ATLS 10 PRACTICE EXAM 2026 EXAMINATION
TEST FULL Q AND A STUDY GUIDE
⩥Immediate action for hypotensive patient with distended neck veins -
Perform needle decompression of right chest
⩥Priority for patient with GCS of 6 and oral blood - Suction and secure
the airway
⩥Next step for female with facial burns and soot - Observe closely and
prepare for early intubation
⩥Condition likely for hypotensive patient with muffled heart sounds -
Cardiac tamponade
⩥Next definitive step after needle decompression for tension
pneumothorax - Place chest tube in 5II ICS anterior-to-mid-axillary line
⩥Class of hemorrhagic shock suspected for pale, tachycardic patient -
Class III
⩥Blood loss threshold to activate massive transfusion protocol -
Ongoing blood loss exceeds 40 % blood volume
, ⩥Preferred fluid ratio for balanced resuscitation - PRBC:FFP:Platelets =
1:1:1
⩥Next step for hypotensive trauma patient after 2 L crystalloid -
Activate massive transfusion
⩥Finding indicating adequate ventilation after intubation - Bilateral
breath sounds and ETCOI confirmation
⩥Initial management for blunt chest trauma with paradoxical motion -
Analgesia and oxygen support
⩥Next step for penetrating neck injury with expanding hematoma -
Perform cricothyroidotomy
⩥Preferred airway for 6-year-old with GCS of 7 - Needle
cricothyroidotomy
⩥Representation of systolic BP of 100 mm Hg in 70-year-old - More
severe shock
⩥Likely diagnosis for dyspneic patient after femoral fracture reduction -
Fat embolism
TEST FULL Q AND A STUDY GUIDE
⩥Immediate action for hypotensive patient with distended neck veins -
Perform needle decompression of right chest
⩥Priority for patient with GCS of 6 and oral blood - Suction and secure
the airway
⩥Next step for female with facial burns and soot - Observe closely and
prepare for early intubation
⩥Condition likely for hypotensive patient with muffled heart sounds -
Cardiac tamponade
⩥Next definitive step after needle decompression for tension
pneumothorax - Place chest tube in 5II ICS anterior-to-mid-axillary line
⩥Class of hemorrhagic shock suspected for pale, tachycardic patient -
Class III
⩥Blood loss threshold to activate massive transfusion protocol -
Ongoing blood loss exceeds 40 % blood volume
, ⩥Preferred fluid ratio for balanced resuscitation - PRBC:FFP:Platelets =
1:1:1
⩥Next step for hypotensive trauma patient after 2 L crystalloid -
Activate massive transfusion
⩥Finding indicating adequate ventilation after intubation - Bilateral
breath sounds and ETCOI confirmation
⩥Initial management for blunt chest trauma with paradoxical motion -
Analgesia and oxygen support
⩥Next step for penetrating neck injury with expanding hematoma -
Perform cricothyroidotomy
⩥Preferred airway for 6-year-old with GCS of 7 - Needle
cricothyroidotomy
⩥Representation of systolic BP of 100 mm Hg in 70-year-old - More
severe shock
⩥Likely diagnosis for dyspneic patient after femoral fracture reduction -
Fat embolism
