time of transport.
3. The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration - ANSWER-C. Improves glottis visualization
Rationale: Manipulating the thyroid cartilage can help bring the vocal
cords into view during endotracheal intubation. This is called external
laryngeal manipulation (ELM). The movement is usually pressing the
thyroid cartilage backward against the esophagus and then upward
and slightly to the patient's right side.
4. A pericardiocentesis is performed to:
A. To remove fluid from the lining around the lungs
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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
Rationale: The pericardial sac is an inelastic membrane that surrounds
the heart. If blood collects rapidly between the heart and pericardium
from a cardiac injury, the ventricles of the heart will be compressed,
making the heart less able to refill, and cardiac output falls.
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:
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
Rationale: This is an example of internal, uncontrolled hemorrhage.
Administer sufficient normal saline to maintain peripheral perfusion,
following local or EMS agency medical direction policies. Maintaining
peripheral perfusion is generally defined as giving enough fluid—
usually in boluses—to return a peripheral pulse, such as a radial pulse.
ITLS 10TH EDITION NEWEST 2025/2026 ACTUAL EXAM COMPLETE
100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
1. In a rear-impact motor vehicle crash, which area of the spine is most
susceptible to injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - ANSWER-A. Cervical
Rationale: The sudden increase in acceleration produces posterior
displacement of the occupants and possible hyperextension of the
cervical spine if the headrest is not properly adjusted. The potential for
cervical-spine injuries is great.
2. 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 EKG B.
B. Establish vascular access
C. Obtain a finger-stick serum lactate level
,2|Page
D. Assess for other potentially life-threatening conditions - ANSWER-D.
Assess for other potentially life-threatening conditions
Rationale: The purpose of the initial assessment is to prioritize the
patient and to identify all immediately life-threatening conditions. The
information gathered is used to make decisions about critical
interventions and time of transport.
3. The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration - ANSWER-C. Improves glottis visualization
Rationale: Manipulating the thyroid cartilage can help bring the vocal
cords into view during endotracheal intubation. This is called external
laryngeal manipulation (ELM). The movement is usually pressing the
thyroid cartilage backward against the esophagus and then upward
and slightly to the patient's right side.
4. A pericardiocentesis is performed to:
A. To remove fluid from the lining around the lungs
, 3|Page
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
Rationale: The pericardial sac is an inelastic membrane that surrounds
the heart. If blood collects rapidly between the heart and pericardium
from a cardiac injury, the ventricles of the heart will be compressed,
making the heart less able to refill, and cardiac output falls.
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:
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
Rationale: This is an example of internal, uncontrolled hemorrhage.
Administer sufficient normal saline to maintain peripheral perfusion,
following local or EMS agency medical direction policies. Maintaining
peripheral perfusion is generally defined as giving enough fluid—
usually in boluses—to return a peripheral pulse, such as a radial pulse.
