Advanced Trauma Life Support (ATLS) Post Test 2026 –
Complete Collection of Real Post-Test Questions with
Accurate, Verified Solutions
re-examine the chest - answ✔️💜💜✔️A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His BP is initially 80/40 mm Hg. After 2 liters of crystalloid solution
his BP increases to 122/84. His heart rate is now 100 BPM and his RR is 28 breaths per minute. His
breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube
thoracostomy is performed for decreased left 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 __________.
complete spine x-rays - answ✔️💜💜✔️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 deformity. The suspected diagnosis is most likely to be confirmed by
_________.
secure the airway - answ✔️💜💜✔️In managing the head-injured patient, the most important initial
step is to ________.
his systolic pressure will be decreased with a narrowed pulse pressure - answ✔️💜💜✔️A previously
healthy, 70 kg man suffers an estimated acute blood loss of 2 liters. How will this affect his blood
pressure?
increasing the volume of blood loss to produce maternal hypotension - answ✔️💜💜✔️The physiologic
hypervolemia of pregnancy has clinical significance in the management of the severely injured, gravid
woman by ____________.
adequate urinary output - answ✔️💜💜✔️The best assessment of fluid resuscitation of the adult burn
patient is __________.
,evidence of inadequate organ perfusion - answ✔️💜💜✔️The diagnosis of shock must include
_________.
direct pressure on the wound - answ✔️💜💜✔️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
________ (application of a tourniquet vs. direct pressure on the wound).
cerebral vasoconstriction with diminished perfusion - answ✔️💜💜✔️For the patient with severe TBI,
profound hypocarbia should be avoided to prevent __________.
exploratory laparotomy - answ✔️💜💜✔️A 25-year-old man is brought to a hospital after being
involved in a MVA. CT shows an aortic injury and splenic laceration with free abdominal fluid. His BP falls
to 70 mm Hg after CT. The next step is _______.
leakage of amniotic fluid - answ✔️💜💜✔️Abdominal trauma in a pregnant patient --> _________ is an
indication for hospital admission.
administer supplemental oxygen - answ✔️💜💜✔️What is the first maneuver to improve oxygenation
after chest injury?
9 (eyes = 2, verbal = 2, motor = 5) - answ✔️💜💜✔️A 25-year old man, injured in a MVA, is admitted to
the emergency department. His pupils react sluggishly and his eyes open to painful stimuli. He does not
follow commands, but he does moan periodically. His right arm is deformed and does not respond to
painful stimulus; however, his left hand reaches purposefully toward the painful stimulus. Both legs are
stiffly extended. His GCS score is ________.
RR of 40 BPM - answ✔️💜💜✔️Which one of the following findings in an adult is most likely to require
immediate management during the primary survey: distended abdomen, GCS score of 11, deforming of
the right thigh, RR of 40 BPM.
placement of an occlusive dressing over the wound - answ✔️💜💜✔️The most important, immediate
step in the management of an open pneumothorax is _________.
, history of neurological reaction or severe hypersensitivity to the product - answ✔️💜💜✔️The
following are contraindications for tetanus toxoid administration: history of neurological reaction or
severe hypersensitivity to the product, local side effects, muscular spasms, pregnancy, or all of the
above.
breath sounds - answ✔️💜💜✔️A 56-year-old man is thrown violently against the steering wheel of his
truck during a motor vehicle crash. On arrival in the emergency department, he is diaphoretic and
complaining of chest pain. His BP is 60/40 mm Hg and his RR is 40 breaths per minute. Which of the
following best differentiates cardiac tamponade from tension pneumothorax as the cause of his
hypotension?
the trachea is relatively short - answ✔️💜💜✔️Bronchial intubation of the right or left mainstem
bronchus can easily occur during infant ET intubation because _______.
urgently transfer the patient to the operating room - answ✔️💜💜✔️A 23-year-old man sustains 4
stab wounds to the upper right chest during an altercation and is brought by ambulance to a hospital
that has full surgical capabilities. His wounds are all above the nipple. He is endotracheally intubated,
closed tube thoracostomy is performed, and 2 liters of crystalloid solution are infused through 2 large-
caliber IVs. His blood pressure is now 60/0 mm Hg. Heart rate is 160 bpm, and RR is 14 breaths per
minute (ventilated with 100% O2). 1500 cc of blood has drained from the right chest. The most
appropriate next step in managing this patient is to ______.
attempt orotracheal intubation using 2 people and inline stabilization of the cervical spine -
answ✔️💜💜✔️A 39-year-old man is admitted to the emergency department after an automobile
collision. He is cyanotic, has insufficient respiratory effort, and has a GCS Score of 6. His full beard makes
it difficult to fit the oxygen facemask to his face. The most appropriate next step is to _______.
flaccidity of the lower extremities and loss of deep tendon reflexes are expected - answ✔️💜💜✔️A
patient is brought to the emergency department after a motor vehicle crash. He is conscious and there
is no obvious external trauma. He arrives at the hospital completely immobilized on a long spine board.
His BP is 60/40 mm Hg and his heart rate is 70 beats per minute. His skin is warm. Which one of the
following statements is TRUE?
moist heat - answ✔️💜💜✔️What is the most effective method for initially treating frostbite?
