ATLS TEST ACTUAL EXAM QUESTIONS WITH
CORRECT SOLVED ANSWERS LATEST
UPDATE 2024/2025. ALREADY GRADED A+
GUARANTEED PASS!!
A 7-year-old boy is brought to the 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:
direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle 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:
perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is:
administer supplemental oxygen
A 25-year-old man, injured in a motor 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:
9
,A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest. In
the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath,
extremely anxious, and yelling for help. Breath sounds are diminished in the right chest.
The most appropriate first step is to:
perform needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management during the
primary survey?
respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open pneumothorax is:
placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration:
history of neurological reaction or severe hypersensitivity to the product
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival in the emergency department he is diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate is
40 breaths per minute. What best differentiates cardiac tamponade from tension
pneumothorax as the cause of his hypotension?
breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
endotracheal intubation because:
The trachea is relatively short.
A 23-year-old man sustains 4 stab wounds to the upper right chest during an altercation
and is brought by ambulance to a hospital that has full surgical capabilities. His wounds
are all above the nipple. He is endotracheally intubated, closed tube thoracostomy is
performed, fluid resuscitation is initiated through 2 large-caliber IVs. FAST exam does not
reveal intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is 160
beats per minute, and respiratory rate is 14 breaths per minute (ventilated with 100% O2).
,1500 mL of blood has drained from the right chest. The most appropriate next step in
managing this patient is to:
urgently transfer the patient to the operating room
A 39-year-old man is admitted to the emergency department after an automobile
collision. He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6. His
full beard makes it difficult to fit the oxygen facemask to his face. The most appropriate
next step is to:
restrict cervical motion and attempt orotracheal intubation using 2 people
A patient is brought to the emergency department after a motor vehicle crash. He is
conscious and there is no obvious external trauma. He arrives at the hospital completely
immobilized on a long spine board. His blood pressure is 60/40 mm Hg and his heart rate
is 70 beats per minute. His skin is warm. What do you expect to see with the patient?
Flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
What is the most effective method for initially treating frostbite?
Moist heat
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours
before he is extricated. On arrival in the emergency department, his right lower extremity
is cool, mottled, insensate, and motionless. Despite normal vital signs, pulses cannot be
palpated below the right femoral artery and the muscles of the lower extremity are firm
and hard. During the management of this patient, what is most likely to improve the
chances for limb salvage?
surgical consultation for right lower extremity fasciotomy
A patient arrives in the emergency department after being beaten about the head and
face with a wooden club. He is comatose and has a palpable depressed skull fracture. His
face is swollen and ecchymotic. He has gurgling respirations and vomitus on his face and
clothing. The most appropriate step after providing supplemental oxygen and elevating
his jaw is to:
suction the oropharynx
, A 22-year-old man sustains a gunshot wound to the left chest and is transported to a small
community hospital no surgical capabilities are available. In the emergency department, a
chest tube is inserted and 700 mL of blood is evacuated. The trauma center accepts the
patient in transfer. Just before the patient is placed in the ambulance for transfer, his
blood pressure decreases to 80/68 mm Hg and his heart rate increases to 136 beats per
minute. The next step should be to:
repeat the primary survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is resuscitated initially in a small
hospital without surgical capabilities. He has a closed head injury with a GCS score of 13.
He has a widened mediastinum on chest x-ray with fractures of left ribs 2 through 4, but
no pneumothorax. After initiating fluid resuscitation, his blood pressure is 110/74 mm Hg,
heart rate is 100 beats per minute, and respiratory rate is 18 breaths per minute. He has
gross hematuria and a pelvic fracture. You decide to transfer this patient to a facility
capable of providing a higher level of care. The facility is 128 km (80 miles) away. Before
transfer, you should first:
call the receiving hospital and speak to the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated usually with
tachycardia
What statement concerning intraosseous infusion is TRUE?
Aspiration of bone marrow confirms appropriate positioning of the needle.
A young woman sustains a severe head injury as the result of a motor vehicle crash. In the
emergency department, her GCS is 6. Her blood pressure is 140/90 mm Hg and her heart
rate is 80 beats per minute. She is intubated and mechanically ventilated. Her pupils are 3
mm in size and equally reactive to light. There is no other apparent injury. The most
important principle to follow in the early management of her head injury is to
avoid hypotension
A 33-year-old woman is involved in a head-on motor vehicle crash. It took 30 minutes to
extricate her from the car. Upon arrival in the emergency department, her heart rate is
CORRECT SOLVED ANSWERS LATEST
UPDATE 2024/2025. ALREADY GRADED A+
GUARANTEED PASS!!
