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ATLS Pretest Exam Study Guide | Advanced Trauma Life Support Practice Questions & Answers | Trauma Review | Latest Update 2026

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ATLS Pretest Exam Study Guide | Advanced Trauma Life Support Practice Questions & Answers | Trauma Review | Latest Update 2026

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ATLS PRETEST FINAL EXAM AND PRACTICE
EXAM/ACTUAL EXAMS WITH 350 QUESTIONS AND
CORRECT DETAILED CORRECT ANSWERS /LATEST
UPDATE 2024-2026/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 a

definitive airway



When applying the Rule of Nines to infants: -

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

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 TRUE about this client? - ...CORRECT ANS:->>>...A

pulmonary contusionmay 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 orless



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 4Inappropriate

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 is

1



Two main reasons to think about why GCS goes down? -

...CORRECT ANS:->>>...TBI

Hemorrhagic shock

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