ATLS (Advanced Trauma Life Support)
ATLS Pretest and Practice Exam 2025.
With Accurate Actual Exam Questions
with Detailed Answers (100% Correct)
/A+ Grade Assured
A trauma patient presents to your emergency department
with 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 infants
than in adults.
A healthy young male is brought to the emergency
department following a motor vehicle crash. His vital signs
are a blood pressure of 84/60, pulse 123, GCS 10. The patient
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
has torso trauma
,ATLS (Advanced Trauma Life Support)
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 after the
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 patient is: - - CORRECT ANS>>prepare for an exploratory
thoracotomy
A 6-year-old boy walking across the street is struck by the
front bumper of a sports utility vehicle traveling at 32 kph
(20 mph). Which one of the following statements is TRUE
about this patient? - - 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 NOT
DELAY 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
,ATLS (Advanced Trauma Life Support)
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-
4 V-5
M-6
Eye spont 4
To command 3
To pain 2
None 1
Verbal spont is 5 Verbal
confused is 4
Inappropriate 3
Garbling is 2
None is 1
, ATLS (Advanced Trauma Life Support)
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
Why do you want to put in chest tube before needle
decompression? - - CORRECT ANS>>SIMPLE PTX can turn into
TENSION PTX
When is DPL useful over fast? - - CORRECT ANS>>No
ultrasound available.
What is LEMON for airway patency - - CORRECT ANS>>Look
Evaluate
Malay-ATI
Obstruction
Neck mobility
What is DEFINITIVE airway? - - CORRECT ANS>>Tube in
trachea BELOW vocal cords
WHEN is surgical airway indicated? - - CORRECT ANS>>When
you CANNOT do any other form of airway (2 attempts
typically)
ATLS Pretest and Practice Exam 2025.
With Accurate Actual Exam Questions
with Detailed Answers (100% Correct)
/A+ Grade Assured
A trauma patient presents to your emergency department
with 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 infants
than in adults.
A healthy young male is brought to the emergency
department following a motor vehicle crash. His vital signs
are a blood pressure of 84/60, pulse 123, GCS 10. The patient
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
has torso trauma
,ATLS (Advanced Trauma Life Support)
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 after the
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 patient is: - - CORRECT ANS>>prepare for an exploratory
thoracotomy
A 6-year-old boy walking across the street is struck by the
front bumper of a sports utility vehicle traveling at 32 kph
(20 mph). Which one of the following statements is TRUE
about this patient? - - 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 NOT
DELAY 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
,ATLS (Advanced Trauma Life Support)
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-
4 V-5
M-6
Eye spont 4
To command 3
To pain 2
None 1
Verbal spont is 5 Verbal
confused is 4
Inappropriate 3
Garbling is 2
None is 1
, ATLS (Advanced Trauma Life Support)
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
Why do you want to put in chest tube before needle
decompression? - - CORRECT ANS>>SIMPLE PTX can turn into
TENSION PTX
When is DPL useful over fast? - - CORRECT ANS>>No
ultrasound available.
What is LEMON for airway patency - - CORRECT ANS>>Look
Evaluate
Malay-ATI
Obstruction
Neck mobility
What is DEFINITIVE airway? - - CORRECT ANS>>Tube in
trachea BELOW vocal cords
WHEN is surgical airway indicated? - - CORRECT ANS>>When
you CANNOT do any other form of airway (2 attempts
typically)
