ITLS Exam 2026–2027 | Latest Verified Actual Exam Questions & Correct Answers | Guaranteed Pass A+ | New Updated Practice Guide

1|Page


ITLS written FINAL Review (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2026-2027]




Windshield survey is done when? - CORRECT ANSWER during scene size-up

QUESTION : Signs and symptoms of a tension pneumothorax include: - CORRECT
ANSWER - AMS
- signs of shock (P/C/D, hypotension)
- JVD
- diminished/absent lung sounds on affected side

QUESTION : What priority is increased bag resistance in trauma? - CORRECT
ANSWER the lowest

QUESTION : What sort of assessment is done for an elderly patient involved in a
moderate auto accident? - CORRECT ANSWER a rapid trauma assessment

QUESTION : Which is considered a "load-and-go" situation: open femur fracture or
bilateral femur fractures? - CORRECT ANSWER bilateral femur fractures

QUESTION : A tension pneumothorax is considered what kind of shock? - CORRECT
ANSWER mechanical

QUESTION : All trauma patients EXCEPT which are fluid resuscitated until a systolic
BP of 80-90: - CORRECT ANSWER head injury patients

QUESTION : Pleural decompression entails what? - CORRECT ANSWER - mid-
clavicular
- second intercostal space
- above the third rib (*do not go under the second rib to avoid damage to the blood
vessels and nerves)

QUESTION : If you have a pediatric patient who is grunting, this is indicative of what?
How to treat? - CORRECT ANSWER respiratory failure; MUST provide vent.
support (BVM)




2026 2027 GRADED A+

, 2|Page


QUESTION : If you're presented wit ha patient who comes out of a house fire with no
obvious burns, who is complaining of being light-headed and dizzy, suspect what? -
CORRECT ANSWER toxic inhalation exposure

QUESTION : Knee dislocations are most likely to be associated with what other
damage? - CORRECT ANSWER damage to nerves and arteries

QUESTION : If you are presented with a trauma patient who has a BP above 90, what
rate is the IV to flow? - CORRECT ANSWER "KVO"

QUESTION : A pregnant trauma patient with hypovolemia is treat how? - CORRECT
ANSWER place her on her left lateral side in order to get the fetus off the vena cava

QUESTION : A patient with spinal precautions begins to vomit; how to treat? -
CORRECT ANSWER 1. tilt backboard
2. suction

QUESTION : If you are presented with a head injury patient who is showing signs and
symptoms of cerebral herniation, how to treat? - CORRECT ANSWER 1. maintain
them at a CO2 level of 30-35 and,
2. O2 sat of 95% or greater

QUESTION : A brief neurological exam consists of what? - CORRECT ANSWER
1. pupils
2. GCS
3. BGL

QUESTION : If you have a patient who is on capnography that suddenly drops, what is
going on? - CORRECT ANSWER circulatory collapse

QUESTION : If you cannot control bleeding with direct pressure, ITLS says what? -
CORRECT ANSWER use a hemostatic agent along WITH continuous direct
pressure

QUESTION : Difference(s) between a pneumothorax and a tension pneumothorax: -
CORRECT ANSWER signs of shock

QUESTION : Emergency rescue is done in which environments? - CORRECT
ANSWER toxic environments

QUESTION : How to manage cerebral herniation? - CORRECT ANSWER
hyperventilate w/ BVM at 20 bpm




2026 2027 GRADED A+