ITLS Advanced Pre-Test Certification Actual Exam

pg. 1

ITLS Advanced Pre-Test Certification Actual Exam Newest 2026-2027 Actual Exam With Complete 100 Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+

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:

• Flail chest
• Gastric distention
• Mucus obstruction
• Tension pneumothorax - ANSWER-D. Tension pneumothorax

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?

• Intravenous fluid at a "keep open" rate
• Intravenous fluid; give enough fluid to maintain peripheral pulses
• Intravenous fluid at a "wide open" rate 1 / 4

pg. 2

• No intravenous access should be established in this situation -

ANSWER-B. Intravenous fluid; give enough fluid to maintain peripheral pulses

The gold standard to confirm that the endotracheal tube is placed in the

trachea is:

• Evaluation of breath sounds
• Equal chest rise and fall
• Waveform capnography
• Presence of condensation in the tube - ANSWER-C. Waveform

capnography

Which of the causes of pediatric injury listed below is most likely to result in severe injury or death?

• Falls
• Motor vehicle collisions
• Burns
• Animal bites - ANSWER-B. Motor vehicle collisions

Which of the following injuries would change a trauma patient's transport classification from "stable" to "load and go"?

• Clavicle fracture
• Pelvic fracture
• Bilateral humerus fractures 2 / 4

pg. 3

• Bilateral tibia fractures - ANSWER-B. Pelvic fracture

Which of the following findings would not make a patient difficult to ventilate with a bag-valve mask?

• Beard
• Obesity
• Elderly patient
• Multiple nose piercings - ANSWER-D. Multiple nose piercings

What is the most frequent cause for an intubated trauma patient to develop poor lung compliance while being ventilated?

• Tracheal extubation
• Pericardial tamponade
• Gastric distention
• Tension pneumothorax - ANSWER-D. Tension pneumothorax

Hemostatic agents applied directly to the source of bleeding must be

used in conjunction with:

• Direct pressure to the wound
• Tourniquets proximal to the wound
• Pressure points to arteries proximal to the wound
• Elevation of the wound above the level of the heart - ANSWER-A.

Direct pressure to the wound 3 / 4

pg. 4

Routine use of hyperventilation in the traumatic brain injury (TBI)

patient will:

• Cause vasoconstriction and increased cerebral ischemia
• Cause vasodilation and decreased intracranial pressure (ICP)
• Cause in increase of end-tidal CO2
• Cause peripheral hypoxia and cyanosis - ANSWER-A. Cause

vasoconstriction and increased cerebral ischemia

Which finding requires interruption of the ITLS Primary Survey?

• Complete airway obstruction
• Gasping respirations
• Impaled object in abdomen
• Very weak pulse - ANSWER-A. Complete airway obstruction

Bag-valve-mask ventilation:

• Rarely causes gastric distention due to low airway pressures
• Is more effective in patient whose dentures have been removed
• Is easily accomplished by one rescuer at the head
• May exceed 60cm H2O pressure in the airway - ANSWER-D. May

exceed 60cm H2O pressure in the airway

Which of the following is true regarding pulmonary contusion?

• / 4