1|Page
ITLS Advanced Pre-Test (9th Edition - Version 9.1, March 2020) (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS
AND ANSWERS) | GUARANTEED PASS A+ [2026-2027]
In a rear-impact motor vehicle collision, which area of the spine is most susceptible to
injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - CORRECT ANSWER A. Cervical
QUESTION : A pericardiocentesis is performed to:
A. To remove fluid from the lining around the lungs
B. To remove fluid from the lining around the heart
C. To inject medications directly into the heart
D. To monitor stroke volume - CORRECT ANSWER B. To remove fluid from the
lining around the heart
QUESTION : 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 ECG
B. Establish vascular access
C. Obtain a finger stick serum lactate level
D. Assess for other potentially life-threatening conditions - CORRECT ANSWER
D. Assess for other potentially life-threatening conditions
QUESTION : The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration - CORRECT ANSWER C. Improves glottis visualization
QUESTION : 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 - CORRECT ANSWER A. Return of peripheral pulses
2026 2027 GRADED A+
,2|Page
QUESTION : An unconscious 15-year-old male was struck on the head with a baseball
bat. His arms and legs are extended and his right pupil is dilated and fixed. You should:
A. Insert an oropharyngeal airway, administer oxygen, and restrict fluids
B. Apply a non-rebreather mask, restrict fluids, and administer Mannitol
C. Perform nasotracheal intubation, restrict fluids, and provide adequate ventilation
D. Perform bag-mask ventilation at 20 per minute - CORRECT ANSWER D.
Perform bag-mask ventilation at 20 per minute
QUESTION : Which of the following mechanisms of injury does not commonly cause
damage to the spinal cord?
A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression - CORRECT ANSWER C. Lateral stress
QUESTION : A 4-year-old female is unconscious after falling off a bicycle. Which of the
following is the best method to pen the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - CORRECT ANSWER A. Modified jaw-thrust
QUESTION : When performing the ITLS Primary Survey, the team leader may minimize
errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - CORRECT ANSWER D. Delegating interventions
QUESTION : You have placed an NPA in your patient and now observe mild
hemorrhage from the nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or reactivate bleeding
D. Contact medical control as an NPA will not cause hemorrhage - CORRECT
ANSWER C. Leave the NPA in place so as not to disturb the clot or reactivate
bleeding
QUESTION : A 27-year-old male with blunt chest trauma from a motor vehicle collisions
as 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
2026 2027 GRADED A+
, 3|Page
D. Tension pneumothorax - CORRECT ANSWER D. Tension pneumothorax
QUESTION : 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 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. No intravenous access should be established in this situation - CORRECT
ANSWER B. Intravenous fluid; give enough fluid to maintain peripheral pulses
QUESTION : 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
D. Presence of condensation in the tube - CORRECT ANSWER C. Waveform
capnography
QUESTION : Which of the causes of pediatric injury listed below is most likely to result
in severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites - CORRECT ANSWER B. Motor vehicle collisions
QUESTION : 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 - CORRECT ANSWER B. Pelvic fracture
QUESTION : 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
D. Multiple nose piercings - CORRECT ANSWER D. Multiple nose piercings
QUESTION : What is the most frequent cause for an intubated trauma patient to
develop poor lung compliance while being ventilated?
A. Tracheal extubation
B. Pericardial tamponade
2026 2027 GRADED A+
ITLS Advanced Pre-Test (9th Edition - Version 9.1, March 2020) (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS
AND ANSWERS) | GUARANTEED PASS A+ [2026-2027]
In a rear-impact motor vehicle collision, which area of the spine is most susceptible to
injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - CORRECT ANSWER A. Cervical
QUESTION : A pericardiocentesis is performed to:
A. To remove fluid from the lining around the lungs
B. To remove fluid from the lining around the heart
C. To inject medications directly into the heart
D. To monitor stroke volume - CORRECT ANSWER B. To remove fluid from the
lining around the heart
QUESTION : 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 ECG
B. Establish vascular access
C. Obtain a finger stick serum lactate level
D. Assess for other potentially life-threatening conditions - CORRECT ANSWER
D. Assess for other potentially life-threatening conditions
QUESTION : The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration - CORRECT ANSWER C. Improves glottis visualization
QUESTION : 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 - CORRECT ANSWER A. Return of peripheral pulses
2026 2027 GRADED A+
,2|Page
QUESTION : An unconscious 15-year-old male was struck on the head with a baseball
bat. His arms and legs are extended and his right pupil is dilated and fixed. You should:
A. Insert an oropharyngeal airway, administer oxygen, and restrict fluids
B. Apply a non-rebreather mask, restrict fluids, and administer Mannitol
C. Perform nasotracheal intubation, restrict fluids, and provide adequate ventilation
D. Perform bag-mask ventilation at 20 per minute - CORRECT ANSWER D.
Perform bag-mask ventilation at 20 per minute
QUESTION : Which of the following mechanisms of injury does not commonly cause
damage to the spinal cord?
A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression - CORRECT ANSWER C. Lateral stress
QUESTION : A 4-year-old female is unconscious after falling off a bicycle. Which of the
following is the best method to pen the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - CORRECT ANSWER A. Modified jaw-thrust
QUESTION : When performing the ITLS Primary Survey, the team leader may minimize
errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - CORRECT ANSWER D. Delegating interventions
QUESTION : You have placed an NPA in your patient and now observe mild
hemorrhage from the nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or reactivate bleeding
D. Contact medical control as an NPA will not cause hemorrhage - CORRECT
ANSWER C. Leave the NPA in place so as not to disturb the clot or reactivate
bleeding
QUESTION : A 27-year-old male with blunt chest trauma from a motor vehicle collisions
as 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
2026 2027 GRADED A+
, 3|Page
D. Tension pneumothorax - CORRECT ANSWER D. Tension pneumothorax
QUESTION : 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 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. No intravenous access should be established in this situation - CORRECT
ANSWER B. Intravenous fluid; give enough fluid to maintain peripheral pulses
QUESTION : 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
D. Presence of condensation in the tube - CORRECT ANSWER C. Waveform
capnography
QUESTION : Which of the causes of pediatric injury listed below is most likely to result
in severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites - CORRECT ANSWER B. Motor vehicle collisions
QUESTION : 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 - CORRECT ANSWER B. Pelvic fracture
QUESTION : 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
D. Multiple nose piercings - CORRECT ANSWER D. Multiple nose piercings
QUESTION : What is the most frequent cause for an intubated trauma patient to
develop poor lung compliance while being ventilated?
A. Tracheal extubation
B. Pericardial tamponade
2026 2027 GRADED A+
