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ITLS BASIC PRE-TEST 9TH EDITION

Exam (elaborations) Jan 9, 2026
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ITLS BASIC PRE-TEST (9TH EDITION)

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

-Format: Multiple-choice / Flashcard

Question 1: What is the most serious early complication of burns from electrical contact?

Answer:

Cardiac arrhythmia.Question 2: Which of the following changes is most useful to monitor in the child with a head injury?

Answer:

Level of consciousness.Question 3: 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 injury patient.Question 4: A 31-year-old male presents with difficulty breathing, rapid and weak pulse, and flat neck veins. His trachea is midline and he has decreased breath sounds and dullness to

percussion upon assessment of the left side of the chest. You should suspect:

Answer:

Massive hemothorax.

Question 5: In the absence of herniation syndrome, adult patients with suspected traumatic

brain injury should be ventilated as a rate of:

Answer:

8-10 breaths per minute.Question 6: The cause of a secondary brain injury is:

Answer:

Hypoxia.

Question 7: Which findings requires interruption of the ITLS primary survey?

Answer:

Complete airway obstruction.Question 8: Prolonged scene times may reflect:

Answer:

Ineffective team collaboration.

Question 9: Which of the following is true regarding pulmonary contusion?

Answer:

Caused by hemorrhage into the lung parenchyma.Question 10: Which of the following distinguished a tension pneumothorax from a simple pneumothorax?

Answer:

Shock.Question 11: Routine use of hyperventilation in the traumatic brain injury patient will:

Answer:

Cause vasoconstriction and increased cerebral ischemia.Question 12: In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury?

Answer:

Cervical.

Question 13: When performing the ITLS primary survey, the team leader may minimize errors

by:

Answer:

Delegating interventions.

Question 14: Which of the following indicates a state of hyperventilation?

Answer:

An end tidal carbon dioxide level less than 30 mmHg.Question 15: Which of the following is typically associated with post-traumatic hemorrhage early shock?

Answer:

Narrowed pulse pressure.

Question 16: Which of the following is true regarding trauma in the elderly?

Answer:

Fatal outcomes are more likely in the elderly than the young.Question 17: An unresponsive 36-year-old female was involved in a motorcycle collision. Vital signs are BP 170/100, P 50, RR 8 and GCS of

3. You should suspect:

Answer:

Hypovolemia.Question 18: Which of the following should always be performed prior to transportation?

Answer:

Control major external bleeding.Question 19: A 32-year-old male is involved in a motor vehicle collision. The steering wheel is bent. Your assessment reveals present and equal bilateral breath sounds, and a rapid and weak

radial pulse that disappears upon inspiration. You should suspect:

Answer:

Cardiac tamponade.

Question 20: Bag-valve-mask ventilation:

Answer:

May exceed 60 cm H20 pressure in the airway.Question 21: As intra-cerebral pressure rises after an isolated head injury, what does the systolic blood pressure do?

Answer:

Increases.Question 22: 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 RR 30. Which of the following is the most likely cause for her vital signs?

Answer:

Bleeding into the chest or abdomen.Question 23: Hemostatic agents applied directly to the source of bleeding must be used in

conjunction with:

Answer:

Direct pressure to the wound.Question 24: Which of the following is considered one of the four essential components to maintain normal perfusion?

Answer:

Fluid levels.Question 25: Which of the following sets of vital signs is most compatible with a diagnosis of isolated traumatic brain injury with increasing intracranial pressure?

Answer:

BP 170/100; P 50.

Question 26: A 23-year-old female fell from a second-floor balcony. Upon arrival, you find her lying in the grass. She responds to verbal commands and your assessment reveals flat neck veins, and normal chest, abdomen and pelvis examinations. Her skin is cool, clammy and ashen; respirations are rapid and shallow; radial pulses are too rapid to count and thready. You place her on a heart monitor and it shows a wide-complex tachycardia of about 280 per minute.

You should suspect:

Answer:

Cardiogenic shock.

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