ATLS EXAM ACTUAL TEST PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ The most effective method of monitoring the success of
resuscitation during CPR. Answer: Reactivity of pupils to light
◉ Used to ensure correct placement of endotracheal tube. Answer: -
Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
◉ Total body surface area involved in a burn in an adult to the
anterior chest and abdomen. Answer: 18%
◉ What is often caused by carotid massage. Answer: Bradycardia
◉ Step in a patient diagnosed with tension pneumothorax. Answer:
1. Needle decompression/ thoracotomy
2. Chest tube
,◉ True statements regarding diaphragmatic injuries. Answer: -Blunt
diaphragmatic injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require
prosthetic material
◉ First priority in the treatment of an unconscious patient. Answer:
Checking the pulse
◉ A patient involved in a road accident is brought to the emergency
department in an unconscious state. On arrival, her vitals show a
temperature of 96.4 degrees Fahrenheit, a respiration rate of 24
breaths per minute, a heart rate of 140 beats per minute, and a
blood pressure of 80/40 mm Hg. She is cold, shivering, and
perspiring profusely. She has bilateral reactive pupils but she does
not respond to pain. On physical examination, she has no obvious
sign of external bleeding. Which of the following cannot be the cause
of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax. Answer: C. Intracranial hemorrhage
◉ A patient suffered a slash to his right neck. The wound is over the
mid-portion of the sternocleidomastoid. There is a large hematoma
,and brisk bleeding when uncovered. He is stable. What is the next
step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure. Answer: C. Take him to the OR
◉ After abdominal injury, which of the following urinalysis findings
would be an indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria. Answer: D. Gross hematuria
◉ A laceration of the neck superficial to the deep cervical fascia
along the sternocleidomastoid muscle at its midpoint would cause
bleeding from which structure?. Answer: External jugular vein
◉ Clinical features associated with tension pneumothorax. Answer:
Unilateral decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
, Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
◉ Not recommended as a mode of ventilation for a patient with a
diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation. Answer: A. Bag and mask
◉ What is the next step in the assessment of a traumatic patient
after airway is established?. Answer: Breathing
◉ Blood group that is considered a universal donor. Answer: O
◉ A provider is examining a patient who sustained a severe
traumatic head injury. He documents no Doll's eyes. What does this
signify?. Answer: Brainstem injury
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ The most effective method of monitoring the success of
resuscitation during CPR. Answer: Reactivity of pupils to light
◉ Used to ensure correct placement of endotracheal tube. Answer: -
Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
◉ Total body surface area involved in a burn in an adult to the
anterior chest and abdomen. Answer: 18%
◉ What is often caused by carotid massage. Answer: Bradycardia
◉ Step in a patient diagnosed with tension pneumothorax. Answer:
1. Needle decompression/ thoracotomy
2. Chest tube
,◉ True statements regarding diaphragmatic injuries. Answer: -Blunt
diaphragmatic injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require
prosthetic material
◉ First priority in the treatment of an unconscious patient. Answer:
Checking the pulse
◉ A patient involved in a road accident is brought to the emergency
department in an unconscious state. On arrival, her vitals show a
temperature of 96.4 degrees Fahrenheit, a respiration rate of 24
breaths per minute, a heart rate of 140 beats per minute, and a
blood pressure of 80/40 mm Hg. She is cold, shivering, and
perspiring profusely. She has bilateral reactive pupils but she does
not respond to pain. On physical examination, she has no obvious
sign of external bleeding. Which of the following cannot be the cause
of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax. Answer: C. Intracranial hemorrhage
◉ A patient suffered a slash to his right neck. The wound is over the
mid-portion of the sternocleidomastoid. There is a large hematoma
,and brisk bleeding when uncovered. He is stable. What is the next
step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure. Answer: C. Take him to the OR
◉ After abdominal injury, which of the following urinalysis findings
would be an indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria. Answer: D. Gross hematuria
◉ A laceration of the neck superficial to the deep cervical fascia
along the sternocleidomastoid muscle at its midpoint would cause
bleeding from which structure?. Answer: External jugular vein
◉ Clinical features associated with tension pneumothorax. Answer:
Unilateral decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
, Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
◉ Not recommended as a mode of ventilation for a patient with a
diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation. Answer: A. Bag and mask
◉ What is the next step in the assessment of a traumatic patient
after airway is established?. Answer: Breathing
◉ Blood group that is considered a universal donor. Answer: O
◉ A provider is examining a patient who sustained a severe
traumatic head injury. He documents no Doll's eyes. What does this
signify?. Answer: Brainstem injury
