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ATLS 11th Edition
Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150
Questions & Answers (Verified Answers) With Detailed Rationales
1 1 Complete A
This Exam contains:
• ATLS 11th Edition Test Bank
• 100% Guaranteed Pass.
• Multiple-Choice (A—D), For Each Question.
• Questions & Answers (Verified Answers) With Detailed
Rationales
• Complete A+ Guide
Downloaded by harun mburu ()
, ATLS 11th Edition Test Bank
Question 1
A 32-y’ear-old m’ale is brought to the em’ergency’departm’ent following a high-speed m’otor
vehicle collision. Upon arrival, he is agitated and attem’pting to get off the stretcher. He is able to
state his nam’e but cannot recall what happened. What is the M’OST appropriate next action?
A) Adm’inister haloperidol for agitation
B) Perform’a rapid neurological assessm’ent
C) Apply’soft wrist restraints
D) Obtain a detailed history’from’fam’ily’
Correct Answer: B
Rationale: The patient's ability’to speak indicates that the airway’is patent and breathing is
adequate for phonation. However, the agitation and am’nesia m’ay’indicate cerebral
hy’poperfusion, hy’poxia, or traum’atic brain injury’. The ATLS approach em’phasizes that agitation
can be a sign ofhy’poxia or hy’poperfusion. A rapid neurological assessm’ent should be perform’ed
im’m’ediately’to evaluate for disability’(the "D" in ABCDE). Restraints or sedation without first
assessing for underly’ing causes could m’ask deterioration and worsen outcom’es. The correct
sequence is to com’plete the prim’ary’survey’, including neurological assessm’ent, before obtaining
detailed history’.
Question 2
Which ofthe following findings during the prim’ary’survey’would warrant im’m’ediate
intervention BEFORE proceeding to the secondary’survey’?
A) Tenderness in the left upper quadrant
B) Absent breath sounds on the left with hy’potension
C) A deform’ed left fem’ur with intact distal pulses
D) Blood at the urethral m’eatus
Correct Answer: B
Rationale: Absent breath sounds with hy’potension suggests tension pneum’othorax, which is an
im’m’ediately’life-threatening condition identified during the "B" (Breathing) com’ponent ofthe
prim’ary’survey’. Tension pneum’othorax requires im’m’ediate decom’pression with needle
thoracostom’y’or finger thoracostom’y’before proceeding further. Left upper quadrant tenderness
(suggests splenic injury’), fem’ur deform’ity’(orthopedic injury’), and blood at the urethral m’eatus
Downloaded by harun mburu ()
ATLS 11th Edition
Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150
Questions & Answers (Verified Answers) With Detailed Rationales
1 1 Complete A
This Exam contains:
• ATLS 11th Edition Test Bank
• 100% Guaranteed Pass.
• Multiple-Choice (A—D), For Each Question.
• Questions & Answers (Verified Answers) With Detailed
Rationales
• Complete A+ Guide
Downloaded by harun mburu ()
, ATLS 11th Edition Test Bank
Question 1
A 32-y’ear-old m’ale is brought to the em’ergency’departm’ent following a high-speed m’otor
vehicle collision. Upon arrival, he is agitated and attem’pting to get off the stretcher. He is able to
state his nam’e but cannot recall what happened. What is the M’OST appropriate next action?
A) Adm’inister haloperidol for agitation
B) Perform’a rapid neurological assessm’ent
C) Apply’soft wrist restraints
D) Obtain a detailed history’from’fam’ily’
Correct Answer: B
Rationale: The patient's ability’to speak indicates that the airway’is patent and breathing is
adequate for phonation. However, the agitation and am’nesia m’ay’indicate cerebral
hy’poperfusion, hy’poxia, or traum’atic brain injury’. The ATLS approach em’phasizes that agitation
can be a sign ofhy’poxia or hy’poperfusion. A rapid neurological assessm’ent should be perform’ed
im’m’ediately’to evaluate for disability’(the "D" in ABCDE). Restraints or sedation without first
assessing for underly’ing causes could m’ask deterioration and worsen outcom’es. The correct
sequence is to com’plete the prim’ary’survey’, including neurological assessm’ent, before obtaining
detailed history’.
Question 2
Which ofthe following findings during the prim’ary’survey’would warrant im’m’ediate
intervention BEFORE proceeding to the secondary’survey’?
A) Tenderness in the left upper quadrant
B) Absent breath sounds on the left with hy’potension
C) A deform’ed left fem’ur with intact distal pulses
D) Blood at the urethral m’eatus
Correct Answer: B
Rationale: Absent breath sounds with hy’potension suggests tension pneum’othorax, which is an
im’m’ediately’life-threatening condition identified during the "B" (Breathing) com’ponent ofthe
prim’ary’survey’. Tension pneum’othorax requires im’m’ediate decom’pression with needle
thoracostom’y’or finger thoracostom’y’before proceeding further. Left upper quadrant tenderness
(suggests splenic injury’), fem’ur deform’ity’(orthopedic injury’), and blood at the urethral m’eatus
Downloaded by harun mburu ()
