ATLS POST TEST (Latest 2026/ 2027
Update) 11th Edition Test Bank Questions
& Answers (Verified Answers) Complete
A+
A teen-aged bicycle rider is hit by a truck traveling at high speed. In the ED, she is
actively bleeding from open fractures of her legs, and has abrasions on her chest and
abdominal wall. Her blood pressure is 80/50 mmHg, heart rate is 140 beats per minute,
respiratory rate is 8 breaths per minute, and GCS score is 6. The first step in managing
this patient is to:
A. Obtain a lateral cervical spine x-ray
B. Insert av central venous pressure line
C. Adminster 2 liters of crystalloid solution
D. Perform endotracheal intubation and ventilation
E. Apply a pneumatic antishock garment (PASG) and inflate the leg compartments. -
correct answer D. Perform endotracheal intubation and ventilation
An 8-year-old boy falls 4,5 meters (15 feet) from a tree and is brought to the ED by his
family. His vital signs are normal, but he complains of left upper quadrant pain. An
abdominal CT-scan reveals a moderately severe laceration of the spleen. The receiving
institution does not have 24-hour-a-day operating room capabilities. The most
appropriate management of this patient would be to
A. Type and crossmatch for blood
,B. Request consultation of a pediatrician
C. Transfer the patient to a trauma center
D. Admit the patient to the intensive care unit
E. Prepare the patient for surgery the next day - correct answer D. Admit the patient to
the intensive care unit
Which of the following statements regarding injury to the central nervous system in
children is TRUE?
A. Children suffer spinal cord injury without x-ray abnormality more commonly than
adults.
B. An infant with a traumatic brain injury may become hypotensive from cerebral
edema
C. Initial therapy for the child with traumatic brain injury includes the administration of
methylprednisolone intravenously
D. Children have more focal mass lesions as a result for traumatic brain injury when
compared to adults.
E. Young children are less tolerant of expanding intracranial mass lesions than adults
- correct answer A. Children suffer spinal cord injury without x-ray abnormality more
commonly than adults.
A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an
intersection. He is unconscious at the scene with a blood pressure of 140/90mmHg,
,heart rate of 90 beats per minute, and respiratory rate of 22 breaths per minute. His
respirations are sonorous and deep. His GCS score is 6. Immobilization of the entire
patient may include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar - correct answer A. Air splints
Twenty-seven patients are seriously injured in an aircraft accident at a local airport.
The basic principle of triage should be to:
A. Treat the most severely injured patients first
B. Establish a field triage area directed by a doctor
C. Rapidly transport all patients to the nearest appropriate 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 - correct
answer E. Produce the greatest number of survivors based on available resources
An electrician is eletrocuted by a downed power line after a thunderstorm. He
apparently made contact with the wire at the level of the right mid thigh. In the ED, his
vital signs are normal and no dysrythmia is noted on ECG. On examination, there is an
, exit wound on the bottom of the right foot. His urine is positive for blood by dipstick but
not RBCs are seen microscopically. Initial management should include:
A. Immediate angiography
B. Aggressive fluid infusion
C. Intravenous pyelography
D. Debridement of necrotic muscle
E. Admission to the ICU for observation - correct answer B. Aggressive fluid infusion -
suspected rhabdomyolyse
A young woman sustains a severe head injury as the result of a motor vehicular crash.
