ATLS EXAM QUESTIONS CERTIFICATION
SCRIPT 2026 PRACTICE SOLUTIONS
GRADED A+
⩥ What is the approximate time the brain can be anoxic before
developing irreversible damage?
A. 10 min
B. 5 min
C. 2 min
D. 20 min.
Answer:
⩥ You are treating a truama patient and attempt a definitive airway by
intubation. However, the vocal cords are not visible. What tool would be
the most valuable for achieving successful intubation?
A. Gum elastic bougie
B. Lateral cervical spine x-ray
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway.
Answer: A. Gum elastic bougie
,⩥ A 79 year old female is involved in a motor vehicle crash and presents
to the ED. She is on Coumadin and a beta blocker. Which of the
following statements is true concerning her management?
A. The risk of subdural hemorrhage is decreased
B. Absence of tachycardia indicates that the patient is hemodynamically
normal
C. Non-operative management of abdominal injuries is more likely to be
successful in older adults than in younger patients
D. Vigorous fluid resuscitation may be associated with cardiorespiratory
failure
D. epinephrine should be infused immediately for hypotension.
Answer: D. Vigorous fluid resuscitation may be associated with
cardiorespiratory failure
⩥ The most common acid base disturbance encountered in injured
pediatric patients is caused by:
A. Hemorrhage
B. Changes in ventilation
C. Renal failure
D. Injudicious bicarbonate administration
E. Insufficient sodium chloride administration.
Answer: B. Changes in ventilation?
, ⩥ A 17 year old female is brought to the ED following a 2 meter fall
onto concrete. She is unresponsive and found to have a RR of 32, BP
90/60 and HR 68. The first step in treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock.
Answer: D. Applying oxygen and maintaining airway
⩥ A 25 year old male is brought to the ED following a bar fight. He has
altered consciousness, open his eyes on command, moans without
forming discernible words, and localizes to painful stimuli. Which one
of the following statements concerning this patient is true?
A. Hyperoxia should be avoided
B. CT scanning is an important part of neurological assessment
C. Mandatory intubation to protect his airway is required
D. His GCS suggest severe head injury
E. His level of consciousness can be solely attributed to elevated blood
alcohol..
Answer: B. CT scanning is an important part of neurological assessment
SCRIPT 2026 PRACTICE SOLUTIONS
GRADED A+
⩥ What is the approximate time the brain can be anoxic before
developing irreversible damage?
A. 10 min
B. 5 min
C. 2 min
D. 20 min.
Answer:
⩥ You are treating a truama patient and attempt a definitive airway by
intubation. However, the vocal cords are not visible. What tool would be
the most valuable for achieving successful intubation?
A. Gum elastic bougie
B. Lateral cervical spine x-ray
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway.
Answer: A. Gum elastic bougie
,⩥ A 79 year old female is involved in a motor vehicle crash and presents
to the ED. She is on Coumadin and a beta blocker. Which of the
following statements is true concerning her management?
A. The risk of subdural hemorrhage is decreased
B. Absence of tachycardia indicates that the patient is hemodynamically
normal
C. Non-operative management of abdominal injuries is more likely to be
successful in older adults than in younger patients
D. Vigorous fluid resuscitation may be associated with cardiorespiratory
failure
D. epinephrine should be infused immediately for hypotension.
Answer: D. Vigorous fluid resuscitation may be associated with
cardiorespiratory failure
⩥ The most common acid base disturbance encountered in injured
pediatric patients is caused by:
A. Hemorrhage
B. Changes in ventilation
C. Renal failure
D. Injudicious bicarbonate administration
E. Insufficient sodium chloride administration.
Answer: B. Changes in ventilation?
, ⩥ A 17 year old female is brought to the ED following a 2 meter fall
onto concrete. She is unresponsive and found to have a RR of 32, BP
90/60 and HR 68. The first step in treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock.
Answer: D. Applying oxygen and maintaining airway
⩥ A 25 year old male is brought to the ED following a bar fight. He has
altered consciousness, open his eyes on command, moans without
forming discernible words, and localizes to painful stimuli. Which one
of the following statements concerning this patient is true?
A. Hyperoxia should be avoided
B. CT scanning is an important part of neurological assessment
C. Mandatory intubation to protect his airway is required
D. His GCS suggest severe head injury
E. His level of consciousness can be solely attributed to elevated blood
alcohol..
Answer: B. CT scanning is an important part of neurological assessment
