ATLS Post Actual Exam NEWEST VERSION 2026 Actual
Exam with Verified Questions and Correct Answers.
1. Regarding frostbite injuries, which of the following measures is part of the
initial treatment?:
Early amputation to prevent septic complications.
Debridement of hemorrhagic blisters.
Rapid rewarming of the body part in circulating warm water.
Application of dry heat.
Massage of the affected area.
2. What would be your first priority for someone who fractured their femur?
rest the fractured extremity
give pain meds
elevate the fractured extremity
immobilize the fractured extremity
3. Which of the following distinguishes traumatic injuries of the thoracic spine
from injuries to the remainder of the spinal column?
Thoracic spine injuries are more common due to relative mobility of
thoracic vertebrae
Thoracic spine injuries are more likely to be associated with cord
injuries
The thoracic spine requires less force to injure than the cervical spine
Thoracic spine injuries are less likely to be associated with complete
cord injuries than are injuries at the thoracolumbar junction
,4. A 30-year-old male presents after a motor vehicle crash. Vital signs are RR 18,
HR 88, BP 130/72, GCS 13. Laparotomy is indicated when
CT demonstrates retroperitoneal air
There is distinct seatbelt sign over the abdomen
The CT scan demonstrates a grade 4 hepatic injury
There is evidence of extraperitoneal bladder
The abdomen is distended with localized right upper quadrant
tenderness
5. Regarding airway compromise, which of the following is NOT a sign/symptom
of this emergency?:
Stridor.
Change in voice tone.
Decreased pulse pressure.
Dyspnea and agitation.
Tachypnea.
6. A young man sustains a rifle would to the mid abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and diaphoretic,
and his systolic blood pressure is 58 mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next, most appropriate,
step is to perform:
Diagnostic laparoscopy
An abdominal CT scan
A laparotomy
A diagnostic peritoneal lavage
, Abdominal ultrasonography
7. What is the goal of triage
Convince all victims to self-evacuate
Treat all injuries
To do the greatest good for the greatest number
To evacuate all victims
8. A 24-year-old male was in a motor vehicle accident. He is hemodynamically
stable when he arrives at the emergency department. There is blood at the
urethral meatus and a radiograph shows multiple pelvic fractures. What
imaging study should be done first to evaluate for potential urinary tract
injury?
CT cystography
Retrograde cystography
CT of pelvis with contrast
Retrograde urethrography
9. Describe the circumstances under which Rh immunoglobulin therapy is
indicated for pregnant trauma patients.
Rh immunoglobulin therapy is necessary for all pregnant patients
regardless of Rh status.
Rh immunoglobulin therapy is only needed for Rh-negative mothers
with severe trauma.
Rh immunoglobulin therapy is indicated when there is a risk of Rh
isoimmunization due to fetomaternal hemorrhage.
, Rh immunoglobulin therapy is used to treat spinal injuries in pregnant
patients.
10. In a scenario where a young woman with a GCS of 6 is found unresponsive
after a fall, what is the most critical intervention to prioritize?
Administering pain relief
Performing a full body scan
Airway management
Monitoring vital signs
11. As a result of impaired gas exchange, patients with flail chest after a
traumatic fall can develop:
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
12. A compromised airway may present with...
Stridor
SOB
Swelling
Drooling
All of the above
13. What is a contraindication of orotracheal and nasotracheal intubation?
Intact gag reflex
Exam with Verified Questions and Correct Answers.
1. Regarding frostbite injuries, which of the following measures is part of the
initial treatment?:
Early amputation to prevent septic complications.
Debridement of hemorrhagic blisters.
Rapid rewarming of the body part in circulating warm water.
Application of dry heat.
Massage of the affected area.
2. What would be your first priority for someone who fractured their femur?
rest the fractured extremity
give pain meds
elevate the fractured extremity
immobilize the fractured extremity
3. Which of the following distinguishes traumatic injuries of the thoracic spine
from injuries to the remainder of the spinal column?
Thoracic spine injuries are more common due to relative mobility of
thoracic vertebrae
Thoracic spine injuries are more likely to be associated with cord
injuries
The thoracic spine requires less force to injure than the cervical spine
Thoracic spine injuries are less likely to be associated with complete
cord injuries than are injuries at the thoracolumbar junction
,4. A 30-year-old male presents after a motor vehicle crash. Vital signs are RR 18,
HR 88, BP 130/72, GCS 13. Laparotomy is indicated when
CT demonstrates retroperitoneal air
There is distinct seatbelt sign over the abdomen
The CT scan demonstrates a grade 4 hepatic injury
There is evidence of extraperitoneal bladder
The abdomen is distended with localized right upper quadrant
tenderness
5. Regarding airway compromise, which of the following is NOT a sign/symptom
of this emergency?:
Stridor.
Change in voice tone.
Decreased pulse pressure.
Dyspnea and agitation.
Tachypnea.
6. A young man sustains a rifle would to the mid abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and diaphoretic,
and his systolic blood pressure is 58 mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next, most appropriate,
step is to perform:
Diagnostic laparoscopy
An abdominal CT scan
A laparotomy
A diagnostic peritoneal lavage
, Abdominal ultrasonography
7. What is the goal of triage
Convince all victims to self-evacuate
Treat all injuries
To do the greatest good for the greatest number
To evacuate all victims
8. A 24-year-old male was in a motor vehicle accident. He is hemodynamically
stable when he arrives at the emergency department. There is blood at the
urethral meatus and a radiograph shows multiple pelvic fractures. What
imaging study should be done first to evaluate for potential urinary tract
injury?
CT cystography
Retrograde cystography
CT of pelvis with contrast
Retrograde urethrography
9. Describe the circumstances under which Rh immunoglobulin therapy is
indicated for pregnant trauma patients.
Rh immunoglobulin therapy is necessary for all pregnant patients
regardless of Rh status.
Rh immunoglobulin therapy is only needed for Rh-negative mothers
with severe trauma.
Rh immunoglobulin therapy is indicated when there is a risk of Rh
isoimmunization due to fetomaternal hemorrhage.
, Rh immunoglobulin therapy is used to treat spinal injuries in pregnant
patients.
10. In a scenario where a young woman with a GCS of 6 is found unresponsive
after a fall, what is the most critical intervention to prioritize?
Administering pain relief
Performing a full body scan
Airway management
Monitoring vital signs
11. As a result of impaired gas exchange, patients with flail chest after a
traumatic fall can develop:
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
12. A compromised airway may present with...
Stridor
SOB
Swelling
Drooling
All of the above
13. What is a contraindication of orotracheal and nasotracheal intubation?
Intact gag reflex
