ATLS | 11th Edition
OBJECTIVE ASSESSMENT - EXAM
Advanced Trauma Life Support
(ATLS) 11th Edition Test Bank:
150 Questions & Answers
(Verified Answers) With
Detailed Rationales || Complete
A+ Guide
Certification Exam | ACS ATLS Provider Course
150 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
xABCDE Primary Survey & Hemorrhage Control Thoracic & Abdominal Injury Assessment
Airway Management & Ventilatory Support TBI, Spinal Cord Injury & Neuroprotection
Hemorrhagic Shock & Massive Transfusion Pediatric, Geriatric & Pregnant Trauma Patients
COVER PAGE - 1
,ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q1 Question 1 of 150
A 34-year-old construction worker falls 15 feet from scaffolding and lands on his back.
On arrival, he is moaning but does not open his eyes to voice, makes incomprehensible
sounds, and withdraws his arm to pain. His respiratory rate is 28 breaths per minute with
shallow chest rise. What is the first priority in management according to the ATLS
xABCDE approach?
A. Administer high-flow oxygen via non-rebreather mask
B. Establish a definitive airway with endotracheal intubation
C. Apply a cervical collar and log-roll the patient
D. Obtain large-bore intravenous access in both antecubital veins
Correct Answer: B
Rationale:
The xABCDE primary survey prioritizes exsanguinating hemorrhage first, followed immediately by airway.
This patient has a GCS of 7 (E1 V2 M4), indicating a compromised airway with high aspiration risk.
Endotracheal intubation is the priority. While oxygen and cervical protection are important, they do not
supersede securing the airway in a patient with this level of altered consciousness.
ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q2 Question 2 of 150
A 67-year-old woman is the restrained driver in a frontal motor vehicle collision. She is
awake and talking but complains of severe chest pain. Her initial vital signs are BP 142/88
mmHg, HR 96 bpm, RR 22/min, SpO2 94% on room air. During the primary survey, which
finding would most urgently require intervention before proceeding to the next step?
A. Tenderness over the sternum on palpation
B. Absent breath sounds on the left side with tracheal deviation to the right
C. Bilateral equal breath sounds with mild wheezing
D. Soft tissue swelling over the left clavicle without crepitus
Correct Answer: B
1th Edition Test Bank: 150 Questions & Answers (Verified Answers) With Detailed Rationales || Complete A+ Guide - 2026/2027 | Passing Score: 80% | Page 2
, Rationale:
Absent breath sounds with contralateral tracheal deviation indicates a tension pneumothorax, a
life-threatening condition that must be addressed immediately during the breathing assessment. Needle
decompression should be performed before moving to circulation. The other findings, while important, do not
represent immediate threats to life.
ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q3 Question 3 of 150
A 45-year-old man sustains a gunshot wound to the right thigh. He is alert and oriented.
Vital signs are BP 88/56 mmHg, HR 128 bpm, RR 24/min. A tourniquet was applied by
EMS 8 minutes ago and bleeding is controlled. According to ATLS 11th edition priorities,
what is the next most appropriate step?
A. Obtain a CT angiogram of the right lower extremity
B. Remove the tourniquet to assess wound extent
C. Establish large-bore IV access and begin balanced crystalloid resuscitation
D. Perform a detailed secondary survey of the entire body
Correct Answer: C
Rationale:
In the xABCDE framework, after controlling exsanguinating hemorrhage (x) and ensuring airway (A) and
breathing (B), circulation (C) is the next priority. This patient is in hemorrhagic shock (tachycardic,
hypotensive) and requires IV access and fluid resuscitation. CT angiography and detailed secondary survey
come after stabilization. Removing the tourniquet could precipitate renewed bleeding.
ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q4 Question 4 of 150
1th Edition Test Bank: 150 Questions & Answers (Verified Answers) With Detailed Rationales || Complete A+ Guide - 2026/2027 | Passing Score: 80% | Page 3
,ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q4 Question 4 of 150
An 82-year-old man trips on a rug at home and strikes his head on a coffee table. He
arrives ambulatory but confused about the event. His GCS is 14 (E4 V4 M6). He takes
warfarin for atrial fibrillation. Which component of the primary survey requires the most
heightened vigilance in this patient?
A. Airway patency due to age-related loss of protective reflexes
B. Disability assessment because anticoagulation increases intracranial hemorrhage risk
C. Exposure to identify occult fractures from the fall mechanism
D. Breathing assessment for aspiration pneumonia
Correct Answer: B
Rationale:
Geriatric patients on anticoagulation who sustain even minor head trauma are at significantly increased risk
for delayed intracranial hemorrhage. The disability assessment must include careful neurologic monitoring
and early imaging. While airway and breathing are always assessed, the combination of mechanism, age,
and anticoagulation makes disability the highest-yield focus.
ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q5 Question 5 of 150
A 29-year-old motorcyclist is brought in after a high-speed collision with a guardrail. He
is unconscious, has gurgling respirations, and a flail segment on the right chest. His
SpO2 is 82% on room air. Which sequence best describes the correct ATLS approach?
