ATLS POST TEST | ACTUAL QUESTIONS & CORRECT ANSWERS WITH MULTIPLE
CHOICES GRADED A+ | LATEST 2026 GUIDE
***1. Which of the following is the least preferred method of administering IV
fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous
vein Subclavian
veins
***RATIONALE: When selecting a site for IV fluid administration, the general rule is
to start with the safest, least invasive, and most accessible peripheral veins, and
avoid central veins unless absolutely necessary.
***2. A patient with which condition should be triaged to receive medical attention
first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting
A. Choking
***RATIONALE: In triage, priorities follow the ABC principle — Airway,
Breathing, Circulation. A patient who is choking has an airway obstruction,
which is an immediate life-threatening emergency and requires first priority.
***3.For pediatric patients, what volume of fluid resuscitation should be given
initially in the setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
,C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate
D. 10 to 20 mL/kg of Ringers lactate
*** RATIONALE: In pediatric shock, rapid isotonic fluid resuscitation is the
priority to restore circulating volume and improve tissue perfusion. The standard
initial bolus is:
• 10–20 mL/kg of an isotonic crystalloid such as Ringer’s lactate (or normal
saline) given rapidly, often over 5–20 minutes, then reassessed.
This aligns with pediatric emergency/critical care principles (often 20 mL/kg is the
classic initial bolus, with cautious titration in some conditions such as cardiac
disease or severe malnutrition).
,***4. A patient is found unconscious after a fire in his bedroom. He is found to
have severe burns around his face. What is the first aspect of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work
C. Airway
***RATIONALE: Using the ABCDE approach in trauma and burn management,
Airway is always the first priority—especially in a fire victim with facial burns,
which strongly suggests possible inhalation injury. Facial burns, soot around the
mouth/nose, singed nasal hairs, hoarseness, or stridor can indicate airway edema
that may rapidly obstruct breathing.
Dermatome level for nipple sensation
Dermatome level for
umbilicus T4
T10
At which temperature would a hypothermic patient
stop shivering? 88 degrees F
What is the energy recommendation for the first
defibrillation in an adult (*) 300 J
, Pharmacologic effects of Morphine
Behavioral changes
Analgesia
Respiratory depression
NOT diarrhea
Basilar skull fracture
PE: raccoon eyes, battle sign, CSF ottorrhea (rhinorrhea), loculated
pneumoencephalocele
Bone MC involved = Temporal
A patient with von Willebrand disease is bleeding after sustaining a knife wound.
Which of the following is most appropriate for the treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
C. Protamine
D. DDAVP
D. DDAVP
What is the total body surface area involved in a burn to both lower extremities?
CHOICES GRADED A+ | LATEST 2026 GUIDE
***1. Which of the following is the least preferred method of administering IV
fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous
vein Subclavian
veins
***RATIONALE: When selecting a site for IV fluid administration, the general rule is
to start with the safest, least invasive, and most accessible peripheral veins, and
avoid central veins unless absolutely necessary.
***2. A patient with which condition should be triaged to receive medical attention
first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting
A. Choking
***RATIONALE: In triage, priorities follow the ABC principle — Airway,
Breathing, Circulation. A patient who is choking has an airway obstruction,
which is an immediate life-threatening emergency and requires first priority.
***3.For pediatric patients, what volume of fluid resuscitation should be given
initially in the setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
,C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate
D. 10 to 20 mL/kg of Ringers lactate
*** RATIONALE: In pediatric shock, rapid isotonic fluid resuscitation is the
priority to restore circulating volume and improve tissue perfusion. The standard
initial bolus is:
• 10–20 mL/kg of an isotonic crystalloid such as Ringer’s lactate (or normal
saline) given rapidly, often over 5–20 minutes, then reassessed.
This aligns with pediatric emergency/critical care principles (often 20 mL/kg is the
classic initial bolus, with cautious titration in some conditions such as cardiac
disease or severe malnutrition).
,***4. A patient is found unconscious after a fire in his bedroom. He is found to
have severe burns around his face. What is the first aspect of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work
C. Airway
***RATIONALE: Using the ABCDE approach in trauma and burn management,
Airway is always the first priority—especially in a fire victim with facial burns,
which strongly suggests possible inhalation injury. Facial burns, soot around the
mouth/nose, singed nasal hairs, hoarseness, or stridor can indicate airway edema
that may rapidly obstruct breathing.
Dermatome level for nipple sensation
Dermatome level for
umbilicus T4
T10
At which temperature would a hypothermic patient
stop shivering? 88 degrees F
What is the energy recommendation for the first
defibrillation in an adult (*) 300 J
, Pharmacologic effects of Morphine
Behavioral changes
Analgesia
Respiratory depression
NOT diarrhea
Basilar skull fracture
PE: raccoon eyes, battle sign, CSF ottorrhea (rhinorrhea), loculated
pneumoencephalocele
Bone MC involved = Temporal
A patient with von Willebrand disease is bleeding after sustaining a knife wound.
Which of the following is most appropriate for the treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
C. Protamine
D. DDAVP
D. DDAVP
What is the total body surface area involved in a burn to both lower extremities?
