ATLS Post-Test Exam (Latest 2026/2027) Questions with Verified Answers | 100% Correct | Grade A.

ATLS Post-Test Exam (Latest 2026/2027)
Questions with Verified Answers | 100%
Correct | Grade A.

Question:

Hypertension following a head injury: i,- i,- i,- i,-




A. Should be treated to reduce intracranial pressure
i,- i,- i,- i,- i,- i,- i,-




B. Indicates pre-existing hypertension
i,- i,- i,-




C. May indicate imminent hernation from critically high intracranial
i,- i,- i,- i,- i,- i,- i,- i,- i,-



pressure

D. Mandates prompt administration of Mannitol
i,- i,- i,- i,- i,-




E. Should prompt burr hole drainage of potential subdural hematomas?
i,- i,- i,- i,- i,- i,- i,- i,- i,-




Answer:

A. Should be treated to reduce intracranial pressure
i,- i,- i,- i,- i,- i,- i,-




Question:

Regarding shock in the child, which of the following is FALSE?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




A. Vital signs are age-related
i,- i,- i,- i,-




B. Children have greater physiologic reserves than do adults
i,- i,- i,- i,- i,- i,- i,- i,-




C. Tachycardia is the primary physiologic response to hypovolemia
i,- i,- i,- i,- i,- i,- i,- i,-

,D. The absolute volume of blood loss required to produce shock is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



same as in adults
i,- i,- i,-




E. An initial fluid bolus for resuscitation should approximate 20ml/kg
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Ringers Lactate? i,-




Answer:

D. The absolute volume of blood loss required to produce shock is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



same as in adults
i,- i,- i,-




Question:

All the following signs on chest x-ray of a blunt injury victim may suggest
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



aortic rupture except:
i,- i,-




A. Mediastinal emphysema
i,- i,-




B. Presence of a pleural cap
i,- i,- i,- i,- i,-




C. Obliteration of the aortic knob
i,- i,- i,- i,- i,-




D. Devitation of the trachea to the right
i,- i,- i,- i,- i,- i,- i,-




E. Depression of the left mainstem bronchus?
i,- i,- i,- i,- i,- i,-




Answer:

A. Mediastinal emphysema
i,- i,-




Question:

An 8 year old boy falls 15 feet from a tree in a sprout to the emergency
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



department by his family. His vital signs are normal, but he complains of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



leftover quad pain. And abdominal CT reveals a moderately severe
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-

,laceration of the spleen. The receiving institution does not have 24 hour a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



day operating room capabilities. The most appropriate management of
i,- i,- i,- i,- i,- i,- i,- i,- i,-



this patient would be to:
i,- i,- i,- i,-




A. Type and crossmatch for blood
i,- i,- i,- i,- i,-




B. Request consultation of a pediatrician
i,- i,- i,- i,- i,-




C. Transfer the patient to a trauma center
i,- i,- i,- i,- i,- i,- i,-




D. Admit the patient to the ICU
i,- i,- i,- i,- i,- i,-




E. Prepare the patient for surgery the next day?
i,- i,- i,- i,- i,- i,- i,- i,-




Answer:

C. Transfer the patient to a trauma center
i,- i,- i,- i,- i,- i,- i,-




Question:

A 20 year old athlete is involved in a motorcycle crash. When he arrives in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the ED, he shouts that he cannot move his legs. On physical examination,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



there are no abnormalities of the chest, abdomen or pelvis. The patient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



has no sensation in his legs and cannot move them, but his arms are
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-


moving. The patients RR is 28 bpm, HR is 88bpm and BP is 80/60mmHg.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



He is pale and sweaty. What is the most likely cause of this condition?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




A. Neurogenic shock
i,- i,-




B. Cardiogenic shock
i,- i,-




C. Abdominal hemorrhage
i,- i,-




D. Myocardial contusion
i,- i,-




E. Hyperthermia.?
i,-




Answer:

, A. Neurogenic shock
i,- i,-




Question:

A 22 year old male presents following a motorcycle crash. He complains
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



that the inability to move or feel his legs. His blood pressure is 80/50,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



heart rate is 70, respiratory rate 18. GCS is 15. Oxygen is 99% on 2 L nasal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



prongs. Chest x-ray, pelvic x-ray, fast or normal. Extremities are normal.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



His management should be:
i,- i,- i,-




A. 2L of IV crystalloid and 2 units of PRBCs
i,- i,- i,- i,- i,- i,- i,- i,- i,-




B. 2L of IV crystalloid and vasopressors if BP does not respond
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




C. 2L of IV crystalloid, mannitol, and IV steroids
i,- i,- i,- i,- i,- i,- i,- i,-




D. Vasopressors and laparotomy
i,- i,- i,-




E. 1 unit of albumin and compression stockings?
i,- i,- i,- i,- i,- i,- i,-




Answer:

B. 2L of IV crystalloid and vasopressors if BP does not respond
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




not hemorrhagic ---> if anything neurogenic
i,- i,- i,- i,- i,-




Question:

A 30 year old male presents with a stab wound to the abdomen. BP is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



85/60, RR 25, GCS 14. Neck veins are flat, and chest exam is clear with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



bilateral breath sounds. Optimal resuscitation should include:
i,- i,- i,- i,- i,- i,-




A. Treatment of FFP and platelets
i,- i,- i,- i,- i,-




B. 500 mL of hypertonic saline and transfusion of PRBCs
i,- i,- i,- i,- i,- i,- i,- i,- i,-