2025 COMPREHENSIVE ATLS PRE TEST | COMPLETE
UPDATED WITH CORRECT VERIFIED ANSWERS FOR
GUARANTEED CERTIFICATION EXCELLENCE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the
left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid
resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now
100 beats per minute and his respiratory rate is 28 breaths per minute. A tube
thoracostomy is performed for decreased left chest breath sounds with the return
of a small amount of blood and no air leak. After chest tube insertion, what is the
most appropriate next step?
Re-examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower back.
Lower extremity pulses are strong and there is no other deformity. Which of the
following is most likely to confirm the suspected diagnosis?
-Angiography
-Compartment pressures
-Retrograde urethrogram
-Doppler ultrasound studies
-Complete spine x-ray series
Complete spine x-ray series
,Which of the following is TRUE regarding the initial resuscitation of a trauma
patient?
-A patient with a torso gunshot wound and hypotension should receive crystalloid
fluid resuscitation until the blood pressure is normal
-Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation
-Massive transfusion is defined as transfusion of more than 10 units of packed red
blood cells and plasma within 24 hours
-When tranexamic acid is administered by pre-hospital providers, a second dose is
required within 24 hours
-Fluid resuscitation is far more important than bleeding control in trauma patients
-Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation
In managing a patient with a severe traumatic brain injury, what is the most
important initial step?
-Secure the airway
-Obtain a c-spine film
-Support the circulation
-Control scalp hemorrhage
-Determine the GCS score
-Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood
loss of 2 liters. Which one of the following statements applies to this patient?
,-His pulse pressure will be widened
-His urinary output will be at the lower limits of normal.
-He will have tachycardia, but no change in his systolic blood pressure.
-An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
-His systolic blood pressure will be maintained with an elevated diastolic pressure.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
How does the physiological hypervolemia of pregnancy have clinical significance
in the management of the severely injured, gravid woman?
-It reduces the need for blood transfusion.
-It results in an elevated hematocrit.
-It complicates the management of closed head injury.
-It reduces the volume of crystalloid required for resuscitation.
-It increases the volume of blood loss to produce maternal hypotension.
-It increases the volume of blood loss to produce maternal hypotension.
What is the best assessment of fluid resuscitation in the adult burn patient?
-Urinary output of 0.5 mL/kg/hr
-Normalization of blood pressure
-Normalization of the heart rate
-Measuring a normal central venous pressure
-Providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid
-Urinary output of 0.5 mL/kg/hr
, What must the diagnosis of shock include?
-Hypoxemia
-Acidosis
-Hypotension
-Increased vascular resistance
-Evidence of inadequate organ perfusion
-Evidence of inadequate organ perfusion
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. What should immediate management of the
wound consist of?
Application of a tourniquet
Direct pressure on the wound
Packing the wound with gauze
Direct pressure on the femoral artery at the groin
Debridement of devitalized tissue
UPDATED WITH CORRECT VERIFIED ANSWERS FOR
GUARANTEED CERTIFICATION EXCELLENCE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the
left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid
resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now
100 beats per minute and his respiratory rate is 28 breaths per minute. A tube
thoracostomy is performed for decreased left chest breath sounds with the return
of a small amount of blood and no air leak. After chest tube insertion, what is the
most appropriate next step?
Re-examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower back.
Lower extremity pulses are strong and there is no other deformity. Which of the
following is most likely to confirm the suspected diagnosis?
-Angiography
-Compartment pressures
-Retrograde urethrogram
-Doppler ultrasound studies
-Complete spine x-ray series
Complete spine x-ray series
,Which of the following is TRUE regarding the initial resuscitation of a trauma
patient?
-A patient with a torso gunshot wound and hypotension should receive crystalloid
fluid resuscitation until the blood pressure is normal
-Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation
-Massive transfusion is defined as transfusion of more than 10 units of packed red
blood cells and plasma within 24 hours
-When tranexamic acid is administered by pre-hospital providers, a second dose is
required within 24 hours
-Fluid resuscitation is far more important than bleeding control in trauma patients
-Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation
In managing a patient with a severe traumatic brain injury, what is the most
important initial step?
-Secure the airway
-Obtain a c-spine film
-Support the circulation
-Control scalp hemorrhage
-Determine the GCS score
-Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood
loss of 2 liters. Which one of the following statements applies to this patient?
,-His pulse pressure will be widened
-His urinary output will be at the lower limits of normal.
-He will have tachycardia, but no change in his systolic blood pressure.
-An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
-His systolic blood pressure will be maintained with an elevated diastolic pressure.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
How does the physiological hypervolemia of pregnancy have clinical significance
in the management of the severely injured, gravid woman?
-It reduces the need for blood transfusion.
-It results in an elevated hematocrit.
-It complicates the management of closed head injury.
-It reduces the volume of crystalloid required for resuscitation.
-It increases the volume of blood loss to produce maternal hypotension.
-It increases the volume of blood loss to produce maternal hypotension.
What is the best assessment of fluid resuscitation in the adult burn patient?
-Urinary output of 0.5 mL/kg/hr
-Normalization of blood pressure
-Normalization of the heart rate
-Measuring a normal central venous pressure
-Providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid
-Urinary output of 0.5 mL/kg/hr
, What must the diagnosis of shock include?
-Hypoxemia
-Acidosis
-Hypotension
-Increased vascular resistance
-Evidence of inadequate organ perfusion
-Evidence of inadequate organ perfusion
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. What should immediate management of the
wound consist of?
Application of a tourniquet
Direct pressure on the wound
Packing the wound with gauze
Direct pressure on the femoral artery at the groin
Debridement of devitalized tissue
