ATLS PRACTICE TEST 2025 ACTUAL
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
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, the most appropriate next step is: - - -
correct answer ✅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. The suspected diagnosis is most
likely to be confirmed by: - - -
correct answer ✅complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a
trauma patient? - - -
correct answer ✅Evidence of improved perfusion after fluid
,ATLS PRACTICE TEST 2025 ACTUAL
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
resuscitation could include improvement in Glasgow Coma Scale
score on reevaluation.
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: - - -
correct answer ✅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? - - -
correct answer ✅An ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid
woman by: - - -
correct answer ✅increasing the volume of blood loss to produce
maternal hypotension
,ATLS PRACTICE TEST 2025 ACTUAL
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
The best assessment of fluid resuscitation of the adult burn patient
is: - - -
correct answer ✅urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - - -
correct answer ✅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.
Immediate management of the wound should consist of: - - -
correct answer ✅direct pressure on the wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - - -
correct answer ✅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..
, ATLS PRACTICE TEST 2025 ACTUAL
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
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: - - -
correct answer ✅perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma
in the pregnant patient is TRUE? - - -
correct answer ✅Leakage of amniotic fluid is an indication for
hospital admission.
The first maneuver to improve oxygenation after chest injury is: - - -
correct 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: - - -
correct answer ✅9
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
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, the most appropriate next step is: - - -
correct answer ✅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. The suspected diagnosis is most
likely to be confirmed by: - - -
correct answer ✅complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a
trauma patient? - - -
correct answer ✅Evidence of improved perfusion after fluid
,ATLS PRACTICE TEST 2025 ACTUAL
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
resuscitation could include improvement in Glasgow Coma Scale
score on reevaluation.
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: - - -
correct answer ✅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? - - -
correct answer ✅An ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid
woman by: - - -
correct answer ✅increasing the volume of blood loss to produce
maternal hypotension
,ATLS PRACTICE TEST 2025 ACTUAL
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
The best assessment of fluid resuscitation of the adult burn patient
is: - - -
correct answer ✅urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - - -
correct answer ✅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.
Immediate management of the wound should consist of: - - -
correct answer ✅direct pressure on the wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - - -
correct answer ✅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..
, ATLS PRACTICE TEST 2025 ACTUAL
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
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: - - -
correct answer ✅perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma
in the pregnant patient is TRUE? - - -
correct answer ✅Leakage of amniotic fluid is an indication for
hospital admission.
The first maneuver to improve oxygenation after chest injury is: - - -
correct 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: - - -
correct answer ✅9
