ATLS 2025 LATEST ACTUAL EXAM
QUESTIONS AND DETAILED CORRECT
ANSWERS (2025-2026) | A+ GRADE
VERIFIED ANSWERS
A 34 year old man is injured in a motor vehicle collision.
Physical examination is normal
except for diffuse abdominal tenderness. He is conscious
and vital signs obtained enroute to the hospital are
respirations 20 per ,minute, pulse rate is 120 per minute
blood pressure 100/60; How should this patient be
managed in the field?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid at 20 ml/kg bolus
C. Fentanyl 100 mcg intravenous
D. Insert an oropharyngeal airway and assist ventilations
Correct Answer A. Intravenous fluid at a "keep open" rate
What is Sellick's maneuver?
A. A method allowing the rescuer to hold a mask on the
face with both hands
B. A system used to calculate minute volume
C. Another name for Mallampati
D. Posteriorly directed pressure applied to the cricoid
cartilage Correct Answer D. Posteriorly directed pressure
applied to the cricoid cartilage
,A 16 year old girl is rescued from a burning house. She
has 25% partial thickness burns, and the burned areas are
hot to the touch. What is the appropriate treatment?
A. Apply ice to burned areas until cool to touch
B. Apply clean water to burned areas for up to 1-2 minutes
C. Apply iced water to burned areas until cool to touch
D. Do not apply anything to burned areas other than clean
sheets Correct Answer B. Apply clean water to burned
areas for up to 1-2 minutes
What treatment is NOT indicated in the routine
management of the patient with a head injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the
patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine Correct Answer C.
Hyperventilating to obtain an EtCO2 of less than 30
Which of the following sets of vital signs is most
compatible with a diagnosis of isolated head injury with
increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min Correct Answer A. BP
170/100, pulse 50/min
Which one of the following is a reason to interrupt the
initial assessment?
A. Cardiac arrest
,B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock Correct Answer A. Cardiac arrest
What site is the first choice for intraosseous infusion?
A. Proximal tibia
B. Distal humerus
C. Proximal femur
D. Distal fibula Correct Answer A. Proximal tibia
A 34 year old man has a gunshot wound to the right groin
area. Arterial bleeding, which cannot be controlled with
direct pressure, is coming from the wound. The patient
appears confused, diaphoretic, and has weak peripheral
pulses. What is the appropriate fluid resuscitation for this
patient?
A. Intravenous fluid at a "keep open" rate
B. Apply a hemostatic agent and gain intravenous access
given enough fluid to maintain peripheral pulses
C. Intravenous fluid at a wide open rate; give at least two
liters, then reassess patient
D. No intravenous access should be established in this
situation Correct Answer B. Apply a hemostatic agent and
gain intravenous access given enough fluid to maintain
peripheral pulses
Which one of the following is typically associated with,
post-traumatic hemorrhage, EARLY shock?
A. Ventricular dysrhythmias
B. Hypotension
C. Loss of 30% to 45% of blood volume
, D. Narrowed pulse pressure Correct Answer D. Narrowed
pulse pressure
Among the following, what is the most common cause of
preventable trauma death in the injured adult patient?
A. Airway obstruction
B. Cardiac tamponade
C. Hemorrhagic shock
D. Spinal injury Correct Answer C. Hemorrhagic shock
Which of the following is most typical of early, neurogenic
shock?
A. Increased pulse, clammy skin
B. Increased pulse, warm and dry skin
C. Decreased pulse, clammy skin
D. Decreased pulse, warm and dry skin Correct Answer D.
Decreased pulse, warm and dry skin (skin is warm due to
vasodilation)
Which of the following is an acceptable location to insert a
needle when decompressing a
tension pneumothorax?
A. Directly under the bottom of the second rib,
midclavicular line
B. Directly under the bottom of the third rib, midclavicular
line
C. Directly over the top of the fourth rib, midaxillary line
D. Directly over the top of the third rib, midclavicular line
Correct Answer D. Directly over the top of the third rib,
midclavicular line
QUESTIONS AND DETAILED CORRECT
ANSWERS (2025-2026) | A+ GRADE
VERIFIED ANSWERS
A 34 year old man is injured in a motor vehicle collision.