In the ED, her GCS is 6. Her blood pressure is 140/90 mmHg and her heart rate 80
beats per minute. She is intubated and is being mechanically ventilated. Her pupils are
3mm in size and equally reactive to light. There is no other apparent injury. The most
important principle to follow in early management of her head injury is to:
A. Administer an osmotic diuretic
B. Prevent secondary brain injury
C. Agressively treat systemic hypertension
D. Reduce meatbolic requirements of the brain
E. Distinguish between intracranial hematoma and cerebral edema. - correct answer
B. Prevent secondary brain injury
To establish a diagnosis of shock,
Update) 11th Edition Test Bank Questions
& Answers (Verified Answers) Complete
A+
A teen-aged bicycle rider is hit by a truck traveling at high speed. In the ED, she is
actively bleeding from open fractures of her legs, and has abrasions on her chest and
abdominal wall. Her blood pressure is 80/50 mmHg, heart rate is 140 beats per minute,
respiratory rate is 8 breaths per minute, and GCS score is 6. The first step in managing
this patient is to:
A. Obtain a lateral cervical spine x-ray
B. Insert av central venous pressure line
C. Adminster 2 liters of crystalloid solution
D. Perform endotracheal intubation and ventilation
E. Apply a pneumatic antishock garment (PASG) and inflate the leg compartments. -
correct answer D. Perform endotracheal intubation and ventilation
An 8-year-old boy falls 4,5 meters (15 feet) from a tree and is brought to the ED by his
family. His vital signs are normal, but he complains of left upper quadrant pain. An
abdominal CT-scan reveals a moderately severe laceration of the spleen. The receiving
institution does not have 24-hour-a-day operating room capabilities. The most
appropriate management of this patient would be to
A. Type and crossmatch for blood
,B. Request consultation of a pediatrician
C. Transfer the patient to a trauma center
D. Admit the patient to the intensive care unit
E. Prepare the patient for surgery the next day - correct answer D. Admit the patient to
the intensive care unit
Which of the following statements regarding injury to the central nervous system in
children is TRUE?
A. Children suffer spinal cord injury without x-ray abnormality more commonly than
adults.
B. An infant with a traumatic brain injury may become hypotensive from cerebral
edema
C. Initial therapy for the child with traumatic brain injury includes the administration of
methylprednisolone intravenously
D. Children have more focal mass lesions as a result for traumatic brain injury when
compared to adults.
E. Young children are less tolerant of expanding intracranial mass lesions than adults
- correct answer A. Children suffer spinal cord injury without x-ray abnormality more
commonly than adults.
A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an
intersection. He is unconscious at the scene with a blood pressure of 140/90mmHg,
,heart rate of 90 beats per minute, and respiratory rate of 22 breaths per minute. His
respirations are sonorous and deep. His GCS score is 6. Immobilization of the entire
patient may include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar - correct answer A. Air splints
Twenty-seven patients are seriously injured in an aircraft accident at a local airport.
The basic principle of triage should be to:
A. Treat the most severely injured patients first
B. Establish a field triage area directed by a doctor
C. Rapidly transport all patients to the nearest appropriate 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 - correct
answer E. Produce the greatest number of survivors based on available resources
An electrician is eletrocuted by a downed power line after a thunderstorm. He
apparently made contact with the wire at the level of the right mid thigh. In the ED, his
vital signs are normal and no dysrythmia is noted on ECG. On examination, there is an
, exit wound on the bottom of the right foot. His urine is positive for blood by dipstick but
not RBCs are seen microscopically. Initial management should include:
A. Immediate angiography
B. Aggressive fluid infusion
C. Intravenous pyelography
D. Debridement of necrotic muscle
E. Admission to the ICU for observation - correct answer B. Aggressive fluid infusion -
suspected rhabdomyolyse
A young woman sustains a severe head injury as the result of a motor vehicular crash.
In the ED, her GCS is 6. Her blood pressure is 140/90 mmHg and her heart rate 80
beats per minute. She is intubated and is being mechanically ventilated. Her pupils are
3mm in size and equally reactive to light. There is no other apparent injury. The most
important principle to follow in early management of her head injury is to:
A. Administer an osmotic diuretic
B. Prevent secondary brain injury
C. Agressively treat systemic hypertension
D. Reduce meatbolic requirements of the brain
E. Distinguish between intracranial hematoma and cerebral edema. - correct answer
B. Prevent secondary brain injury
To establish a diagnosis of shock,
