ATLS PRACTICE TEST 2025-2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |passing score guarantee
i
A 22-year-old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. His blood pressure is initially 80/40
mm Hg. After initial fluid resuscitation his blood pressure
increases to 122/84 mm Hg. His heart rate is now 100 beats per
minute and his respiratory rate is 28 breaths per minute. A tube
thoracostomy is performed for decreased left chest breath sounds
with the return of a small amount of blood and no air leak. After
chest tube insertion, the most appropriate next step is: - ✔✔ANS re-
examine the chest
A construction worker falls two stories from a building and
sustains bilateral calcaneal fractures. In the emergency
department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back.
Lower extremity pulses are strong and there is no other deformity.
The suspected diagnosis is most likely to be confirmed by: - ✔✔ANS
complete spine x-ray series
Which of the following is true regarding the initial resuscitation of
a trauma patient? - ✔✔ANS Evidence of improved perfusion after
,A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? - ✔✔ANS An ABG would demonstrate a base
deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid
woman by: - ✔✔ANS increasing the volume of blood loss to produce
maternal hypotension
The best assessment of fluid resuscitation of the adult burn
patient is: - ✔✔ANS urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ✔✔ANS evidence of
inadequate organ perfusion
A 7-year-old boy is brought to the emergency department by his
parents several minutes after he fell through a window. He is
bleeding profusely from a 6-cm wound of his medial right thigh.
Immediate management of the wound should consist of: - ✔✔ANS
direct pressure on the wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - ✔✔ANS cerebral
vasoconstriction with diminished perfusion
,pressure falls to 70 mm Hg after CT. The next step is: - ✔✔ANS
perform an exploratory laparotomy
Which one of the following statements regarding abdominal
trauma in the pregnant patient is TRUE? - ✔✔ANS Leakage of
amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is: -
✔✔ANS administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted
to the emergency department. His pupils react sluggishly and his
eyes open to pressure. He does not follow commands, but he does
moan periodically. His right arm is deformed and does not respond
to pressure; however, his left hand reaches purposefully toward
the stimulus. Both legs are stiffly extended. His GCS score is: -
✔✔ANS 9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in
the upper right chest. In the emergency department, her blood
pressure is 80/60 mm Hg. She is gasping for breath, extremely
anxious, and yelling for help. Breath sounds are diminished in the
right chest. The most appropriate first step is to: - ✔✔ANS perform
needle or finger decompression of the right chest
Which one of the following findings in an adult is most likely to
require immediate management during the primary survey? -
✔✔ANS respiratory rate of 40 breaths per minute
, The following are contraindications for tetanus toxoid
administration: - ✔✔ANS history of neurological reaction or severe
hypersensitivity to the product
A 56-year-old man is thrown violently against the steering wheel
of his truck during a motor vehicle crash. On arrival in the
emergency department he is diaphoretic and complaining of chest
pain. His blood pressure is 60/40 mm Hg and his respiratory rate is
40 breaths per minute. Which of the following best differentiates
cardiac tamponade from tension pneumothorax as the cause of
his hypotension? - ✔✔ANS breath sounds
Bronchial intubation of the right or left mainstem bronchus can
easily occur during infant endotracheal intubation because: -
✔✔ANS The trachea is relatively short.
A 23-year-old man sustains 4 stab wounds to the upper right chest
during an altercation and is brought by ambulance to a hospital
that has full surgical capabilities. His wounds are all above the
nipple. He is endotracheally intubated, closed tube thoracostomy
is performed, fluid resuscitation is initiated through 2 large-caliber
IVs. FAST exam does not reveal intraabdominal injuries. His blood
pressure now is 60/0 mm Hg, heart rate is 160 beats per minute,
and respiratory rate is 14 breaths per minute (ventilated with
100% O2). 1500 mL of blood has drained from the right chest. The
most appropriate next step in managing this patient is to: - ✔✔ANS
urgently transfer the patient to the operating room
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |passing score guarantee
i
A 22-year-old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. His blood pressure is initially 80/40
mm Hg. After initial fluid resuscitation his blood pressure
increases to 122/84 mm Hg. His heart rate is now 100 beats per
minute and his respiratory rate is 28 breaths per minute. A tube
thoracostomy is performed for decreased left chest breath sounds
with the return of a small amount of blood and no air leak. After
chest tube insertion, the most appropriate next step is: - ✔✔ANS re-
examine the chest
A construction worker falls two stories from a building and
sustains bilateral calcaneal fractures. In the emergency
department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back.
