ATLS Practice Test Actual 2026 Updated Questions and Answers
(Latest 202
/ 2027 Update) (Verified Answers by
Expert)
1. Assessed first in trauma patient: Airway
2. (*)Degree of burn that is characterized by bone involvement:
Fourth
3. Complications of head trauma: Intracerebral
hematoma Extradural hematoma
Brain abscess
4. Most common cause of laryngotracheal stenosis: Trauma
5. Intervention that can help prevent development of acute renal
failure: Infusion of normal saline
6. A 26-year-old male is resuscitated with blood transfusion after a
motor vehicle collision that was complicated by a fractured pelvis.
A few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to
be bleeding from the NG tube and IV sites. Which of the following is
the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction: D. Transfusion reaction
7. Skin antiseptic: -Ethanol 70% is an ettective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
8. Class IV hemorrhage indicates what % blood loss: 55%
, ATLS Practice Test Actual 2026 Updated Questions and Answers
(Latest 202
/ 2027 Update) (Verified Answers by
Expert)
9. How does shivering affect body temperature: Increases body
temperature
10. Class III hemorrhage indicates what % of blood loss: 35%
11. Management of a stable patient with kidney contusion:
Observation
12. Associated with hypovolemic shock: -Inadequate tissue perfusion with
resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
, ATLS Practice Test Actual 2026 Updated Questions and Answers
(Latest 202
/ 2027 Update) (Verified Answers by
Expert)
13. The most effective method of monitoring the success of
resuscitation dur-ing CPR?: Reactivity of pupils to light
14. Used to ensure correct placement of endotracheal tube: -
Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
15. Total body surface area involved in a burn in an adult to the
anterior chest and abdomen: 18%
16. What is often caused by carotid massage?: Bradycardia
17. Step in a patient diagnosed with tension pneumothorax: 1.
Needle decompression/ thoracotomy
2. Chest tube
18. True statements regarding diaphragmatic injuries: -Blunt
diaphragmatic injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material
19. First priority in the treatment of an unconscious patient:
Checking the pulse
20. A patient involved in a road accident is brought to the
emergency depart-ment in an unconscious state. On arrival, her
vitals show a temperature of 96.4 degrees Fahrenheit, a respiration
rate of 24 breaths per minute, a heart rate of 140 beats per
minute, and a blood pressure of 80/40 mm Hg. She is cold,
, ATLS Practice Test Actual 2026 Updated Questions and Answers
(Latest 202
/ 2027 Update) (Verified Answers by
Expert)
shivering, and perspiring profusely. She has bilateral reactive pupils
but she does not respond to pain. On physical examination, she has no
obvious sign of external bleeding. Which of the following cannot be
the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax: C. Intracranial hemorrhage
21. A patient suffered a slash to his right neck. The wound is
over the mid-por-tion of the sternocleidomastoid. There is a large
hematoma and brisk bleed-ing when uncovered. He is stable.
What is the next step in management?
(Latest 202
/ 2027 Update) (Verified Answers by
Expert)
1. Assessed first in trauma patient: Airway
2. (*)Degree of burn that is characterized by bone involvement:
Fourth
3. Complications of head trauma: Intracerebral
hematoma Extradural hematoma
Brain abscess
4. Most common cause of laryngotracheal stenosis: Trauma
5. Intervention that can help prevent development of acute renal
failure: Infusion of normal saline
6. A 26-year-old male is resuscitated with blood transfusion after a
motor vehicle collision that was complicated by a fractured pelvis.
A few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to
be bleeding from the NG tube and IV sites. Which of the following is
the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction: D. Transfusion reaction
7. Skin antiseptic: -Ethanol 70% is an ettective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
8. Class IV hemorrhage indicates what % blood loss: 55%
, ATLS Practice Test Actual 2026 Updated Questions and Answers
(Latest 202
/ 2027 Update) (Verified Answers by
Expert)
9. How does shivering affect body temperature: Increases body
temperature
10. Class III hemorrhage indicates what % of blood loss: 35%
11. Management of a stable patient with kidney contusion:
Observation
12. Associated with hypovolemic shock: -Inadequate tissue perfusion with
resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
, ATLS Practice Test Actual 2026 Updated Questions and Answers
(Latest 202
/ 2027 Update) (Verified Answers by
Expert)
13. The most effective method of monitoring the success of
resuscitation dur-ing CPR?: Reactivity of pupils to light
14. Used to ensure correct placement of endotracheal tube: -
Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
15. Total body surface area involved in a burn in an adult to the
anterior chest and abdomen: 18%
16. What is often caused by carotid massage?: Bradycardia
17. Step in a patient diagnosed with tension pneumothorax: 1.
Needle decompression/ thoracotomy
2. Chest tube
18. True statements regarding diaphragmatic injuries: -Blunt
diaphragmatic injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material
19. First priority in the treatment of an unconscious patient:
Checking the pulse
20. A patient involved in a road accident is brought to the
emergency depart-ment in an unconscious state. On arrival, her
vitals show a temperature of 96.4 degrees Fahrenheit, a respiration
rate of 24 breaths per minute, a heart rate of 140 beats per
minute, and a blood pressure of 80/40 mm Hg. She is cold,
, ATLS Practice Test Actual 2026 Updated Questions and Answers
(Latest 202
/ 2027 Update) (Verified Answers by
Expert)
shivering, and perspiring profusely. She has bilateral reactive pupils
but she does not respond to pain. On physical examination, she has no
obvious sign of external bleeding. Which of the following cannot be
the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax: C. Intracranial hemorrhage
21. A patient suffered a slash to his right neck. The wound is
over the mid-por-tion of the sternocleidomastoid. There is a large
hematoma and brisk bleed-ing when uncovered. He is stable.
What is the next step in management?
