1|Page
ITLS BASIC PRE-TEST 8TH EDITION EXAM||
LATELY UPDATED QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE UPDATE 2026 WITH
VERIFIED SOLUTIONS|| ASSURED PASS
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
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 - ANSWER: D. Assess
for other potentially life-threatening conditions
The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
,2|Page
B. Reduces gastric distention
C. Improves glottic visualization
D. Causes aspiration - ANSWER: C. Improves glottic visualization
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 - ANSWER: B. To remove fluid from the lining
around the heart
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
fluidresuscitation 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
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:
,3|Page
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 minut - ANSWER: D. Perform
bagmask ventilation at 20 per minut
Which of the following mechanisms of injury does not commonly cause damage to
the spinal cord?
A. Hyperextension
B. Hyperflexion
C. Lateral stress
D. Compression - ANSWER: C. Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of the
following is the best method to open the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - ANSWER: A. Modified jaw-thrust
When performing the ITLS Primary Survey, the team leader may minimize errors
by:
, 4|Page
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - ANSWER: D. Delegating interventions
You have placed an NPA in your patient and now observe mild hemorrhage from
thenares. 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 - ANSWER: C.
Leave the NPA in place so as not to disturb the clot or reactivate bleeding
A 27-year-old male with blunt chest trauma from a motor vehicle collision
wassuccessfully 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
D. Tension pneumothorax - ANSWER: D. Tension pneumothorax
ITLS BASIC PRE-TEST 8TH EDITION EXAM||
LATELY UPDATED QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE UPDATE 2026 WITH
VERIFIED SOLUTIONS|| ASSURED PASS
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
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 - ANSWER: D. Assess
for other potentially life-threatening conditions
The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
,2|Page
B. Reduces gastric distention
C. Improves glottic visualization
D. Causes aspiration - ANSWER: C. Improves glottic visualization
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 - ANSWER: B. To remove fluid from the lining
around the heart
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
fluidresuscitation 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
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:
,3|Page
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 minut - ANSWER: D. Perform
bagmask ventilation at 20 per minut
Which of the following mechanisms of injury does not commonly cause damage to
the spinal cord?
A. Hyperextension
B. Hyperflexion
C. Lateral stress
D. Compression - ANSWER: C. Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of the
following is the best method to open the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - ANSWER: A. Modified jaw-thrust
When performing the ITLS Primary Survey, the team leader may minimize errors
by:
, 4|Page
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - ANSWER: D. Delegating interventions
You have placed an NPA in your patient and now observe mild hemorrhage from
thenares. 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 - ANSWER: C.
Leave the NPA in place so as not to disturb the clot or reactivate bleeding
A 27-year-old male with blunt chest trauma from a motor vehicle collision
wassuccessfully 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
D. Tension pneumothorax - ANSWER: D. Tension pneumothorax
