ATLS Practice Exam Questions with
100% Verified Answers Latest
Versions 2025 Top Rated A+
What is often caused by carotid massage?
Bradycardia
Step in a patient diagnosed with tension pneumothorax
1. Needle decompression/ thoracotomy
2. Chest tube
True statements regarding diaphragmatic injuries
-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
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
D. Hemothorax
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
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
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?
External jugular vein
Clinical features associated with tension pneumothorax
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
A. Bag and mask
What is the next step in the assessment of a traumatic
patient after airway is established?
Breathing
Blood group that is considered a universal donor
O
A provider is examining a patient who sustained a severe
traumatic head injury. He documents no Doll's eyes. What
does this signify?
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
Subclavian veins
Dermatome level for nipple sensation
Dermatome level for umbilicus
T4
T10
At which temperature would a hypothermic patient stop
shivering?
88 degrees F
What is the energy recommendation for the first defibrillation
in an adult (*)
300 J
Pharmacologic effects of Morphine
Behavioral changes
Analgesia
, Respiratory depression
NOT diarrhea
A patient with which condition should be triaged to receive
medical attention first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting
A. Choking
For pediatric patients, what volume of fluid resuscitation
should be given initially in the setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate
D. 10 to 20 mL/kg of Ringers lactate
A patient is found unconscious after a fire in his bedroom.
He is found to have severe burns around his face. What is
the first aspect of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work
C. Airway
Basilar skull fracture
PE: raccoon eyes, battle sign, CSF ottorrhea (rhinorrhea),
loculated pneumoencephalocele
Bone MC involved = Temporal
A patient with von Willebrand disease is bleeding after
sustaining a knife wound. Which of the following is most
appropriate for the treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
100% Verified Answers Latest
Versions 2025 Top Rated A+
What is often caused by carotid massage?
Bradycardia
Step in a patient diagnosed with tension pneumothorax
1. Needle decompression/ thoracotomy
2. Chest tube
True statements regarding diaphragmatic injuries
-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
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
D. Hemothorax
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
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
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?
External jugular vein
Clinical features associated with tension pneumothorax
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
A. Bag and mask
What is the next step in the assessment of a traumatic
patient after airway is established?
Breathing
Blood group that is considered a universal donor
O
A provider is examining a patient who sustained a severe
traumatic head injury. He documents no Doll's eyes. What
does this signify?
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
Subclavian veins
Dermatome level for nipple sensation
Dermatome level for umbilicus
T4
T10
At which temperature would a hypothermic patient stop
shivering?
88 degrees F
What is the energy recommendation for the first defibrillation
in an adult (*)
300 J
Pharmacologic effects of Morphine
Behavioral changes
Analgesia
, Respiratory depression
NOT diarrhea
A patient with which condition should be triaged to receive
medical attention first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting
A. Choking
For pediatric patients, what volume of fluid resuscitation
should be given initially in the setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate
D. 10 to 20 mL/kg of Ringers lactate
A patient is found unconscious after a fire in his bedroom.
He is found to have severe burns around his face. What is
the first aspect of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work
C. Airway
Basilar skull fracture
PE: raccoon eyes, battle sign, CSF ottorrhea (rhinorrhea),
loculated pneumoencephalocele
Bone MC involved = Temporal
A patient with von Willebrand disease is bleeding after
sustaining a knife wound. Which of the following is most
appropriate for the treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
