ITLS 9th Edition Questions & Answers |
100% Correct Answers | Verified | Latest
2025/2026 Version
Verified Questions and Answers | 2025/2026
Contents
1 Introduction 2
2 Exam Content and Responses 2
2.1 Initial Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2 Airway Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
2.3 Shock Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.4 Head Spine Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.5 Pediatric Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.6 Trauma in Special Populations . . . . . . . . . . . . . . . . . . . . . . . 16
ITLS | 9th Edition | Trauma Life Support Certification | 2025/2026 Verified Study Guide |
100% Accurate Content | Page 1
,1 Introduction
This document provides a fully verified and up-to-date collection of ques-
tions and correct answers for the International Trauma Life Support (ITLS)
9th Edition Exam, aligned with the most recent 2025/2026 guidelines.
Created to aid EMTs, paramedics, nurses, and trauma care professionals,
this study guide supports certification preparation with accurate, scenario-
based Q&A covering trauma assessment, airway management, shock recog-
nition, spinal motion restriction, and pediatric trauma. Each question
includes a correct answer and, where appropriate, a concise explanation
based on ITLS protocols and principles.
2 Exam Content and Responses
The following 70 scenario-based multiple-choice questions are grouped by
content domains: Initial Assessment, Airway & Ventilation, Shock Man-
agement, Head & Spine Injuries, Pediatric Trauma, and Trauma in Special
Populations. Correct answers are highlighted in bold green, with explana-
tions provided to reinforce key trauma concepts. The questions reflect the
style, scope, and difficulty of official ITLS testing.
2.1 Initial Assessment
1. At a motor vehicle collision, what is the first step in the ITLS primary
survey?
(a) Perform a neurological exam
(b) Ensure scene safety
(c) Apply a cervical collar
(d) Check for pulses
Rationale: Scene safety is the priority to protect rescuers and the patient before
initiating care.
2. A trauma patient is unresponsive. What is the next step after con-
firming scene safety?
(a) Start chest compressions
ITLS | 9th Edition | Trauma Life Support Certification | 2025/2026 Verified Study Guide |
100% Accurate Content | Page 2
, (b) Open the airway
(c) Insert an IV line
(d) Apply oxygen
Rationale: Opening the airway ensures adequate ventilation in an unresponsive
patient.
3. During the primary survey, a patient has severe bleeding from a leg
wound. What should be done immediately?
(a) Splint the leg
(b) Apply direct pressure
(c) Elevate the leg
(d) Administer fluids
Rationale: Direct pressure controls life-threatening external hemorrhage per ITLS
protocols.
4. A patient has a suspected pelvic fracture. What should be avoided
during the initial assessment?
(a) Applying a pelvic binder
(b) Log-rolling without support
(c) Checking for deformity
(d) Stabilizing the pelvis
Rationale: Log-rolling without support can worsen pelvic instability and hemor-
rhage.
5. What indicates a critical finding during the ITLS primary survey?
(a) Minor lacerations
(b) Absent breath sounds
(c) Stable vital signs
(d) Mild bruising
ITLS | 9th Edition | Trauma Life Support Certification | 2025/2026 Verified Study Guide |
100% Accurate Content | Page 3
100% Correct Answers | Verified | Latest
2025/2026 Version
Verified Questions and Answers | 2025/2026
Contents
1 Introduction 2
2 Exam Content and Responses 2
2.1 Initial Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2 Airway Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
2.3 Shock Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.4 Head Spine Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.5 Pediatric Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.6 Trauma in Special Populations . . . . . . . . . . . . . . . . . . . . . . . 16
ITLS | 9th Edition | Trauma Life Support Certification | 2025/2026 Verified Study Guide |
100% Accurate Content | Page 1
,1 Introduction
This document provides a fully verified and up-to-date collection of ques-
tions and correct answers for the International Trauma Life Support (ITLS)
9th Edition Exam, aligned with the most recent 2025/2026 guidelines.
Created to aid EMTs, paramedics, nurses, and trauma care professionals,
this study guide supports certification preparation with accurate, scenario-
based Q&A covering trauma assessment, airway management, shock recog-
nition, spinal motion restriction, and pediatric trauma. Each question
includes a correct answer and, where appropriate, a concise explanation
based on ITLS protocols and principles.
2 Exam Content and Responses
The following 70 scenario-based multiple-choice questions are grouped by
content domains: Initial Assessment, Airway & Ventilation, Shock Man-
agement, Head & Spine Injuries, Pediatric Trauma, and Trauma in Special
Populations. Correct answers are highlighted in bold green, with explana-
tions provided to reinforce key trauma concepts. The questions reflect the
style, scope, and difficulty of official ITLS testing.
2.1 Initial Assessment
1. At a motor vehicle collision, what is the first step in the ITLS primary
survey?
(a) Perform a neurological exam
(b) Ensure scene safety
(c) Apply a cervical collar
(d) Check for pulses
Rationale: Scene safety is the priority to protect rescuers and the patient before
initiating care.
2. A trauma patient is unresponsive. What is the next step after con-
firming scene safety?
(a) Start chest compressions
ITLS | 9th Edition | Trauma Life Support Certification | 2025/2026 Verified Study Guide |
100% Accurate Content | Page 2
, (b) Open the airway
(c) Insert an IV line
(d) Apply oxygen
Rationale: Opening the airway ensures adequate ventilation in an unresponsive
patient.
3. During the primary survey, a patient has severe bleeding from a leg
wound. What should be done immediately?
(a) Splint the leg
(b) Apply direct pressure
(c) Elevate the leg
(d) Administer fluids
Rationale: Direct pressure controls life-threatening external hemorrhage per ITLS
protocols.
4. A patient has a suspected pelvic fracture. What should be avoided
during the initial assessment?
(a) Applying a pelvic binder
(b) Log-rolling without support
(c) Checking for deformity
(d) Stabilizing the pelvis
Rationale: Log-rolling without support can worsen pelvic instability and hemor-
rhage.
5. What indicates a critical finding during the ITLS primary survey?
(a) Minor lacerations
(b) Absent breath sounds
(c) Stable vital signs
(d) Mild bruising
ITLS | 9th Edition | Trauma Life Support Certification | 2025/2026 Verified Study Guide |
100% Accurate Content | Page 3
