ATLS Post Actual Exam NEWEST
VERSION 2025 Actual Exam with
Verified Questions and Correct
Answers.
5 year old boy is struck by an automobile and brought to the emergency department.
He is lethargic, but withdraws purposefully from painful stimuli. His blood pressure is
90 mmHg, HR 140 BPM, and RR is 36 bpm. The preferred route of venous access in
this patient is: - ------------ANS: Pertained veins in the upper extremities
8 year old girl is an unrestrained passenger in a vehicle struck from behind. In the
ED, her blood pressure is 80/60, heart rate is 80 bpm, and respiratory rate is 16
breaths per minute. Her GCS score is 14. She complains that her legs "feel funny
and won't move right", however, her spine x-rays do not show a fracture dislocation.
A spinal injury in this child: - ------------ANS: Can be excluded by obtaining a CT of
the entire spine
18 year old helmeted motorcyclist is brought by ambulance to the emergency
department following a high speed crash. Pre-hospital personnel report that he was
thrown 50 feet off his bike. He has a history of hypotension prior to arrival in the ED,
but is now awake, alert, and conversational. Which of the following statements is
true? - ------------ANS: The patient probably has an acute epidural hematoma (lucid
interval)
22 year old man is brought to the hospital after crashing his motorcycle into a
telephone pole. He is unconscious and in profound shock. He has no open wounds
or obvious fractures. The cause of his shocks is most likely caused by: -
------------ANS: Hemorrhage into the chest or abdomen
nothing visible -> think chest or abdomen
23 year old man is brought immediately to the emergency department from the
hospital parking lot where he was shot in the lower abdomen. Examination reveals a
single bullet wound. He is breathing and has a thrash pulse. However, he is
unconscious and has no detectable blood pressure. Optimal immediate management
is to: - ------------ANS: Transfer the patient to the operating room while initiating fluid
therapy
,24 year old male sustains multiple fractured ribs bilaterally as a result of being
crushed in a press at plywood factory. Examination in the ED revealed a foil segment
on the patient's thorax. Primary resuscitation includes high flow, oxygen
administration via a non-breathing mask, and initiation of ringers lactate solution. The
patient exhibits progressive confusion, cyanosis, and kidney. Management at this
time she consist of: - ------------ANS: Endotracheal intubation and mechanical
ventilation
24 year old woman passenger in an automobile, strikes the windscreen with her face
during a head-on collision. In the emergency apartment, she's talking and has
marked artificial demon crepitus. The highest priority should be given to: -
------------ANS: Upper airway protection
25 year old woman is brought to the emergency department after a motor vehicle
crash. She was initially lucid at the scene and then developed the dilated people in
contralateral externally weakness. In the emergency department, she's unconscious
and has a GCS score of 6. The initial management step for this patient should be to:
- ------------ANS: Perform endotracheal intubation
28 year old male is brought to ER. He was involved in a fight in which she was
beaten with a wooden stick. His chest has multiple severe bruises. Airways clear,
respiratory rate 22, heart rate is 126, and systemic blood pressure is 90. Which of
the following should be performed during the primary survey?
