ATLS POST TEST 4 LATEST VERSIONS,
EXAMS QUESTIONS AND ANSWERS, A+
GUIDE LATEST 2024-2025
"
"The most effective method of monitoring the success of resuscitation during CPR? - CORRECT ANSWER
Reactivity of pupils to light"
"Used to ensure correct placement of endotracheal tube - CORRECT ANSWER -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2"
"Total body surface area involved in a burn in an adult to the anterior chest and abdomen - CORRECT
ANSWER 18%"
"What is often caused by carotid massage? - CORRECT ANSWER Bradycardia"
"Step in a patient diagnosed with tension pneumothorax - CORRECT ANSWER 1. Needle decompression/
thoracotomy
2. Chest tube"
"True statements regarding diaphragmatic injuries - CORRECT ANSWER -Blunt diaphragmatic injuries
are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material"
"First priority in the treatment of an unconscious patient - CORRECT ANSWER Checking the pulse"
"A patient involved in a road accident is brought to the emergency department in an unconscious state.
On arrival, her vitals show a temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths per
minute, a heart rate of 140 beats per minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering,
and perspiring profusely. She has bilateral reactive pupils but she does not respond to pain. On physical
examination, she has no obvious sign of external bleeding. Which of the following cannot be the cause of
hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
1|Page
,D. Hemothorax - CORRECT ANSWER C. Intracranial hemorrhage"
"A patient suffered a slash to his right neck. The wound is over the mid-portion of the
sternocleidomastoid. There is a large hematoma and brisk bleeding when uncovered. He is stable. What
is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - CORRECT ANSWER C. Take him to the OR"
"After abdominal injury, which of the following urinalysis findings would be an indication for further
testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - CORRECT ANSWER D. Gross hematuria"
"A laceration of the neck superficial to the deep cervical fascia along the sternocleidomastoid muscle at
its midpoint would cause bleeding from which structure? - CORRECT ANSWER External jugular vein"
"Clinical features associated with tension pneumothorax - CORRECT ANSWER Unilateral decrease in
breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds"
"Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - CORRECT ANSWER A. Bag and mask"
"What does a carotid pulse indicate?
A. A functioning pump for blood flow
B. The circulating blood volume is reaching end organs
C. Diastolic blood pressure
D. None of the above - CORRECT ANSWER B. The circulating blood volume is reaching end organs"
2|Page
,"In a 66 year old intubated, comatose patient, what is one of the most important information that one
needs to obtain?
A. Organ donation status
B. Power of attorney
C. Lawyer
D. Driver's license - CORRECT ANSWER B. Power of attorney"
"Prior to tracheobronchial suctioning, the patient should receive:
A. 5cc normal saline lavage
B. Be placed on NPO status
C. 100% oxygen prior to suctioning
D. Versed 1 mg/mL - CORRECT ANSWER C. 100% oxygen prior to suctioning"
"Most common Emergency Medical Services pediatric calls - CORRECT ANSWER -Seizures
-Respiratory problems
-Trauma"
"First parameter to change in patient's with hypovolemic shock?
A. Systolic blood pressure
B. Pulse rate
C. Respiratory rate
D. Skin vasoconstriction - CORRECT ANSWER B. Pulse rate"
"Laryngeal mask is usually seated over the which structure?
A. Tonsils
B. Esophagus
C. Vallecula
D. Pyriform fossa - CORRECT ANSWER D. Pyriform fossa"
"Normal adult respiratory rate - CORRECT ANSWER 12-20 breaths per minute"
"A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was
complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the NG tube and IV
sites. Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - CORRECT ANSWER D. Transfusion reaction"
"Skin antiseptic - CORRECT ANSWER -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections"
3|Page
, "Class IV hemorrhage indicates what % blood loss - CORRECT ANSWER 55%"
"How does shivering affect body temperature - CORRECT ANSWER Increases body temperature"
"Class III hemorrhage indicates what % of blood loss - CORRECT ANSWER 35%"
"Management of a stable patient with kidney contusion - CORRECT ANSWER Observation"
"Associated with hypovolemic shock - CORRECT ANSWER -Inadequate tissue perfusion with resultant
tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
"What is the next step in the assessment of a traumatic patient after airway is established? - CORRECT
ANSWER Breathing"
"Blood group that is considered a universal donor - CORRECT ANSWER O"
"A provider is examining a patient who sustained a severe traumatic head injury. He documents no Doll's
eyes. What does this signify? - CORRECT ANSWER Brainstem injury"
"Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein - CORRECT ANSWER Subclavian veins"
"Dermatome level for nipple sensation
Dermatome level for umbilicus - CORRECT ANSWER T4
T10"
"At which temperature would a hypothermic patient stop shivering? - CORRECT ANSWER 88 degrees F"
"What is the energy recommendation for the first defibrillation in an adult (*) - CORRECT ANSWER 300
J"
"Pharmacologic effects of Morphine - CORRECT ANSWER Behavioral changes
4|Page
EXAMS QUESTIONS AND ANSWERS, A+
GUIDE LATEST 2024-2025
"
"The most effective method of monitoring the success of resuscitation during CPR? - CORRECT ANSWER
Reactivity of pupils to light"
"Used to ensure correct placement of endotracheal tube - CORRECT ANSWER -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2"
"Total body surface area involved in a burn in an adult to the anterior chest and abdomen - CORRECT
ANSWER 18%"
"What is often caused by carotid massage? - CORRECT ANSWER Bradycardia"
"Step in a patient diagnosed with tension pneumothorax - CORRECT ANSWER 1. Needle decompression/
thoracotomy
2. Chest tube"
"True statements regarding diaphragmatic injuries - CORRECT ANSWER -Blunt diaphragmatic injuries
are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material"
"First priority in the treatment of an unconscious patient - CORRECT ANSWER Checking the pulse"
"A patient involved in a road accident is brought to the emergency department in an unconscious state.
