ATLS 10th Edition Post Test 2 Questions and Verified
Answers (2026/2027) 100% Guarantee Pass
Item ID: ATLS-10-V2-001
Scenario: A 34-year-old unrestrained driver is ejected after high-speed rollover. EMS
intubated on scene with C-collar in place. On arrival: GCS 3T, HR 148, BP 74/40, RR 14
(ventilated), SpO₂ 88 % on 100 % O₂. Breath sounds absent on left, trachea midline, neck
veins flat, pelvis unstable with 2 cm pubic diastasis. FAST is positive in Morrison’s
pouch.
Question: What is the NEXT immediate intervention according to ATLS priorities?
Options:
A. 2 L warmed crystalloid bolus
B. Left chest decompression
C. Application of pelvic binder
D. CT head and cervical spine
(Correct Choice: B)
Rationale (Verified | ATLS 10th Ed. 2026/2027):
, ● Correct Answer: B
● ATLS Algorithm Justification: Primary Survey “B” identifies life-threatening
thoracic injury before addressing circulation; absent left breath sounds with
hypoxia despite ventilation mandates immediate needle decompression per
ATLS 10th Edition.
● Distractor Analysis: A is circulatory resuscitation but does not correct the cause
of hypoxia; C is appropriate but secondary to airway/oxygenation; D is Secondary
Survey imaging and must wait until life threats are controlled.
Item ID: ATLS-10-V2-002
Scenario: A 19-year-old motorcyclist collides with guardrail at 60 mph. Helmet cracked.
On arrival: GCS 14 (E3 V5 M6), HR 126, BP 98/70, RR 32, SpO₂ 90 % on 15 L NRBM.
Chest wall crepitus right hemithorax, breath sounds decreased right, no tracheal shift,
neck veins distended.
Question: What is the MOST likely diagnosis requiring immediate action?
Options:
A. Tension pneumothorax
B. Massive hemothorax
C. Cardiac tamponade
,D. Flail chest
(Correct Choice: A)
Rationale (Verified | ATLS 10th Ed. 2026/2027):
● Correct Answer: A
● ATLS Algorithm Justification: Tension pneumothorax presents with respiratory
distress, unilateral decreased breath sounds, and can show neck vein distension
despite hypotension not yet present; immediate decompression is mandated in
Primary Survey “B”.
● Distractor Analysis: B would show hypotension earlier; C requires penetrating
mechanism or global heart shadow on FAST; D is painful but not immediately
life-threatening without respiratory failure.
Item ID: ATLS-10-V2-003
Scenario: A 28-year-old pedestrian struck by SUV at 40 mph. Alert, intoxicated. HR 140,
BP 80/60, RR 28, SpO₂ 94 %. Large open wound right thigh with arterial spurting; FAST
negative. Two 16-gauge IVs placed.
Question: What is the NEXT step in ATLS sequence?
Options:
A. Apply direct pressure & tourniquet
, B. 1 L crystalloid bolus
C. CT angiogram right lower extremity
D. Type-specific blood transfusion
(Correct Choice: A)
Rationale (Verified | ATLS 10th Ed. 2026/2027):
● Correct Answer: A
● ATLS Algorithm Justification: Primary Survey “C” dictates immediate control of
external hemorrhage before fluid resuscitation; tourniquet is indicated for arterial
bleeding not stopped by direct pressure.
● Distractor Analysis: B is secondary after bleeding controlled; C is Secondary
Survey; D is appropriate only after hemorrhage control and continued shock.
Item ID: ATLS-10-V2-004
Scenario: A 42-year-old restrained driver in head-on collision. Airbag deployed. Alert,
complains of severe chest pain. HR 110, BP 90/60, RR 26, SpO₂ 92 %. Paradoxical
motion of right chest wall, multiple rib fractures palpable, seat-belt sign across chest.
Question: What is the PRIORITY intervention?
Options:
Answers (2026/2027) 100% Guarantee Pass
Item ID: ATLS-10-V2-001
Scenario: A 34-year-old unrestrained driver is ejected after high-speed rollover. EMS
intubated on scene with C-collar in place. On arrival: GCS 3T, HR 148, BP 74/40, RR 14
(ventilated), SpO₂ 88 % on 100 % O₂. Breath sounds absent on left, trachea midline, neck
veins flat, pelvis unstable with 2 cm pubic diastasis. FAST is positive in Morrison’s
pouch.
Question: What is the NEXT immediate intervention according to ATLS priorities?
Options:
A. 2 L warmed crystalloid bolus
B. Left chest decompression
C. Application of pelvic binder
D. CT head and cervical spine
(Correct Choice: B)
Rationale (Verified | ATLS 10th Ed. 2026/2027):
, ● Correct Answer: B
● ATLS Algorithm Justification: Primary Survey “B” identifies life-threatening
thoracic injury before addressing circulation; absent left breath sounds with
hypoxia despite ventilation mandates immediate needle decompression per
ATLS 10th Edition.
● Distractor Analysis: A is circulatory resuscitation but does not correct the cause
of hypoxia; C is appropriate but secondary to airway/oxygenation; D is Secondary
Survey imaging and must wait until life threats are controlled.
Item ID: ATLS-10-V2-002
Scenario: A 19-year-old motorcyclist collides with guardrail at 60 mph. Helmet cracked.
On arrival: GCS 14 (E3 V5 M6), HR 126, BP 98/70, RR 32, SpO₂ 90 % on 15 L NRBM.
Chest wall crepitus right hemithorax, breath sounds decreased right, no tracheal shift,
neck veins distended.
Question: What is the MOST likely diagnosis requiring immediate action?
Options:
A. Tension pneumothorax
B. Massive hemothorax
C. Cardiac tamponade
,D. Flail chest
(Correct Choice: A)
Rationale (Verified | ATLS 10th Ed. 2026/2027):
● Correct Answer: A
● ATLS Algorithm Justification: Tension pneumothorax presents with respiratory
distress, unilateral decreased breath sounds, and can show neck vein distension
despite hypotension not yet present; immediate decompression is mandated in
Primary Survey “B”.
● Distractor Analysis: B would show hypotension earlier; C requires penetrating
mechanism or global heart shadow on FAST; D is painful but not immediately
life-threatening without respiratory failure.
Item ID: ATLS-10-V2-003
Scenario: A 28-year-old pedestrian struck by SUV at 40 mph. Alert, intoxicated. HR 140,
BP 80/60, RR 28, SpO₂ 94 %. Large open wound right thigh with arterial spurting; FAST
negative. Two 16-gauge IVs placed.
Question: What is the NEXT step in ATLS sequence?
Options:
A. Apply direct pressure & tourniquet
, B. 1 L crystalloid bolus
C. CT angiogram right lower extremity
D. Type-specific blood transfusion
(Correct Choice: A)
Rationale (Verified | ATLS 10th Ed. 2026/2027):
● Correct Answer: A
● ATLS Algorithm Justification: Primary Survey “C” dictates immediate control of
external hemorrhage before fluid resuscitation; tourniquet is indicated for arterial
bleeding not stopped by direct pressure.
● Distractor Analysis: B is secondary after bleeding controlled; C is Secondary
Survey; D is appropriate only after hemorrhage control and continued shock.
Item ID: ATLS-10-V2-004
Scenario: A 42-year-old restrained driver in head-on collision. Airbag deployed. Alert,
complains of severe chest pain. HR 110, BP 90/60, RR 26, SpO₂ 92 %. Paradoxical
motion of right chest wall, multiple rib fractures palpable, seat-belt sign across chest.
Question: What is the PRIORITY intervention?
Options:
