American College of Surgeons (ACS) -
Advanced Trauma Life Support (ATLS)
ATLS Practice Exam 2026-2027 | 100% Verified Questions
& Answers | 10th Edition Guidelines | Guaranteed Success
Latest Update | Trauma Resuscitation Certification Review
| Post-Test Preparation
Question 1
What treatment is NOT indicated in the routine management of the patient
with a head injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine
Answer: C. Hyperventilating to obtain an EtCO2 of less than 30
Question 2
Which of the following sets of vital signs is most compatible with a diagnosis
of isolated head injury with increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min
Answer: A. BP 170/100, pulse 50/min
Question 3
Which one of the following is a reason to interrupt the initial assessment?
A. Cardiac arrest
,B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock
Answer: A. Cardiac arrest
Question 4
What site is the first choice for intraosseous infusion?
A. Proximal tibia
B. Distal humerus
C. Proximal femur
D. Distal fibula
Answer: A. Proximal tibia
Question 5
A 34 year old man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure, is coming from the
wound. The patient appears confused, diaphoretic, and has weak peripheral
pulses. What is the appropriate fluid resuscitation for this patient?
A. Intravenous fluid at a "keep open" rate
B. Apply a hemostatic agent and gain intravenous access given enough fluid to
maintain peripheral pulses
C. Intravenous fluid at a wide open rate; give at least two liters, then reassess
patient
D. No intravenous access should be established in this situation
Answer: B. Apply a hemostatic agent and gain intravenous access given enough
fluid to maintain peripheral pulses
Question 6
Which one of the following is typically associated with post-traumatic
hemorrhage, EARLY shock?
, A. Ventricular dysrhythmias
B. Hypotension
C. Loss of 30% to 45% of blood volume
D. Narrowed pulse pressure
Answer: D. Narrowed pulse pressure
Question 7
Among the following, what is the most common cause of preventable trauma
death in the injured adult patient?
A. Airway obstruction
B. Cardiac tamponade
C. Hemorrhagic shock
D. Spinal injury
Answer: C. Hemorrhagic shock
Question 8
Which of the following is most typical of early, neurogenic shock?
A. Increased pulse, clammy skin
B. Increased pulse, warm and dry skin
C. Decreased pulse, clammy skin
D. Decreased pulse, warm and dry skin
Answer: D. Decreased pulse, warm and dry skin (skin is warm due to
vasodilation)
Question 9
Which of the following is an acceptable location to insert a needle when
decompressing a tension pneumothorax?
A. Directly under the bottom of the second rib, midclavicular line
B. Directly under the bottom of the third rib, midclavicular line
Advanced Trauma Life Support (ATLS)
ATLS Practice Exam 2026-2027 | 100% Verified Questions
& Answers | 10th Edition Guidelines | Guaranteed Success
Latest Update | Trauma Resuscitation Certification Review
| Post-Test Preparation
Question 1
What treatment is NOT indicated in the routine management of the patient
with a head injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine
Answer: C. Hyperventilating to obtain an EtCO2 of less than 30
Question 2
Which of the following sets of vital signs is most compatible with a diagnosis
of isolated head injury with increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min
Answer: A. BP 170/100, pulse 50/min
Question 3
Which one of the following is a reason to interrupt the initial assessment?
A. Cardiac arrest
,B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock
Answer: A. Cardiac arrest
Question 4
What site is the first choice for intraosseous infusion?
A. Proximal tibia
B. Distal humerus
C. Proximal femur
D. Distal fibula
Answer: A. Proximal tibia
Question 5
A 34 year old man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure, is coming from the
wound. The patient appears confused, diaphoretic, and has weak peripheral
pulses. What is the appropriate fluid resuscitation for this patient?
A. Intravenous fluid at a "keep open" rate
B. Apply a hemostatic agent and gain intravenous access given enough fluid to
maintain peripheral pulses
C. Intravenous fluid at a wide open rate; give at least two liters, then reassess
patient
D. No intravenous access should be established in this situation
Answer: B. Apply a hemostatic agent and gain intravenous access given enough
fluid to maintain peripheral pulses
Question 6
Which one of the following is typically associated with post-traumatic
hemorrhage, EARLY shock?
, A. Ventricular dysrhythmias
B. Hypotension
C. Loss of 30% to 45% of blood volume
D. Narrowed pulse pressure
Answer: D. Narrowed pulse pressure
Question 7
Among the following, what is the most common cause of preventable trauma
death in the injured adult patient?
A. Airway obstruction
B. Cardiac tamponade
C. Hemorrhagic shock
D. Spinal injury
Answer: C. Hemorrhagic shock
Question 8
Which of the following is most typical of early, neurogenic shock?
A. Increased pulse, clammy skin
B. Increased pulse, warm and dry skin
C. Decreased pulse, clammy skin
D. Decreased pulse, warm and dry skin
Answer: D. Decreased pulse, warm and dry skin (skin is warm due to
vasodilation)
Question 9
Which of the following is an acceptable location to insert a needle when
decompressing a tension pneumothorax?
A. Directly under the bottom of the second rib, midclavicular line
B. Directly under the bottom of the third rib, midclavicular line