On arrival, her vitals show a temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths per
minute, a heart rate of 140 beats per minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering,
and perspiring profusely. She has bilateral reactive pupils but she does not respond to pain. On physical
examination, she has no obvious sign of external bleeding. Which of the following cannot be the cause of
hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
1|Page
,D. Hemothorax - CORRECT ANSWER C. Intracranial hemorrhage"
"A patient suffered a slash to his right neck. The wound is over the mid-portion of the
sternocleidomastoid. There is a large hematoma and brisk bleeding when uncovered. He is stable. What
is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - CORRECT ANSWER C. Take him to the OR"
"After abdominal injury, which of the following urinalysis findings would be an indication for further
testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - CORRECT ANSWER D. Gross hematuria"
"A laceration of the neck superficial to the deep cervical fascia along the sternocleidomastoid muscle at
its midpoint would cause bleeding from which structure? - CORRECT ANSWER External jugular vein"
"Clinical features associated with tension pneumothorax - CORRECT ANSWER Unilateral decrease in
breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds"
"Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - CORRECT ANSWER A. Bag and mask"
"What does a carotid pulse indicate?
A. A functioning pump for blood flow
B. The circulating blood volume is reaching end organs
C. Diastolic blood pressure
D. None of the above - CORRECT ANSWER B. The circulating blood volume is reaching end organs"
2|Page
,"In a 66 year old intubated, comatose patient, what is one of the most important information that one
needs to obtain?
A. Organ donation status
B. Power of attorney
C. Lawyer
D. Driver's license - CORRECT ANSWER B. Power of attorney"
"Prior to tracheobronchial suctioning, the patient should receive:
A. 5cc normal saline lavage
B. Be placed on NPO status
C. 100% oxygen prior to suctioning
D. Versed 1 mg/mL - CORRECT ANSWER C. 100% oxygen prior to suctioning"
"Most common Emergency Medical Services pediatric calls - CORRECT ANSWER -Seizures
-Respiratory problems
-Trauma"
"First parameter to change in patient's with hypovolemic shock?
A. Systolic blood pressure
B. Pulse rate
C. Respiratory rate
D. Skin vasoconstriction - CORRECT ANSWER B. Pulse rate"
"Laryngeal mask is usually seated over the which structure?
A. Tonsils
B. Esophagus
C. Vallecula
D. Pyriform fossa - CORRECT ANSWER D. Pyriform fossa"
"Normal adult respiratory rate - CORRECT ANSWER 12-20 breaths per minute"
"A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was
complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the NG tube and IV
sites. Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - CORRECT ANSWER D. Transfusion reaction"
"Skin antiseptic - CORRECT ANSWER -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections"
3|Page
, "Class IV hemorrhage indicates what % blood loss - CORRECT ANSWER 55%"
"How does shivering affect body temperature - CORRECT ANSWER Increases body temperature"
"Class III hemorrhage indicates what % of blood loss - CORRECT ANSWER 35%"
"Management of a stable patient with kidney contusion - CORRECT ANSWER Observation"
"Associated with hypovolemic shock - CORRECT ANSWER -Inadequate tissue perfusion with resultant
tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
"What is the next step in the assessment of a traumatic patient after airway is established? - CORRECT
ANSWER Breathing"
"Blood group that is considered a universal donor - CORRECT ANSWER O"
"A provider is examining a patient who sustained a severe traumatic head injury. He documents no Doll's
eyes. What does this signify? - CORRECT ANSWER Brainstem injury"
"Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein - CORRECT ANSWER Subclavian veins"
"Dermatome level for nipple sensation
Dermatome level for umbilicus - CORRECT ANSWER T4
T10"
"At which temperature would a hypothermic patient stop shivering? - CORRECT ANSWER 88 degrees F"
"What is the energy recommendation for the first defibrillation in an adult (*) - CORRECT ANSWER 300
J"
"Pharmacologic effects of Morphine - CORRECT ANSWER Behavioral changes
4|Page
