ITLS Advanced Final All Exam Questions with
Answer Graded A+ 2025/2026
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 - 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
D. Compression - 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 - 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 - 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 - C.
Leave the NPA in place so as not to disturb the clot or reactivate bleeding
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 - 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 - 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 - C. Waveform capnography
Which of the causes of pediatric injury listed below is most likely to result in
severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites - B. Motor vehicle collisions
Which of the following injuries would change a trauma patient's transport
classification from "stable" to "load and go"?
A. Clavicle fracture
Answer Graded A+ 2025/2026
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 - 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
D. Compression - 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 - 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 - 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 - C.
Leave the NPA in place so as not to disturb the clot or reactivate bleeding
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 - 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 - 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 - C. Waveform capnography
Which of the causes of pediatric injury listed below is most likely to result in
severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites - B. Motor vehicle collisions
Which of the following injuries would change a trauma patient's transport
classification from "stable" to "load and go"?
A. Clavicle fracture
