ITLS ADVANCED PRE-TEST 9th EDITION NEWEST 2025
COMPLETE ALL QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A 31-year-old male presents with difficulty breathing, rapid and weak pulse, flat
neck veins, and midline trachea. Your assessment of the left side of the chest
reveals decreased breath sounds and dullness to percussion. You should suspect:
A. Cardiac tamponade
B. Flail chest
C. Tension pneumothorax
D. Massive hemothorax - ANSWER-D. Massive hemothorax
A 45-year-old female is found unconscious at the scene of motor vehicle collision.
Her vital signs are BP 80/40, P 130, and R 30. Which of the following is the most
likely cause for her vital signs?
A. Fractured lower legs
B. Intracranial hemorrhage
C. Bleeding into the chest or abdomen
D. Spinal cord injury with neurogenic shock - ANSWER-C. Bleeding into the chest
or abdomen
The cause of a secondary brain injury is:
A. Contra-coup
B. Coup
C. Hemorrhage
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, ITLS ADVANCED PRE-TEST 9th EDITION
D. Hypoxia - ANSWER-D. Hypoxia
Which one of the following is a reason to interrupt the initial assessment?
A. Cardiac arrest
B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock - ANSWER-A. Cardiac arrest
Which of the following is not a desired characteristic of a suction device?
A. It can be carried in an airway kit with an oxygen cylinder and other airway
equipment
B. It can be hand powered or battery powered
C. It can generate sufficient suction and volume displacement to remove pieces of
food, blood clots, and thick secretions from the oropharynx
D. It can be powered by your portable O2 cylinder so it is not dependent on
battery power - ANSWER-D. It can be powered by your portable O2 cylinder so it is
not dependent on battery power
What is the most serious early complication of burns from electrical contact?
A. Cervical spine injury
B. Cardiac arrhythmia
C. Hypovolemic shock
D. Renal failure - ANSWER-B. Cardiac arrhythmia
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Which of the following changes is most useful to monitor in the child with head
injury?
A. Frequency of vomiting
B. Level of consciousness
C. Reflexes
D. Sensory exam - ANSWER-B. Level of consciousness
A disoriented 23-year-old male is injured in a motorcycle collision. The patient
appears to be intoxicated and does not want medical attention despite a large
laceration on his scalp, which is actively bleeding. You should:
A. Have the patient call a friend of family member and have them drive him home
and sleep it off
B. Discuss the impact of alcohol abuse with him
C. Treat him as a head injured patient
D. Wait until the patient loses consciousness and then transport - ANSWER-C.
Treat him as a head injured patient
When performing a needle decompression, which of the following is the best
anatomical location?
A. Directly over the top of the fifth rib in the anterior axillary line
B. Directly over the top of the fourth rib in anterior axillary line
C. Directly under the bottom of the third rib in the midclavicular line
D. Directly over the top of the second rib in the anterior axillary line - ANSWER-A.
Directly over the top of the fifth rib in the anterior axillary line
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