ATLS TRAUMA MANAGEMENT ACTUAL EXAM 2025|141 QUESTIONS
WITH VERIFIED CORRECT RATIONALES
1. 14.) A 34-year-old man has a GSW to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure, is coming
from the wound. The patient is confused, diaphoretic, and has weak
peripheral pulses. What is the appropriate initial intravenous
management of this patient?
Crystalloid KVO
Hypertonic saline boluses to maintain adequate perfusion
Crystalloid fluid boluses to maintain adequate perfusion
pRBCs
2. Which of the following actions should you take next when direct
pressure, elevation, and femoral artery pressure have failed to control
arterial
bleeding on a patient's leg?
Provide oxygen at 15 LPM with a nonrebreather mask.
Apply a tourniquet proximal to the injury.
Immediately transport the patient by
ambulance. Splint the extremity.
3. What is the primary method that should be used alongside
hemostatic agents to control bleeding?
, A. Elevation of the wound above the heart
B.Direct pressure to the wound
C. Application of ice to the wound
D.Use of a pressure bandage
4. You have a patient showing signs of brain herniation
(hypertension, bradycardia, slow/irreg. respirations), you have
placed an advanced
, airway, but you don't immediately have access to capnography, what
should your ventilation rate be?
10-12 breaths/min. We do not hyperventilate head injury patients
35-45 breaths/min. Significant hyperventilation is recommended
in head injury patients.
25-30 breaths/min. Hyperventilation is recommended in head
injury patients
8-10 breaths/min. We perform controlled hyperventilation for
head injury patients
5. What treatment is NOT indicated in the routine management of the
patient with a head injury?
Administration of 100% oxygen
Fluid resuscitation to a BP of 110-120 systolic if the patient is
hypotensive
Hyperventilating to obtain an EtCO2 of less than 30
Stabilization of the cervical spine
6. What is the primary metabolic condition that can develop as a
consequence of prolonged hemorrhage or inadequate blood
flow to tissues?
Metabolic
alkalosis
Metabolic acidosis
Respiratory acidosis
, Respiratory alkalosis
7. Pulse oximetry readings are unreliable in patients who were
exposed to which substance?
Beryllium
WITH VERIFIED CORRECT RATIONALES
1. 14.) A 34-year-old man has a GSW to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure, is coming
from the wound. The patient is confused, diaphoretic, and has weak
peripheral pulses. What is the appropriate initial intravenous
management of this patient?
Crystalloid KVO
Hypertonic saline boluses to maintain adequate perfusion
Crystalloid fluid boluses to maintain adequate perfusion
pRBCs
2. Which of the following actions should you take next when direct
pressure, elevation, and femoral artery pressure have failed to control
arterial
bleeding on a patient's leg?
Provide oxygen at 15 LPM with a nonrebreather mask.
Apply a tourniquet proximal to the injury.
Immediately transport the patient by
ambulance. Splint the extremity.
3. What is the primary method that should be used alongside
hemostatic agents to control bleeding?
, A. Elevation of the wound above the heart
B.Direct pressure to the wound
C. Application of ice to the wound
D.Use of a pressure bandage
4. You have a patient showing signs of brain herniation
(hypertension, bradycardia, slow/irreg. respirations), you have
placed an advanced
, airway, but you don't immediately have access to capnography, what
should your ventilation rate be?
10-12 breaths/min. We do not hyperventilate head injury patients
35-45 breaths/min. Significant hyperventilation is recommended
in head injury patients.
25-30 breaths/min. Hyperventilation is recommended in head
injury patients
8-10 breaths/min. We perform controlled hyperventilation for
head injury patients
5. What treatment is NOT indicated in the routine management of the
patient with a head injury?
Administration of 100% oxygen
Fluid resuscitation to a BP of 110-120 systolic if the patient is
hypotensive
Hyperventilating to obtain an EtCO2 of less than 30
Stabilization of the cervical spine
6. What is the primary metabolic condition that can develop as a
consequence of prolonged hemorrhage or inadequate blood
flow to tissues?
Metabolic
alkalosis
Metabolic acidosis
Respiratory acidosis
, Respiratory alkalosis
7. Pulse oximetry readings are unreliable in patients who were
exposed to which substance?
Beryllium