A. GCS
B. Cervical spine XR
C. TT administration
D. Blood alcohol level
E. Rectal exam - ------------ANS: A. GCS
30 year old man is struck by a car traveling 35mph. He has obvious fractures of the
left tibia near the knee, pain in the pelvis area, and severe dyspnea. His HR is 180,
RR 48 bpm with no breath sounds heard in the left chest. A tension PTX is relieved
by immediate needle decompression and tube thoracostomy. Subsequently his HR
decreased to 140, his RR decreased to 36 bpm, and BP 80/50 mmHg. Warmed LR
is administered intravenously. The next priority should be to: - ------------ANS:
Perform external fixation of the pelvis
30 year old man sustains a severely, communities, open distal right femur fracture in
a motorcycle crash. The wound is actively bleeding. DP and PT are easily palpable
on the left, but heard only by Doppler on the right. Immediate effort to improve
circulation the injured extremity should involve: - ------------ANS: Tamponade of the
wound with a pressure dressing
, 32 year old male is brought to the hospital unconscious with severe facial injuries
and noisy respirations after an automobile collision. In the emergency department,
he has no apparent injury to the anterior aspect of his neck. He suddenly becomes
apneic, and alternative ventilation with a face mask is unsuccessful. Examination of
his mouth reveals a large hematoma of the fairing with loss of normal atomic
landmarks. Initial management of his airway should consist of:
A. Nasotracheal intubation
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - ------------ANS: C. Surgical
cricothyroidotomy
42 year old man injured in a motor vehicle crash, suffers a closed, head injury,
multiple palpable left roof fracture, bilateral femur fracture. He is intubated
orotracheally without difficulty. Initially, has ventilations are easily assisted with a bag
device. It becomes more difficult to ventilate the patient over the next five minutes,
and his hemoglobin oxygen saturation level decreases from 90% to 89%. The most
appropriate next step is to: - ------------ANS: Auscultate the patient's chest
42 year olds man is trapped from the waist down beneath his overturned tractor for
several hours before Medical systemized. He is awake and alert until just before
arriving in emergency department. He is now unconscious in response only to painful
stimulate by moaning. His pupils are 3 mm in diameter and symmetrically reactive
delight. Prehospital personnel indicate that they have not seen the patient move
either of his lower extremities.: - ------------ANS: A pelvic fracture
A 6 month old infant is ejected on impact from a vehicle that is struck head on by an
oncoming car traveling 40 mph. The infant arrives in the ED with multiple facial
injuries, is lethargic, and in severe respiratory distress. Respiratory support is not
effective using a bag mask device, and her oxygen saturation is failing. Repeated
attempts at orotracheal intubation are unsuccessful. The most appropriate procedure
to form next is:
A. Needle cricothyroidotomy with jet insufflation
B. Administer heliox and racemic epinephrine
C. Perform nasotracheal intubation
D. Perform surgical cricothyroidotomy
E. Repeat orotracheal intubation - ------------ANS: A. Needle cricothyroidotomy with
jet insufflation
A 6 months old infant being held in her mother's arms, is ejected on impact from a
vehicle that struck head on by an oncoming car traveling at 64 km/h. The infinite
arrives in the ER with multiple facial injuries, lethargic, and in severe respiratory
distress. Respiratory support is not effective using a bag mast device. Oxygen
VERSION 2025 Actual Exam with
Verified Questions and Correct
Answers.
5 year old boy is struck by an automobile and brought to the emergency department.
He is lethargic, but withdraws purposefully from painful stimuli. His blood pressure is
90 mmHg, HR 140 BPM, and RR is 36 bpm. The preferred route of venous access in
this patient is: - ------------ANS: Pertained veins in the upper extremities
8 year old girl is an unrestrained passenger in a vehicle struck from behind. In the
ED, her blood pressure is 80/60, heart rate is 80 bpm, and respiratory rate is 16
breaths per minute. Her GCS score is 14. She complains that her legs "feel funny
and won't move right", however, her spine x-rays do not show a fracture dislocation.
A spinal injury in this child: - ------------ANS: Can be excluded by obtaining a CT of
the entire spine
18 year old helmeted motorcyclist is brought by ambulance to the emergency
department following a high speed crash. Pre-hospital personnel report that he was
thrown 50 feet off his bike. He has a history of hypotension prior to arrival in the ED,
but is now awake, alert, and conversational. Which of the following statements is
true? - ------------ANS: The patient probably has an acute epidural hematoma (lucid
interval)
22 year old man is brought to the hospital after crashing his motorcycle into a
telephone pole. He is unconscious and in profound shock. He has no open wounds
or obvious fractures. The cause of his shocks is most likely caused by: -
------------ANS: Hemorrhage into the chest or abdomen
nothing visible -> think chest or abdomen
23 year old man is brought immediately to the emergency department from the
hospital parking lot where he was shot in the lower abdomen. Examination reveals a
single bullet wound. He is breathing and has a thrash pulse. However, he is
unconscious and has no detectable blood pressure. Optimal immediate management
is to: - ------------ANS: Transfer the patient to the operating room while initiating fluid
therapy
,24 year old male sustains multiple fractured ribs bilaterally as a result of being
crushed in a press at plywood factory. Examination in the ED revealed a foil segment
on the patient's thorax. Primary resuscitation includes high flow, oxygen
administration via a non-breathing mask, and initiation of ringers lactate solution. The
patient exhibits progressive confusion, cyanosis, and kidney. Management at this
time she consist of: - ------------ANS: Endotracheal intubation and mechanical
ventilation
24 year old woman passenger in an automobile, strikes the windscreen with her face
during a head-on collision. In the emergency apartment, she's talking and has
marked artificial demon crepitus. The highest priority should be given to: -
------------ANS: Upper airway protection
25 year old woman is brought to the emergency department after a motor vehicle
crash. She was initially lucid at the scene and then developed the dilated people in
contralateral externally weakness. In the emergency department, she's unconscious
and has a GCS score of 6. The initial management step for this patient should be to:
- ------------ANS: Perform endotracheal intubation
28 year old male is brought to ER. He was involved in a fight in which she was
beaten with a wooden stick. His chest has multiple severe bruises. Airways clear,
respiratory rate 22, heart rate is 126, and systemic blood pressure is 90. Which of
the following should be performed during the primary survey?
