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ITLS 9th Edition Questions & Answers | 100%
Correct Answers | Verified | Latest 2026 Version.
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 - ANSWER-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 - ANSWER-B. To remove fluid from the
lining around the heart
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 - ANSWERD.
Assess for other potentially life-threatening conditions
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The use of external laryngeal
manipulation:
A. Decreases the risk of
airway trauma
B. Reduces gastric
distention
C. Improves glottis
visualization
D. Causes aspiration - ANSWER-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
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100 - ANSWER-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 - ANSWER-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?
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A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression - ANSWER-C. Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of
the following is the best method to pen the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - ANSWER-A. Modified jaw-thrust
When performing the ITLS Primary Survey, the team leader may
minimize errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - ANSWER-D. Delegating interventions
You have placed an NPA in your patient and now observe mild
hemorrhage from the nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare C.
Leave the NPA in place so as not to disturb the clot or reactivate
bleeding
D. Contact medical control as an NPA will not cause hemorrhage -
ANSWER-C. Leave the NPA in place so as not to disturb the clot or
reactivate bleeding
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A 27-year-old male with blunt chest trauma from a motor vehicle
collisions as successfully intubated at the scene. While ventilating the
patient, you note resistance with absence of right chest wall movement.
You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ANSWER-D. Tension pneumothorax
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? A. Intravenous fluid at a "keep
open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral pulses
C. Intravenous fluid at a "wide open" rate
D. No intravenous access should be established in this situation -
ANSWER-B. Intravenous fluid; give enough fluid to maintain
peripheral pulses
The gold standard to confirm that the endotracheal tube is placed in the
trachea is:
A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
D. Presence of condensation in the tube - ANSWER-C. Waveform
capnography
Which of the causes of pediatric injury listed below is most likely to
result in severe injury or death?
ITLS 9th Edition Questions & Answers | 100%
Correct Answers | Verified | Latest 2026 Version.
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 - ANSWER-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 - ANSWER-B. To remove fluid from the
lining around the heart
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 - ANSWERD.
Assess for other potentially life-threatening conditions
,2|Page
The use of external laryngeal
manipulation:
A. Decreases the risk of
airway trauma
B. Reduces gastric
distention
C. Improves glottis
visualization
D. Causes aspiration - ANSWER-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
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100 - ANSWER-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 - ANSWER-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?
,3|Page
A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression - ANSWER-C. Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of
the following is the best method to pen the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - ANSWER-A. Modified jaw-thrust
When performing the ITLS Primary Survey, the team leader may
minimize errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - ANSWER-D. Delegating interventions
You have placed an NPA in your patient and now observe mild
hemorrhage from the nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare C.
Leave the NPA in place so as not to disturb the clot or reactivate
bleeding
D. Contact medical control as an NPA will not cause hemorrhage -
ANSWER-C. Leave the NPA in place so as not to disturb the clot or
reactivate bleeding
, 4|Page
A 27-year-old male with blunt chest trauma from a motor vehicle
collisions as successfully intubated at the scene. While ventilating the
patient, you note resistance with absence of right chest wall movement.
You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ANSWER-D. Tension pneumothorax
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? A. Intravenous fluid at a "keep
open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral pulses
C. Intravenous fluid at a "wide open" rate
D. No intravenous access should be established in this situation -
ANSWER-B. Intravenous fluid; give enough fluid to maintain
peripheral pulses
The gold standard to confirm that the endotracheal tube is placed in the
trachea is:
A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
D. Presence of condensation in the tube - ANSWER-C. Waveform
capnography
Which of the causes of pediatric injury listed below is most likely to
result in severe injury or death?
