ADVANCED TRAUMA LIFE SUPPORT (ATLS) PRE-TEST
2025/2026 QUESTIONS WITH CORRECT ANSWERS
100%/GRADE A+ ASSURED
ADVANCED TRAUMA LIFE SUPPORT (ATLS) PRE-TEST
Instructions: Select the ONE best answer for each question.
Questions 1–250 | Most Tested • Most Difficult • Longest Format
PRIMARY SURVEY & INITIAL PRIORITIES
1.
A 32-year-old male is brought in after a high-speed MVC. He is obtunded, with
gurgling respirations, RR 8/min, SpO₂ 86%, BP 110/70. What is the most
appropriate first action?
A. Endotracheal intubation
B. Supplemental oxygen
C. Suction the airway and perform jaw thrust
D. Obtain cervical spine CT
Answer-: C
Rationale: Airway obstruction must be relieved before definitive airway
placement. Basic airway maneuvers come first.
,2.
Which statement BEST reflects the ATLS approach?
A. Complete diagnosis before treatment
B. Treat injuries in order of anatomical severity
C. Treat the greatest threat to life first
D. Imaging before intervention
Answer-: C
3.
A trauma patient is speaking clearly but becomes progressively hoarse. What does
this most strongly suggest?
A. Adequate airway
B. Stable ventilation
C. Impending airway compromise
D. Normal neurologic status
Answer-: C
4.
Which patient requires immediate cervical spine immobilization?
A. Isolated ankle fracture
B. Alert patient with no pain
C. Blunt trauma with altered mental status
D. Penetrating extremity trauma
Answer-: C
5.
The most common cause of airway obstruction in an unconscious trauma patient
is:
A. Blood
,B. Vomitus
C. Foreign body
D. Tongue
Answer-: D
BREATHING & VENTILATION
6.
A patient presents with hypotension, JVD, tracheal deviation, and absent breath
sounds on the right. Best next step?
A. Chest X-ray
B. Needle decompression
C. Chest tube after imaging
D. Intubation
Answer-: B
7.
Which finding BEST differentiates tension pneumothorax from massive
hemothorax?
A. Hypotension
B. Absent breath sounds
C. Tracheal deviation
D. Dullness to percussion
Answer-: D
8.
A trauma patient with severe chest trauma becomes hypoxic despite oxygen.
Breath sounds are equal. What is the NEXT priority?
A. Needle decompression
B. Intubation with positive pressure ventilation
, C. FAST exam
D. Chest CT
Answer-: B
9.
Which injury is IMMEDIATELY life-threatening and must be identified during the
primary survey?
A. Pulmonary contusion
B. Flail chest
C. Simple pneumothorax
D. Rib fracture
Answer-: B
10.
Pulse oximetry may be unreliable in trauma due to:
A. Hypothermia and shock
B. Pain
C. Anxiety
D. Tachypnea
Answer-: A
CIRCULATION & HEMORRHAGE
11.
The MOST common cause of shock in trauma patients is:
A. Neurogenic
B. Cardiogenic
C. Septic
D. Hemorrhagic
Answer-: D
2025/2026 QUESTIONS WITH CORRECT ANSWERS
100%/GRADE A+ ASSURED
ADVANCED TRAUMA LIFE SUPPORT (ATLS) PRE-TEST
Instructions: Select the ONE best answer for each question.
Questions 1–250 | Most Tested • Most Difficult • Longest Format
PRIMARY SURVEY & INITIAL PRIORITIES
1.
A 32-year-old male is brought in after a high-speed MVC. He is obtunded, with
gurgling respirations, RR 8/min, SpO₂ 86%, BP 110/70. What is the most
appropriate first action?
A. Endotracheal intubation
B. Supplemental oxygen
C. Suction the airway and perform jaw thrust
D. Obtain cervical spine CT
Answer-: C
Rationale: Airway obstruction must be relieved before definitive airway
placement. Basic airway maneuvers come first.
,2.
Which statement BEST reflects the ATLS approach?
A. Complete diagnosis before treatment
B. Treat injuries in order of anatomical severity
C. Treat the greatest threat to life first
D. Imaging before intervention
Answer-: C
3.
A trauma patient is speaking clearly but becomes progressively hoarse. What does
this most strongly suggest?
A. Adequate airway
B. Stable ventilation
C. Impending airway compromise
D. Normal neurologic status
Answer-: C
4.
Which patient requires immediate cervical spine immobilization?
A. Isolated ankle fracture
B. Alert patient with no pain
C. Blunt trauma with altered mental status
D. Penetrating extremity trauma
Answer-: C
5.
The most common cause of airway obstruction in an unconscious trauma patient
is:
A. Blood
,B. Vomitus
C. Foreign body
D. Tongue
Answer-: D
BREATHING & VENTILATION
6.
A patient presents with hypotension, JVD, tracheal deviation, and absent breath
sounds on the right. Best next step?
A. Chest X-ray
B. Needle decompression
C. Chest tube after imaging
D. Intubation
Answer-: B
7.
Which finding BEST differentiates tension pneumothorax from massive
hemothorax?
A. Hypotension
B. Absent breath sounds
C. Tracheal deviation
D. Dullness to percussion
Answer-: D
8.
A trauma patient with severe chest trauma becomes hypoxic despite oxygen.
Breath sounds are equal. What is the NEXT priority?
A. Needle decompression
B. Intubation with positive pressure ventilation
, C. FAST exam
D. Chest CT
Answer-: B
9.
Which injury is IMMEDIATELY life-threatening and must be identified during the
primary survey?
A. Pulmonary contusion
B. Flail chest
C. Simple pneumothorax
D. Rib fracture
Answer-: B
10.
Pulse oximetry may be unreliable in trauma due to:
A. Hypothermia and shock
B. Pain
C. Anxiety
D. Tachypnea
Answer-: A
CIRCULATION & HEMORRHAGE
11.
The MOST common cause of shock in trauma patients is:
A. Neurogenic
B. Cardiogenic
C. Septic
D. Hemorrhagic
Answer-: D
