Page 1 of 7
ITLS ADVANCED POST TEST EXAM WITH CORRECT
ANSWERS 2025
Your patient has an extremity trapped. What can you do for them
while waiting for extrication?
Gather vital signs. Give pain management assuming vitals allow
for it.
What should be completed upon arriving at the scene?
Scene Size-up
Prolonged scene times are often related to what factor?
Ineffective team collaboration
What ETCO2 value would indicate hyperventilation?
less than 30mmHg
What 2 interventions should be performed on a patient with a flail
chest segment?
1. C-Spine precautions
2. Positive Pressure Ventilations w/ a BVM
Can hypovolemic (high-space) shock occur without any obvious
trauma?
, Page 2 of 7
YES! Internal bleeding is a big concern
How do you position the patient and their head when attempting
an external jugular IV?
Supine with no head elevation. Head turned to the appropriate
side
Your patient has an isolated traumatic brain injury. How would
you expect their BP and HR to be?
BP: elevated
HR: decreased
What motion do you need to avoid when applying a C-collar?
Neck traction (pulling head superiorly, stretching the spine)
Does abdominal evisceration indicate a need for immediate
transport?
YES! Do everything during transport (IV, bandaging, etc.)
Do you wanted to establish IV access for a burn patient on scene
or during transport?
On scene. Ensures you will get it so you can start fluids and pain
management.
What assessment is useful for monitoring a pediatric patient with
a head injury?
Level of consciousness
Hypotension in a geriatric patient can indicate what?
Acute injury
ITLS ADVANCED POST TEST EXAM WITH CORRECT
ANSWERS 2025
Your patient has an extremity trapped. What can you do for them
while waiting for extrication?
Gather vital signs. Give pain management assuming vitals allow
for it.
What should be completed upon arriving at the scene?
Scene Size-up
Prolonged scene times are often related to what factor?
Ineffective team collaboration
What ETCO2 value would indicate hyperventilation?
less than 30mmHg
What 2 interventions should be performed on a patient with a flail
chest segment?
1. C-Spine precautions
2. Positive Pressure Ventilations w/ a BVM
Can hypovolemic (high-space) shock occur without any obvious
trauma?
, Page 2 of 7
YES! Internal bleeding is a big concern
How do you position the patient and their head when attempting
an external jugular IV?
Supine with no head elevation. Head turned to the appropriate
side
Your patient has an isolated traumatic brain injury. How would
you expect their BP and HR to be?
BP: elevated
HR: decreased
What motion do you need to avoid when applying a C-collar?
Neck traction (pulling head superiorly, stretching the spine)
Does abdominal evisceration indicate a need for immediate
transport?
YES! Do everything during transport (IV, bandaging, etc.)
Do you wanted to establish IV access for a burn patient on scene
or during transport?
On scene. Ensures you will get it so you can start fluids and pain
management.
What assessment is useful for monitoring a pediatric patient with
a head injury?
Level of consciousness
Hypotension in a geriatric patient can indicate what?
Acute injury
