ATLS PRACTICE TEST 2026-
2027 ACTUAL EXAM 250 REAL
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED
ANSWERS)
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest 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: - 🧠 ANSWER ✔✔re-
examine the chest
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: - 🧠
ANSWER ✔✔complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma
patient? - 🧠 ANSWER ✔✔Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: - 🧠 ANSWER ✔✔secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies to this
,patient? - 🧠 ANSWER ✔✔An ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: - 🧠 ANSWER
✔✔increasing the volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is: - 🧠
ANSWER ✔✔urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - 🧠 ANSWER ✔✔evidence of
inadequate organ perfusion
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: - 🧠 ANSWER ✔✔direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent: - 🧠 ANSWER ✔✔cerebral vasoconstriction
with diminished perfusion
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, After being involved in a motor vehicle crash, a 25-year-old man is brought
to a hospital that has surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and splenic laceration
with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT.
The next step is: - 🧠 ANSWER ✔✔perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE? - 🧠 ANSWER ✔✔Leakage of amniotic fluid is an
indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is: - 🧠
ANSWER ✔✔administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically.
His right arm is deformed and does not respond to pressure; however, his
left hand reaches purposefully toward the stimulus. Both legs are stiffly
extended. His GCS score is: - 🧠 ANSWER ✔✔9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper
right chest. In the emergency department, her blood pressure is 80/60 mm
2027 ACTUAL EXAM 250 REAL
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED
ANSWERS)
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest 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: - 🧠 ANSWER ✔✔re-
examine the chest
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: - 🧠
ANSWER ✔✔complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma
patient? - 🧠 ANSWER ✔✔Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: - 🧠 ANSWER ✔✔secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies to this
,patient? - 🧠 ANSWER ✔✔An ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: - 🧠 ANSWER
✔✔increasing the volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is: - 🧠
ANSWER ✔✔urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - 🧠 ANSWER ✔✔evidence of
inadequate organ perfusion
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: - 🧠 ANSWER ✔✔direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent: - 🧠 ANSWER ✔✔cerebral vasoconstriction
with diminished perfusion
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, After being involved in a motor vehicle crash, a 25-year-old man is brought
to a hospital that has surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and splenic laceration
with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT.
The next step is: - 🧠 ANSWER ✔✔perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE? - 🧠 ANSWER ✔✔Leakage of amniotic fluid is an
indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is: - 🧠
ANSWER ✔✔administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically.
His right arm is deformed and does not respond to pressure; however, his
left hand reaches purposefully toward the stimulus. Both legs are stiffly
extended. His GCS score is: - 🧠 ANSWER ✔✔9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper
right chest. In the emergency department, her blood pressure is 80/60 mm
