ATLS Post Actual Exam
NEWEST VERSION 2026
Actual Exam with Verified
Questions and Correct
Answers
2026
Master Exam Prep Bundle
(Verified Questions & Answers)
A+ Grade Guaranteed
,Twenty seven people are severely injured in an aircraft E. Produce the greatest number of survivors based on available resources
crash at a local airport. The principles of triage include:
A. establish a triage site within the internal perimeter of the
crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest
period of time
E. produce the greatest number of survivors based on
available resources
Which of the following statements are correct? A. Cerebral contusions may coalesce to form an intracerebral hematoma
A. Cerebral contusions may coalesce to form an EM: Epidural, middle meningeal
intracerebral hematoma SuB: Subdural, Bridging veins
B. Epidural hematomas are usually seen in the frontal
region
C. Subdural hematomas are caused by injury to the middle
meningeal artery
D. Subdural hematomas typically have a lenticular shape
on CT
E. The associated brain damage is more severe in epidural
hematomas
An 18 year old male is brought to the ED after being shot. A. Obtain a portable chest x-ray
He has one bullet wound just below the right clavicle and need more info on chest, not abdomen
another just below the costal margin in the right posterior
axillary line. His blood pressure is 110/60, heart rate of 90,
and respiratory rate of 34. After ensuring a patent airway
and inserting 2 large caliber IV lines, the next most
appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage
Which of the following should be performed FIRST in any D. Ensuring adequate oxygenation and ventilation
patient whose injuries may include multiple closed (ABC's)
extremity fractures?
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome
A 22 year old male sustains a shotgun wound to the E. Repeat the physical exam of the chest
shoulder and chest at close range. His BP is 80/40 and HR
130. After 2 L of crystalloid solution are rapidly infused, his decreased breath sounds w/dullness -> hemothorax, need tube to drain
BP increases to 122/84 and HR decreases to 100. He is vs.
tachypneic with RR of 28. On PE, his breath sounds are decreased/absent breath sounds w/hyperresonance -> tension pneumonia, need
decreased at the left upper chest with dullness on needle decompression followed by tube
percussion. A large caliber tube thoracostomy is inserted
into the fifth intercostal space with the return of 200 mL of
blood and no air leak. The most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest
2026
, Which one of the following statements concerning spine B. A vertebral injury is unlikely in the absence of physical findings of a cord injury
and spinal cord trauma is TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical
findings of a cord injury
C. A patient with a suspected spine injury requires
immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient who
has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is
complete or incomplete must be made in the primary
survey
A 17 year old female is brought to the ED following a 6 feet D. Applying oxygen and maintaining airway
fall onto concrete. She is unresponsive and found to have First = ABCs
a RR of 32, BP of 90/60, and HR of 68. The FIRST step in
treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of
consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock
Signs and symptoms of airway compromise include all of E. Decreased pulse pressure
the following except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure
A 47 year old house painter is brought to the hospital after E. retrograde urethrography
falling 20 feet from a ladder and landing straddled on a -> any ecchymosis, needs to be done before catheter!
fence. Examination of his perineum reveals extensive
ecchymosis. There is blood in the external urethral
meatus. The initial diagnostic study for the evaluation of
the urinary tract should be:
A. cystoscopy
B. cystography
C. intravenous pyelography
D. CT scan
E. retrograde urethrography
A 30 year old male presents after a MVC. Vitals are RR 18, D. CT demonstrates retroperitoneal air
HR 88, BP 130/72, GCS 13. Laparatomy is indicated -> air, peritonitis (tenderness, rigidity), unstable vital signs
when:
A. There is a distinct seat belt sign over the abdomen
B. The CT demonstrates a grade 4 hepatic injury
C. There is evidence of extraperitoneal bladder injury
D. CT demonstrates retroperitoneal air
E. The abdomen is distended with localized rihgt upper
quadrant tenderness
A 20 year old male is brought to the hospital approximately E. FAST exam
30 minutes after being stabbed in the chest. There is 3 cm Tamponade: muffled heart sounds, JVD, and hypotension -> FAST cardiac exam
wound just medial to the left nipple. BP is 70/33 and HR is Will require pericardiocentesis
140. Neck and arm veins are distended. Breath sounds
are normal. Heart sounds are diminished, IV access is
established and warm crystalloid is infusing. The next most
important aspect of immediate management is:
A. CT Chest
B. EKG
C. Left tube thoracostomy
D. RBC infusion
E. FAST exam
