2025/2026 UPDATE
ATLS PRACTICE TEST
Questions And Answers
(PASSING 100% GUARANTEED)
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: - ANS>>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: - ANS>>complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a
trauma patient? - ANS>>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
,applies to this patient? - ANS>>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: - ANS>>increasing the volume of blood loss to produce
maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient
is: - ANS>>urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ANS>>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: - ANS>>direct pressure
on the wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - ANS>>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: - ANS>>perform
an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in
the pregnant patient is TRUE? - ANS>>Leakage of amniotic fluid is an
indication for hospital admission.
,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: - ANS>>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: - ANS>>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? -
ANS>>respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open
pneumothorax is: - ANS>>placement of an occlusive dressing over
the wound
The following are contraindications for tetanus toxoid administration:
- ANS>>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? - ANS>>breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily
, A 23-year-old man sustains 4 stab wounds to the upper right chest
during an altercation and is brought by ambulance 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 large-caliber IVs. FAST exam
does not 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: - ANS>>urgently transfer the patient to
the operating room
A 39-year-old man is admitted to the emergency department after an
automobile collision. He is cyanotic, has insufficient respiratory
effort, and has a GCS score of 6. His full beard makes it difficult to fit
the oxygen facemask to his face. The most appropriate next step is
to: - ANS>>restrict cervical motion and attempt orotracheal intubation
using 2 people
A patient is brought to the emergency department after a motor
vehicle crash. He is conscious and there is no obvious external
trauma. He arrives at the hospital completely immobilized on a long
spine board. His blood pressure is 60/40 mm Hg and his heart rate is
70 beats per minute. His skin is warm. Which one of the following
statements is TRUE? - ANS>>Flaccidity of the lower extremities and
loss of deep tendon reflexes are expected.
Which one of the following is the most effective method for initially
treating frostbite? - ANS>>moist heat
A 32-year-old man's right leg is trapped beneath his overturned car
for nearly 2 hours before he is extricated. On arrival in the emergency
department, his right lower extremity is cool, mottled, insensate, and
motionless. Despite normal vital signs, pulses cannot be palpated
below the right femoral artery and the muscles of the lower extremity
are firm and hard. During the management of this patient, which of
ATLS PRACTICE TEST
Questions And Answers
(PASSING 100% GUARANTEED)
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: - ANS>>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: - ANS>>complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a
trauma patient? - ANS>>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
,applies to this patient? - ANS>>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: - ANS>>increasing the volume of blood loss to produce
maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient
is: - ANS>>urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ANS>>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: - ANS>>direct pressure
on the wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - ANS>>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: - ANS>>perform
an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in
the pregnant patient is TRUE? - ANS>>Leakage of amniotic fluid is an
indication for hospital admission.
,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: - ANS>>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: - ANS>>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? -
ANS>>respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open
pneumothorax is: - ANS>>placement of an occlusive dressing over
the wound
The following are contraindications for tetanus toxoid administration:
- ANS>>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? - ANS>>breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily
, A 23-year-old man sustains 4 stab wounds to the upper right chest
during an altercation and is brought by ambulance 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 large-caliber IVs. FAST exam
does not 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: - ANS>>urgently transfer the patient to
the operating room
A 39-year-old man is admitted to the emergency department after an
automobile collision. He is cyanotic, has insufficient respiratory
effort, and has a GCS score of 6. His full beard makes it difficult to fit
the oxygen facemask to his face. The most appropriate next step is
to: - ANS>>restrict cervical motion and attempt orotracheal intubation
using 2 people
A patient is brought to the emergency department after a motor
vehicle crash. He is conscious and there is no obvious external
trauma. He arrives at the hospital completely immobilized on a long
spine board. His blood pressure is 60/40 mm Hg and his heart rate is
70 beats per minute. His skin is warm. Which one of the following
statements is TRUE? - ANS>>Flaccidity of the lower extremities and
loss of deep tendon reflexes are expected.
Which one of the following is the most effective method for initially
treating frostbite? - ANS>>moist heat
A 32-year-old man's right leg is trapped beneath his overturned car
for nearly 2 hours before he is extricated. On arrival in the emergency
department, his right lower extremity is cool, mottled, insensate, and
motionless. Despite normal vital signs, pulses cannot be palpated
below the right femoral artery and the muscles of the lower extremity
are firm and hard. During the management of this patient, which of