Complete Collection of Real Post-Test Questions with
Accurate, Verified Solutions
re-examine the chest - answ✔️💜💜✔️A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His BP is initially 80/40 mm Hg. After 2 liters of crystalloid solution
his BP increases to 122/84. His heart rate is now 100 BPM and his RR is 28 breaths per minute. His
breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube
thoracostomy is performed for decreased left 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 __________.
complete spine x-rays - answ✔️💜💜✔️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 deformity. The suspected diagnosis is most likely to be confirmed by
_________.
secure the airway - answ✔️💜💜✔️In managing the head-injured patient, the most important initial
step is to ________.
his systolic pressure will be decreased with a narrowed pulse pressure - answ✔️💜💜✔️A previously
healthy, 70 kg man suffers an estimated acute blood loss of 2 liters. How will this affect his blood
pressure?
increasing the volume of blood loss to produce maternal hypotension - answ✔️💜💜✔️The physiologic
hypervolemia of pregnancy has clinical significance in the management of the severely injured, gravid
woman by ____________.
adequate urinary output - answ✔️💜💜✔️The best assessment of fluid resuscitation of the adult burn
patient is __________.
,evidence of inadequate organ perfusion - answ✔️💜💜✔️The diagnosis of shock must include
_________.
direct pressure on the wound - answ✔️💜💜✔️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
________ (application of a tourniquet vs. direct pressure on the wound).
cerebral vasoconstriction with diminished perfusion - answ✔️💜💜✔️For the patient with severe TBI,
profound hypocarbia should be avoided to prevent __________.
exploratory laparotomy - answ✔️💜💜✔️A 25-year-old man is brought to a hospital after being
involved in a MVA. CT shows an aortic injury and splenic laceration with free abdominal fluid. His BP falls
to 70 mm Hg after CT. The next step is _______.
leakage of amniotic fluid - answ✔️💜💜✔️Abdominal trauma in a pregnant patient --> _________ is an
indication for hospital admission.
administer supplemental oxygen - answ✔️💜💜✔️What is the first maneuver to improve oxygenation
after chest injury?
9 (eyes = 2, verbal = 2, motor = 5) - answ✔️💜💜✔️A 25-year old man, injured in a MVA, is admitted to
the emergency department. His pupils react sluggishly and his eyes open to painful stimuli. He does not
follow commands, but he does moan periodically. His right arm is deformed and does not respond to
painful stimulus; however, his left hand reaches purposefully toward the painful stimulus. Both legs are
stiffly extended. His GCS score is ________.
RR of 40 BPM - answ✔️💜💜✔️Which one of the following findings in an adult is most likely to require
immediate management during the primary survey: distended abdomen, GCS score of 11, deforming of
the right thigh, RR of 40 BPM.
placement of an occlusive dressing over the wound - answ✔️💜💜✔️The most important, immediate
step in the management of an open pneumothorax is _________.
, history of neurological reaction or severe hypersensitivity to the product - answ✔️💜💜✔️The
following are contraindications for tetanus toxoid administration: history of neurological reaction or
severe hypersensitivity to the product, local side effects, muscular spasms, pregnancy, or all of the
above.
breath sounds - answ✔️💜💜✔️A 56-year-old man is thrown violently against the steering wheel of his
truck during a motor vehicle crash. On arrival in the emergency department, he is diaphoretic and
complaining of chest pain. His BP is 60/40 mm Hg and his RR is 40 breaths per minute. Which of the
following best differentiates cardiac tamponade from tension pneumothorax as the cause of his
hypotension?
the trachea is relatively short - answ✔️💜💜✔️Bronchial intubation of the right or left mainstem
bronchus can easily occur during infant ET intubation because _______.
urgently transfer the patient to the operating room - answ✔️💜💜✔️A 23-year-old man sustains 4
stab wounds to the upper right chest during an altercation and is brought by ambulance to a hospital
that has full surgical capabilities. His wounds are all above the nipple. He is endotracheally intubated,
closed tube thoracostomy is performed, and 2 liters of crystalloid solution are infused through 2 large-
caliber IVs. His blood pressure is now 60/0 mm Hg. Heart rate is 160 bpm, and RR is 14 breaths per
minute (ventilated with 100% O2). 1500 cc of blood has drained from the right chest. The most
appropriate next step in managing this patient is to ______.
attempt orotracheal intubation using 2 people and inline stabilization of the cervical spine -
answ✔️💜💜✔️A 39-year-old man is admitted to the emergency department after an automobile
collision. He is cyanotic, has insufficient respiratory effort, and has a GCS Score of 6. His full beard makes
it difficult to fit the oxygen facemask to his face. The most appropriate next step is to _______.
flaccidity of the lower extremities and loss of deep tendon reflexes are expected - answ✔️💜💜✔️A
patient is brought to the emergency department after a motor vehicle crash. He is conscious and there
is no obvious external trauma. He arrives at the hospital completely immobilized on a long spine board.
His BP is 60/40 mm Hg and his heart rate is 70 beats per minute. His skin is warm. Which one of the
following statements is TRUE?
moist heat - answ✔️💜💜✔️What is the most effective method for initially treating frostbite?