Lower extremity pulses are strong and there is no other deformity.
The suspected diagnosis is most likely to be confirmed by: - ✔✔ANS
complete spine x-ray series
Which of the following is true regarding the initial resuscitation of
a trauma patient? - ✔✔ANS Evidence of improved perfusion after
,A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? - ✔✔ANS An ABG would demonstrate a base
deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid
woman by: - ✔✔ANS increasing the volume of blood loss to produce
maternal hypotension
The best assessment of fluid resuscitation of the adult burn
patient is: - ✔✔ANS urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ✔✔ANS evidence of
inadequate organ perfusion
A 7-year-old boy is brought to the emergency department by his
parents several minutes after he fell through a window. He is
bleeding profusely from a 6-cm wound of his medial right thigh.
Immediate management of the wound should consist of: - ✔✔ANS
direct pressure on the wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - ✔✔ANS cerebral
vasoconstriction with diminished perfusion
,pressure falls to 70 mm Hg after CT. The next step is: - ✔✔ANS
perform an exploratory laparotomy
Which one of the following statements regarding abdominal
trauma in the pregnant patient is TRUE? - ✔✔ANS Leakage of
amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is: -
✔✔ANS administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted
to the emergency department. His pupils react sluggishly and his
eyes open to pressure. He does not follow commands, but he does
moan periodically. His right arm is deformed and does not respond
to pressure; however, his left hand reaches purposefully toward
the stimulus. Both legs are stiffly extended. His GCS score is: -
✔✔ANS 9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in
the upper right chest. In the emergency department, her blood
pressure is 80/60 mm Hg. She is gasping for breath, extremely
anxious, and yelling for help. Breath sounds are diminished in the
right chest. The most appropriate first step is to: - ✔✔ANS perform
needle or finger decompression of the right chest
Which one of the following findings in an adult is most likely to
require immediate management during the primary survey? -
✔✔ANS respiratory rate of 40 breaths per minute
, The following are contraindications for tetanus toxoid
administration: - ✔✔ANS history of neurological reaction or severe
hypersensitivity to the product
A 56-year-old man is thrown violently against the steering wheel
of his truck during a motor vehicle crash. On arrival in the
emergency department he is diaphoretic and complaining of chest
pain. His blood pressure is 60/40 mm Hg and his respiratory rate is
40 breaths per minute. Which of the following best differentiates
cardiac tamponade from tension pneumothorax as the cause of
his hypotension? - ✔✔ANS breath sounds
Bronchial intubation of the right or left mainstem bronchus can
easily occur during infant endotracheal intubation because: -
✔✔ANS The trachea is relatively short.
A 23-year-old man sustains 4 stab wounds to the upper right chest
during an altercation and is brought by ambulance to a hospital
that has full surgical capabilities. His wounds are all above the
nipple. He is endotracheally intubated, closed tube thoracostomy
is performed, fluid resuscitation is initiated through 2 large-caliber
IVs. FAST exam does not reveal intraabdominal injuries. His blood
pressure now is 60/0 mm Hg, heart rate is 160 beats per minute,
and respiratory rate is 14 breaths per minute (ventilated with
100% O2). 1500 mL of blood has drained from the right chest. The
most appropriate next step in managing this patient is to: - ✔✔ANS
urgently transfer the patient to the operating room
