ITLS ADVANCED PRE-TEST CERTIFICATION EXAM
LATEST 2026 ACTUAL EXAM WITH COMPLETE
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In a rear-impact motor vehicle collision, which area of the
spine is most susceptible to injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - Answers-A. Cervical
A pericardiocentesis is performed to:
A. To remove fluid from the lining around the lungs
B. To remove fluid from the lining around the heart
C. To inject medications directly into the heart
D. To monitor stroke volume - Answers-B. To remove fluid
from the lining around the heart
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A 36-year-old male sustains blunt force thoracic trauma
and fits the criteria for a load-and-go patient. Which of the
following should be performed on the scene?
A. Obtain an ECG
B. Establish vascular access
C. Obtain a finger stick serum lactate level
D. Assess for other potentially life-threatening conditions -
Answers-D. Assess for other potentially life-threatening
conditions
The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration - Answers-C. Improves glottis
visualization
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:
A. Return of peripheral pulses
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B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100 - Answers-A. Return of peripheral
pulses
An unconscious 15-year-old male was struck on the head
with a baseball bat. His arms and legs are extended and
his right pupil is dilated and fixed. You should:
A. Insert an oropharyngeal airway, administer oxygen, and
restrict fluids
B. Apply a non-rebreather mask, restrict fluids, and
administer Mannitol
C. Perform nasotracheal intubation, restrict fluids, and
provide adequate ventilation
D. Perform bag-mask ventilation at 20 per minute -
Answers-D. Perform bag-mask ventilation at 20 per minute
Which of the following mechanisms of injury does not
commonly cause damage to the spinal cord?
A. Hyperextension
B. Hyper flex ion
C. Lateral stress