ATLS Pretest Exam Ques ons and answers Newest
RATED A+ 2025/2026 100% VERIFIED CORRECT
A 22-year-old man is hypotensive and tachycardic a er a shotgun wound to the le shoulder.
His blood pressure is ini ally 80/40 mm Hg. A er ini al fluid resuscita on 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 le chest breath
sounds with the return of a small amount of blood and no air leak. A er chest tube inser on,
the most appropriate next step is: - Ans re-examine the chest
A construc on 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 ini al resuscita on of a trauma pa ent? - Ans
Evidence of improved perfusion a er fluid resuscita on could include improvement in Glasgow
Coma Scale score on reevalua on.
In managing a pa ent with a severe trauma c brain injury, the most important ini al step is to:
- Ans secure the airway
A previously healthy, 70-kg (154-pound) man suffers an es mated acute blood loss of 2 liters.
Which one of the following statements applies to this pa ent? - 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 resuscita on of the adult burn pa ent 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 a er
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 pa ent with severe trauma c brain injury, profound hypocarbia should be avoided to
prevent: - Ans cerebral vasoconstric on with diminished perfusion
A er being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that
has surgery capabili es available.. Computed tomography of the chest and abdomen shows an
aor c injury and splenic lacera on with free abdominal fluid. His blood pressure falls to 70 mm
Hg a er CT. The next step is: - Ans perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant pa ent is
TRUE? - Ans Leakage of amnio c fluid is an indica on for hospital admission.
The first maneuver to improve oxygena on a er chest injury is: - Ans administer supplemental
oxygen
A 25-year-old man, injured in a motor vehicular crash, is admi>ed 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 le hand reaches purposefully toward the s mulus. Both legs are s ffly
extended. His GCS score is: - Ans 9
RATED A+ 2025/2026 100% VERIFIED CORRECT
A 22-year-old man is hypotensive and tachycardic a er a shotgun wound to the le shoulder.
His blood pressure is ini ally 80/40 mm Hg. A er ini al fluid resuscita on 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 le chest breath
sounds with the return of a small amount of blood and no air leak. A er chest tube inser on,
the most appropriate next step is: - Ans re-examine the chest
A construc on 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 ini al resuscita on of a trauma pa ent? - Ans
Evidence of improved perfusion a er fluid resuscita on could include improvement in Glasgow
Coma Scale score on reevalua on.
In managing a pa ent with a severe trauma c brain injury, the most important ini al step is to:
- Ans secure the airway
A previously healthy, 70-kg (154-pound) man suffers an es mated acute blood loss of 2 liters.
Which one of the following statements applies to this pa ent? - 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 resuscita on of the adult burn pa ent 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 a er
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 pa ent with severe trauma c brain injury, profound hypocarbia should be avoided to
prevent: - Ans cerebral vasoconstric on with diminished perfusion
A er being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that
has surgery capabili es available.. Computed tomography of the chest and abdomen shows an
aor c injury and splenic lacera on with free abdominal fluid. His blood pressure falls to 70 mm
Hg a er CT. The next step is: - Ans perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant pa ent is
TRUE? - Ans Leakage of amnio c fluid is an indica on for hospital admission.
The first maneuver to improve oxygena on a er chest injury is: - Ans administer supplemental
oxygen
A 25-year-old man, injured in a motor vehicular crash, is admi>ed 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 le hand reaches purposefully toward the s mulus. Both legs are s ffly
extended. His GCS score is: - Ans 9
