ATLS PRETEST EXAM LATEST 2026 UPDATED QUESTIONS AND
VERIFIED 100% SOLUTIONS (2026/2027) |A+ GRADED
|GUARANTEED PASS
A patient is brought to the emergency department after a motor vehicle crash. He is conscious
and there is no obvious external trauma. He arrives at the hospital completely immobilized on a
long spine board. His blood pressure is 60/40 mm Hg and his heart rate is 70 beats per minute.
His skin is warm. Which one of the following statements is TRUE? - Answers -Flaccidity of the
lower extremities and loss of deep tendon reflexes are expected.
Which one of the following is the most effective method for initially treating frostbite? -
Answers -moist heat
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours before he
is extricated. On arrival in the emergency department, his right lower extremity is cool, mottled,
insensate, and motionless. Despite normal vital signs, pulses cannot be palpated below the right
femoral artery and the muscles of the lower extremity are firm and hard. During the
management of this patient, which of the following is most likely to improve the chances for
limb salvage? - Answers -surgical consultation for right lower extremity fasciotomy
A patient arrives in the emergency department after being beaten about the head and face with
a wooden club. He is comatose and has a palpable depressed skull fracture. His face is swollen
and ecchymotic. He has gurgling respirations and vomitus on his face and clothing. The most
appropriate step after providing supplemental oxygen and elevating his jaw is to: - Answers -
suction the oropharynx
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, A 22-year-old man sustains a gunshot wound to the left chest and is transported to a small
community hospital no surgical capabilities are available. In the emergency department, a chest
tube is inserted and 700 mL of blood is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the ambulance for transfer, his blood pressure
decreases to 80/68 mm Hg and his heart rate increases to 136 beats per minute. The next step
should be to: - Answers -repeat the primary survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is resuscitated initially in a small hospital
without surgical capabilities. He has a closed head injury with a GCS score of 13. He has a
widened mediastinum on chest x-ray with fractures of left ribs 2 through 4, but no
pneumothorax. After initiating fluid resuscitation, his blood pressure is 110/74 mm Hg, heart
rate is 100 beats per minute, and respiratory rate is 18 breaths per minute. He has gross
hematuria and a pelvic fracture. You decide to transfer this patient to a facility capable of
providing a higher level of care. The facility is 128 km (80 miles) away. Before transfer, you
should first: - Answers -call the receiving hospital and speak to the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated usually with: - Answers -
tachycardia
Which one of the following statements concerning intraosseous infusion is TRUE? - Answers -
Aspiration of bone marrow confirms appropriate positioning of the needle.
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: - Answers -avoid hypotension
2|Page
VERIFIED 100% SOLUTIONS (2026/2027) |A+ GRADED
|GUARANTEED PASS
A patient is brought to the emergency department after a motor vehicle crash. He is conscious
and there is no obvious external trauma. He arrives at the hospital completely immobilized on a
long spine board. His blood pressure is 60/40 mm Hg and his heart rate is 70 beats per minute.
His skin is warm. Which one of the following statements is TRUE? - Answers -Flaccidity of the
lower extremities and loss of deep tendon reflexes are expected.
Which one of the following is the most effective method for initially treating frostbite? -
Answers -moist heat
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours before he
is extricated. On arrival in the emergency department, his right lower extremity is cool, mottled,
insensate, and motionless. Despite normal vital signs, pulses cannot be palpated below the right
femoral artery and the muscles of the lower extremity are firm and hard. During the
management of this patient, which of the following is most likely to improve the chances for
limb salvage? - Answers -surgical consultation for right lower extremity fasciotomy
A patient arrives in the emergency department after being beaten about the head and face with
a wooden club. He is comatose and has a palpable depressed skull fracture. His face is swollen
and ecchymotic. He has gurgling respirations and vomitus on his face and clothing. The most
appropriate step after providing supplemental oxygen and elevating his jaw is to: - Answers -
suction the oropharynx
1|Page
, A 22-year-old man sustains a gunshot wound to the left chest and is transported to a small
community hospital no surgical capabilities are available. In the emergency department, a chest
tube is inserted and 700 mL of blood is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the ambulance for transfer, his blood pressure
decreases to 80/68 mm Hg and his heart rate increases to 136 beats per minute. The next step
should be to: - Answers -repeat the primary survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is resuscitated initially in a small hospital
without surgical capabilities. He has a closed head injury with a GCS score of 13. He has a
widened mediastinum on chest x-ray with fractures of left ribs 2 through 4, but no
pneumothorax. After initiating fluid resuscitation, his blood pressure is 110/74 mm Hg, heart
rate is 100 beats per minute, and respiratory rate is 18 breaths per minute. He has gross
hematuria and a pelvic fracture. You decide to transfer this patient to a facility capable of
providing a higher level of care. The facility is 128 km (80 miles) away. Before transfer, you
should first: - Answers -call the receiving hospital and speak to the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated usually with: - Answers -
tachycardia
Which one of the following statements concerning intraosseous infusion is TRUE? - Answers -
Aspiration of bone marrow confirms appropriate positioning of the needle.
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: - Answers -avoid hypotension
2|Page
