ATLS PRACTICE TEST 3 CERTIFICATION
EVALUATION TEST 2026 FULL QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
GRADED A+
◉ A 6-year-old boy walking across the street is struck by the front
bumper of a sports utility vehicle traveling at 32 kph (20 mph).
Which one of the following statements is TRUE about this patient?
Answer: A pulmonary contusion may be present in the absence of
rib fractures.
◉ Assessed first in trauma patient Answer: Airway
◉ (*)Degree of burn that is characterized by bone involvement
Answer: Fourth
◉ Complications of head trauma Answer: Intracerebral hematoma
Extradural hematoma
Brain abscess
◉ Most common cause of laryngotracheal stenosis Answer: Trauma
,◉ Intervention that can help prevent development of acute renal
failure Answer: Infusion of normal saline
◉ A 26-year-old male is resuscitated with blood transfusion after a
motor vehicle collision that was complicated by a fractured pelvis. A
few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to
be bleeding from the NG tube and IV sites. Which of the following is
the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction Answer: D. Transfusion reaction
◉ Skin antiseptic Answer: -Ethanol 70% is an effective skin
antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
◉ Class IV hemorrhage indicates what % blood loss Answer: 55%
◉ How does shivering affect body temperature Answer: Increases
body temperature
,◉ Class III hemorrhage indicates what % of blood loss Answer: 35%
◉ Management of a stable patient with kidney contusion Answer:
Observation
◉ Associated with hypovolemic shock Answer: -Inadequate tissue
perfusion with resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without
symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck
veins
◉ 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
EVALUATION TEST 2026 FULL QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
GRADED A+
◉ A 6-year-old boy walking across the street is struck by the front
bumper of a sports utility vehicle traveling at 32 kph (20 mph).
Which one of the following statements is TRUE about this patient?
Answer: A pulmonary contusion may be present in the absence of
rib fractures.
◉ Assessed first in trauma patient Answer: Airway
◉ (*)Degree of burn that is characterized by bone involvement
Answer: Fourth
◉ Complications of head trauma Answer: Intracerebral hematoma
Extradural hematoma
Brain abscess
◉ Most common cause of laryngotracheal stenosis Answer: Trauma
,◉ Intervention that can help prevent development of acute renal
failure Answer: Infusion of normal saline
◉ A 26-year-old male is resuscitated with blood transfusion after a
motor vehicle collision that was complicated by a fractured pelvis. A
few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to
be bleeding from the NG tube and IV sites. Which of the following is
the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction Answer: D. Transfusion reaction
◉ Skin antiseptic Answer: -Ethanol 70% is an effective skin
antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
◉ Class IV hemorrhage indicates what % blood loss Answer: 55%
◉ How does shivering affect body temperature Answer: Increases
body temperature
,◉ Class III hemorrhage indicates what % of blood loss Answer: 35%
◉ Management of a stable patient with kidney contusion Answer:
Observation
◉ Associated with hypovolemic shock Answer: -Inadequate tissue
perfusion with resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without
symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck
veins
◉ 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
