ATLS 10th Edition Post Test 1 - 4 (Latest ): Most
Comprehensive Qs & Ans, Exams of Nursing
Which one of the following statements concerning spine and spinal cord trauma is true?
A. A normal lateral c-spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical findings of a cord injury
C. A patient with a suspected injury requires immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient who has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is complete or incomplete must be made in the
primary survey D. Diaphragmatic breathing in an unconscious patient who has fallen is a
sign of spine injury
A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts
that he cannot move his legs. On physical examination, there are noe abnormalities of the
chest, abdomen or pelvis. The patient has no sensation in his legs and cannot move them, but
his arms are moving. The patients RR is 28 bpm, HR is 88bpm and BP is 80/60mmHg. He is pale
and sweaty. What is the most likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. A. Neurogenic shock
A 28 year old male is brought to the ED. He was involved in a fight in which he was beaten with
a wooden stick. His chest shows multiple severe bruises. His airway is clear, RR is 22, HR is 126
and systolic BP is 90mmHg. Which one of the following should be performed during the primary
survey?
A. GCS
B. Cervical spine x-ray
C. TT-administration
D. Blood alcohol level
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,E. Rectal exam
A. GCS
Which one of the following statements is true regarding access in pediatric resuscitation?
A. Intraosseous access should only be considered after five percutaneous attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delievered through an intraosseous access
D. Internal jugular cannulation is the next preferred opinion when percutaneous venous access
fails
E. Intraosseous cannulation should be first choice for access C. Blood transfusion can be
delievered through an intraosseous access
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypervolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg of Ringers lactate D. The
absolute volume of blood loss required to produce shock is the same as in adults
A young man sustain a gunshot wound to the abdomen and is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready
and his femoral pulse is only weakly palpable. The definitive treatment in managing this patient
is to
A. Administer 0.neg blood
B. Apply external warming devices
C. Control internal hemorraghe operatively
D. Apply pneumatic anti shock garment
E. Infuse large volumes of IV crystalloid solution C. Control internal hemorraghe operatively
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,A four-year-old girl, weighing approximately 20kg is admitted in shock after an automobile
crash. The initialt fluid challenge or bolus should consist of Ringers lactate solution in the
volume of
A. 200ml
B. 400ml
C. 440ml
D. 600ml
E. 880ml B. 400ml (20ml/kg)
All of the following are considered minimal precautions for the prevention of the spread of
communicable diseases during resuscitation, EXCEPT:
A. goggles
B. Face mask
C. Water-impervious gown
D. Water-impervious leggings
E. Needle-impenetrable sterile gloves E. Needle-impenetrable sterile gloves
30-year-old woman fell down four stair landing on concrete. Unconscious for 5 minutes after the
fall, full consciousness during 10 minute transport to hospital, GCS 15, complaint is a slight
headache, 30 minute later she is unresponsive with GCS 6 and left pupil is large. Epidural
hematoma
A young male fallen from height with obvious flail chest. ABG shows pH 7,47. What is the cause
of this abnormality? Pulmonary contusion
Cushings triad which occurs in cases of increased intracranial pressure? Bradycardia with
irregular respirations and isolated increase in SYSTOLIC BLOOD PRESSURE
In comparison with young adults, elderly patients exhibit which of the following regarding brain
injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
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, E. Less mobility with angular acceleration and deceleration D. Less brain contusions
Which of the following will be missed by DPL? Subcapsular hematoma of the spleen
(becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. C. Oxygen mask
Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E. D. Widened symphysis pubis
A 34-year-old man is brought to the ED after being pinned to the wall of building by a cement
truck. He is in obvious shock, and has deformities and marked swelling of both thighs. Although
no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist C. Is
consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
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Comprehensive Qs & Ans, Exams of Nursing
Which one of the following statements concerning spine and spinal cord trauma is true?
A. A normal lateral c-spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical findings of a cord injury
C. A patient with a suspected injury requires immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient who has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is complete or incomplete must be made in the
primary survey D. Diaphragmatic breathing in an unconscious patient who has fallen is a
sign of spine injury
A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts
that he cannot move his legs. On physical examination, there are noe abnormalities of the
chest, abdomen or pelvis. The patient has no sensation in his legs and cannot move them, but
his arms are moving. The patients RR is 28 bpm, HR is 88bpm and BP is 80/60mmHg. He is pale
and sweaty. What is the most likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. A. Neurogenic shock
A 28 year old male is brought to the ED. He was involved in a fight in which he was beaten with
a wooden stick. His chest shows multiple severe bruises. His airway is clear, RR is 22, HR is 126
and systolic BP is 90mmHg. Which one of the following should be performed during the primary
survey?
A. GCS
B. Cervical spine x-ray
C. TT-administration
D. Blood alcohol level
1|Page
,E. Rectal exam
A. GCS
Which one of the following statements is true regarding access in pediatric resuscitation?
A. Intraosseous access should only be considered after five percutaneous attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delievered through an intraosseous access
D. Internal jugular cannulation is the next preferred opinion when percutaneous venous access
fails
E. Intraosseous cannulation should be first choice for access C. Blood transfusion can be
delievered through an intraosseous access
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypervolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg of Ringers lactate D. The
absolute volume of blood loss required to produce shock is the same as in adults
A young man sustain a gunshot wound to the abdomen and is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready
and his femoral pulse is only weakly palpable. The definitive treatment in managing this patient
is to
A. Administer 0.neg blood
B. Apply external warming devices
C. Control internal hemorraghe operatively
D. Apply pneumatic anti shock garment
E. Infuse large volumes of IV crystalloid solution C. Control internal hemorraghe operatively
2|Page
,A four-year-old girl, weighing approximately 20kg is admitted in shock after an automobile
crash. The initialt fluid challenge or bolus should consist of Ringers lactate solution in the
volume of
A. 200ml
B. 400ml
C. 440ml
D. 600ml
E. 880ml B. 400ml (20ml/kg)
All of the following are considered minimal precautions for the prevention of the spread of
communicable diseases during resuscitation, EXCEPT:
A. goggles
B. Face mask
C. Water-impervious gown
D. Water-impervious leggings
E. Needle-impenetrable sterile gloves E. Needle-impenetrable sterile gloves
30-year-old woman fell down four stair landing on concrete. Unconscious for 5 minutes after the
fall, full consciousness during 10 minute transport to hospital, GCS 15, complaint is a slight
headache, 30 minute later she is unresponsive with GCS 6 and left pupil is large. Epidural
hematoma
A young male fallen from height with obvious flail chest. ABG shows pH 7,47. What is the cause
of this abnormality? Pulmonary contusion
Cushings triad which occurs in cases of increased intracranial pressure? Bradycardia with
irregular respirations and isolated increase in SYSTOLIC BLOOD PRESSURE
In comparison with young adults, elderly patients exhibit which of the following regarding brain
injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
3|Page
, E. Less mobility with angular acceleration and deceleration D. Less brain contusions
Which of the following will be missed by DPL? Subcapsular hematoma of the spleen
(becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. C. Oxygen mask
Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E. D. Widened symphysis pubis
A 34-year-old man is brought to the ED after being pinned to the wall of building by a cement
truck. He is in obvious shock, and has deformities and marked swelling of both thighs. Although
no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist C. Is
consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
4|Page
