ATLS PRETEST EXAM QUESTIONS AND
ANSWERS 2026/2027 LATEST UPDATE GRADED
A+
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: - ANS✔✔---complete spine x-ray series
The physiological hypervolemia of pregnancy has clinical significance
in the management of the severely injured, gravid woman by: -
ANS✔✔---increasing the volume of blood loss to produce maternal
hypotension
The best assessment of fluid resuscitation of the adult burn patient is: -
ANS✔✔--- urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ANS✔✔---evidence of
inadequate organ perfusion
Page | 1
, 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: - ANS✔✔---direct pressure on the
wound
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: - ANS✔✔---re- examine the chest
Which of the following is true regarding the initial resuscitation of a
trauma patient? - ANS✔✔---Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score
on reevaluation.
Page | 2
ANSWERS 2026/2027 LATEST UPDATE GRADED
A+
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: - ANS✔✔---complete spine x-ray series
The physiological hypervolemia of pregnancy has clinical significance
in the management of the severely injured, gravid woman by: -
ANS✔✔---increasing the volume of blood loss to produce maternal
hypotension
The best assessment of fluid resuscitation of the adult burn patient is: -
ANS✔✔--- urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ANS✔✔---evidence of
inadequate organ perfusion
Page | 1
, 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: - ANS✔✔---direct pressure on the
wound
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: - ANS✔✔---re- examine the chest
Which of the following is true regarding the initial resuscitation of a
trauma patient? - ANS✔✔---Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score
on reevaluation.
Page | 2
