ATLS Advanced Trauma Life Support
ATLS Written Examination & Practical Skills Assessment
ATLS Final Exams
Course Title and Number: ATLS Written Examination &
Practical Skills Assessment
Exam Title: ATLS Exam
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
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ATLS Advanced Trauma Life Support Comprehensive
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2025- 2026
ATLS Written Examination & Practical Skills Assessment
ATLS Final Exams
ATLS Advanced Trauma Life Support Exam
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
In which of the following clinical contexts is an urgent, post-
traumatic head CT NOT necessary?
A. Individual with seizures
B. Individual with a progressive headache
C. Individual with an unreliable history
D. Individual with a Glasgow coma scale score of 15 - =Answer>>
D. Individual with a Glasgow coma scale score of 15
Which of the following is CORRECT about visceral pain?
A. Always superficial
B. Difficulty to localize
C. Only seen in peritonitis
D. Is rarely referred - =Answer>> B. Difficulty to localize
Emergency decompression of the brain with a subdural
hematoma should be evacuated if there is a midline shift of
what amount?
A. 1 mm
B. 2 mm
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C. 5 mm
D. 10 mm - =Answer>> C. 5 mm
To relieve a right tension pneumothorax, where should the
needle should be placed?
A. 4th intercostal space left of the mediastinum
B. 2nd intercostal space left of the mediastinum
C. 4th intercostal space right of the mediastinum
D. 2nd intercostal space right of the mediastinum - =Answer>>
D. 2nd intercostal space right of the mediastinum
A patient has been in a major MVA and is comatose. He has a
high level of alcohol and is hypothermic. Which of the following
test can stand alone in certifying the patient as brain dead?
A. Apnea test
B. Absence of oculocephalic and oculovestibular reflexes
C. Absence of blood flow on cerebral angiogram after warming
D. EEG - =Answer>> C. Absence of blood flow on cerebral
angiogram after warming
True or false: Clinicians should provide burn resuscitation fluids
for deep partial and full thickness burns larger than 20% TBSA -
=Answer>> True. urine output monitoring is 0.5mL/kg/hr in
adults and should be maintained at 30-50cc/hr to minimize over
resuscitation
in a burn patient, cardiac dysrhytmias may be the first sign of
hypoxia and electrolyte or acid base abnormalities. - =Answer>>
therefore an ECG should be performed for cardiac rhythm
disturbances. Persistent acidemia in patients with burn injuries
may be due to under resuscitation or infusion of large volumes
of saline.
Tachycardia is a poor indication for resuscitation in the burn
patient. - =Answer>> Adjust the fluid rate up or down based on
the urine output and recognize that factors such as inhalation
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injury, age of patient, renal failure, diuretics, and alcohol can
affect the volume of resuscitation and urine output.
True of false: Burn patients should get tetanus. - =Answer>> true
Partial thickness burns - =Answer>> are characterized as either
superficial partial thickness (moist, painfully hypersensitive, ,
potentially blistered, homogenously pink, and blanch to touch)
or deep partial thickness ( drier, less painful, potentially
blistered, red or mottled in appearance, and do not blanch to
touch)
Full thickness burns - =Answer>> appear leathery and skin may
be white or translucent or waxy white. surface area is painless
to light touch or pinprick and generally dry
The first maneuver to improve oxygenation after chest injury is:
- =Answer>> 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: - =Answer>> 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: - =Answer>> perform needle or finger decompression of the
right chest
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