Advanced Trauma Life Support (ATLS) 10th Edition Post Test 1–4 (2025–2026) – Actual Nursing Exam Questions Only

Shinta R. Widya, MD – Post Test ATLS
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1
1. Which of the following signs is LEAST reliable fo
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r diagnosing esophageal
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intubation?
a Symmetrical chest wall movement
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b End tidal CO2 presence by colorimetry
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c Bilateral breath sounds
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d Oxygen saturation >92%
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e ETT above carina on chest x-ray
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2. Which one of the following signs necessitates a de
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finitive airway in severe
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trauma patients? i




a Facial lacerations
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b Repeated vomiting
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c Severe maxillofacial fractures
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d Sternal fracture
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e GCS score of 12
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,3. Twenty seven patients are seriously injured in a
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n aircraft crash at a local
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airport. The principles of triage include:
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a Establish a triage site within the internal perimeter
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of the crash site
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b Treat only the most severely injured patients first
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c Immediately transport all patients to the nearest hos
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pital
d Treat the greatest number of patients in the shortest p
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eriod of timei i




e Produce the greatest number of survivors based on a
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vailable
resources
4. Which one of the following statements is c
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orrect?
a Cerebral contusions may coalesce to form an intrace
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rebral
hematoma
b Epidural hematomas are usually seen in frontal regi
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on
c Subdural hematomas are caused by injury to the mid
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dle meningeal
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artery

,d Subdural hematomas typically have a lenticular sha
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pe on CT scan i i i




e The associated brain damage is more severe in epidu
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ral hematomas i




5. An 18 year old male is brought to the em i i i i i i i i i


ergency department after having i i i




been shot. He has one bullet wound just below the righ
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t clavicle and
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another just below the costal margin in the right poster i i i i i i i i i


ior axillary line. His
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BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm.
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After ensuring a i i




patent airway and inserting 2 large caliber iv line, the n
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ext appropriate step i i




is to: i




a Obtain a portable chest x-ray
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b Administer a bolus of additional iv fluid
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c Perform a laparotomy
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d Obtain an abdominal CT scan
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e Perform diagnostic peritoneal lavage
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6. An 8 year old boy falls 4,5 meters (15 feet) fro
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m a tree and is brought to the
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, emergency department by his family. His vital signs i i i i i i i i


are normal, but he
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complains of left upper quadrant pain. An abdominal i i i i i i i i


CT scan reveals a
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moderately severe laceration of the spleen. The receiv i i i i i i i


ing institution does
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not have 24 hour a day operating room capabilities.
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The most appropriate
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management of this patient would be: i i i i i




a Type and crossmatch for blood
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b Request consultation of a pediatrician
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c Transfer the patient to a trauma center
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d Admit the patient to the ICU
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e Prepare the patient for surgery the next day
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7. A 17 year old helmeted motorcyclist is struck br
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oadside by an automobile i i i




at an intersection. He is unconscious at the scene with
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a BP of 140/90
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mmHg, HR of 90 bpm, and RR of 22 bpm. His respirati
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ons are sonorous and
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deep. His GCS score is 6. Immobilization of the entire
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patient may include i i




the use of all the following, except:
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