ATLS PRACTICE TEST 2026 ACTUAL EXAM QUESTIONS
AND ANSWERS GRADED A+ LATEST UPDATE.
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
,ATLS PRACTICE TEST 2026 ACTUAL EXAM ATLS PRACTICE TEST 2026 ACTUAL EXAM
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 fluid resuscitation could include improvement in Glasgow
Coma Scale score on revaluation.
In managing a patient with a severe traumatic brain injury, the
most important initial step is to: ANS >>> secure the airway
A previously healthy, 70-kg (154-pound) man suffers an
estimated acute blood loss of 2 litters. Which one of the
following statements applies to this patient? ANS >>> An ABG
would demonstrate a base deficit between -6 and -10 me/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
,ATLS PRACTICE TEST 2026 ACTUAL EXAM ATLS PRACTICE TEST 2026 ACTUAL EXAM
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
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:
ANS >>> perform an exploratory laparotomy
, ATLS PRACTICE TEST 2026 ACTUAL EXAM ATLS PRACTICE TEST 2026 ACTUAL EXAM
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 manoeuvre 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