A. Intubate, apply pelvic binder, obtain chest X-ray, start crystalloids
B. Suction airway, intubate with in-line stabilization, ventilate, assess for tension pneumothorax
C. Insert bilateral chest tubes, then intubate, then obtain CT head
D. Start massive transfusion protocol, intubate, then perform FAST exam
Correct Answer: B
1th Edition Test Bank: 150 Questions & Answers (Verified Answers) With Detailed Rationales || Complete A+ Guide - 2026/2027 | Passing Score: 80% | Page 4
OBJECTIVE ASSESSMENT - EXAM
Advanced Trauma Life Support
(ATLS) 11th Edition Test Bank:
150 Questions & Answers
(Verified Answers) With
Detailed Rationales || Complete
A+ Guide
Certification Exam | ACS ATLS Provider Course
150 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
xABCDE Primary Survey & Hemorrhage Control Thoracic & Abdominal Injury Assessment
Airway Management & Ventilatory Support TBI, Spinal Cord Injury & Neuroprotection
Hemorrhagic Shock & Massive Transfusion Pediatric, Geriatric & Pregnant Trauma Patients
COVER PAGE - 1
,ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q1 Question 1 of 150
A 34-year-old construction worker falls 15 feet from scaffolding and lands on his back.
On arrival, he is moaning but does not open his eyes to voice, makes incomprehensible
sounds, and withdraws his arm to pain. His respiratory rate is 28 breaths per minute with
shallow chest rise. What is the first priority in management according to the ATLS
xABCDE approach?
A. Administer high-flow oxygen via non-rebreather mask
B. Establish a definitive airway with endotracheal intubation
C. Apply a cervical collar and log-roll the patient
D. Obtain large-bore intravenous access in both antecubital veins
Correct Answer: B
Rationale:
The xABCDE primary survey prioritizes exsanguinating hemorrhage first, followed immediately by airway.
This patient has a GCS of 7 (E1 V2 M4), indicating a compromised airway with high aspiration risk.
Endotracheal intubation is the priority. While oxygen and cervical protection are important, they do not
supersede securing the airway in a patient with this level of altered consciousness.
ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q2 Question 2 of 150
A 67-year-old woman is the restrained driver in a frontal motor vehicle collision. She is
awake and talking but complains of severe chest pain. Her initial vital signs are BP 142/88
mmHg, HR 96 bpm, RR 22/min, SpO2 94% on room air. During the primary survey, which
finding would most urgently require intervention before proceeding to the next step?
A. Tenderness over the sternum on palpation
B. Absent breath sounds on the left side with tracheal deviation to the right
C. Bilateral equal breath sounds with mild wheezing
D. Soft tissue swelling over the left clavicle without crepitus
Correct Answer: B
1th Edition Test Bank: 150 Questions & Answers (Verified Answers) With Detailed Rationales || Complete A+ Guide - 2026/2027 | Passing Score: 80% | Page 2
, Rationale:
Absent breath sounds with contralateral tracheal deviation indicates a tension pneumothorax, a
life-threatening condition that must be addressed immediately during the breathing assessment. Needle
decompression should be performed before moving to circulation. The other findings, while important, do not
represent immediate threats to life.
ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q3 Question 3 of 150
A 45-year-old man sustains a gunshot wound to the right thigh. He is alert and oriented.
Vital signs are BP 88/56 mmHg, HR 128 bpm, RR 24/min. A tourniquet was applied by
EMS 8 minutes ago and bleeding is controlled. According to ATLS 11th edition priorities,
what is the next most appropriate step?
A. Obtain a CT angiogram of the right lower extremity
B. Remove the tourniquet to assess wound extent
C. Establish large-bore IV access and begin balanced crystalloid resuscitation
D. Perform a detailed secondary survey of the entire body
Correct Answer: C
Rationale:
In the xABCDE framework, after controlling exsanguinating hemorrhage (x) and ensuring airway (A) and
breathing (B), circulation (C) is the next priority. This patient is in hemorrhagic shock (tachycardic,
hypotensive) and requires IV access and fluid resuscitation. CT angiography and detailed secondary survey
come after stabilization. Removing the tourniquet could precipitate renewed bleeding.
ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q4 Question 4 of 150
1th Edition Test Bank: 150 Questions & Answers (Verified Answers) With Detailed Rationales || Complete A+ Guide - 2026/2027 | Passing Score: 80% | Page 3
,ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q4 Question 4 of 150
An 82-year-old man trips on a rug at home and strikes his head on a coffee table. He
arrives ambulatory but confused about the event. His GCS is 14 (E4 V4 M6). He takes
warfarin for atrial fibrillation. Which component of the primary survey requires the most
heightened vigilance in this patient?
A. Airway patency due to age-related loss of protective reflexes
B. Disability assessment because anticoagulation increases intracranial hemorrhage risk
C. Exposure to identify occult fractures from the fall mechanism
D. Breathing assessment for aspiration pneumonia
Correct Answer: B
Rationale:
Geriatric patients on anticoagulation who sustain even minor head trauma are at significantly increased risk
for delayed intracranial hemorrhage. The disability assessment must include careful neurologic monitoring
and early imaging. While airway and breathing are always assessed, the combination of mechanism, age,
and anticoagulation makes disability the highest-yield focus.
ory Management | Q1-Q30 | Advanced Trauma Life Support (ATLS) 11th Edition Test Bank: 150 Questions & Answers (Verified Answers) With De
Q5 Question 5 of 150
A 29-year-old motorcyclist is brought in after a high-speed collision with a guardrail. He
is unconscious, has gurgling respirations, and a flail segment on the right chest. His
SpO2 is 82% on room air. Which sequence best describes the correct ATLS approach?
A. Intubate, apply pelvic binder, obtain chest X-ray, start crystalloids
B. Suction airway, intubate with in-line stabilization, ventilate, assess for tension pneumothorax
C. Insert bilateral chest tubes, then intubate, then obtain CT head
D. Start massive transfusion protocol, intubate, then perform FAST exam
Correct Answer: B
1th Edition Test Bank: 150 Questions & Answers (Verified Answers) With Detailed Rationales || Complete A+ Guide - 2026/2027 | Passing Score: 80% | Page 4
