lOMoARcPSD|1286596
ADVANCED TRAUMA LIFE SUPPORT (ATLS) PRETEST EXAM QUESTIONS
AND DETAILED ANSWERS || LATEST UPDATED 2025 – 2026 GUARANTEED
PASS!!
A 22 year old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood after initial IV fluid resuscitation, a closed tube thoracostomy is
performed for decreased left breath sounds
reexamine the chest
A construction worker falls two stories from a building and sustains bilateral calcaneal
fractures. In the emergency department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back. Lower extremity pulses are
strong and there is no other deformity. The suspected diagnosis is most likely to be
confirmed by
complete spine x-ray series.
The principle of balanced resuscitation is:
Permissive hypotension and early plasma infusion
Question:4 In managing the head-injured patient, the most important initial step is to
secure airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
liters. Which one of the following statements applies to this patient?
His systolic blood pressure will be decreased with a narrowed pulse pressure.
The diagnosis of shock must include
poor organ perfusion
Question:9 A 7-year-old boy is brought to the emergency department by his parents several
minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of his
medial right thigh. Immediate management of the wound should consist of
direct pressure
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
to prevent
cerebral vasoconstriction with diminished perfusion.
, lOMoARcPSD|1286596
Question:11 A 25-year-old man is brought to a hospital with a general surgeon after being
involved in a motor vehicle crash. Computed tomography shows an aortic injury and
splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT.
The next step is
exploratory laparotomy.
20-year-old woman, at 32 weeks gestation, is stabbed in the upper right chest. In the
emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath,
extremely anxious, and yelling for help. Breath sounds are diminished in the right chest.
The most appropriate first step is to
perform needle decompression of the right chest.
Which one of the following findings in an adult is most likely to require immediate
management during the primary survey?
resp of 40/mi
Question:17 The most important, immediate step in the management of an open
pneumothorax is
placement of an occlusive dressing over the wound.
Question:18 The following are contraindications for tetanus toxoid administration
History of neurological reaction or severe hypersensitivity to the product.
Question:19 A 56-year-old man is thrown violently against the steering wheel of his truck
during a motor vehicle crash. On arrival in the emergency department he is diaphoretic
and complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate
is 40 breaths per minute. Which of the following best differentiates cardiac tamponade
from tension pneumothorax as the cause of his hypotension?
Breath sounds.
Question:20 Bronchial intubation of the right or left mainstem bronchus can easily occur
during infant endotracheal intubation because
the trachea is relatively short.
Question:21 A 23-year-old man sustains 4 stab wounds to the upper right chest during an
altercation and is brought by ambulance to a hospital that has full surgical capabilities. His
wounds are all above the nipple. He is endotracheally intubated, closed tube thoracostomy
is performed, and 2 liters of crystalloid solution are infused through 2 large-caliber IVs. His
blood pressure now is 60/0 mm Hg, heart rate is 160 beats per minute, and respiratory rate
ADVANCED TRAUMA LIFE SUPPORT (ATLS) PRETEST EXAM QUESTIONS
AND DETAILED ANSWERS || LATEST UPDATED 2025 – 2026 GUARANTEED
PASS!!
A 22 year old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood after initial IV fluid resuscitation, a closed tube thoracostomy is
performed for decreased left breath sounds
reexamine the chest
A construction worker falls two stories from a building and sustains bilateral calcaneal
fractures. In the emergency department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back. Lower extremity pulses are
strong and there is no other deformity. The suspected diagnosis is most likely to be
confirmed by
complete spine x-ray series.
The principle of balanced resuscitation is:
Permissive hypotension and early plasma infusion
Question:4 In managing the head-injured patient, the most important initial step is to
secure airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
liters. Which one of the following statements applies to this patient?
His systolic blood pressure will be decreased with a narrowed pulse pressure.
The diagnosis of shock must include
poor organ perfusion
Question:9 A 7-year-old boy is brought to the emergency department by his parents several
minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of his
medial right thigh. Immediate management of the wound should consist of
direct pressure
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
to prevent
cerebral vasoconstriction with diminished perfusion.
, lOMoARcPSD|1286596
Question:11 A 25-year-old man is brought to a hospital with a general surgeon after being
involved in a motor vehicle crash. Computed tomography shows an aortic injury and
splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT.
The next step is
exploratory laparotomy.
20-year-old woman, at 32 weeks gestation, is stabbed in the upper right chest. In the
emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath,
extremely anxious, and yelling for help. Breath sounds are diminished in the right chest.
The most appropriate first step is to
perform needle decompression of the right chest.
Which one of the following findings in an adult is most likely to require immediate
management during the primary survey?
resp of 40/mi
Question:17 The most important, immediate step in the management of an open
pneumothorax is
placement of an occlusive dressing over the wound.
Question:18 The following are contraindications for tetanus toxoid administration
History of neurological reaction or severe hypersensitivity to the product.
Question:19 A 56-year-old man is thrown violently against the steering wheel of his truck
during a motor vehicle crash. On arrival in the emergency department he is diaphoretic
and complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate
is 40 breaths per minute. Which of the following best differentiates cardiac tamponade
from tension pneumothorax as the cause of his hypotension?
Breath sounds.
Question:20 Bronchial intubation of the right or left mainstem bronchus can easily occur
during infant endotracheal intubation because
the trachea is relatively short.
Question:21 A 23-year-old man sustains 4 stab wounds to the upper right chest during an
altercation and is brought by ambulance to a hospital that has full surgical capabilities. His
wounds are all above the nipple. He is endotracheally intubated, closed tube thoracostomy
is performed, and 2 liters of crystalloid solution are infused through 2 large-caliber IVs. His
blood pressure now is 60/0 mm Hg, heart rate is 160 beats per minute, and respiratory rate
