ATLS Post Actual Exam NEWEST VERSION 2025 -
2026 Actual Exam with Verified Questions and
Correct Answers.
Early central venous pressure monitoring during fluid resusciation in the
ED has the greatest utility in a:
A. Patient with a splenic laceration
B. Patient with a inhalation injury
C. 6 year-old child with a pelvic fracture
D. Patient with a severe cardiac contusion
E. 24-year-old man with a massive hemothorax
D. Patient with a severe cardiac contusion
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
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:
Auscultate the patient's chest
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present.
E. Clinical evidence of inadequate organ perfusion must be present.
A 29 year old female arrives in the ED after being involved in a motor
vehicle crash. She is 30 weeks pregnant. She was restrained with a lap
and shoulder belt, and an airbag deployed. Which one of the following
statements best describes the risk of injury?
A. The deployment of the airbag increased the risk of fetal loss
B. The risk of premature fetal delivery and death is reduced by the use of
restraints
C. The use of seatbelts is associated with increased risk of maternal
death
D. The mechanism of injury suggests the need for emergency C section
due to the risk of impending abruptio placentae
E. The deployment of the airbag increases the risk of maternal
abdominal injury
B. The risk of premature fetal delivery and death is reduced by the use of
restraints
,The most common acid-base disturbance encountered in injured
pediatric patients is caused by:
A. Hemorrhage
B. Changes in ventilation
C. Renal failure
D. Injudicious bicarbonate administration
E. Insufficient sodium chloride administration
B. Changes in ventilation
Absence of breath sounds and dullness to percussion over the left
hemothorax are findings explained by:
Left hemothorax
vs. hyperresonance: tension pneumothorax
A 17-year-old helmeted motorcyclist is struck broadside by an
automobile at an intersection. He is unconscious at the scene with a
blood pressure of 140/90mmHg, heart rate of 90 beats per minute, and
respiratory rate of 22 breaths per minute. His respirations are sonorous
and deep. His GCS score is 6. Immobilization of the entire patient may
include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar
A. Air splints
, A 24 year old pedestrian, struck by an automobile, is admitted to the ED
1 hour after injury. His BP is 80/60, HR 140, and RR 36. He is lethargic.
Oxygen is delivered via face mask, and two large caliber IVs are
initiated. ABG is obtained: PaO2 118, PaCO2 30, pH 7.21. The treatment of
his acid-base disorder is best accomplished by:
A. Hyperventilation
B. Restoration of normal perfusion
C. Initiation of low dose dopamine
D. Administration of sodium bicarbonate
E. Initiation of phenylephrine infusion
B. Restoration of normal perfusion
During an altercation, a 36-year-old man sustains a gunshot wound
above the nipple line on the right, with an exit wound posteriorly above
the scapula on the right. He is transported by ambulance to a
community hospital. He is endotracheally intubated, close tube
thoracostomy is performed, and 2 liters Ringers lactate solution are
infused via 2 large-caliber IVs. His blood pressure now is 60/0mmHg,
heart rate is 160 beats per minute, and respiratory rate is 14 breaths per
minute (ventilated with 100% O2). The most appropriate next step in
managing this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement
D. Administered packed red blood cells
Which of the following statements regarding injury to the central
nervous system in children is true?
Children suffer spinal cord injury without an XR abnormality more
commonly than adults
2026 Actual Exam with Verified Questions and
Correct Answers.
Early central venous pressure monitoring during fluid resusciation in the
ED has the greatest utility in a:
A. Patient with a splenic laceration
B. Patient with a inhalation injury
C. 6 year-old child with a pelvic fracture
D. Patient with a severe cardiac contusion
E. 24-year-old man with a massive hemothorax
D. Patient with a severe cardiac contusion
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
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:
Auscultate the patient's chest
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present.
E. Clinical evidence of inadequate organ perfusion must be present.
A 29 year old female arrives in the ED after being involved in a motor
vehicle crash. She is 30 weeks pregnant. She was restrained with a lap
and shoulder belt, and an airbag deployed. Which one of the following
statements best describes the risk of injury?
A. The deployment of the airbag increased the risk of fetal loss
B. The risk of premature fetal delivery and death is reduced by the use of
restraints
C. The use of seatbelts is associated with increased risk of maternal
death
D. The mechanism of injury suggests the need for emergency C section
due to the risk of impending abruptio placentae
E. The deployment of the airbag increases the risk of maternal
abdominal injury
B. The risk of premature fetal delivery and death is reduced by the use of
restraints
,The most common acid-base disturbance encountered in injured
pediatric patients is caused by:
A. Hemorrhage
B. Changes in ventilation
C. Renal failure
D. Injudicious bicarbonate administration
E. Insufficient sodium chloride administration
B. Changes in ventilation
Absence of breath sounds and dullness to percussion over the left
hemothorax are findings explained by:
Left hemothorax
vs. hyperresonance: tension pneumothorax
A 17-year-old helmeted motorcyclist is struck broadside by an
automobile at an intersection. He is unconscious at the scene with a
blood pressure of 140/90mmHg, heart rate of 90 beats per minute, and
respiratory rate of 22 breaths per minute. His respirations are sonorous
and deep. His GCS score is 6. Immobilization of the entire patient may
include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar
A. Air splints
, A 24 year old pedestrian, struck by an automobile, is admitted to the ED
1 hour after injury. His BP is 80/60, HR 140, and RR 36. He is lethargic.
Oxygen is delivered via face mask, and two large caliber IVs are
initiated. ABG is obtained: PaO2 118, PaCO2 30, pH 7.21. The treatment of
his acid-base disorder is best accomplished by:
A. Hyperventilation
B. Restoration of normal perfusion
C. Initiation of low dose dopamine
D. Administration of sodium bicarbonate
E. Initiation of phenylephrine infusion
B. Restoration of normal perfusion
During an altercation, a 36-year-old man sustains a gunshot wound
above the nipple line on the right, with an exit wound posteriorly above
the scapula on the right. He is transported by ambulance to a
community hospital. He is endotracheally intubated, close tube
thoracostomy is performed, and 2 liters Ringers lactate solution are
infused via 2 large-caliber IVs. His blood pressure now is 60/0mmHg,
heart rate is 160 beats per minute, and respiratory rate is 14 breaths per
minute (ventilated with 100% O2). The most appropriate next step in
managing this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement
D. Administered packed red blood cells
Which of the following statements regarding injury to the central
nervous system in children is true?
Children suffer spinal cord injury without an XR abnormality more
commonly than adults
