ATLS PRACTICE TEST 2024-
2025 ACTUAL EXAM 250 REAL
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES 100% VERIFIED
ANSWERS) |
,ATLS PRACTICE TEST 2024-2025 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 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
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.. 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
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: - Correct answer~
perform needle or finger decompression of the right chest
Which one of the following findings in an adult is most likely to require immediate
management during the primary survey? - Correct answer~ respiratory rate of 40
breaths per minute
The most important, immediate step in the management of an open pneumothorax
is: - Correct answer~ placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration: - Correct
answer~ history of neurological reaction or severe 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 diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory
rate is 40 breaths per minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of his hypotension? - Correct
answer~ breath sounds
2025 ACTUAL EXAM 250 REAL
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES 100% VERIFIED
ANSWERS) |
,ATLS PRACTICE TEST 2024-2025 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 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
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.. 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
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: - Correct answer~
perform needle or finger decompression of the right chest
Which one of the following findings in an adult is most likely to require immediate
management during the primary survey? - Correct answer~ respiratory rate of 40
breaths per minute
The most important, immediate step in the management of an open pneumothorax
is: - Correct answer~ placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration: - Correct
answer~ history of neurological reaction or severe 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 diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory
rate is 40 breaths per minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of his hypotension? - Correct
answer~ breath sounds
