ATLS POST ACTUAL EXAM NEWEST VERSION 2026 ACTUAL EXAM
WITH VERIFIED QUESTIONS AND CORRECT ANSWERS LATEST!!!
ALREADY GRADED A+
Which of the following is true regarding a PREGNANT patient who presents
following blunt trauma?
A. Early gastric decompression is important
B. A hemoglobin level of 10 indicates recent blood loss
C. The CVP response to volume resuscitation is blunted in pregnant patients
D. A lap belt is the best form of restraint due to the size of the gravid uterus
E. A PaCO2 of 40 provides reassurance about the adequancy of respiratory
function - ANS... -A. Early gastric decompression is important
Which one of the following statements is FALSE concerning Rh isoimmunization
in pregnant trauma patients?
A. It occurs in blunt or penetrating abdominal trauma
B. It is produced by minor degrees of fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females who
have sustained a gunshot wound to the leg
D. This is not a problem in traumatized, Rh-positive pregnant patients
E. Initiation of Rh immunoglobulin therapy does not require proof of fetomaternal
hemorrhage - ANS... -C. Rh immunoglobulin therapy should be administered to
pregnant females who have sustained a gunshot wound to the leg
Which of the following statements is TRUE regarding access in pediatric
resuscitation?
A. Intraosseous access should be only be considered after 5 percutaneous attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delivered through intraosseous access
D. Internal jugular cannulation is the next preferred option when percutaneous
venous access fails
E. Intraosseous cannulation should be first choice for access - ANS... -C. Blood
transfusion can be delivered through intraosseous access
(anything can be delievered IO)
A 23 year old male is stabbed below the right nipple. He is alert, and his oxygen
saturation is 98%. Chest tube was placed for treatment of hemopneumothorax. BP
is 90/60 mmHg after administration of 1 L of crystalloid solution. What is the next
step in treatment?
,A. Re-examine the chest
B. Place a left-sided chest tube
C. Insert central venous catheter
D. Perform CT Abd/Pelvis
E. Prepare for urgent thoractomy - ANS... -A. Re-examine the chest
You are treating a trauma patient and attempt a definitive airway by intubation.
However, the vocal cords are not visible. What tool would be most valuable for
achieving successful intubation?
A. Gum elastic bougie
B. Lateral cervical spine XR
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway - ANS... -A. Gum elastic bougie
When glottis is not visualized, it is passed blindly behind the epiglottis
Twenty seven people are severely injured in an aircraft crash at a local airport. The
principles of triage include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources - ANS... -
E. Produce the greatest number of survivors based on available resources
Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal region
C. Subdural hematomas are caused by injury to the middle meningeal artery
D. Subdural hematomas typically have a lenticular shape on CT
E. The associated brain damage is more severe in epidural hematomas - ANS... -A.
Cerebral contusions may coalesce to form an intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
An 18 year old male is brought to the ED after being shot. He has one bullet
wound just below the right clavicle and another just below the costal margin in the
right posterior axillary line. His blood pressure is 110/60, heart rate of 90, and
respiratory rate of 34. After ensuring a patent airway and inserting 2 large caliber
IV lines, the next most appropriate step is to:
,A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage - ANS... -A. Obtain a portable chest x-ray
need more info on chest, not abdomen
Which of the following should be performed FIRST in any patient whose injuries
may include multiple closed extremity fractures?
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome - ANS... -D. Ensuring adequate
oxygenation and ventilation
(ABC's)
A 22 year old male sustains a shotgun wound to the shoulder and chest at close
range. His BP is 80/40 and HR 130. After 2 L of crystalloid solution are rapidly
infused, his BP increases to 122/84 and HR decreases to 100. He is tachypneic
with RR of 28. On PE, his breath sounds are decreased at the left upper chest with
dullness on percussion. A large caliber tube thoracostomy is inserted into the fifth
intercostal space with the return of 200 mL of blood and no air leak. The most
appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest - ANS... -E. Repeat the physical exam of
the chest
decreased breath sounds w/dullness -> hemothorax, need tube to drain
vs.
decreased/absent breath sounds w/hyperresonance -> tension pneumonia, need
needle decompression followed by tube
Which one of the following statements concerning spine and spinal cord trauma is
TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical findings of a cord injury
, C. A patient with a suspected spine injury requires immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient who has fallen is a sign of
spine injury
E. Determination of whether a spinal cord lesion is complete or incomplete must
be made in the primary survey - ANS... -B. A vertebral injury is unlikely in the
absence of physical findings of a cord injury
A 17 year old female is brought to the ED following a 6 feet fall onto concrete. She
is unresponsive and found to have a RR of 32, BP of 90/60, and HR of 68. The
FIRST step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - ANS... -D. Applying oxygen and
maintaining airway
First = ABCs
Signs and symptoms of airway compromise include all of the following except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure - ANS... -E. Decreased pulse pressure
A 47 year old house painter is brought to the hospital after falling 20 feet from a
ladder and landing straddled on a fence. Examination of his perineum reveals
extensive ecchymosis. There is blood in the external urethral meatus. The initial
diagnostic study for the evaluation of the urinary tract should be:
A. cystoscopy
B. cystography
C. intravenous pyelography
D. CT scan
E. retrograde urethrography - ANS... -E. retrograde urethrography
-> any ecchymosis, needs to be done before catheter!
A 30 year old male presents after a MVC. Vitals are RR 18, HR 88, BP 130/72,
GCS 13. Laparatomy is indicated when:
A. There is a distinct seat belt sign over the abdomen
B. The CT demonstrates a grade 4 hepatic injury
WITH VERIFIED QUESTIONS AND CORRECT ANSWERS LATEST!!!
