ATLS POST ACTUAL EXAM
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
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ATLS Post Test
ATLS Post Actual Exam NEWEST VERSION 2025 Actual Exam with Verified
Questions and Correct Answers.
A 23 year old male is stabbed below the right nipple. He is alert, and his
oxygen saturation is 98%. Chest tube was placed for treatment of
hemopneumothorax. BP is 90/60 mmHg after administration of 1 L of
crystalloid solution. What is the next step in treatment?
A. Re-examine the chest
B. Place a left-sided chest tube
C. Insert central venous catheter
D. Perform CT Abd/Pelvis
E. Prepare for urgent thoractomy
A. Re-examine the chest
You are treating a trauma patient and attempt a definitive airway by intubation.
However, the vocal cords are not visible. What tool would be most valuable for
achieving successful intubation?
A. Gum elastic bougie
B. Lateral cervical spine XR
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway
A. Gum elastic bougie
When glottis is not visualized, it is passed blindly behind the epiglottis
A 79 year old female is involved in a motor vehicle crash and presents to the
ED. She is on Coumadin and a beta blocker. Which of the folowing statements
is true concerning her management?
A. The risk of subdural hemorrhage is decreased
B. Absence of tachycardia indicates that the patient is hemodynamically
normal
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C. Non-operative management of abdominal injuries is more likely to be
successful in older adults than in younger patients
D. Vigorous fluid resuscitation may be assocaited with cardiorespiratory
failure
E. Epinephrine should be infused immediately for hypotension
D. Vigorous fluid resuscitation may be assocaited with cardiorespiratory failure
The primary indication for transferring a patient to a higher level trauma center
is:
Resource limitations as determined by the transferring doctor
-> DO NOT obtain things unless they are necessary at current hospital!
A teenaged bicycle rider is hit by a truck traveling at high speed. In the
emergency department, she is actively bleeding from open fractures of her
legs, and has abrasions on her chest and abdominal wall. Her blood pressure
is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths
per minute, and GCS score is 6. The first step in managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation.
D. Perform endotracheal intubation and ventilation
GCS 8 or less -> intubate
Contraindication to nasogastric intubation is the presence of a:
Fracture of the cribiform plate
Which of the following statements regarding patients with thoracic spine
injuries is true?
Log rolling may be destabilizing to fractures from T12-L1
A young man sustains a rifle wound to the mid-abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and diaphoretic,
and his systolic blood pressure is 58mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next, most appropriate,
step is to perform:
A. a laparotomy
B. An abdominal CT-scan