ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) | LATEST UPDATE
A 22-year-old man is hypotensive and
tachycardic after a shotgun wound to the
left shoulder. His blood pressure is ini-
tially 80/40 mm Hg. After initial fluid re-
suscitation his blood pressure increases
to 122/84 mm Hg. His heart rate is now
100 beats per minute and his respiratory re-examine the chest
rate is 28 breaths per minute. A tube tho-
racostomy 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, the most
appropriate next step is:
A construction worker falls two stories
from a building and sustains bilateral cal-
caneal fractures. In the emergency de-
partment, he is alert, vital signs are nor-
mal, and he is complaining of severe
complete spine x-ray series
pain in both heels and his lower back.
Lower extremity pulses are strong and
there is no other deformity. The suspect-
ed diagnosis is most likely to be con-
firmed by:
Evidence of improved perfusion after flu-
Which of the following is true regarding
id resuscitation could include improve-
the initial resuscitation of a trauma pa-
ment in Glasgow Coma Scale score on
tient?
reevaluation.
In managing a patient with a severe trau-
matic brain injury, the most important ini- secure the airway
tial step is to:
A previously healthy, 70-kg (154-pound)
man suffers an estimated acute blood An ABG would demonstrate a base
loss of 2 liters. Which one of the following deficit between -6 and -10 mEq/L.
statements applies to this patient?
,ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) | LATEST UPDATE
The physiological hypervolemia of preg-
nancy has clinical significance in the increasing the volume of blood loss to
management of the severely injured, produce maternal hypotension
gravid woman by:
The best assessment of fluid resuscita-
urinary output of 0.5 mL/kg/hr
tion of the adult burn patient is:
The diagnosis of shock must include: evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emer-
gency department by his parents several
minutes after he fell through a window.
He is bleeding profusely from a 6-cm direct pressure on the wound
wound of his medial right thigh. Imme-
diate management of the wound should
consist of:
For the patient with severe traumatic
cerebral vasoconstriction with dimin-
brain injury, profound hypocarbia should
ished perfusion
be avoided to prevent:
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
perform an exploratory laparotomy
chest and abdomen shows an aortic in-
jury and splenic laceration with free ab-
dominal fluid. His blood pressure falls to
70 mm Hg after CT. The next step is:
Which one of the following statements
Leakage of amniotic fluid is an indication
regarding abdominal trauma in the preg-
for hospital admission.
nant patient is TRUE?
The first maneuver to improve oxygena-
administer supplemental oxygen
tion after chest injury is:
A 25-year-old man, injured in a motor
vehicular crash, is admitted to the emer-
gency department. His pupils react slug-
gishly and his eyes open to pressure.
,ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) | LATEST UPDATE
He does not follow commands, but he
does moan periodically. His right arm is
deformed and does not respond to pres-
9
sure; however, his left hand reaches pur-
posefully toward the stimulus. Both legs
are stiffly extended. His GCS score is:
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 perform needle or finger decompression
gasping for breath, extremely anxious, of the right chest
and yelling for help. Breath sounds are
diminished in the right chest. The most
appropriate first step is to:
Which one of the following findings in an
adult is most likely to require immediate respiratory rate of 40 breaths per minute
management during the primary survey?
The most important, immediate step in
placement of an occlusive dressing over
the management of an open pneumoth-
the wound
orax is:
The following are contraindications for history of neurological reaction or severe
tetanus toxoid administration: 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 di-
aphoretic and complaining of chest pain.
His blood pressure is 60/40 mm Hg and breath sounds
his respiratory rate is 40 breaths per
minute. Which of the following best dif-
ferentiates cardiac tamponade from ten-
sion pneumothorax as the cause of his
hypotension?
, ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) | LATEST UPDATE
Bronchial intubation of the right or left
mainstem bronchus can easily occur
The trachea is relatively short.
during infant endotracheal intubation be-
cause:
A 23-year-old man sustains 4 stab
wounds to the upper right chest during
an altercation and is brought by ambu-
lance 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
urgently transfer the patient to the oper-
large-caliber IVs. FAST exam does not
ating room
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:
A 39-year-old man is admitted to the
emergency department after an automo-
bile collision. He is cyanotic, has insuffi-
restrict cervical motion and attempt oro-
cient respiratory effort, and has a GCS
tracheal intubation using 2 people
score of 6. His full beard makes it difficult
to fit the oxygen facemask to his face.
The most appropriate next step is to:
A patient is brought to the emergency
department after a motor vehicle crash.
