2025 ITLS PEDIATRIC EXAM 4 COMPLETE ACTUAL EXAM REAL QUESTIONS WITH CORRECT DETAILED ANSWERS (CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION

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ITLS 9TH EDITION EXAM LATEST ACTUAL EXAM COMP
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LEETE 250 QUESTIONS AND DETAILED CORRECT ANSW
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ERS JUST RELEASED. p p




1. In a rear-
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impact motor vehicle crash, which area of the spine is
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most susceptible to injury?
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A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - p




CORRECT ANSWER >>>>A. Cervical
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Rationale: The sudden increase in acceleration produce
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s posterior displacement of the occupants and possible
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hyperextension of the cervical spine if the headrest is no p p p p p p p p p




t properly adjusted. The potential for cervical-
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spine injuries is great.
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2. A 36-year- p




old male sustains blunt force thoracic trauma and fits t
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he criteria for a load- and-
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go patient. Which of the following should be performe
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d on the scene?
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A. Obtain an EKG B. p p p




B. Establish vascular access p p



C. Obtain a finger-stick serum lactate level p p p p p




D. Assess for other potentially life- p p p p




threatening conditions - p p




CORRECT ANSWER >>>>D. Assess for other potent
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ially life-threatening conditions
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Rationale: The purpose of the initial assessment is to pr
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ioritize the patient and to identify all immediately life-
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threatening conditions. The information gathered is us p p p p p p




ed to make decisions about critical interventions and ti
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me of transport.
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3. The use of external laryngeal manipulation:
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A. Decreases the risk of airway trauma p p p p p



B. Reduces gastric distention p p




C. Improves glottic visualization p p



D. Causes aspiration - p p




CORRECT ANSWER >>>>C. Improves glottic visual
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ization

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Rationale: Manipulating the thyroid cartilage can help b p p p p p p p




ring the vocal cords into view during endotracheal intub
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ation. This is called external laryngeal manipulation (EL
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M). The movement is usually pressing the thyroid cartila
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ge backward against the esophagus and then upward an
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d slightly to the patient's right side.
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4. A pericardiocentesis is performed to:
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A. To remove fluid from the lining around the lungs
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B. To remove fluid from the lining around the heart
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C. To inject medications directly into the heart
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D. To monitor stroke volume - CORRECT ANSWER
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>>>>B. To remove fluid from the lining around the heart
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Rationale: The pericardial sac is an inelastic membrane t p p p p p p p p




hat surrounds the heart. If blood collects rapidly betwee
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n the heart and pericardium from a cardiac injury, the ve
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ntricles of the heart will be compressed, making the hear
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t less able to refill, and cardiac output falls.
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5. A 56-year- p




old male sustains a gunshot wound to the abdomen. Vit
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al signs are BP 74/32, P 136 present only
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at the carotid, and R 24 and shallow. The target of fluid r
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esuscitation is: p




A. Return of peripheral pulses p p p




B. Maintenance of central pulses p p p



C. Systolic blood pressure of 110-120 p p p p




D. Pulse rate of 100 - CORRECT ANSWER >>>>A.
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Return of peripheral pulses p p p




Rationale: This is an example of internal, uncontrolled hp p p p p p p p




emorrhage. Administer sufficient normal saline to main p p p p p p




tain peripheral perfusion, following local or EMS agency
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medical direction policies. Maintaining peripheral perfu
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sion is generally defined as giving enough fluid—
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usually in boluses— p p




to return a peripheral pulse, such as a radial pulse.
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6. An unconscious 15-year-
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old male was struck on the head with a baseball bat. His
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arms and legs are extended and his right pupil is dilated
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and fixed. You should:
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A. Insert an oropharyngeal airway, administer oxygen, a
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nd restrict fluids
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B. Apply a non- p p




rebreather mask, restrict fluids, and administer Man p p p p p p




nitol