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ITLS PRACTICE TEST EXAM QUESTIONS

Exam (elaborations) Feb 27, 2026
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ITLS PRACTICE TEST EXAM QUESTIONS

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

-Format: Multiple-choice / Flashcard

Question 1: Which of the following is true regarding pulmonary contusion ?

Answer:

It is caused by hemorrhage into the lung parenchyma Question 2: Which of the following mechanisms of injury does not commonly cause damage to the spinal cord ?

Answer:

Lateral stress Question 3: What is the most likely cause of unequal pupils in a patient whose mental status is altered due to a head injury ?

Answer:

Increased intracranial pressure Question 4: Which one of the following is a reason to interrupt the initial assessment ?

Answer:

Cardiac arrest Question 5: A 42 year old male is involved in a motorcycle collision. Which of the following assessment finding should be managed first ?

Answer:

External arterial bleeding

Question 6: A 4 year old female is unconscious after falling of a bicycle. Which the following is the best method to open the airway ?

Answer:

Modified jaw thrust Question 7: When performing a needle decompression which of the following is the Best anatomical locations ?

Answer:

Directly over the top of the fifth rib in the anterior axillary line Question 8: A 32 year old male is involved in a motor vehicle collision. The steering wheel is bent you assessment reveals present and equal bilateral breath sound and a rapid and weak radial pulse that disappears upon inspiration you should suspect

Answer:

Cardiac temponade Question 9: A 25 year old female was stabbed in the left arm. She present with an altered mental status and signs of shock. Bleeding is uncontrolled despite direct pressure. Your should ?

Answer:

Apply a tourniquet proximal to the injury Question 10: You have placed an NPA in you 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 11: A 27 year old male with blunt chest trauma form 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 12: Which of the following should always be performed prior to transport ?

Answer:

Control major external bleeding

Question 13: 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 Question 14: The gold standard to confirm that the endotracheal tube is placed in the trachea is ?

Answer:

Waveform capnographic Question 15: A 31 year old male presents with diffculty breathing rapid and weak pulse flat neck veins and midline trachea. Your assessment of the left side of the chest reveals decreased breath sounds and dullness to percussion. You should suspect ?

Answer:

Massive hemothorax

Question 16: Bag valve mask ventilation ?

Answer:

May exceed 60 cm H@) pressure in the airway Question 17: 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 casue for her vital signs

Answer:

Bleeding into the chest or abdomen Question 18: An unresponsive 36 year old femal was involved in a motorcycle Collison vital sings are BP 170 /100 P 50 R8 and GCS 3 you should suspect ?

Answer:

Increased intracranial pressure Question 19: A 36 year old male sustains blunt force thoracic trauma and fits the criteria for a load and go patient. Which of the flowing should be performed on scene ?

Answer:

Assess for other potentially life threatening conditions

Question 20: 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 21: A 57 year old male has a respiratory rate of 36 etco2 of 30mmhg and an oxygen saturation of 80% you should ?

Answer:

Provide supplemental oxygen Question 22: Medical director requests application of a second tourniquet. Which of the following is the appropriate site ?

Answer:

Just below the first tourniquet

Question 23: The use of external Laryngeal manipulation

Answer:

Improves glottis visualization Question 24: Routine use of hyperventilation in the traumatic brain injury (TBI) patient Will ?

Answer:

Cause vasoconstriction and increased cerebral ischemia Question 25: Common mechanism of injury for the pediatric patient include all the following except ?

Answer:

Falls Question 26: Which of the following injuries would change a trauma patient t transport classification form stable to load and go ?

Answer:

Pelvic fracture

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