A. GCS
B. Cervical spine XR
C. TT administration
D. Blood alcohol level
E. Rectal exam - ------------ANS: A. GCS
30 year old man is struck by a car traveling 35mph. He has obvious fractures of the
left tibia near the knee, pain in the pelvis area, and severe dyspnea. His HR is 180,
RR 48 bpm with no breath sounds heard in the left chest. A tension PTX is relieved
by immediate needle decompression and tube thoracostomy. Subsequently his HR
decreased to 140, his RR decreased to 36 bpm, and BP 80/50 mmHg. Warmed LR
is administered intravenously. The next priority should be to: - ------------ANS:
Perform external fixation of the pelvis
30 year old man sustains a severely, communities, open distal right femur fracture in
a motorcycle crash. The wound is actively bleeding. DP and PT are easily palpable
on the left, but heard only by Doppler on the right. Immediate effort to improve
circulation the injured extremity should involve: - ------------ANS: Tamponade of the
wound with a pressure dressing
, 32 year old male is brought to the hospital unconscious with severe facial injuries
and noisy respirations after an automobile collision. In the emergency department,
he has no apparent injury to the anterior aspect of his neck. He suddenly becomes
apneic, and alternative ventilation with a face mask is unsuccessful. Examination of
his mouth reveals a large hematoma of the fairing with loss of normal atomic
landmarks. Initial management of his airway should consist of:
A. Nasotracheal intubation
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - ------------ANS: C. Surgical
cricothyroidotomy
42 year old man injured in a motor vehicle crash, suffers a closed, head injury,
multiple palpable left roof fracture, bilateral femur fracture. He is intubated
orotracheally without difficulty. Initially, has ventilations are easily assisted with a bag
device. It becomes more difficult to ventilate the patient over the next five minutes,
and his hemoglobin oxygen saturation level decreases from 90% to 89%. The most
appropriate next step is to: - ------------ANS: Auscultate the patient's chest
42 year olds man is trapped from the waist down beneath his overturned tractor for
several hours before Medical systemized. He is awake and alert until just before
arriving in emergency department. He is now unconscious in response only to painful
stimulate by moaning. His pupils are 3 mm in diameter and symmetrically reactive
delight. Prehospital personnel indicate that they have not seen the patient move
either of his lower extremities.: - ------------ANS: A pelvic fracture
A 6 month old infant is ejected on impact from a vehicle that is struck head on by an
oncoming car traveling 40 mph. The infant arrives in the ED with multiple facial
injuries, is lethargic, and in severe respiratory distress. Respiratory support is not
effective using a bag mask device, and her oxygen saturation is failing. Repeated
attempts at orotracheal intubation are unsuccessful. The most appropriate procedure
to form next is:
A. Needle cricothyroidotomy with jet insufflation
B. Administer heliox and racemic epinephrine
C. Perform nasotracheal intubation
D. Perform surgical cricothyroidotomy
E. Repeat orotracheal intubation - ------------ANS: A. Needle cricothyroidotomy with
jet insufflation
A 6 months old infant being held in her mother's arms, is ejected on impact from a
vehicle that struck head on by an oncoming car traveling at 64 km/h. The infinite
arrives in the ER with multiple facial injuries, lethargic, and in severe respiratory
distress. Respiratory support is not effective using a bag mast device. Oxygen
