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ATLS Pretest Final Exam 2026/2027: 350+ Practice Questions & Answers

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Prepare for the ATLS pretest final exam with over 350 practice questions and answers. Covers trauma assessment, shock management, head injury, chest trauma, and emergency procedures.

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ATLS PRETEST FINAL EXAM AND PRACTICE
EXAM/ACTUAL EXAMS WITH 350 QUESTIONS
AND CORRECT DETAILED CORRECT ANSWERS
/LATEST UPDATE 2026-2027/ALREADY
GRADED A+

A trauma client presents to your emergency departmentwith

inspiratory stridor and a suspected c-spine injury.

Oxygen saturation is 88% on high-flow oxygen via a nonrebreathing

mask. The most appropriate next step is to: -

...CORRECT ANS:->>>...restrict cervical motion and establish

adefinitive airway



When applying the Rule of Nines to infants: -

...CORRECT ANS:->>>...The head is proportionally larger in infants

than in adults.



A healthy young male is brought to the emergency department

following a motor vehicle crash. His vital signsare a blood pressure of

84/60, pulse 123, GCS 10. The client moans when his pelvis is

palpated. After initiating fluid resuscitation, the next step in

management is: -

...CORRECT ANS:->>>...placement of a pelvic binder

,Which one of the following situations requires Rh immunoglobulin

administration to an injured woman? -

...CORRECT ANS:->>>...positive pregnancy test, Rh negative, and

hastorso trauma



A 22-year-old female athlete is stabbed in her left chest at the third

interspace in the anterior axillary line. On admission to the emergency

department and 15 minutes afterthe incident, she is awake and alert. Her

heart rate is 100 beats per minute, blood pressure 80/60 mm Hg, and

respiratory rate 20 breaths per minute. A chest x-ray reveals a large left

hemothorax. A left chest tube is placed with an immediate return of 1600

mL of blood. The next management step for this client is: - ...CORRECT

ANS:->>>...prepare for an exploratory thoracotomy



A 6-year-old boy walking across the street is struck by thefront bumper

of a sports utility vehicle traveling at 32 kph (20 mph). Which one of the

following statements is TRUEabout this client? - ...CORRECT ANS:-

>>>...A pulmonary contusion may be present in the absence of rib

fractures.

When something crashes in secondary survey, you... -

...CORRECT ANS:->>>...GO BACK TO PRIAMRY SURVEY



If the question says you do not have capabilities, you will most likely -

,...CORRECT ANS:->>>...PREPARE FOR AND DO NOTDELAY

TRANSPORT



How much blood can femur lose - ...CORRECT ANS:->>>...2L



What is always going to be the shock type to pick -

...CORRECT ANS:->>>...Hemorrhagic



What are the classes of hemorrhagic shock -

...CORRECT ANS:->>>...0-15% is class 1

15-30 is class 2

30-40% is class 3

>40% is class 4



What is the EARLIEST predictor of shock at what class -

...CORRECT ANS:->>>...Narrowed pulse pressure in class 2



What will be base deficit for class 2 shock? - ...CORRECT ANS:->>>...-2

to -6 meQ



What will be the deficit for class 4? - ...CORRECT ANS:->>>...-10 or

less

, When will urine output start to decrease in shock? -

...CORRECT ANS:->>>...Class 3 and 4



When does BP start to fall in shock - ...CORRECT ANS:->>>...Class 3



What is GCS? - ...CORRECT ANS:-

>>>...E-4V-5

M-6



Eye spont 4 To

command 3To

pain 2 None 1



Verbal spont is 5 Verbal

confused is 4

Inappropriate 3 Garbling

is 2

None is 1

Motor spont is 6 Localize

pain is 5 Withdrawal pain

is 4

Decorticating (flexion) is 3

Decebrate (extension) is 2 None

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