ATLS Test practice Quiz Bank Questions and Answers
with Complete Solution 2023 GRADED A+
Assessed first in trauma patient correct answers Airway
(*)Degree of burn that is characterized by bone involvement correct answers Fourth
Complications of head trauma correct answers Intracerebral hematoma
Extradural hematoma
Brain abscess
Most common cause of laryngotracheal stenosis correct answers Trauma
Intervention that can help prevent development of acute renal failure correct answers Infusion of
normal saline
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was
complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the NG tube and
IV sites. Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction correct answers D. Transfusion reaction
Skin antiseptic correct answers -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % blood loss correct answers 55%
How does shivering affect body temperature correct answers Increases body temperature
Class III hemorrhage indicates what % of blood loss correct answers 35%
Management of a stable patient with kidney contusion correct answers Observation
Associated with hypovolemic shock correct answers -Inadequate tissue perfusion with resultant tissue
hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
,The most effective method of monitoring the success of resuscitation during CPR? correct answers
Reactivity of pupils to light
Used to ensure correct placement of endotracheal tube correct answers -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
Total body surface area involved in a burn in an adult to the anterior chest and abdomen correct
answers 18%
What is often caused by carotid massage? correct answers Bradycardia
Step in a patient diagnosed with tension pneumothorax correct answers 1. Needle decompression/
thoracotomy
2. Chest tube
True statements regarding diaphragmatic injuries correct answers -Blunt diaphragmatic injuries are
usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material
First priority in the treatment of an unconscious patient correct answers Checking the pulse
A patient involved in a road accident is brought to the emergency department in an unconscious state.
On arrival, her vitals show a temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths
per minute, a heart rate of 140 beats per minute, and a blood pressure of 80/40 mm Hg. She is cold,
shivering, and perspiring profusely. She has bilateral reactive pupils but she does not respond to pain.
On physical examination, she has no obvious sign of external bleeding. Which of the following cannot be
the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax correct answers C. Intracranial hemorrhage
A patient suffered a slash to his right neck. The wound is over the mid-portion of the
sternocleidomastoid. There is a large hematoma and brisk bleeding when uncovered. He is stable. What
is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure correct answers C. Take him to the OR
After abdominal injury, which of the following urinalysis findings would be an indication for further
testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria correct answers D. Gross hematuria
, A laceration of the neck superficial to the deep cervical fascia along the sternocleidomastoid muscle at
its midpoint would cause bleeding from which structure? correct answers External jugular vein
Clinical features associated with tension pneumothorax correct answers Unilateral decrease in breath
sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation correct answers A. Bag and mask
What is the next step in the assessment of a traumatic patient after airway is established? correct
answers Breathing
Blood group that is considered a universal donor correct answers O
A provider is examining a patient who sustained a severe traumatic head injury. He documents no Doll's
eyes. What does this signify? correct answers Brainstem injury
Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein correct answers Subclavian veins
Dermatome level for nipple sensation
Dermatome level for umbilicus correct answers T4
T10
At which temperature would a hypothermic patient stop shivering? correct answers 88 degrees F
What is the energy recommendation for the first defibrillation in an adult (*) correct answers 300 J
Pharmacologic effects of Morphine correct answers Behavioral changes
with Complete Solution 2023 GRADED A+
Assessed first in trauma patient correct answers Airway
(*)Degree of burn that is characterized by bone involvement correct answers Fourth
Complications of head trauma correct answers Intracerebral hematoma
Extradural hematoma
Brain abscess
Most common cause of laryngotracheal stenosis correct answers Trauma
Intervention that can help prevent development of acute renal failure correct answers Infusion of
normal saline
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was
complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the NG tube and
IV sites. Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction correct answers D. Transfusion reaction
Skin antiseptic correct answers -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % blood loss correct answers 55%
How does shivering affect body temperature correct answers Increases body temperature
Class III hemorrhage indicates what % of blood loss correct answers 35%
Management of a stable patient with kidney contusion correct answers Observation
Associated with hypovolemic shock correct answers -Inadequate tissue perfusion with resultant tissue
hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
,The most effective method of monitoring the success of resuscitation during CPR? correct answers
Reactivity of pupils to light
Used to ensure correct placement of endotracheal tube correct answers -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
Total body surface area involved in a burn in an adult to the anterior chest and abdomen correct
answers 18%
What is often caused by carotid massage? correct answers Bradycardia
Step in a patient diagnosed with tension pneumothorax correct answers 1. Needle decompression/
thoracotomy
2. Chest tube
True statements regarding diaphragmatic injuries correct answers -Blunt diaphragmatic injuries are
usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material
First priority in the treatment of an unconscious patient correct answers Checking the pulse
A patient involved in a road accident is brought to the emergency department in an unconscious state.
On arrival, her vitals show a temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths
per minute, a heart rate of 140 beats per minute, and a blood pressure of 80/40 mm Hg. She is cold,
shivering, and perspiring profusely. She has bilateral reactive pupils but she does not respond to pain.
On physical examination, she has no obvious sign of external bleeding. Which of the following cannot be
the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax correct answers C. Intracranial hemorrhage
A patient suffered a slash to his right neck. The wound is over the mid-portion of the
sternocleidomastoid. There is a large hematoma and brisk bleeding when uncovered. He is stable. What
is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure correct answers C. Take him to the OR
After abdominal injury, which of the following urinalysis findings would be an indication for further
testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria correct answers D. Gross hematuria
, A laceration of the neck superficial to the deep cervical fascia along the sternocleidomastoid muscle at
its midpoint would cause bleeding from which structure? correct answers External jugular vein
Clinical features associated with tension pneumothorax correct answers Unilateral decrease in breath
sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation correct answers A. Bag and mask
What is the next step in the assessment of a traumatic patient after airway is established? correct
answers Breathing
Blood group that is considered a universal donor correct answers O
A provider is examining a patient who sustained a severe traumatic head injury. He documents no Doll's
eyes. What does this signify? correct answers Brainstem injury
Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein correct answers Subclavian veins
Dermatome level for nipple sensation
Dermatome level for umbilicus correct answers T4
T10
At which temperature would a hypothermic patient stop shivering? correct answers 88 degrees F
What is the energy recommendation for the first defibrillation in an adult (*) correct answers 300 J
Pharmacologic effects of Morphine correct answers Behavioral changes
