AWLS (ADVANCED WILDERNESS LIFE SUPPORT)
FINAL COURSE EXAM. ACTUAL 2025-2026 UPDATE
WITH CORRECT QUESTIONS AND VERIFIED
ANSWERS. LATEST A+ GUIDE.
What is the purpose of the blood sweep during the primary survey?
CORRECT ANS>> b. To identify sites of major bleeding
You are rock climbing with several of your friends when there is a rock slide and 3 of your friends
fall 10 to 20 feet to the bottom of the cliff. There are also 2 other people who were injured by
falling debris soon afterwards while standing at the bottom of the cliff and looking up. Which one
of the following is correct in terms of managing this situation?
CORRECT ANS>> a. You should move all of the injured people away from the base of the cliff
A hiker falls down a steep embankment 100 feet and lands at the bottom. She is pale but awake.
She has a thready carotid pulse of 130 beats / minute and complains of feeling very thirsty. Which
one of the following best explains her increased heart rate, paleness and thready pulse?
CORRECT ANS>> d. Severe tenderness on palpation of her abdomen
Which one of the following is NOT correct in regards to obtaining a history from a patient in the
secondary survey?
CORRECT ANS>> f. E = Exposure to elements
You are three days into a weeklong backpacking trip when someone in your group develops
worsening abdominal pain. After preforming a thorough assessment, you suspect constipation to
be the cause and elect to watch the patient overnight. How frequently should you re-assess the
victim?
CORRECT ANS>> d. Whenever a change in patient condition or environment occurs
Which one of the following is NOT an area that is concerning for occult blood loss in the trauma
victim?
CORRECT ANS>> b. Buttocks
You are snowshoeing in the mountains during winter. It has been in the mid 20's most of the day
when you come upon a 35-year-old man off to the side of the trail. He is breathing and has a strong
regular pulse but is very confused and slow to respond to you. He does not complain of anything.
Which one of the following is a potential etiology for his altered mental status?
CORRECT ANS>> d. All of the above should be considered
You arrive at the scene of a drowning event. The victim has been pulled from the water and is lying
on his back. On your initial assessment the victim is completely unresponsive without any sign of
life. Which one of the following is the most appropriate next step in the management of the
, victim?
CORRECT ANS>> b. Initiate CPR starting with 2-rescue breaths
Which one of the following is not correct for the Primary Assessment?
CORRECT ANS>> e. H - Hemorrhage assessment
Which type of wound is least likely to become infected, and thus would be the best candidate for
backcountry closure?
CORRECT ANS>> a. A cut from a knife leading to a 2 cm forearm laceration
All of these would be acceptable topical antimicrobials except
CORRECT ANS>> c. LET (lidocaine, epinephrine, tetracaine)
Which burn does NOT require evacuation?
CORRECT ANS>> c. A patient with 4 centimeters of erythema only which is located on the dorsum
of the forearm after brushing against hot firewood
Which is necessary to evaluate when examining a wound in the wilderness?
CORRECT ANS>> d. All of the above
Which wound requires evacuation?
CORRECT ANS>> a. A 2-day old puncture wound of the foot that has developed surrounding
erythema and is extremely painful to walk on, despite the administration of prophylactic
antibiotics
Which is the best way to treat a simple friction blister?
CORRECT ANS>> a. Clean the area, cut a ring of moleskin, adhere with benzoin and cover with
athletic tape and lamb's wool if necessary
For which wound should a tourniquet be used as the primary method of hemostasis?
CORRECT ANS>> b. An amputation of the leg at the level of the knee, sustained in a high-speed 4-
wheeler collision
Which wound would be the best candidate for antibiotics?
CORRECT ANS>> b. A 1 cm laceration over the index finger metacarpal-phalangeal joint, obtained
in a fight the night before
Which best describes a superficial partial-thickness burn?
CORRECT ANS>> d. A painful area of erythema with blistering
Which of the following statements regarding the wilderness approach to reduction of dislocations
is most accurate?
