ATLS PRETEST EXAMINATION TEST 2026
SOLVED QUESTIONS 100% CORRECT
◉ complete spine x-ray series. Answer: 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:
◉ Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation. Answer:
Which of the following is true regarding the initial resuscitation of a
trauma patient?
◉ secure the airway. Answer: In managing a patient with a severe
traumatic brain injury, the most important initial step is to:
◉ An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
Answer: 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?
,◉ increasing the volume of blood loss to produce maternal hypotension.
Answer: The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid woman
by:
◉ urinary output of 0.5 mL/kg/hr. Answer: The best assessment of fluid
resuscitation of the adult burn patient is:
◉ evidence of inadequate organ perfusion. Answer: The diagnosis of
shock must include:
◉ direct pressure on the wound. Answer: 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:
◉ cerebral vasoconstriction with diminished perfusion. Answer: For the
patient with severe traumatic brain injury, profound hypocarbia should
be avoided to prevent:
◉ perform an exploratory laparotomy. Answer: After being involved in a
motor vehicle crash, a 25-year-old man is brought to a hospital that has
surgery capabilities available. Computed tomography of the chest and
abdomen shows an aortic injury and splenic laceration with free
,abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The
next step is:
◉ Leakage of amniotic fluid is an indication for hospital admission.
Answer: Which one of the following statements regarding abdominal
trauma in the pregnant patient is TRUE?
◉ administer supplemental oxygen. Answer: The first maneuver to
improve oxygenation after chest injury is:
◉ 9. Answer: 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:
◉ perform needle or finger decompression of the right chest. Answer: 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:
, ◉ respiratory rate of 40 breaths per minute. Answer: Which one of the
following findings in an adult is most likely to require immediate
management during the primary survey?
◉ placement of an occlusive dressing over the wound. Answer: The
most important, immediate step in the management of an open
pneumothorax is:
◉ history of neurological reaction or severe hypersensitivity to the
product. Answer: The following are contraindications for tetanus toxoid
administration:
◉ breath sounds. Answer: 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?
◉ The trachea is relatively short. Answer: Bronchial intubation of the
right or left mainstem bronchus can easily occur during infant
endotracheal intubation because:
◉ urgently transfer the patient to the operating room. Answer: 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
SOLVED QUESTIONS 100% CORRECT
◉ complete spine x-ray series. Answer: 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:
◉ Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation. Answer:
Which of the following is true regarding the initial resuscitation of a
trauma patient?
◉ secure the airway. Answer: In managing a patient with a severe
traumatic brain injury, the most important initial step is to:
◉ An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
Answer: 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?
,◉ increasing the volume of blood loss to produce maternal hypotension.
Answer: The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid woman
by:
◉ urinary output of 0.5 mL/kg/hr. Answer: The best assessment of fluid
resuscitation of the adult burn patient is:
◉ evidence of inadequate organ perfusion. Answer: The diagnosis of
shock must include:
◉ direct pressure on the wound. Answer: 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:
◉ cerebral vasoconstriction with diminished perfusion. Answer: For the
patient with severe traumatic brain injury, profound hypocarbia should
be avoided to prevent:
◉ perform an exploratory laparotomy. Answer: After being involved in a
motor vehicle crash, a 25-year-old man is brought to a hospital that has
surgery capabilities available. Computed tomography of the chest and
abdomen shows an aortic injury and splenic laceration with free
,abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The
next step is:
◉ Leakage of amniotic fluid is an indication for hospital admission.
Answer: Which one of the following statements regarding abdominal
trauma in the pregnant patient is TRUE?
◉ administer supplemental oxygen. Answer: The first maneuver to
improve oxygenation after chest injury is:
◉ 9. Answer: 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:
◉ perform needle or finger decompression of the right chest. Answer: 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:
, ◉ respiratory rate of 40 breaths per minute. Answer: Which one of the
following findings in an adult is most likely to require immediate
management during the primary survey?
◉ placement of an occlusive dressing over the wound. Answer: The
most important, immediate step in the management of an open
pneumothorax is:
◉ history of neurological reaction or severe hypersensitivity to the
product. Answer: The following are contraindications for tetanus toxoid
administration:
◉ breath sounds. Answer: 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?
◉ The trachea is relatively short. Answer: Bronchial intubation of the
right or left mainstem bronchus can easily occur during infant
endotracheal intubation because:
◉ urgently transfer the patient to the operating room. Answer: 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