Physical examination is normal
except for diffuse abdominal tenderness. He is conscious
and vital signs obtained enroute to the hospital are
respirations 20 per ,minute, pulse rate is 120 per minute
blood pressure 100/60; How should this patient be
managed in the field?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid at 20 ml/kg bolus
C. Fentanyl 100 mcg intravenous
D. Insert an oropharyngeal airway and assist ventilations
Correct Answer A. Intravenous fluid at a "keep open" rate
What is Sellick's maneuver?
A. A method allowing the rescuer to hold a mask on the
face with both hands
B. A system used to calculate minute volume
C. Another name for Mallampati
D. Posteriorly directed pressure applied to the cricoid
cartilage Correct Answer D. Posteriorly directed pressure
applied to the cricoid cartilage
,A 16 year old girl is rescued from a burning house. She
has 25% partial thickness burns, and the burned areas are
hot to the touch. What is the appropriate treatment?
A. Apply ice to burned areas until cool to touch
B. Apply clean water to burned areas for up to 1-2 minutes
C. Apply iced water to burned areas until cool to touch
D. Do not apply anything to burned areas other than clean
sheets Correct Answer B. Apply clean water to burned
areas for up to 1-2 minutes
What treatment is NOT indicated in the routine
management of the patient with a head injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the
patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine Correct Answer C.
Hyperventilating to obtain an EtCO2 of less than 30
Which of the following sets of vital signs is most
compatible with a diagnosis of isolated head injury with
increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min Correct Answer A. BP
170/100, pulse 50/min
Which one of the following is a reason to interrupt the
initial assessment?
A. Cardiac arrest
,B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock Correct Answer A. Cardiac arrest
What site is the first choice for intraosseous infusion?
A. Proximal tibia
B. Distal humerus
C. Proximal femur
D. Distal fibula Correct Answer A. Proximal tibia
A 34 year old man has a gunshot wound to the right groin
area. Arterial bleeding, which cannot be controlled with
direct pressure, is coming from the wound. The patient
appears confused, diaphoretic, and has weak peripheral
pulses. What is the appropriate fluid resuscitation for this
patient?
A. Intravenous fluid at a "keep open" rate
B. Apply a hemostatic agent and gain intravenous access
given enough fluid to maintain peripheral pulses
C. Intravenous fluid at a wide open rate; give at least two
liters, then reassess patient
D. No intravenous access should be established in this
situation Correct Answer B. Apply a hemostatic agent and
gain intravenous access given enough fluid to maintain
peripheral pulses
Which one of the following is typically associated with,
post-traumatic hemorrhage, EARLY shock?
A. Ventricular dysrhythmias
B. Hypotension
C. Loss of 30% to 45% of blood volume
, D. Narrowed pulse pressure Correct Answer D. Narrowed
pulse pressure
Among the following, what is the most common cause of
preventable trauma death in the injured adult patient?
A. Airway obstruction
B. Cardiac tamponade
C. Hemorrhagic shock
D. Spinal injury Correct Answer C. Hemorrhagic shock
Which of the following is most typical of early, neurogenic
shock?
A. Increased pulse, clammy skin
B. Increased pulse, warm and dry skin
C. Decreased pulse, clammy skin
D. Decreased pulse, warm and dry skin Correct Answer D.
Decreased pulse, warm and dry skin (skin is warm due to
vasodilation)
Which of the following is an acceptable location to insert a
needle when decompressing a
tension pneumothorax?
A. Directly under the bottom of the second rib,
midclavicular line
B. Directly under the bottom of the third rib, midclavicular
line
C. Directly over the top of the fourth rib, midaxillary line
D. Directly over the top of the third rib, midclavicular line
Correct Answer D. Directly over the top of the third rib,
midclavicular line
