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ATLS Pretest – 100 Exam Questions with Correct Answers | Trauma, Airway, Burns, Shock, OB Trauma | Advanced Trauma Life Support 2026

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This comprehensive document presents 100 fully verified exam questions and correct answers for the 2026 Advanced Trauma Life Support (ATLS) Pretest, designed to mirror the structure and content of real ATLS assessments. Ideal for final review before certification or recertification, it focuses on trauma management across a wide range of patient scenarios. Topics include airway management, hemorrhagic shock, burn resuscitation, traumatic brain injury, spinal trauma, pediatric and obstetric trauma, FAST exams, thoracic injuries, splenic and liver lacerations, fracture management, chest tube protocols, neurological scoring (GCS), and indications for surgical intervention. Special emphasis is placed on prioritization during the primary and secondary surveys, injury patterns by mechanism (e.g., MVCs, falls, stab wounds), and field-to-hospital transfer decisions. The Q&A format facilitates rapid review and retention and follows the latest ATLS guidelines and best practices, making it suitable for both first-time candidates and seasoned professionals preparing for renewal. This resource is ideal for: Emergency medicine residents and trauma fellows Surgical interns and residents Medical students in trauma electives Paramedics, physician assistants, and nurse practitioners in acute care Any healthcare provider preparing for the ATLS certification or pre-course exam This guide serves as a focused, high-yield study tool that covers the critical knowledge needed for acute trauma evaluation and management. Keywords: ATLS pretest, trauma certification, airway management, shock resuscitation, burns, FAST exam, thoracostomy, GCS scoring, splenic trauma, TBI, obstetric trauma, pediatric trauma, surgical emergencies, trauma life support, 2026 ATLS review

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Advanced Life Support ATLS
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Institution
Advanced Life Support ATLS
Course
Advanced Life Support ATLS

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Uploaded on
January 18, 2026
Number of pages
12
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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ATLS Pretest 2026 Exam Questions with
100% Correct Answers | Latest Update



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: - 🧠 ANSWER ✔✔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: - 🧠

ANSWER ✔✔complete spine x-ray series


Which of the following is true regarding the initial resuscitation of a trauma

patient? - 🧠 ANSWER ✔✔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: - 🧠 ANSWER ✔✔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? - 🧠 ANSWER ✔✔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: - 🧠 ANSWER

✔✔increasing the volume of blood loss to produce maternal hypotension

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