ATLS PRE-TEST & POST EXAM 2026
QUESTIONS AND ANSWERS (100%
CORRECT ANSWERS) GUARANTEED
PASS[ACTUAL!!)
A 40-year-old woman who was a restrained driver in a motor vehicle crash is evaluated in
the emergency department. She is hemodynamically normal and found to be paraplegic at
the level of T10. What precaution should be taken during evaluation and management?
--- Log rolling using 4 people is a safe approach to restrict spinal motion when moving her.
A trauma patient presents to your emergency department with inspiratory stridor and a
suspected c-spine injury. Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to:
--- restrict cervical motion and establish a definitive airway
When applying the Rule of Nines to infants
--- The head is proportionally larger in infants than in adults
A healthy young male is brought to the emergency department following a motor vehicle
crash. His vital signs are a blood pressure of 84/60, pulse 123, GCS 10. The patient moans
when his pelvis is palpated. After initiating fluid resuscitation, the next step in management
is:
--- placement of a pelvic binder
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:
--- 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:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? --- 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:
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
liters. What applies to this patient?
--- 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: --- increasing the volume of blood loss to
produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include:
--- 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:
, For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
to prevent:
--- 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:
--- perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
--- Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is:
--- 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:
--- 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:
--- perform needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management during the
primary survey?
--- respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open pneumothorax is:
--- placement of an occlusive dressing over the wound
QUESTIONS AND ANSWERS (100%
CORRECT ANSWERS) GUARANTEED
PASS[ACTUAL!!)
A 40-year-old woman who was a restrained driver in a motor vehicle crash is evaluated in
the emergency department. She is hemodynamically normal and found to be paraplegic at
the level of T10. What precaution should be taken during evaluation and management?
--- Log rolling using 4 people is a safe approach to restrict spinal motion when moving her.
A trauma patient presents to your emergency department with inspiratory stridor and a
suspected c-spine injury. Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to:
--- restrict cervical motion and establish a definitive airway
When applying the Rule of Nines to infants
--- The head is proportionally larger in infants than in adults
A healthy young male is brought to the emergency department following a motor vehicle
crash. His vital signs are a blood pressure of 84/60, pulse 123, GCS 10. The patient moans
when his pelvis is palpated. After initiating fluid resuscitation, the next step in management
is:
--- placement of a pelvic binder
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:
--- 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:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? --- 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:
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
liters. What applies to this patient?
--- 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: --- increasing the volume of blood loss to
produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include:
--- 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:
, For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
to prevent:
--- 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:
--- perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
--- Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is:
--- 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:
--- 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:
--- perform needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management during the
primary survey?
--- respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open pneumothorax is:
--- placement of an occlusive dressing over the wound
