ATLS PRACTICE TEST 2 FINAL PAPER 2026
TESTED QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ How deep should the provider depress the patient's sternum
during CPR in adults? Answer: 2 to 3 inches
◉ First parameter to change in patient's with hypovolemic shock?
A. Systolic blood pressure
B. Pulse rate
C. Respiratory rate
D. Skin vasoconstriction Answer: B. Pulse rate
◉ A 34-year-old with severe head trauma and elevated intracranial
pressures is intubated. Which of the following should be the target
for mechanical ventilation? Answer: Set PaCO2 between 30-35
◉ A young motorcycle driver is thrown against a concrete bridge
and sustains severe trauma about the face, with marked deformity
and bleeding. Which of the following statements regarding this
scenario is TRUE?
A. Cervical spine evaluation takes precedence over facial injuries
B. LeFort fractures rarely cause severe hemorrhage
,C. Nasotracheal intubation must be done urgently to prevent airway
obstruction
D. Plain radiographs are preferred to CT in emergencies Answer: A.
Cervical spine evaluation takes precedence over facial injuries
◉ Which US industry has the highest accidental death rate?
A. Construction
B. Agriculture
C. Manufacturing
D. Transportation Answer: B. Agriculture
◉ Subdural hematoma facts Answer: Etiology: tearing of bridging
veins
-Most common in elderly individuals who fall
-Hematoma should be evacuated surgically
-Prognosis is much better for chronic subdurals than acute cases
-More common than epidural hematomas
NOT often associated with skull fractures
◉ An 8-year old child is brought to the ER after being struck by a car
while crossing the street. He is not alert and required immediate
,intubation at the scene by EMS. His GCS is 8 T. He appears to have a
significant laceration of his scalp on the left side but there are no
skeletal fractures. The initial chest x-ray revealed a right sided
pneumothorax and a chest tube was inserted. His hematocrit is 23.5
and hemoglobin is 7.6. The next thing you would do is:
A. CT head
B. CT abdomen
C. Repeat blood work
D. Observe patient Answer: B. CT abdomen
◉ Class I hemorrhage indicates what percentage of blood loss?
Answer: 10%
◉ Which is not a clinical component of the Glasgow Coma Score?
A. Eye movement
B. Sensation
C. Verbal response
D. Extremity movement Answer: B. Sensation
◉ How should epinephrine should be injected for treatment of
anaphylaxis? Answer: Intramuscularly (IM) into vastus lateralis
◉ How would a patient with a change in mental status would be
triaged using the simple triage and rapid treatment (START)?
, A. Delayed
B. Immediate
C. Minor
D. Critical Answer: B. Immediate
◉ Appropriate site for insertion of a subclavian line Answer: -One
centimeter inferior to the junctions of the middle and medial third of
the clavicle
-One fingerbreadth lateral to the angle of the clavicle
-Inferior to the clavicle @ deltopectoral groove, lateral to the
midclavicular line
◉ In head trauma, the majority of patients with post-traumatic CSF
otorrhea:
A. Need surgery
B. Should be started on antibiotics
C. Heal spontaneously
D. Develop meningitis Answer: C. Heal spontaneously
◉ Uncal herniation Answer: PE: Biot breathing, dilated and fixed
pupil (out and down)
Nerves affected: 3rd, 4th, parasympathetic input
TESTED QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ How deep should the provider depress the patient's sternum
during CPR in adults? Answer: 2 to 3 inches
◉ First parameter to change in patient's with hypovolemic shock?
A. Systolic blood pressure
B. Pulse rate
C. Respiratory rate
D. Skin vasoconstriction Answer: B. Pulse rate
◉ A 34-year-old with severe head trauma and elevated intracranial
pressures is intubated. Which of the following should be the target
for mechanical ventilation? Answer: Set PaCO2 between 30-35
◉ A young motorcycle driver is thrown against a concrete bridge
and sustains severe trauma about the face, with marked deformity
and bleeding. Which of the following statements regarding this
scenario is TRUE?
A. Cervical spine evaluation takes precedence over facial injuries
B. LeFort fractures rarely cause severe hemorrhage
,C. Nasotracheal intubation must be done urgently to prevent airway
obstruction
D. Plain radiographs are preferred to CT in emergencies Answer: A.
Cervical spine evaluation takes precedence over facial injuries
◉ Which US industry has the highest accidental death rate?
A. Construction
B. Agriculture
C. Manufacturing
D. Transportation Answer: B. Agriculture
◉ Subdural hematoma facts Answer: Etiology: tearing of bridging
veins
-Most common in elderly individuals who fall
-Hematoma should be evacuated surgically
-Prognosis is much better for chronic subdurals than acute cases
-More common than epidural hematomas
NOT often associated with skull fractures
◉ An 8-year old child is brought to the ER after being struck by a car
while crossing the street. He is not alert and required immediate
,intubation at the scene by EMS. His GCS is 8 T. He appears to have a
significant laceration of his scalp on the left side but there are no
skeletal fractures. The initial chest x-ray revealed a right sided
pneumothorax and a chest tube was inserted. His hematocrit is 23.5
and hemoglobin is 7.6. The next thing you would do is:
A. CT head
B. CT abdomen
C. Repeat blood work
D. Observe patient Answer: B. CT abdomen
◉ Class I hemorrhage indicates what percentage of blood loss?
Answer: 10%
◉ Which is not a clinical component of the Glasgow Coma Score?
A. Eye movement
B. Sensation
C. Verbal response
D. Extremity movement Answer: B. Sensation
◉ How should epinephrine should be injected for treatment of
anaphylaxis? Answer: Intramuscularly (IM) into vastus lateralis
◉ How would a patient with a change in mental status would be
triaged using the simple triage and rapid treatment (START)?
, A. Delayed
B. Immediate
C. Minor
D. Critical Answer: B. Immediate
◉ Appropriate site for insertion of a subclavian line Answer: -One
centimeter inferior to the junctions of the middle and medial third of
the clavicle
-One fingerbreadth lateral to the angle of the clavicle
-Inferior to the clavicle @ deltopectoral groove, lateral to the
midclavicular line
◉ In head trauma, the majority of patients with post-traumatic CSF
otorrhea:
A. Need surgery
B. Should be started on antibiotics
C. Heal spontaneously
D. Develop meningitis Answer: C. Heal spontaneously
◉ Uncal herniation Answer: PE: Biot breathing, dilated and fixed
pupil (out and down)
Nerves affected: 3rd, 4th, parasympathetic input