ALREADY GRADED A+
Which of the following is true regarding a PREGNANT patient who presents
following blunt trauma?
A. Early gastric decompression is important
B. A hemoglobin level of 10 indicates recent blood loss
C. The CVP response to volume resuscitation is blunted in pregnant patients
D. A lap belt is the best form of restraint due to the size of the gravid uterus
E. A PaCO2 of 40 provides reassurance about the adequancy of respiratory
function - ANS... -A. Early gastric decompression is important
Which one of the following statements is FALSE concerning Rh isoimmunization
in pregnant trauma patients?
A. It occurs in blunt or penetrating abdominal trauma
B. It is produced by minor degrees of fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females who
have sustained a gunshot wound to the leg
D. This is not a problem in traumatized, Rh-positive pregnant patients
E. Initiation of Rh immunoglobulin therapy does not require proof of fetomaternal
hemorrhage - ANS... -C. Rh immunoglobulin therapy should be administered to
pregnant females who have sustained a gunshot wound to the leg
Which of the following statements is TRUE regarding access in pediatric
resuscitation?
A. Intraosseous access should be only be considered after 5 percutaneous attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delivered through intraosseous access
D. Internal jugular cannulation is the next preferred option when percutaneous
venous access fails
E. Intraosseous cannulation should be first choice for access - ANS... -C. Blood
transfusion can be delivered through intraosseous access
(anything can be delievered IO)
A 23 year old male is stabbed below the right nipple. He is alert, and his oxygen
saturation is 98%. Chest tube was placed for treatment of hemopneumothorax. BP
is 90/60 mmHg after administration of 1 L of crystalloid solution. What is the next
step in treatment?
,A. Re-examine the chest
B. Place a left-sided chest tube
C. Insert central venous catheter
D. Perform CT Abd/Pelvis
E. Prepare for urgent thoractomy - ANS... -A. Re-examine the chest
You are treating a trauma patient and attempt a definitive airway by intubation.
However, the vocal cords are not visible. What tool would be most valuable for
achieving successful intubation?
A. Gum elastic bougie
B. Lateral cervical spine XR
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway - ANS... -A. Gum elastic bougie
When glottis is not visualized, it is passed blindly behind the epiglottis
Twenty seven people are severely injured in an aircraft crash at a local airport. The
principles of triage include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources - ANS... -
E. Produce the greatest number of survivors based on available resources
Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal region
C. Subdural hematomas are caused by injury to the middle meningeal artery
D. Subdural hematomas typically have a lenticular shape on CT
E. The associated brain damage is more severe in epidural hematomas - ANS... -A.
Cerebral contusions may coalesce to form an intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
An 18 year old male is brought to the ED after being shot. He has one bullet
wound just below the right clavicle and another just below the costal margin in the
right posterior axillary line. His blood pressure is 110/60, heart rate of 90, and
respiratory rate of 34. After ensuring a patent airway and inserting 2 large caliber
IV lines, the next most appropriate step is to:
,A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage - ANS... -A. Obtain a portable chest x-ray
need more info on chest, not abdomen
Which of the following should be performed FIRST in any patient whose injuries
may include multiple closed extremity fractures?
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome - ANS... -D. Ensuring adequate
oxygenation and ventilation
(ABC's)
A 22 year old male sustains a shotgun wound to the shoulder and chest at close
range. His BP is 80/40 and HR 130. After 2 L of crystalloid solution are rapidly
infused, his BP increases to 122/84 and HR decreases to 100. He is tachypneic
with RR of 28. On PE, his breath sounds are decreased at the left upper chest with
dullness on percussion. A large caliber tube thoracostomy is inserted into the fifth
intercostal space with the return of 200 mL of blood and no air leak. The most
appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest - ANS... -E. Repeat the physical exam of
the chest
decreased breath sounds w/dullness -> hemothorax, need tube to drain
vs.
decreased/absent breath sounds w/hyperresonance -> tension pneumonia, need
needle decompression followed by tube
Which one of the following statements concerning spine and spinal cord trauma is
TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical findings of a cord injury
, C. A patient with a suspected spine injury requires immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient who has fallen is a sign of
spine injury
E. Determination of whether a spinal cord lesion is complete or incomplete must
be made in the primary survey - ANS... -B. A vertebral injury is unlikely in the
absence of physical findings of a cord injury
A 17 year old female is brought to the ED following a 6 feet fall onto concrete. She
is unresponsive and found to have a RR of 32, BP of 90/60, and HR of 68. The
FIRST step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - ANS... -D. Applying oxygen and
maintaining airway
First = ABCs
Signs and symptoms of airway compromise include all of the following except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure - ANS... -E. Decreased pulse pressure
A 47 year old house painter is brought to the hospital after falling 20 feet from a
ladder and landing straddled on a fence. Examination of his perineum reveals
extensive ecchymosis. There is blood in the external urethral meatus. The initial
diagnostic study for the evaluation of the urinary tract should be:
A. cystoscopy
B. cystography
C. intravenous pyelography
D. CT scan
E. retrograde urethrography - ANS... -E. retrograde urethrography
-> any ecchymosis, needs to be done before catheter!
A 30 year old male presents after a MVC. Vitals are RR 18, HR 88, BP 130/72,
GCS 13. Laparatomy is indicated when:
A. There is a distinct seat belt sign over the abdomen
B. The CT demonstrates a grade 4 hepatic injury
