ATLS PRE POST TESTS COMPILED EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS GRADED A+
Exam
A 22-year-old man is hypotensive and
tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/40
mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His
heart rate is now 100 beats per minute and his
respiratory rate is 28 breaths per minute. A
tube thoracostomy is performed for decreased
left chest breath sounds with the return of a
small amount of blood and no air leak. After
chest tube insertion, the most appropriate next
step is: - <<<<Answers>>>>re-examine the
chest
A construction worker falls two stories from a
building and sustains bilateral calcaneal
fractures. In the emergency department, he is
alert, vital signs are normal, and he is
complaining of severe pain in both heels and
his lower back. Lower extremity pulses are
,strong and there is no other deformity. The
suspected diagnosis is most likely to be
confirmed by: - <<<<Answers>>>>complete
spine x-ray series
Which of the following is true regarding the
initial resuscitation of a trauma patient? -
<<<<Answers>>>>Evidence of improved
perfusion after fluid resuscitation could
include improvement in Glasgow Coma Scale
score on reevaluation.
In managing a patient with a severe traumatic
brain injury, the most important initial step is
to: - <<<<Answers>>>>secure the airway
A previously healthy, 70-kg (154-pound) man
suffers an estimated acute blood loss of 2
liters. Which one of the following statements
applies to this patient? - <<<<Answers>>>>An
ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy
has clinical significance in the management of
,the severely injured, gravid woman by: -
<<<<Answers>>>>increasing the volume of
blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of
the adult burn patient is: -
<<<<Answers>>>>urinary output of 0.5
mL/kg/hr
The diagnosis of shock must include: -
<<<<Answers>>>>evidence of inadequate
organ perfusion
A 7-year-old boy is brought to the emergency
department by his parents several minutes
after he fell through a window. He is bleeding
profusely from a 6-cm wound of his medial
right thigh. Immediate management of the
wound should consist of: -
<<<<Answers>>>>direct pressure on the
wound
For the patient with severe traumatic brain
injury, profound hypocarbia should be avoided
, to prevent: - <<<<Answers>>>>cerebral
vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a
25-year-old man is brought to a hospital that
has surgery capabilities available.. Computed
tomography of the chest and abdomen shows
an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to
70 mm Hg after CT. The next step is: -
<<<<Answers>>>>perform an exploratory
laparotomy
Which one of the following statements
regarding abdominal trauma in the pregnant
patient is TRUE? - <<<<Answers>>>>Leakage
of amniotic fluid is an indication for hospital
admission.
The first maneuver to improve oxygenation
after chest injury is: -
<<<<Answers>>>>administer supplemental
oxygen
COMPLETE QUESTIONS AND SOLUTIONS GRADED A+
Exam
A 22-year-old man is hypotensive and
tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/40
mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His
heart rate is now 100 beats per minute and his
respiratory rate is 28 breaths per minute. A
tube thoracostomy is performed for decreased
left chest breath sounds with the return of a
small amount of blood and no air leak. After
chest tube insertion, the most appropriate next
step is: - <<<<Answers>>>>re-examine the
chest
A construction worker falls two stories from a
building and sustains bilateral calcaneal
fractures. In the emergency department, he is
alert, vital signs are normal, and he is
complaining of severe pain in both heels and
his lower back. Lower extremity pulses are
,strong and there is no other deformity. The
suspected diagnosis is most likely to be
confirmed by: - <<<<Answers>>>>complete
spine x-ray series
Which of the following is true regarding the
initial resuscitation of a trauma patient? -
<<<<Answers>>>>Evidence of improved
perfusion after fluid resuscitation could
include improvement in Glasgow Coma Scale
score on reevaluation.
In managing a patient with a severe traumatic
brain injury, the most important initial step is
to: - <<<<Answers>>>>secure the airway
A previously healthy, 70-kg (154-pound) man
suffers an estimated acute blood loss of 2
liters. Which one of the following statements
applies to this patient? - <<<<Answers>>>>An
ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy
has clinical significance in the management of
,the severely injured, gravid woman by: -
<<<<Answers>>>>increasing the volume of
blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of
the adult burn patient is: -
<<<<Answers>>>>urinary output of 0.5
mL/kg/hr
The diagnosis of shock must include: -
<<<<Answers>>>>evidence of inadequate
organ perfusion
A 7-year-old boy is brought to the emergency
department by his parents several minutes
after he fell through a window. He is bleeding
profusely from a 6-cm wound of his medial
right thigh. Immediate management of the
wound should consist of: -
<<<<Answers>>>>direct pressure on the
wound
For the patient with severe traumatic brain
injury, profound hypocarbia should be avoided
, to prevent: - <<<<Answers>>>>cerebral
vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a
25-year-old man is brought to a hospital that
has surgery capabilities available.. Computed
tomography of the chest and abdomen shows
an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to
70 mm Hg after CT. The next step is: -
<<<<Answers>>>>perform an exploratory
laparotomy
Which one of the following statements
regarding abdominal trauma in the pregnant
patient is TRUE? - <<<<Answers>>>>Leakage
of amniotic fluid is an indication for hospital
admission.
The first maneuver to improve oxygenation
after chest injury is: -
<<<<Answers>>>>administer supplemental
oxygen
