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
ANSWERS ✔✔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 ANSWERS ✔✔complete
spine x-ray series
Which of the following is true regarding the initial
resuscitation of a trauma patient? - CORRECT ANSWERS
✔✔Evidence of improved perfusion after fluid
,ATLS PRACTICE TEST 2024-2025
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
ANSWERS ✔✔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
ANSWERS ✔✔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 ANSWERS
✔✔increasing the volume of blood loss to produce
maternal hypotension
,ATLS PRACTICE TEST 2024-2025
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 ANSWERS ✔✔urinary
output of 0.5 mL/kg/hr
The diagnosis of shock must include: - CORRECT
ANSWERS ✔✔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 ANSWERS
✔✔direct pressure on the wound
For the patient with severe traumatic brain injury,
profound hypocarbia should be avoided to prevent: -
CORRECT ANSWERS ✔✔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
, ATLS PRACTICE TEST 2024-2025
ACTUAL EXAM 250 REAL QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% VERIFIED
ANSWERS)
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
ANSWERS ✔✔perform an exploratory laparotomy
Which one of the following statements regarding
abdominal trauma in the pregnant patient is TRUE? -
CORRECT ANSWERS ✔✔Leakage of amniotic fluid is
an indication for hospital admission.
The first maneuver to improve oxygenation after chest
injury is: - CORRECT ANSWERS ✔✔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
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
ANSWERS ✔✔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 ANSWERS ✔✔complete
spine x-ray series
Which of the following is true regarding the initial
resuscitation of a trauma patient? - CORRECT ANSWERS
✔✔Evidence of improved perfusion after fluid
,ATLS PRACTICE TEST 2024-2025
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
ANSWERS ✔✔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
ANSWERS ✔✔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 ANSWERS
✔✔increasing the volume of blood loss to produce
maternal hypotension
,ATLS PRACTICE TEST 2024-2025
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 ANSWERS ✔✔urinary
output of 0.5 mL/kg/hr
The diagnosis of shock must include: - CORRECT
ANSWERS ✔✔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 ANSWERS
✔✔direct pressure on the wound
For the patient with severe traumatic brain injury,
profound hypocarbia should be avoided to prevent: -
CORRECT ANSWERS ✔✔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
, ATLS PRACTICE TEST 2024-2025
ACTUAL EXAM 250 REAL QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% VERIFIED
ANSWERS)
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
ANSWERS ✔✔perform an exploratory laparotomy
Which one of the following statements regarding
abdominal trauma in the pregnant patient is TRUE? -
CORRECT ANSWERS ✔✔Leakage of amniotic fluid is
an indication for hospital admission.
The first maneuver to improve oxygenation after chest
injury is: - CORRECT ANSWERS ✔✔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
