ATLS PRACTICE TEST ACTUAL EXAM 250 QUESTIONS (100% VERIFIED ANSWERS),

ATLS PRACTICE TEST 2025-2026 ACTUAL |\ |\ |\ |\




EXAM 250 QUESTIONS (100% VERIFIED
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ANSWERS)

A 22-year-old man is hypotensive and tachycardic after a shotgun
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wound to the left shoulder. His blood pressure is initially 80/40
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mm Hg. After initial fluid resuscitation his blood pressure
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increases to 122/84 mm Hg. His heart rate is now 100 beats per
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minute and his respiratory rate is 28 breaths per minute. A tube
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thoracostomy is performed for decreased left chest breath |\ |\ |\ |\ |\ |\ |\ |\


sounds with the return of a small amount of blood and no air
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leak. After chest tube insertion, the most appropriate next step
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is: - CORRECT ANSWERS ✔✔re-examine the chest
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A construction worker falls two stories from a building and
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sustains bilateral calcaneal fractures. In the emergency
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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
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deformity. The suspected diagnosis is most likely to be confirmed
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by: - CORRECT ANSWERS ✔✔complete spine x-ray series
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Which of the following is true regarding the initial resuscitation of
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a trauma patient? - CORRECT ANSWERS ✔✔Evidence of
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improved perfusion after fluid resuscitation could include
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improvement in Glasgow Coma Scale score on reevaluation. |\ |\ |\ |\ |\ |\ |\

,In managing a patient with a severe traumatic brain injury, the
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most important initial step is to: - CORRECT ANSWERS ✔✔secure
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the airway |\




A previously healthy, 70-kg (154-pound) man suffers an
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estimated acute blood loss of 2 liters. Which one of the following
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statements applies to this patient? - CORRECT ANSWERS ✔✔An |\ |\ |\ |\ |\ |\ |\ |\ |\


ABG would demonstrate a base deficit between -6 and -10
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mEq/L.
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The physiological hypervolemia of pregnancy has clinical
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significance in the management of the severely injured, gravid |\ |\ |\ |\ |\ |\ |\ |\ |\


woman by: - CORRECT ANSWERS ✔✔increasing the volume of
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blood loss to produce maternal hypotension
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The best assessment of fluid resuscitation of the adult burn
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patient is: - CORRECT ANSWERS ✔✔urinary output of 0.5
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mL/kg/hr
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The diagnosis of shock must include: - CORRECT ANSWERS
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✔✔evidence of inadequate organ perfusion |\ |\ |\ |\




A 7-year-old boy is brought to the emergency department by his
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parents several minutes after he fell through a window. He is
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bleeding profusely from a 6-cm wound of his medial right thigh.
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Immediate management of the wound should consist of: - |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔direct pressure on the wound |\ |\ |\ |\ |\ |\

,For the patient with severe traumatic brain injury, profound
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hypocarbia should be avoided to prevent: - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔cerebral vasoconstriction with diminished perfusion |\ |\ |\ |\




After being involved in a motor vehicle crash, a 25-year-old man
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is brought to a hospital that has surgery capabilities available..
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Computed tomography of the chest and abdomen shows an |\ |\ |\ |\ |\ |\ |\ |\ |\


aortic injury and splenic laceration with free abdominal fluid. His
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blood pressure falls to 70 mm Hg after CT. The next step is: -
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CORRECT ANSWERS ✔✔perform an exploratory laparotomy |\ |\ |\ |\ |\




Which one of the following statements regarding abdominal
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trauma in the pregnant patient is TRUE? - CORRECT ANSWERS
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✔✔Leakage of amniotic fluid is an indication for hospital |\ |\ |\ |\ |\ |\ |\ |\ |\


admission.


The first maneuver to improve oxygenation after chest injury is: -
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CORRECT ANSWERS ✔✔administer supplemental oxygen
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A 25-year-old man, injured in a motor vehicular crash, is admitted
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to the emergency department. His pupils react sluggishly and his
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eyes open to pressure. He does not follow commands, but he
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does moan periodically. His right arm is deformed and does not
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respond to pressure; however, his left hand reaches purposefully
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toward the stimulus. Both legs are stiffly extended. His GCS score
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is: - CORRECT ANSWERS ✔✔9
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A 20-year-old woman who is at 32 weeks gestation, is stabbed in
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the upper right chest. In the emergency department, her blood
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pressure is 80/60 mm Hg. She is gasping for breath, extremely
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, anxious, and yelling for help. Breath sounds are diminished in the
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right chest. The most appropriate first step is to: - CORRECT
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ANSWERS ✔✔perform needle or finger decompression of the right
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chest
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Which one of the following findings in an adult is most likely to
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require immediate management during the primary survey? -
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CORRECT ANSWERS ✔✔respiratory rate of 40 breaths per minute
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The most important, immediate step in the management of an
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open pneumothorax is: - CORRECT ANSWERS ✔✔placement of an
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occlusive dressing over the wound
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The following are contraindications for tetanus toxoid
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administration: - CORRECT ANSWERS ✔✔history of neurological |\ |\ |\ |\ |\ |\ |\


reaction or severe hypersensitivity to the product
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A 56-year-old man is thrown violently against the steering wheel
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of his truck during a motor vehicle crash. On arrival in the
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emergency department he is diaphoretic and complaining of |\ |\ |\ |\ |\ |\ |\ |\


chest pain. His blood pressure is 60/40 mm Hg and his
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respiratory rate is 40 breaths per minute. Which of the following
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best differentiates cardiac tamponade from tension
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pneumothorax as the cause of his hypotension? - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔breath sounds |\ |\




Bronchial intubation of the right or left mainstem bronchus can
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easily occur during infant endotracheal intubation because: -
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CORRECT ANSWERS ✔✔The trachea is relatively short. |\ |\ |\ |\ |\ |\