2026
NEWEST VERSION 2026
Actual Exam with Verified
Questions and Correct
Answers
2026
Master Exam Prep Bundle
(Verified Questions & Answers)
A+ Grade Guaranteed
,Twenty seven people are severely injured in an aircraft E. Produce the greatest number of survivors based on available resources
crash at a local airport. The principles of triage include:
A. establish a triage site within the internal perimeter of the
crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest
period of time
E. produce the greatest number of survivors based on
available resources
Which of the following statements are correct? A. Cerebral contusions may coalesce to form an intracerebral hematoma
A. Cerebral contusions may coalesce to form an EM: Epidural, middle meningeal
intracerebral hematoma SuB: Subdural, Bridging veins
B. Epidural hematomas are usually seen in the frontal
region
C. Subdural hematomas are caused by injury to the middle
meningeal artery
D. Subdural hematomas typically have a lenticular shape
on CT
E. The associated brain damage is more severe in epidural
hematomas
An 18 year old male is brought to the ED after being shot. A. Obtain a portable chest x-ray
He has one bullet wound just below the right clavicle and need more info on chest, not abdomen
another just below the costal margin in the right posterior
axillary line. His blood pressure is 110/60, heart rate of 90,
and respiratory rate of 34. After ensuring a patent airway
and inserting 2 large caliber IV lines, the next most
appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage
Which of the following should be performed FIRST in any D. Ensuring adequate oxygenation and ventilation
patient whose injuries may include multiple closed (ABC's)
extremity fractures?
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome
A 22 year old male sustains a shotgun wound to the E. Repeat the physical exam of the chest
shoulder and chest at close range. His BP is 80/40 and HR
130. After 2 L of crystalloid solution are rapidly infused, his decreased breath sounds w/dullness -> hemothorax, need tube to drain
BP increases to 122/84 and HR decreases to 100. He is vs.
tachypneic with RR of 28. On PE, his breath sounds are decreased/absent breath sounds w/hyperresonance -> tension pneumonia, need
decreased at the left upper chest with dullness on needle decompression followed by tube
percussion. A large caliber tube thoracostomy is inserted
into the fifth intercostal space with the return of 200 mL of
blood and no air leak. The most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest
2026
, Which one of the following statements concerning spine B. A vertebral injury is unlikely in the absence of physical findings of a cord injury
and spinal cord trauma is TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical
findings of a cord injury
C. A patient with a suspected spine injury requires
immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient who
has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is
complete or incomplete must be made in the primary
survey
A 17 year old female is brought to the ED following a 6 feet D. Applying oxygen and maintaining airway
fall onto concrete. She is unresponsive and found to have First = ABCs
a RR of 32, BP of 90/60, and HR of 68. The FIRST step in
treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of
consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock
Signs and symptoms of airway compromise include all of E. Decreased pulse pressure
the following except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure
A 47 year old house painter is brought to the hospital after E. retrograde urethrography
falling 20 feet from a ladder and landing straddled on a -> any ecchymosis, needs to be done before catheter!
fence. Examination of his perineum reveals extensive
ecchymosis. There is blood in the external urethral
meatus. The initial diagnostic study for the evaluation of
the urinary tract should be:
A. cystoscopy
B. cystography
C. intravenous pyelography
D. CT scan
E. retrograde urethrography
A 30 year old male presents after a MVC. Vitals are RR 18, D. CT demonstrates retroperitoneal air
HR 88, BP 130/72, GCS 13. Laparatomy is indicated -> air, peritonitis (tenderness, rigidity), unstable vital signs
when:
A. There is a distinct seat belt sign over the abdomen
B. The CT demonstrates a grade 4 hepatic injury
C. There is evidence of extraperitoneal bladder injury
D. CT demonstrates retroperitoneal air
E. The abdomen is distended with localized rihgt upper
quadrant tenderness
A 20 year old male is brought to the hospital approximately E. FAST exam
30 minutes after being stabbed in the chest. There is 3 cm Tamponade: muffled heart sounds, JVD, and hypotension -> FAST cardiac exam
wound just medial to the left nipple. BP is 70/33 and HR is Will require pericardiocentesis
140. Neck and arm veins are distended. Breath sounds
are normal. Heart sounds are diminished, IV access is
established and warm crystalloid is infusing. The next most
important aspect of immediate management is:
A. CT Chest
B. EKG
C. Left tube thoracostomy
D. RBC infusion
E. FAST exam
2026
