PHTLS PRE AND POST TEST 4 ASSESSMENT
2026 QUESTIONS AND ANSWERS
GUARANTEED PASS
◉ Which of the following is a limitation of prehospital fluid
resuscitation of the patient in hemorrhagic shock? Answer: All of the
above
◉ Which of the following statements regarding signs of
intraabdominal injury is NOT true? Answer: Substantial
intraabdominal hemorrhage always causes tenderness and
abdominal rigidity
◉ Which of the following assessment techniques is least useful in
the prehospital assessment of the patient with suspected
intraabdominal trauma? Answer: Auscultation
◉ Pregnant trauma patients should be placed on the left side
because: Answer: This prevents compression of the vena cava
◉ Survival of the fetus in a trauma situation is most dependent upon
which of the following factors? Answer: Good resuscitation of the
mother
,◉ A patient struck in the back of the head with a baseball bat may
sustain a cerebral contusion to which area of the brain? Answer:
Occipital
(probably too low velocity for Coup & Contre Coup)
◉ In the context of the caring for an adult patient with traumatic
brain injury who is deteriorating and exhibiting signs of herniation,
hyperventilation means ventilating with a BVM and 100% oxygen at
a rate of: Answer: 20
◉ In the United State, which of the following mechanisms most
frequently causes spinal cord injury in adults? Answer: Vehicle
crashes
◉ Which of the following presentation indicate spinal cord injury?
Answer: All of the above
◉ Of the following, which is the earliest indication of compartment
syndrome? Answer: Tense swelling of the involved area
◉ A traction splint may be used for which of the following Answer:
Femur fractures
,◉ Which of the following descriptions meets the criteria for
transport to a facility with a burn unit? Answer: A 25 year old male
with an electrical burn across his chest
◉ The preferred method of dressing burns in the prehospital setting
is: Answer: Dry sterile dressing
◉ In assessing the hypothermic patient in the prehospital setting,
the most reliable indicator of the severity of hypothermia is:
Answer: Rectal temperature
◉ In the normal child, which general statement is most accurate in
comparison with the adult patient? Answer: Blood pressure is lower,
heart rate is higher, and ventilatory rate is higher
◉ A patient who withdraws from painful stimuli, opens eyes on
verbal command, and cannot speak because of intubation has a
Glasgow Coma Scale of which of the following: Answer: 8T
(E-3, V-T, M-4)
◉ The earliest site for intraosseous infusion is: Answer: Anterior
tibia, just below the tibial tuberosity
, ◉ Which of the following behaviors is the most reliable indication of
confusion in the elderly patient Answer: Inability to recall his/her
name
◉ In the elderly trauma patient a high index of suspicion for shock
should occur beginning when the systolic blood pressure is less
than: Answer: C. 120 mmHg
◉ In an adult patient, blood loss into the tissue from a fractured
femur may be as much as which of the following? Answer: 1000
2000 mL
◉ Delayed death due to trauma is usually a result of: Answer:
Biochemical and pathophysiological effects of inadequate initial
resuscitation
◉ A regional resource center with a full spectrum of trauma services
from prevention to rehabilitation which serves as the leader in
trauma care for a geographical region is Answer: Level I trauma
center
◉ Which of the following patients is not indicated for spinal
immobilization? Answer: Patient with a knife wound to the chest
and a GCS of 15
2026 QUESTIONS AND ANSWERS
GUARANTEED PASS
◉ Which of the following is a limitation of prehospital fluid
resuscitation of the patient in hemorrhagic shock? Answer: All of the
above
◉ Which of the following statements regarding signs of
intraabdominal injury is NOT true? Answer: Substantial
intraabdominal hemorrhage always causes tenderness and
abdominal rigidity
◉ Which of the following assessment techniques is least useful in
the prehospital assessment of the patient with suspected
intraabdominal trauma? Answer: Auscultation
◉ Pregnant trauma patients should be placed on the left side
because: Answer: This prevents compression of the vena cava
◉ Survival of the fetus in a trauma situation is most dependent upon
which of the following factors? Answer: Good resuscitation of the
mother
,◉ A patient struck in the back of the head with a baseball bat may
sustain a cerebral contusion to which area of the brain? Answer:
Occipital
(probably too low velocity for Coup & Contre Coup)
◉ In the context of the caring for an adult patient with traumatic
brain injury who is deteriorating and exhibiting signs of herniation,
hyperventilation means ventilating with a BVM and 100% oxygen at
a rate of: Answer: 20
◉ In the United State, which of the following mechanisms most
frequently causes spinal cord injury in adults? Answer: Vehicle
crashes
◉ Which of the following presentation indicate spinal cord injury?
Answer: All of the above
◉ Of the following, which is the earliest indication of compartment
syndrome? Answer: Tense swelling of the involved area
◉ A traction splint may be used for which of the following Answer:
Femur fractures
,◉ Which of the following descriptions meets the criteria for
transport to a facility with a burn unit? Answer: A 25 year old male
with an electrical burn across his chest
◉ The preferred method of dressing burns in the prehospital setting
is: Answer: Dry sterile dressing
◉ In assessing the hypothermic patient in the prehospital setting,
the most reliable indicator of the severity of hypothermia is:
Answer: Rectal temperature
◉ In the normal child, which general statement is most accurate in
comparison with the adult patient? Answer: Blood pressure is lower,
heart rate is higher, and ventilatory rate is higher
◉ A patient who withdraws from painful stimuli, opens eyes on
verbal command, and cannot speak because of intubation has a
Glasgow Coma Scale of which of the following: Answer: 8T
(E-3, V-T, M-4)
◉ The earliest site for intraosseous infusion is: Answer: Anterior
tibia, just below the tibial tuberosity
, ◉ Which of the following behaviors is the most reliable indication of
confusion in the elderly patient Answer: Inability to recall his/her
name
◉ In the elderly trauma patient a high index of suspicion for shock
should occur beginning when the systolic blood pressure is less
than: Answer: C. 120 mmHg
◉ In an adult patient, blood loss into the tissue from a fractured
femur may be as much as which of the following? Answer: 1000
2000 mL
◉ Delayed death due to trauma is usually a result of: Answer:
Biochemical and pathophysiological effects of inadequate initial
resuscitation
◉ A regional resource center with a full spectrum of trauma services
from prevention to rehabilitation which serves as the leader in
trauma care for a geographical region is Answer: Level I trauma
center
◉ Which of the following patients is not indicated for spinal
immobilization? Answer: Patient with a knife wound to the chest
and a GCS of 15
