ADVANCED ITLS 8TH EDITION PRE-TEST EXAM QUESTIONS

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ADVANCED ITLS 8TH EDITION PRE-TEST EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -50 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: 34. A disoriented 23-year-old male is injured in a motorcycle collision. The patient appears to be intoxicated and does not want medical attention despite a large

laceration on his scalp, which is actively bleeding. You should:

Answer:

Treat him as a head injured patient Question 2: 46. You have a patient with an isolated stab wound to the lateral chest. According to recent studies, which of the following procedures should be avoided?

Answer:

Spinal motion restriction Question 3: 45. A 35-year-old male is alert and oriented at the scene of a motor vehicle collision complaining of knee pain and a headache. Your assessment reveals a contusion above the left eye, swelling to the left knee and unequal pupils (left is dilated). Vital signs are: BP 116/72, P 88

and R 16. You should suspect:

Answer:

Ocular trauma Question 4: 7. Which of the following mechanisms of injury does not commonly cause damage to the spinal cord?

Answer:

Lateral stress

Question 5: 30. Which one of the following is a reason to interrupt the initial assessment?

Answer:

Cardiac arrest Question 6: 12. 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?

Answer:

Intravenous fluid; give enough fluid to maintain peripheral pulses Question 7: 8. A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the best method to open the airway?

Answer:

Modified jaw-thrust Question 8: 19. Routine use of hyperventilation in the traumatic brain injured (TBI) patient will:

Answer:

Cause vasoconstriction and increased cerebral ischemia Question 9: 17. What is the most frequent cause for an intubated trauma patient to develop poor lung compliance while being ventilated?

Answer:

Tension pneumothorax Question 10: 24. In the absence of herniation syndrome, adult patients with suspected traumatic

brain injury should be ventilated as a rate of:

Answer:

8-10 per minute Question 11: 31. Which of the following is not a desired characteristic of a suction device?

Answer:

It can be powered by your portable O2 cylinder so it is not dependent on battery power

Question 12: 16. Which of the following findings would not make a patient difficult to ventilate with a bag-valve mask?

Answer:

Multiple nose piercings Question 13: 38. Which of the following should always be performed prior to transport?

Answer:

Control major external bleeding Question 14: 11. A 27-year-old male with blunt chest trauma from a motor vehicle collision was successfully intubated at the scene. While ventilating the patient, you note resistance with

absence of right chest wall movement. You should suspect a:

Answer:

Tension pneumothorax Question 15: 32. What is the most serious early complication of burns from electrical contact?

Answer:

Cardiac dysrhythmia Question 16: 35. When performing a needle decompression, which of the following is the correct anatomical location?

Answer:

Directly over the top of the fourth rib in the midaxillary line Question 17: 44. If hemorrhage is unable to be controlled with a tourniquet, a second tourniquet

should be applied:

Answer:

Just below the first tourniquet Question 18: 10. You have placed an NPA in your patient and now observe mild hemorrhage

from the nares. You should:

Answer:

Leave the NPA in place so as not to disturb the clot or reactivate bleeding

Question 19: 20. Which finding requires interruption of the ITLS Primary Survey?

Answer:

Complete airway obstruction Question 20: 4. A pericardiocentesis is performed to:

Answer:

To remove fluid from the lining around the heart Question 21: 28. A 45-year-old female is found unconscious at the scene of a motor vehicle collision. Her vital signs are BP 80/40, P 130, and R 30. Which of the following is the most likely cause for her vital signs?

Answer:

Bleeding into the chest or abdomen Question 22: 37. Which of the following organs will suffer the least structural damage from a gunshot wound from a rifle?

Answer:

Lung Question 23: 43. A 32-year-old male is involved in a motor vehicle crash. The steering wheel is bent. Your assessment reveals present and equal bilateral breath sounds, a rapid and weak

radial pulse that disappears upon inspiration. You should suspect:

Answer:

Cardiac tamponade Question 24: 26. A 57-year-old male has a respiratory rate of 36, ETCO2 of 30 mmHg, and an

oxygen saturation of 80%. You should:

Answer:

Provide supplemental oxygen Question 25: 5. 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 fluid

resuscitation is:

Answer:

Return of peripheral pulses