ATLS POST ACTUAL EXAM NEWEST
VERSION 2026 ACTUAL EXAM WITH
VERIFIED QUESTIONS AND CORRECT
ANSWERS.
Twenty seven people are severely injured in an
aircraft crash at a local airport. The principles of
triage include:
A. establish a triage site within the internal perimeter
of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest
hospital
D. treat the greatest number of patients in the
shortest period of time
E. produce the greatest number of survivors based
on available resources - Precise Answer ✔✔E.
Produce the greatest number of survivors based on
available resources
Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an
intracerebral hematoma
B. Epidural hematomas are usually seen in the
frontal region
,C. Subdural hematomas are caused by injury to the
middle meningeal artery
D. Subdural hematomas typically have a lenticular
shape on CT
E. The associated brain damage is more severe in
epidural hematomas - Precise Answer ✔✔A.
Cerebral contusions may coalesce to form an
intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
An 18 year old male is brought to the ED after being
shot. He has one bullet wound just below the right
clavicle and another just below the costal margin in
the right posterior axillary line. His blood pressure is
110/60, heart rate of 90, and respiratory rate of 34.
After ensuring a patent airway and inserting 2 large
caliber IV lines, the next most appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage - Precise
Answer ✔✔A. Obtain a portable chest x-ray
need more info on chest, not abdomen
,Which of the following should be performed FIRST
in any patient whose injuries may include multiple
closed extremity fractures?
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome - Precise
Answer ✔✔D. Ensuring adequate oxygenation and
ventilation
(ABC's)
A 22 year old male sustains a shotgun wound to the
shoulder and chest at close range. His BP is 80/40
and HR 130. After 2 L of crystalloid solution are
rapidly infused, his BP increases to 122/84 and HR
decreases to 100. He is tachypneic with RR of 28.
On PE, his breath sounds are decreased at the left
upper chest with dullness on percussion. A large
caliber tube thoracostomy is inserted into the fifth
intercostal space with the return of 200 mL of blood
and no air leak. The most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
, C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest - Precise
Answer ✔✔E. Repeat the physical exam of the chest
decreased breath sounds w/dullness -> hemothorax,
need tube to drain
vs.
decreased/absent breath sounds w/hyperresonance ->
tension pneumonia, need needle decompression
followed by tube
Which one of the following statements concerning
spine and spinal cord trauma is TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of
physical findings of a cord injury
C. A patient with a suspected spine injury requires
immobilization on a short spine
D. Diaphragmatic breathing in an unconscious
patient who has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is
complete or incomplete must be made in the primary
survey - Precise Answer ✔✔B. A vertebral injury is
unlikely in the absence of physical findings of a cord
VERSION 2026 ACTUAL EXAM WITH
VERIFIED QUESTIONS AND CORRECT
ANSWERS.
Twenty seven people are severely injured in an
aircraft crash at a local airport. The principles of
triage include:
A. establish a triage site within the internal perimeter
of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest
hospital
D. treat the greatest number of patients in the
shortest period of time
E. produce the greatest number of survivors based
on available resources - Precise Answer ✔✔E.
Produce the greatest number of survivors based on
available resources
Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an
intracerebral hematoma
B. Epidural hematomas are usually seen in the
frontal region
,C. Subdural hematomas are caused by injury to the
middle meningeal artery
D. Subdural hematomas typically have a lenticular
shape on CT
E. The associated brain damage is more severe in
epidural hematomas - Precise Answer ✔✔A.
Cerebral contusions may coalesce to form an
intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
An 18 year old male is brought to the ED after being
shot. He has one bullet wound just below the right
clavicle and another just below the costal margin in
the right posterior axillary line. His blood pressure is
110/60, heart rate of 90, and respiratory rate of 34.
After ensuring a patent airway and inserting 2 large
caliber IV lines, the next most appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage - Precise
Answer ✔✔A. Obtain a portable chest x-ray
need more info on chest, not abdomen
,Which of the following should be performed FIRST
in any patient whose injuries may include multiple
closed extremity fractures?
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome - Precise
Answer ✔✔D. Ensuring adequate oxygenation and
ventilation
(ABC's)
A 22 year old male sustains a shotgun wound to the
shoulder and chest at close range. His BP is 80/40
and HR 130. After 2 L of crystalloid solution are
rapidly infused, his BP increases to 122/84 and HR
decreases to 100. He is tachypneic with RR of 28.
On PE, his breath sounds are decreased at the left
upper chest with dullness on percussion. A large
caliber tube thoracostomy is inserted into the fifth
intercostal space with the return of 200 mL of blood
and no air leak. The most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
, C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest - Precise
Answer ✔✔E. Repeat the physical exam of the chest
decreased breath sounds w/dullness -> hemothorax,
need tube to drain
vs.
decreased/absent breath sounds w/hyperresonance ->
tension pneumonia, need needle decompression
followed by tube
Which one of the following statements concerning
spine and spinal cord trauma is TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of
physical findings of a cord injury
C. A patient with a suspected spine injury requires
immobilization on a short spine
D. Diaphragmatic breathing in an unconscious
patient who has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is
complete or incomplete must be made in the primary
survey - Precise Answer ✔✔B. A vertebral injury is
unlikely in the absence of physical findings of a cord
