ATLS PRACTICE TEST EXAM 2026/2027
REAL STUDY QUESTIONS AND
CORRECT DETAILED SOLUTIONS
WITH RATIONALES 100%
GUARANTEED PASS | RATED A+
,ATLS PRACTICE TEST EXAM 2026/2027 REAL STUDY
QUESTIONS AND CORRECT DETAILED SOLUTIONS WITH
RATIONALES 100% GUARANTEED PASS | RATED A+
37-year-old man is struck on the side of the head but is conscious and talkative after the injury.
No evidence of skull fracture. Several days later, he becomes increasingly lethargic, somewhat
confused, and unable to move his right side. Which type of event has most likely occurred?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion - Answer>>> A. Subdural hematoma
A patient is hit by a car and has severe injuries to his extremities. He is immediately brought to
the emergency room by EMS. Evaluation reveals that he has multiple organ injuries. He has an
open, gaping wound which measures 2 x 2 centimeters, just below the right knee. The leg
appears dislocated and ecchymotic. However, pulses are present in the distal extremity. He does
not complain of any paresthesias. X-ray reveals that there is a fracture of the tibia. The trauma
team is called. As their arrival is awaited, which of the following should NOT be done to help
manage this patient?
A. Obtain culture and close wound using a sterile technique
B. Don't reduce the dislocation
C. Give tetanus toxoid/booster shot
D. Give antibiotics - Answer>>> A. Obtain culture and close wound using a sterile technique
A young woman sustains a severe head injury as the result of a motor vehicle crash. In the
emergency department, her GCS is 6. Her blood pressure is 140/90 mm Hg and her heart rate is
80 beats per minute. She is intubated and mechanically ventilated. Her pupils are 3 mm in size
and equally reactive to light. There is no other apparent injury. The most important principle to
follow in the early management of her head injury is to:
,A. avoid hypotension
B. administer an osmotic diuretic
C. aggressively treat systemic hypertension
D. reduce metabolic requirements of the brain
E. distinguish between intracranial hematoma and cerebral edema - Answer>>> A. avoid
hypotension
Which one of the following findings in an adult is most likely to require immediate management
during the primary survey? - Answer>>> respiratory rate of 40 breaths per minute
A trauma patient is receiving fluids at 150 cc/hr. He received two units of blood because his
initial hemoglobin was 7.3 g. After 4 hours, his urine output is 7 cc/hr and his central venous
pressure is 3 cm of water. What is the next step in his management?
A. Start furosemide drip
B. Start dopamine at renal dose
C. Administer 500 cc of NS bolus over 1 hour
D. Decrease the rate of fluid administration - Answer>>> C. Administer 500 cc of NS bolus over
1 hour
The most important, immediate step in the management of an open pneumothorax is: -
Answer>>> placement of an occlusive dressing over the wound
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
The following are contraindications for tetanus toxoid administration: - Answer>>> history of
neurological reaction or severe hypersensitivity to the product
A healthy 24-year-old is involved in a motor vehicle accident. He loses consciousness but
regains it within a few hours and appears normal to friends. He later presents to the emergency
room very lethargic, weak, and with a dilated pupil on the left side. The patient most likely has
which of the following conditions?
A. Acute subdural hematoma
B. Subarachnoid hemorrhage
C. Acute epidural hematoma
D. Intra-cerebral hemorrhage - Answer>>> C. Acute epidural hematoma
What is the MOST sensitive test used to make a diagnosis of skull fracture?
A. Physical exam
B. Head CT
C. Skull radiographs
D. MRI - Answer>>> B. Head CT
The most common complication after nasotracheal intubation is:
A. Epistaxis
B. Nasal congestion
C. Infection
D. Aspiration - Answer>>> A. Epistaxis
REAL STUDY QUESTIONS AND
CORRECT DETAILED SOLUTIONS
WITH RATIONALES 100%
GUARANTEED PASS | RATED A+
,ATLS PRACTICE TEST EXAM 2026/2027 REAL STUDY
QUESTIONS AND CORRECT DETAILED SOLUTIONS WITH
RATIONALES 100% GUARANTEED PASS | RATED A+
37-year-old man is struck on the side of the head but is conscious and talkative after the injury.
No evidence of skull fracture. Several days later, he becomes increasingly lethargic, somewhat
confused, and unable to move his right side. Which type of event has most likely occurred?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion - Answer>>> A. Subdural hematoma
A patient is hit by a car and has severe injuries to his extremities. He is immediately brought to
the emergency room by EMS. Evaluation reveals that he has multiple organ injuries. He has an
open, gaping wound which measures 2 x 2 centimeters, just below the right knee. The leg
appears dislocated and ecchymotic. However, pulses are present in the distal extremity. He does
not complain of any paresthesias. X-ray reveals that there is a fracture of the tibia. The trauma
team is called. As their arrival is awaited, which of the following should NOT be done to help
manage this patient?
A. Obtain culture and close wound using a sterile technique
B. Don't reduce the dislocation
C. Give tetanus toxoid/booster shot
D. Give antibiotics - Answer>>> A. Obtain culture and close wound using a sterile technique
A young woman sustains a severe head injury as the result of a motor vehicle crash. In the
emergency department, her GCS is 6. Her blood pressure is 140/90 mm Hg and her heart rate is
80 beats per minute. She is intubated and mechanically ventilated. Her pupils are 3 mm in size
and equally reactive to light. There is no other apparent injury. The most important principle to
follow in the early management of her head injury is to:
,A. avoid hypotension
B. administer an osmotic diuretic
C. aggressively treat systemic hypertension
D. reduce metabolic requirements of the brain
E. distinguish between intracranial hematoma and cerebral edema - Answer>>> A. avoid
hypotension
Which one of the following findings in an adult is most likely to require immediate management
during the primary survey? - Answer>>> respiratory rate of 40 breaths per minute
A trauma patient is receiving fluids at 150 cc/hr. He received two units of blood because his
initial hemoglobin was 7.3 g. After 4 hours, his urine output is 7 cc/hr and his central venous
pressure is 3 cm of water. What is the next step in his management?
A. Start furosemide drip
B. Start dopamine at renal dose
C. Administer 500 cc of NS bolus over 1 hour
D. Decrease the rate of fluid administration - Answer>>> C. Administer 500 cc of NS bolus over
1 hour
The most important, immediate step in the management of an open pneumothorax is: -
Answer>>> placement of an occlusive dressing over the wound
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
The following are contraindications for tetanus toxoid administration: - Answer>>> history of
neurological reaction or severe hypersensitivity to the product
A healthy 24-year-old is involved in a motor vehicle accident. He loses consciousness but
regains it within a few hours and appears normal to friends. He later presents to the emergency
room very lethargic, weak, and with a dilated pupil on the left side. The patient most likely has
which of the following conditions?
A. Acute subdural hematoma
B. Subarachnoid hemorrhage
C. Acute epidural hematoma
D. Intra-cerebral hemorrhage - Answer>>> C. Acute epidural hematoma
What is the MOST sensitive test used to make a diagnosis of skull fracture?
A. Physical exam
B. Head CT
C. Skull radiographs
D. MRI - Answer>>> B. Head CT
The most common complication after nasotracheal intubation is:
A. Epistaxis
B. Nasal congestion
C. Infection
D. Aspiration - Answer>>> A. Epistaxis