FINAL COURSE EXAM. ACTUAL 2025-2026 UPDATE
WITH CORRECT QUESTIONS AND VERIFIED
ANSWERS. LATEST A+ GUIDE.
What is the purpose of the blood sweep during the primary survey?
CORRECT ANS>> b. To identify sites of major bleeding
You are rock climbing with several of your friends when there is a rock slide and 3 of your friends
fall 10 to 20 feet to the bottom of the cliff. There are also 2 other people who were injured by
falling debris soon afterwards while standing at the bottom of the cliff and looking up. Which one
of the following is correct in terms of managing this situation?
CORRECT ANS>> a. You should move all of the injured people away from the base of the cliff
A hiker falls down a steep embankment 100 feet and lands at the bottom. She is pale but awake.
She has a thready carotid pulse of 130 beats / minute and complains of feeling very thirsty. Which
one of the following best explains her increased heart rate, paleness and thready pulse?
CORRECT ANS>> d. Severe tenderness on palpation of her abdomen
Which one of the following is NOT correct in regards to obtaining a history from a patient in the
secondary survey?
CORRECT ANS>> f. E = Exposure to elements
You are three days into a weeklong backpacking trip when someone in your group develops
worsening abdominal pain. After preforming a thorough assessment, you suspect constipation to
be the cause and elect to watch the patient overnight. How frequently should you re-assess the
victim?
CORRECT ANS>> d. Whenever a change in patient condition or environment occurs
Which one of the following is NOT an area that is concerning for occult blood loss in the trauma
victim?
CORRECT ANS>> b. Buttocks
You are snowshoeing in the mountains during winter. It has been in the mid 20's most of the day
when you come upon a 35-year-old man off to the side of the trail. He is breathing and has a strong
regular pulse but is very confused and slow to respond to you. He does not complain of anything.
Which one of the following is a potential etiology for his altered mental status?
CORRECT ANS>> d. All of the above should be considered
You arrive at the scene of a drowning event. The victim has been pulled from the water and is lying
on his back. On your initial assessment the victim is completely unresponsive without any sign of
life. Which one of the following is the most appropriate next step in the management of the
, victim?
CORRECT ANS>> b. Initiate CPR starting with 2-rescue breaths
Which one of the following is not correct for the Primary Assessment?
CORRECT ANS>> e. H - Hemorrhage assessment
Which type of wound is least likely to become infected, and thus would be the best candidate for
backcountry closure?
CORRECT ANS>> a. A cut from a knife leading to a 2 cm forearm laceration
All of these would be acceptable topical antimicrobials except
CORRECT ANS>> c. LET (lidocaine, epinephrine, tetracaine)
Which burn does NOT require evacuation?
CORRECT ANS>> c. A patient with 4 centimeters of erythema only which is located on the dorsum
of the forearm after brushing against hot firewood
Which is necessary to evaluate when examining a wound in the wilderness?
CORRECT ANS>> d. All of the above
Which wound requires evacuation?
CORRECT ANS>> a. A 2-day old puncture wound of the foot that has developed surrounding
erythema and is extremely painful to walk on, despite the administration of prophylactic
antibiotics
Which is the best way to treat a simple friction blister?
CORRECT ANS>> a. Clean the area, cut a ring of moleskin, adhere with benzoin and cover with
athletic tape and lamb's wool if necessary
For which wound should a tourniquet be used as the primary method of hemostasis?
CORRECT ANS>> b. An amputation of the leg at the level of the knee, sustained in a high-speed 4-
wheeler collision
Which wound would be the best candidate for antibiotics?
CORRECT ANS>> b. A 1 cm laceration over the index finger metacarpal-phalangeal joint, obtained
in a fight the night before
Which best describes a superficial partial-thickness burn?
CORRECT ANS>> d. A painful area of erythema with blistering
Which of the following statements regarding the wilderness approach to reduction of dislocations
is most accurate?
