ITLS | Exam Questions with Solutions |
2026 Update | 100% Correct - Verified
• Prolonged scene time may reflect? -✓✓Ineffective team collaboration
• Which of the following indicates a state of Hyperventilation? -✓✓An end tidal
carbon dioxide level less than 30 mmHG
• 54-yr old male involved in MVC, steering wheel bent. You note pale skin, radial
pulses are present, and clear breath sounds. Tender over sternum and complains of
chest pains? -✓✓Cardiac Contusion
• One of the four essential components to maintain normal perfusion? -✓✓Fluid
levels
• As ICP rises after head injury (isolated), what does systolic BP do? -✓✓Increases
• Which of the following MOIs does not commonly cause damage to the spinal
cord? -✓✓Lateral Stress
• 4-year old falls off bike and goes unconscious, what is the best method to open
airway? -✓✓Modified Jaw Thrust
• When performing ITLS primary survey, team leader can minimize errors by? -
✓✓Delegating interventions
• You have placed an NPA in your patient and now observe mild hemorrhaging
from nares, you should? -✓✓Lave NPA in place so as to not disturb the clot or
reactivate bleeding
• 27 year old with blunt chest trauma from MVC was successfully intubate at
scene. While ventilating you notice resistance + absence if right chest fall
movement? -✓✓Tension Pneumothorax
• Which of the following assessment findings is associated with neurogenic shock?
-✓✓Decreased pulse, normal skin color and temperature
, • Which of the following set of vitals is most compatible with a diagnosis of
isolated TBI with increasing ICP? -✓✓Cushing's triad
high BP
low HR
irregular RR
• Not common MOI for pediatrics? -✓✓Animal bites
(Common: Falls/MVC/Burns)
• Which of the following injuries would change a trauma patient's transport
classification from "stable" to "load and go"? -✓✓Pelvic Fracture
• Which of the following findings would not make a patient difficult to ventilate
with a bag-valve mask? -✓✓Multiple nose piercings
(Not okay MOANS/ beard, obesity, elderly patients)
*remember to leave dentures in
• Unconscious 18 year old involved in an MVC. Find him unrestrained behind a
bent steering wheel. He is unconscious with cool, pale and clammy skin. Vitals are
BP 90/40, Pulse 120 and thready, and RR 30 and shallow. Blue around lips, JVD
and Tracheal Deviation to the right. Asymmetrical chest with absent breath sounds
on the left? -✓✓Tension Pneumothorax
• Hemostatic agents applied directly to the source of bleeding must be used in
conjunction with? -✓✓Direct pressure to the wound
• Routine use of hyperventilation in TBI patient will -✓✓Cause vasoconstriction
and increased cerebral ischemia
• Which finding requires interruption of the ITLS primary survey? -✓✓Complete
airway obstruction
• Bag valve mask (BVM) ventilation -✓✓May exceed 60 cm H2O pressure in the
airway
• Which of the following is true regarding pulmonary contusion? -✓✓Caused by
hemorrhage into the lung parenchyma
2026 Update | 100% Correct - Verified
• Prolonged scene time may reflect? -✓✓Ineffective team collaboration
• Which of the following indicates a state of Hyperventilation? -✓✓An end tidal
carbon dioxide level less than 30 mmHG
• 54-yr old male involved in MVC, steering wheel bent. You note pale skin, radial
pulses are present, and clear breath sounds. Tender over sternum and complains of
chest pains? -✓✓Cardiac Contusion
• One of the four essential components to maintain normal perfusion? -✓✓Fluid
levels
• As ICP rises after head injury (isolated), what does systolic BP do? -✓✓Increases
• Which of the following MOIs does not commonly cause damage to the spinal
cord? -✓✓Lateral Stress
• 4-year old falls off bike and goes unconscious, what is the best method to open
airway? -✓✓Modified Jaw Thrust
• When performing ITLS primary survey, team leader can minimize errors by? -
✓✓Delegating interventions
• You have placed an NPA in your patient and now observe mild hemorrhaging
from nares, you should? -✓✓Lave NPA in place so as to not disturb the clot or
reactivate bleeding
• 27 year old with blunt chest trauma from MVC was successfully intubate at
scene. While ventilating you notice resistance + absence if right chest fall
movement? -✓✓Tension Pneumothorax
• Which of the following assessment findings is associated with neurogenic shock?
-✓✓Decreased pulse, normal skin color and temperature
, • Which of the following set of vitals is most compatible with a diagnosis of
isolated TBI with increasing ICP? -✓✓Cushing's triad
high BP
low HR
irregular RR
• Not common MOI for pediatrics? -✓✓Animal bites
(Common: Falls/MVC/Burns)
• Which of the following injuries would change a trauma patient's transport
classification from "stable" to "load and go"? -✓✓Pelvic Fracture
• Which of the following findings would not make a patient difficult to ventilate
with a bag-valve mask? -✓✓Multiple nose piercings
(Not okay MOANS/ beard, obesity, elderly patients)
*remember to leave dentures in
• Unconscious 18 year old involved in an MVC. Find him unrestrained behind a
bent steering wheel. He is unconscious with cool, pale and clammy skin. Vitals are
BP 90/40, Pulse 120 and thready, and RR 30 and shallow. Blue around lips, JVD
and Tracheal Deviation to the right. Asymmetrical chest with absent breath sounds
on the left? -✓✓Tension Pneumothorax
• Hemostatic agents applied directly to the source of bleeding must be used in
conjunction with? -✓✓Direct pressure to the wound
• Routine use of hyperventilation in TBI patient will -✓✓Cause vasoconstriction
and increased cerebral ischemia
• Which finding requires interruption of the ITLS primary survey? -✓✓Complete
airway obstruction
• Bag valve mask (BVM) ventilation -✓✓May exceed 60 cm H2O pressure in the
airway
• Which of the following is true regarding pulmonary contusion? -✓✓Caused by
hemorrhage into the lung parenchyma
