Science / Medicine / Emergency Medicine
ATLS PRACTICE TEST 2025-2026 ACTUAL EXAM
200+ REAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS | A+ GRADED
C
1/63
,A 22-year-old man is hypotensive and re-examine the chest
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:
A construction worker falls two stories from complete spine x-ray series
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:
Which of the following is true regarding the Evidence of improved perfusion after
initial resuscitation of a trauma patient? fluid resuscitation could include
improvement in Glasgow Coma
Scale score on reevaluation.
In managing a patient with a severe secure the airway
traumatic brain injury, the most important initial
2/63
,step is to:
A previously healthy, 70-kg (154-pound) An ABG would demonstrate a base deficit
man suffers an estimated acute blood loss of 2 between -6 and -10 mEq/L.
liters. Which one of the following
statements applies to this patient?
The physiological hypervolemia of increasing the volume of blood loss to
pregnancy has clinical significance in the produce maternal hypotension
management of the severely injured, gravid
woman by:
The best assessment of fluid resuscitation of urinary output of 0.5 mL/kg/hr
the adult burn patient is:
The diagnosis of shock must include: evidence of inadequate organ perfusion
A 7-year-old boy is brought to the direct pressure on the wound
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:
For the patient with severe traumatic brain cerebral vasoconstriction with diminished
injury, profound hypocarbia should be perfusion
avoided to prevent:
After being involved in a motor vehicle perform an exploratory laparotomy
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:
3/63
, Which one of the following statements Leakage of amniotic fluid is an indication for
regarding abdominal trauma in the pregnant hospital admission.
patient is TRUE?
The first maneuver to improve oxygenation administer supplemental oxygen
after chest injury is:
A 25-year-old man, injured in a motor 9
vehicular crash, is admitted to the
emergency department. His pupils react
sluggishly and his eyes open to pressure. He
does not follow commands, but he does
moan periodically. His right arm is deformed
and does not respond to pressure; however,
his left hand reaches purposefully toward the
stimulus. Both legs
are stiffly extended. His GCS score is:
4/63
ATLS PRACTICE TEST 2025-2026 ACTUAL EXAM
200+ REAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS | A+ GRADED
C
1/63
,A 22-year-old man is hypotensive and re-examine the chest
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:
A construction worker falls two stories from complete spine x-ray series
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:
Which of the following is true regarding the Evidence of improved perfusion after
initial resuscitation of a trauma patient? fluid resuscitation could include
improvement in Glasgow Coma
Scale score on reevaluation.
In managing a patient with a severe secure the airway
traumatic brain injury, the most important initial
2/63
,step is to:
A previously healthy, 70-kg (154-pound) An ABG would demonstrate a base deficit
man suffers an estimated acute blood loss of 2 between -6 and -10 mEq/L.
liters. Which one of the following
statements applies to this patient?
The physiological hypervolemia of increasing the volume of blood loss to
pregnancy has clinical significance in the produce maternal hypotension
management of the severely injured, gravid
woman by:
The best assessment of fluid resuscitation of urinary output of 0.5 mL/kg/hr
the adult burn patient is:
The diagnosis of shock must include: evidence of inadequate organ perfusion
A 7-year-old boy is brought to the direct pressure on the wound
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:
For the patient with severe traumatic brain cerebral vasoconstriction with diminished
injury, profound hypocarbia should be perfusion
avoided to prevent:
After being involved in a motor vehicle perform an exploratory laparotomy
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:
3/63
, Which one of the following statements Leakage of amniotic fluid is an indication for
regarding abdominal trauma in the pregnant hospital admission.
patient is TRUE?
The first maneuver to improve oxygenation administer supplemental oxygen
after chest injury is:
A 25-year-old man, injured in a motor 9
vehicular crash, is admitted to the
emergency department. His pupils react
sluggishly and his eyes open to pressure. He
does not follow commands, but he does
moan periodically. His right arm is deformed
and does not respond to pressure; however,
his left hand reaches purposefully toward the
stimulus. Both legs
are stiffly extended. His GCS score is:
4/63