He is conscious and there is no obvious Flaccidity of the lower extremities and
external trauma. He arrives at the hos- loss of deep tendon reflexes are expect-
pital completely immobilized on a long ed.
spine board. His blood pressure is 60/40
mm Hg and his heart rate is 70 beats per
CORRECT ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) | LATEST UPDATE
A 22-year-old man is hypotensive and
tachycardic after a shotgun wound to the
left shoulder. His blood pressure is ini-
tially 80/40 mm Hg. After initial fluid re-
suscitation his blood pressure increases
to 122/84 mm Hg. His heart rate is now
100 beats per minute and his respiratory re-examine the chest
rate is 28 breaths per minute. A tube tho-
racostomy 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, the most
appropriate next step is:
A construction worker falls two stories
from a building and sustains bilateral cal-
caneal fractures. In the emergency de-
partment, he is alert, vital signs are nor-
mal, and he is complaining of severe
complete spine x-ray series
pain in both heels and his lower back.
Lower extremity pulses are strong and
there is no other deformity. The suspect-
ed diagnosis is most likely to be con-
firmed by:
Evidence of improved perfusion after flu-
Which of the following is true regarding
id resuscitation could include improve-
the initial resuscitation of a trauma pa-
ment in Glasgow Coma Scale score on
tient?
reevaluation.
In managing a patient with a severe trau-
matic brain injury, the most important ini- secure the airway
tial step is to:
A previously healthy, 70-kg (154-pound)
man suffers an estimated acute blood An ABG would demonstrate a base
loss of 2 liters. Which one of the following deficit between -6 and -10 mEq/L.
statements applies to this patient?
,ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) | LATEST UPDATE
The physiological hypervolemia of preg-
nancy has clinical significance in the increasing the volume of blood loss to
management of the severely injured, produce maternal hypotension
gravid woman by:
The best assessment of fluid resuscita-
urinary output of 0.5 mL/kg/hr
tion of the adult burn patient is:
The diagnosis of shock must include: evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emer-
gency department by his parents several
minutes after he fell through a window.
He is bleeding profusely from a 6-cm direct pressure on the wound
wound of his medial right thigh. Imme-
diate management of the wound should
consist of:
For the patient with severe traumatic
cerebral vasoconstriction with dimin-
brain injury, profound hypocarbia should
ished perfusion
be avoided to prevent:
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
perform an exploratory laparotomy
chest and abdomen shows an aortic in-
jury and splenic laceration with free ab-
dominal fluid. His blood pressure falls to
70 mm Hg after CT. The next step is:
Which one of the following statements
Leakage of amniotic fluid is an indication
regarding abdominal trauma in the preg-
for hospital admission.
nant patient is TRUE?
The first maneuver to improve oxygena-
administer supplemental oxygen
tion after chest injury is:
A 25-year-old man, injured in a motor
vehicular crash, is admitted to the emer-
gency department. His pupils react slug-
gishly and his eyes open to pressure.
,ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) | LATEST UPDATE
He does not follow commands, but he
does moan periodically. His right arm is
deformed and does not respond to pres-
9
sure; however, his left hand reaches pur-
posefully toward the stimulus. Both legs
are stiffly extended. His GCS score is:
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 perform needle or finger decompression
gasping for breath, extremely anxious, of the right chest
and yelling for help. Breath sounds are
diminished in the right chest. The most
appropriate first step is to:
Which one of the following findings in an
adult is most likely to require immediate respiratory rate of 40 breaths per minute
management during the primary survey?
The most important, immediate step in
placement of an occlusive dressing over
the management of an open pneumoth-
the wound
orax is:
The following are contraindications for history of neurological reaction or severe
tetanus toxoid administration: 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 di-
aphoretic and complaining of chest pain.
His blood pressure is 60/40 mm Hg and breath sounds
his respiratory rate is 40 breaths per
minute. Which of the following best dif-
ferentiates cardiac tamponade from ten-
sion pneumothorax as the cause of his
hypotension?
, ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) | LATEST UPDATE
Bronchial intubation of the right or left
mainstem bronchus can easily occur
The trachea is relatively short.
during infant endotracheal intubation be-
cause:
A 23-year-old man sustains 4 stab
wounds to the upper right chest during
an altercation and is brought by ambu-
lance 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
urgently transfer the patient to the oper-
large-caliber IVs. FAST exam does not
ating room
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:
A 39-year-old man is admitted to the
emergency department after an automo-
bile collision. He is cyanotic, has insuffi-
restrict cervical motion and attempt oro-
cient respiratory effort, and has a GCS
tracheal intubation using 2 people
score of 6. His full beard makes it difficult
to fit the oxygen facemask to his face.
The most appropriate next step is to:
A patient is brought to the emergency
department after a motor vehicle crash.
He is conscious and there is no obvious Flaccidity of the lower extremities and
external trauma. He arrives at the hos- loss of deep tendon reflexes are expect-
pital completely immobilized on a long ed.
spine board. His blood pressure is 60/40
mm Hg and his heart rate is 70 beats per
