ITLS ADVANCED POST TEST 9TH EDITION
VERSION 3 EXAM 2025/2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!|LATEST UPDATE
A 78-year-old female driver struck a parked car while she was traveling at a low rate of speed.
She is complaining of shortness of breath and chest pain. Your assessment and treatment
should include:
A. Breath sounds, history, aspirin administration
B. Breath sounds, history, ECG
C. Breath sounds, history, place in a position of comfort
D. Breath sounds, history, nitroglycerine administration
B. Breath sounds, history, ECG
Which of the following has a greater chance of surviving traumatic cardiopulmonary arrest?
A. Patients with non-dilated pupils
B. Patients with penetrating chest trauma who are hypothermic
C. Patients who suffer blunt force trauma to the torso
D. Patients with dilated unresponsive pupils
A. Patients with non-dilated pupils
A 3-year-old male fell 9 feet (3 meters). He has a decreased level of consciousness and is making
persistent "grunting" sounds with respirations. Your initial treatment is to:
1|Page
,A. Suction the patient and apply oxygen with a nasal cannula
B. Quickly complete a rapid trauma survey
C. Provide ventilatory support with supplementary oxygen
D. Apply a cervical collar and transport immediately
C. Provide ventilatory support with supplementary oxygen
Which of the following indicates a state of hyperventilation?
A. A tidal volume of less than 400 ml
B. An end tidal carbon dioxide level less than 30 mmHg
C. An adult respiratory rate greater than 18 per minute
D. An oxygen saturation greater than 94%
B. An end tidal carbon dioxide level less than 30 mmHg
Which of the following regarding patient positioning for external jugular cannulation is
incorrect?
A. If you suspect cervical-spine injury, the head must not be turned during cannulation
B. Elevate the head to distend the vein and prevent air embolism
C. The patient must be in the supine position
D. If no suspicion of cervical-spine injury exists, turn the patient's head to the opposite side
B. Elevate the head to distend the vein and prevent air embolism
Based on the reported mechanism of injury, which patient is likely not to require spinal motion
restriction?
A. 24-year-old with a gunshot wound to the chest
2|Page
,B. 14-year-old male with a stab wound to the back of the neck 5 cm from the spine
C. 7-year-old pulled unresponsive from a pond
D. 15-year-old female with extremity numbness and tingling after falling backward
B. 14-year-old male with a stab wound to the back of the neck 5 cm from the spine
Which of the following is not a potential complication of performing chest decompression?
A. Difficulty in monitoring the site
B. Causing a pneumothorax
C. Blood vessel laceration
D. Nerve damage
A. Difficulty in monitoring the site
You may have been exposed to a contaminant (air or fluid borne). You should:
A. Report the exposure if testing shows a positive result
B. Only be concerned if the exposure was to HIV
C. Seek treatment within hours of the exposure
D. Only be concerned if the exposure was to Hepatitis B
C. Seek treatment within hours of the exposure
A brief neurologic exam of an altered mental status patient includes:
A. Glucose check, pulse oximetry, pupil examination
B. Corneal reflex, pupil examination, pulse/motor/sensory
C. Glasgow Coma Scale, glucose check, pupil examination
D. Glasgow Coma Scale, corneal reflex, ETCO2
3|Page
, C. Glasgow Coma Scale, glucose check, pupil examination
The depth of the ET tube at the teeth should be approximately ____ times the diameter of the
tube.
A. 3
B. 5
C. 2
D. 4
A. 3
Which of the following findings would indicate the airway needs to be suctioned?
A. Poor respiratory effort
B. Presence of dried blood in the nares
C. Gurgling sounds with respiration
D. Shock
C. Gurgling sounds with respiration
When transporting a third trimester pregnant trauma patient in spinal motion restriction, you
should:
A. Secure the patient in the left lateral recumbent position
B. Tilt or rotate the board or patient 15-30 degrees to the left
C. Initiate intravenous fluids at 20 cc/kg
D. Manually displace the uterus to the right
B. Tilt or rotate the board or patient 15-30 degrees to the left
Which of the following regarding trauma in the elderly is true?
