4/26/25, 9:13
AM
ATLS EXAM QUESTION AND ANSWERS
WITH COMPLETE SOLUTIONS
VERIFIED LATEST RELEASE 2025/2026
11 studiers in 3 days Leave the first rating
Save
Terms in this set (40)
A 22-year-old man is Re-examine the chest
hypotensive and tachycardic
after a shotgun wound to the
left shoulder. His blood
pressure is initially 80/40 mm
Hg. After initial fluid
resuscitation his blood
pressure increases to 122/84
mm Hg. His heart rate is now
100 beats per minute and his
respiratory rate is 28 breaths
per minute. A tube
thoracostomy is performed
for decreased left chest
breath sounds with the return
of a small amount of blood
and no air leak.
After chest tube insertion, what is
the most
appropriate next step?
A construction worker falls Complete spine x-ray series
two stories from a building
and sustains bilateral
1/30
,4/26/25, 9:13
AM
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.
Which of the following is most
likely to confirm the
suspected diagnosis?
-Angiography
-Compartment pressures
-Retrograde urethrogram
-Doppler ultrasound studies
-Complete spine x-ray series
Which of the following is -Evidence of improved perfusion after fluid resuscitation could
TRUE regarding the initial include improvement in Glasgow Coma Scale score on
resuscitation of a trauma reevaluation
patient?
-A patient with a torso gunshot
wound and hypotension
should receive crystalloid
fluid resuscitation until the
blood pressure is normal
-Evidence of improved
perfusion after fluid
resuscitation could include
improvement in Glasgow
Coma Scale score on
reevaluation
-Massive transfusion is defined
as
transfusion of more than 10
units of packed red blood cells
and plasma within 24 hours
-When tranexamic acid is
administered by pre-hospital
providers, a second dose is
required within 24 hours
-Fluid resuscitation is far more
important
than bleeding control in trauma
patients
2/30
, 4/26/25, 9:13
AM
In managing a patient with a -Secure the airway
severe
traumatic brain injury, what is
the most important initial
step?
-Secure the airway
-Obtain a c-spine film
-Support the circulation
-Control scalp hemorrhage
-Determine the GCS score
A previously healthy, 70-kg An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
(154-pound) man suffers an
estimated acute blood loss of
2 liters. Which one of the
following statements
applies to this patient?
-His pulse pressure will be
widened
-His urinary output will be at
the lower limits of normal.
-He will have tachycardia, but
no change in his systolic
blood pressure.
-An ABG would demonstrate a
base deficit between -6 and -
10 mEq/L.
-His systolic blood
pressure will be
maintained with an
elevated diastolic
pressure.
How does the physiological -It increases the volume of blood loss to produce maternal
hypervolemia of pregnancy hypotension.
have clinical significance in
the management of the
severely injured,
gravid woman?
-It reduces the need for blood
transfusion.
-It results in an elevated
hematocrit.
-It complicates the
management of closed head
3/30
AM
ATLS EXAM QUESTION AND ANSWERS
WITH COMPLETE SOLUTIONS
VERIFIED LATEST RELEASE 2025/2026
11 studiers in 3 days Leave the first rating
Save
Terms in this set (40)
A 22-year-old man is Re-examine the chest
hypotensive and tachycardic
after a shotgun wound to the
left shoulder. His blood
pressure is initially 80/40 mm
Hg. After initial fluid
resuscitation his blood
pressure increases to 122/84
mm Hg. His heart rate is now
100 beats per minute and his
respiratory rate is 28 breaths
per minute. A tube
thoracostomy is performed
for decreased left chest
breath sounds with the return
of a small amount of blood
and no air leak.
After chest tube insertion, what is
the most
appropriate next step?
A construction worker falls Complete spine x-ray series
two stories from a building
and sustains bilateral
1/30
,4/26/25, 9:13
AM
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.
Which of the following is most
likely to confirm the
suspected diagnosis?
-Angiography
-Compartment pressures
-Retrograde urethrogram
-Doppler ultrasound studies
-Complete spine x-ray series
Which of the following is -Evidence of improved perfusion after fluid resuscitation could
TRUE regarding the initial include improvement in Glasgow Coma Scale score on
resuscitation of a trauma reevaluation
patient?
-A patient with a torso gunshot
wound and hypotension
should receive crystalloid
fluid resuscitation until the
blood pressure is normal
-Evidence of improved
perfusion after fluid
resuscitation could include
improvement in Glasgow
Coma Scale score on
reevaluation
-Massive transfusion is defined
as
transfusion of more than 10
units of packed red blood cells
and plasma within 24 hours
-When tranexamic acid is
administered by pre-hospital
providers, a second dose is
required within 24 hours
-Fluid resuscitation is far more
important
than bleeding control in trauma
patients
2/30
, 4/26/25, 9:13
AM
In managing a patient with a -Secure the airway
severe
traumatic brain injury, what is
the most important initial
step?
-Secure the airway
-Obtain a c-spine film
-Support the circulation
-Control scalp hemorrhage
-Determine the GCS score
A previously healthy, 70-kg An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
(154-pound) man suffers an
estimated acute blood loss of
2 liters. Which one of the
following statements
applies to this patient?
-His pulse pressure will be
widened
-His urinary output will be at
the lower limits of normal.
-He will have tachycardia, but
no change in his systolic
blood pressure.
-An ABG would demonstrate a
base deficit between -6 and -
10 mEq/L.
-His systolic blood
pressure will be
maintained with an
elevated diastolic
pressure.
How does the physiological -It increases the volume of blood loss to produce maternal
hypervolemia of pregnancy hypotension.
have clinical significance in
the management of the
severely injured,
gravid woman?
-It reduces the need for blood
transfusion.
-It results in an elevated
hematocrit.
-It complicates the
management of closed head
3/30
