Page 1 of 48
ITLS ADVANCED PRE-TEST CERTIFICATION
EXAM COMPLETE CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
VERIFIED ANSWERS FOR GUARANTEED
PASS/TOP-RATED A+.
ITLS
Maximize your success on the ITLS (International Trauma Life
Support) Advanced Pre-Test Certification exam with focused
preparation that strengthens your understanding of rapid trauma
assessment, critical interventions, and complex decision-
making for critically injured adult and pediatric patients. It is
specifically designed for paramedics, nurses, and physicians
seeking to validate and enhance their advanced prehospital
trauma management skills.
A 34 year old man is injured in a motor vehicle collision.
Physical examination is normal except for diffuse abdominal
tenderness. He is conscious and vital signs obtained
enroute to the hospital are respirations 20 per minute, pulse
rate is 120 per minute blood pressure 100/60; How should
this patient be managed in the field?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid at 20 ml/kg bolus
, Page 2 of 48
C. Fentanyl 100 mcg intravenous
D. Insert an oropharyngeal airway and assist ventilations
...... ANSWER ....... A. Intravenous fluid at a "keep open"
rate✓✓
What is Sellick's maneuver?
A. A method allowing the rescuer to hold a mask on the face
with both hands
B. A system used to calculate minute volume
C. Another name for Mallampati
D. Posteriorly directed pressure applied to the cricoid
cartilage ...... ANSWER ....... D. Posteriorly directed
pressure applied to the cricoid cartilage✓✓
For which one of the following viruses is there currently an
effective vaccine?
A. Delta hepatitis
B. Hepatitis B
C. Hepatitis C
D. Human immunodeficiency virus ...... ANSWER ....... B.
Hepatitis B✓✓
, Page 3 of 48
A 16 year old girl is rescued from a burning house. She has
25% partial thickness burns, and the burned areas are hot to
the touch. What is the appropriate treatment?
A. Apply ice to burned areas until cool to touch
B. Apply clean water to burned areas for up to 1-2 minutes
C. Apply iced water to burned areas until cool to touch
D. Do not apply anything to burned areas other than clean
sheets ...... ANSWER ....... B. Apply clean water to
burned areas for up to 1-2 minutes✓✓
Proper immobilization of a forearm (radius and ulna) fracture
involves splinting which of the
following?
A. Elbow and fracture site
B. Fracture site only
C. Wrist and fracture site
D. Wrist, elbow, and fracture site ...... ANSWER ....... D.
Wrist, elbow, and fracture site✓✓
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What treatment is NOT indicated in the routine management
of the patient with a head injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the
patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine ...... ANSWER ....... C.
Hyperventilating to obtain an EtCO2 of less than 30✓✓
7 . Which of the following sets of vital signs is most
compatible with a diagnosis of isolated head injury with
increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min ...... ANSWER ....... A. BP
170/100, pulse 50/min✓✓
Which of the following trauma situations would be
considered "load and go"?
ITLS ADVANCED PRE-TEST CERTIFICATION
EXAM COMPLETE CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
VERIFIED ANSWERS FOR GUARANTEED
PASS/TOP-RATED A+.
ITLS
Maximize your success on the ITLS (International Trauma Life
Support) Advanced Pre-Test Certification exam with focused
preparation that strengthens your understanding of rapid trauma
assessment, critical interventions, and complex decision-
making for critically injured adult and pediatric patients. It is
specifically designed for paramedics, nurses, and physicians
seeking to validate and enhance their advanced prehospital
trauma management skills.
A 34 year old man is injured in a motor vehicle collision.
Physical examination is normal except for diffuse abdominal
tenderness. He is conscious and vital signs obtained
enroute to the hospital are respirations 20 per minute, pulse
rate is 120 per minute blood pressure 100/60; How should
this patient be managed in the field?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid at 20 ml/kg bolus
, Page 2 of 48
C. Fentanyl 100 mcg intravenous
D. Insert an oropharyngeal airway and assist ventilations
...... ANSWER ....... A. Intravenous fluid at a "keep open"
rate✓✓
What is Sellick's maneuver?
A. A method allowing the rescuer to hold a mask on the face
with both hands
B. A system used to calculate minute volume
C. Another name for Mallampati
D. Posteriorly directed pressure applied to the cricoid
cartilage ...... ANSWER ....... D. Posteriorly directed
pressure applied to the cricoid cartilage✓✓
For which one of the following viruses is there currently an
effective vaccine?
A. Delta hepatitis
B. Hepatitis B
C. Hepatitis C
D. Human immunodeficiency virus ...... ANSWER ....... B.
Hepatitis B✓✓
, Page 3 of 48
A 16 year old girl is rescued from a burning house. She has
25% partial thickness burns, and the burned areas are hot to
the touch. What is the appropriate treatment?
A. Apply ice to burned areas until cool to touch
B. Apply clean water to burned areas for up to 1-2 minutes
C. Apply iced water to burned areas until cool to touch
D. Do not apply anything to burned areas other than clean
sheets ...... ANSWER ....... B. Apply clean water to
burned areas for up to 1-2 minutes✓✓
Proper immobilization of a forearm (radius and ulna) fracture
involves splinting which of the
following?
A. Elbow and fracture site
B. Fracture site only
C. Wrist and fracture site
D. Wrist, elbow, and fracture site ...... ANSWER ....... D.
Wrist, elbow, and fracture site✓✓
, Page 4 of 48
What treatment is NOT indicated in the routine management
of the patient with a head injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the
patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine ...... ANSWER ....... C.
Hyperventilating to obtain an EtCO2 of less than 30✓✓
7 . Which of the following sets of vital signs is most
compatible with a diagnosis of isolated head injury with
increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min ...... ANSWER ....... A. BP
170/100, pulse 50/min✓✓
Which of the following trauma situations would be
considered "load and go"?