4|Page
VERSION 3 EXAM 2025/2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!|LATEST UPDATE
A 78-year-old female driver struck a parked car while she was traveling at a low rate of speed.
She is complaining of shortness of breath and chest pain. Your assessment and treatment
should include:
A. Breath sounds, history, aspirin administration
B. Breath sounds, history, ECG
C. Breath sounds, history, place in a position of comfort
D. Breath sounds, history, nitroglycerine administration
B. Breath sounds, history, ECG
Which of the following has a greater chance of surviving traumatic cardiopulmonary arrest?
A. Patients with non-dilated pupils
B. Patients with penetrating chest trauma who are hypothermic
C. Patients who suffer blunt force trauma to the torso
D. Patients with dilated unresponsive pupils
A. Patients with non-dilated pupils
A 3-year-old male fell 9 feet (3 meters). He has a decreased level of consciousness and is making
persistent "grunting" sounds with respirations. Your initial treatment is to:
1|Page
,A. Suction the patient and apply oxygen with a nasal cannula
B. Quickly complete a rapid trauma survey
C. Provide ventilatory support with supplementary oxygen
D. Apply a cervical collar and transport immediately
C. Provide ventilatory support with supplementary oxygen
Which of the following indicates a state of hyperventilation?
A. A tidal volume of less than 400 ml
B. An end tidal carbon dioxide level less than 30 mmHg
C. An adult respiratory rate greater than 18 per minute
D. An oxygen saturation greater than 94%
B. An end tidal carbon dioxide level less than 30 mmHg
Which of the following regarding patient positioning for external jugular cannulation is
incorrect?
A. If you suspect cervical-spine injury, the head must not be turned during cannulation
B. Elevate the head to distend the vein and prevent air embolism
C. The patient must be in the supine position
D. If no suspicion of cervical-spine injury exists, turn the patient's head to the opposite side
B. Elevate the head to distend the vein and prevent air embolism
Based on the reported mechanism of injury, which patient is likely not to require spinal motion
restriction?
A. 24-year-old with a gunshot wound to the chest
2|Page
,B. 14-year-old male with a stab wound to the back of the neck 5 cm from the spine
C. 7-year-old pulled unresponsive from a pond
D. 15-year-old female with extremity numbness and tingling after falling backward
B. 14-year-old male with a stab wound to the back of the neck 5 cm from the spine
Which of the following is not a potential complication of performing chest decompression?
A. Difficulty in monitoring the site
B. Causing a pneumothorax
C. Blood vessel laceration
D. Nerve damage
A. Difficulty in monitoring the site
You may have been exposed to a contaminant (air or fluid borne). You should:
A. Report the exposure if testing shows a positive result
B. Only be concerned if the exposure was to HIV
C. Seek treatment within hours of the exposure
D. Only be concerned if the exposure was to Hepatitis B
C. Seek treatment within hours of the exposure
A brief neurologic exam of an altered mental status patient includes:
A. Glucose check, pulse oximetry, pupil examination
B. Corneal reflex, pupil examination, pulse/motor/sensory
C. Glasgow Coma Scale, glucose check, pupil examination
D. Glasgow Coma Scale, corneal reflex, ETCO2
3|Page
, C. Glasgow Coma Scale, glucose check, pupil examination
The depth of the ET tube at the teeth should be approximately ____ times the diameter of the
tube.
A. 3
B. 5
C. 2
D. 4
A. 3
Which of the following findings would indicate the airway needs to be suctioned?
A. Poor respiratory effort
B. Presence of dried blood in the nares
C. Gurgling sounds with respiration
D. Shock
C. Gurgling sounds with respiration
When transporting a third trimester pregnant trauma patient in spinal motion restriction, you
should:
A. Secure the patient in the left lateral recumbent position
B. Tilt or rotate the board or patient 15-30 degrees to the left
C. Initiate intravenous fluids at 20 cc/kg
D. Manually displace the uterus to the right
B. Tilt or rotate the board or patient 15-30 degrees to the left
Which of the following regarding trauma in the elderly is true?
4|Page