A 7-year-old boy is brought to the 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:
direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle 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:
perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is:
administer supplemental oxygen
A 25-year-old man, injured in a motor 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:
9
,A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest. In
the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath,
extremely anxious, and yelling for help. Breath sounds are diminished in the right chest.
The most appropriate first step is to:
perform needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management during the
primary survey?
respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open pneumothorax is:
placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration:
history of neurological reaction or severe hypersensitivity to the product
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival in the emergency department he is diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate is
40 breaths per minute. What best differentiates cardiac tamponade from tension
pneumothorax as the cause of his hypotension?
breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
endotracheal intubation because:
The trachea is relatively short.
A 23-year-old man sustains 4 stab wounds to the upper right chest during an altercation
and is brought by ambulance to a hospital that has full surgical capabilities. His wounds
are all above the nipple. He is endotracheally intubated, closed tube thoracostomy is
performed, fluid resuscitation is initiated through 2 large-caliber IVs. FAST exam does not
reveal intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is 160
beats per minute, and respiratory rate is 14 breaths per minute (ventilated with 100% O2).
,1500 mL of blood has drained from the right chest. The most appropriate next step in
managing this patient is to:
urgently transfer the patient to the operating room
A 39-year-old man is admitted to the emergency department after an automobile
collision. He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6. His
full beard makes it difficult to fit the oxygen facemask to his face. The most appropriate
next step is to:
restrict cervical motion and attempt orotracheal intubation using 2 people
A patient is brought to the emergency department after a motor vehicle crash. He is
conscious and there is no obvious external trauma. He arrives at the hospital completely
immobilized on a long spine board. His blood pressure is 60/40 mm Hg and his heart rate
is 70 beats per minute. His skin is warm. What do you expect to see with the patient?
Flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
What is the most effective method for initially treating frostbite?
Moist heat
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours
before he is extricated. On arrival in the emergency department, his right lower extremity
is cool, mottled, insensate, and motionless. Despite normal vital signs, pulses cannot be
palpated below the right femoral artery and the muscles of the lower extremity are firm
and hard. During the management of this patient, what is most likely to improve the
chances for limb salvage?
surgical consultation for right lower extremity fasciotomy
A patient arrives in the emergency department after being beaten about the head and
face with a wooden club. He is comatose and has a palpable depressed skull fracture. His
face is swollen and ecchymotic. He has gurgling respirations and vomitus on his face and
clothing. The most appropriate step after providing supplemental oxygen and elevating
his jaw is to:
suction the oropharynx
, A 22-year-old man sustains a gunshot wound to the left chest and is transported to a small
community hospital no surgical capabilities are available. In the emergency department, a
chest tube is inserted and 700 mL of blood is evacuated. The trauma center accepts the
patient in transfer. Just before the patient is placed in the ambulance for transfer, his
blood pressure decreases to 80/68 mm Hg and his heart rate increases to 136 beats per
minute. The next step should be to:
repeat the primary survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is resuscitated initially in a small
hospital without surgical capabilities. He has a closed head injury with a GCS score of 13.
He has a widened mediastinum on chest x-ray with fractures of left ribs 2 through 4, but
no pneumothorax. After initiating fluid resuscitation, his blood pressure is 110/74 mm Hg,
heart rate is 100 beats per minute, and respiratory rate is 18 breaths per minute. He has
gross hematuria and a pelvic fracture. You decide to transfer this patient to a facility
capable of providing a higher level of care. The facility is 128 km (80 miles) away. Before
transfer, you should first:
call the receiving hospital and speak to the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated usually with
tachycardia
What statement concerning intraosseous infusion is TRUE?
Aspiration of bone marrow confirms appropriate positioning of the needle.
A young woman sustains a severe head injury as the result of a motor vehicle crash. In the
emergency department, her GCS is 6. Her blood pressure is 140/90 mm Hg and her heart
rate is 80 beats per minute. She is intubated and mechanically ventilated. Her pupils are 3
mm in size and equally reactive to light. There is no other apparent injury. The most
important principle to follow in the early management of her head injury is to
avoid hypotension
A 33-year-old woman is involved in a head-on motor vehicle crash. It took 30 minutes to
extricate her from the car. Upon arrival in the emergency department, her heart rate is
