ATLS PRACTICE TEST
2026-2027
Master Exam Prep Bundle
(Verified Questions & Answers)
A+ Grade Guaranteed
,In managing a patient with a severe traumatic brain injury, secure the airway
the most important initial step is to:
A previously healthy, 70-kg (154-pound) man suffers an An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
estimated acute blood loss of 2 liters. Which one of the
following statements applies to this patient?
The physiological hypervolemia of pregnancy has clinical increasing the volume of blood loss to produce maternal hypotension
significance in the management of the severely injured,
gravid woman by:
The best assessment of fluid resuscitation of the adult urinary output of 0.5 mL/kg/hr
burn patient is:
The diagnosis of shock must include: evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency direct pressure on the wound
department by his parents several minutes after he fell
through a window. He is bleeding profusely from a 6-cm
wound of his medial right thigh. Immediate management
of the wound should consist of:
For the patient with severe traumatic brain injury, cerebral vasoconstriction with diminished perfusion
profound hypocarbia should be avoided to prevent:
After being involved in a motor vehicle crash, a 25-year- perform an exploratory laparotomy
old man is brought to a hospital that has surgery
capabilities available.. Computed tomography of the
chest and abdomen shows an aortic injury and splenic
laceration with free abdominal fluid. His blood pressure
falls to 70 mm Hg after CT. The next step is:
Which one of the following statements regarding Leakage of amniotic fluid is an indication for hospital admission.
abdominal trauma in the pregnant patient is TRUE?
The first maneuver to improve oxygenation after chest administer supplemental oxygen
injury is:
,A 25-year-old man, injured in a motor vehicular crash, is 9
admitted to the emergency department. His pupils react
sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure;
however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
A 20-year-old woman who is at 32 weeks gestation, is perform needle or finger decompression of the right chest
stabbed in the upper right chest. In the emergency
department, her blood pressure is 80/60 mm Hg. She is
gasping for breath, extremely anxious, and yelling for
help. Breath sounds are diminished in the right chest. The
most appropriate first step is to:
Which one of the following findings in an adult is most respiratory rate of 40 breaths per minute
likely to require immediate management during the
primary survey?
The most important, immediate step in the management placement of an occlusive dressing over the wound
of an open pneumothorax is:
The following are contraindications for tetanus toxoid history of neurological reaction or severe hypersensitivity to the product
administration:
A 56-year-old man is thrown violently against the breath sounds
steering wheel of his truck during a motor vehicle crash.
On arrival in the emergency department he is diaphoretic
and complaining of chest pain. His blood pressure is
60/40 mm Hg and his respiratory rate is 40 breaths per
minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of
his hypotension?
Bronchial intubation of the right or left mainstem The trachea is relatively short.
bronchus can easily occur during infant endotracheal
intubation because:
A 23-year-old man sustains 4 stab wounds to the upper urgently transfer the patient to the operating room
right chest during an altercation and is brought by
ambulance to a hospital that has full surgical capabilities.
His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is performed, fluid
resuscitation is initiated through 2 large-caliber IVs. FAST
exam does not reveal intraabdominal injuries. His blood
pressure now is 60/0 mm Hg, heart rate is 160 beats per
minute, and respiratory rate is 14 breaths per minute
(ventilated with 100% O2). 1500 mL of blood has drained
from the right chest. The most appropriate next step in
managing this patient is to:
, A 39-year-old man is admitted to the emergency restrict cervical motion and attempt orotracheal intubation using 2 people
department after an automobile collision. He is cyanotic,
has insufficient respiratory effort, and has a GCS score of
6. His full beard makes it difficult to fit the oxygen
facemask to his face. The most appropriate next step is
to:
A patient is brought to the emergency department after a Flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
motor vehicle crash. He is conscious and there is no
obvious external trauma. He arrives at the hospital
completely immobilized on a long spine board. His blood
pressure is 60/40 mm Hg and his heart rate is 70 beats
per minute. His skin is warm. Which one of the following
statements is TRUE?
Which one of the following is the most effective method moist heat
for initially treating frostbite?
A 32-year-old man's right leg is trapped beneath his surgical consultation for right lower extremity fasciotomy
overturned car for nearly 2 hours before he is extricated.
On arrival in the emergency department, his right lower
extremity is cool, mottled, insensate, and motionless.
Despite normal vital signs, pulses cannot be palpated
below the right femoral artery and the muscles of the
lower extremity are firm and hard. During the
management of this patient, which of the following is
most likely to improve the chances for limb salvage?
A patient arrives in the emergency department after suction the oropharynx
being beaten about the head and face with a wooden
club. He is comatose and has a palpable depressed skull
fracture. His face is swollen and ecchymotic. He has
gurgling respirations and vomitus on his face and
clothing. The most appropriate step after providing
supplemental oxygen and elevating his jaw is to:
A 22-year-old man sustains a gunshot wound to the left repeat the primary survey and proceed with transfer
chest and is transported to a small community hospital no
surgical capabilities are available. In the emergency
department, a chest tube is inserted and 700 mL of blood
is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the
ambulance for transfer, his blood pressure decreases to
80/68 mm Hg and his heart rate increases to 136 beats
per minute. The next step should be to:
2026-2027
Master Exam Prep Bundle
(Verified Questions & Answers)
A+ Grade Guaranteed
,In managing a patient with a severe traumatic brain injury, secure the airway
the most important initial step is to:
A previously healthy, 70-kg (154-pound) man suffers an An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
estimated acute blood loss of 2 liters. Which one of the
following statements applies to this patient?
The physiological hypervolemia of pregnancy has clinical increasing the volume of blood loss to produce maternal hypotension
significance in the management of the severely injured,
gravid woman by:
The best assessment of fluid resuscitation of the adult urinary output of 0.5 mL/kg/hr
burn patient is:
The diagnosis of shock must include: evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency direct pressure on the wound
department by his parents several minutes after he fell
through a window. He is bleeding profusely from a 6-cm
wound of his medial right thigh. Immediate management
of the wound should consist of:
For the patient with severe traumatic brain injury, cerebral vasoconstriction with diminished perfusion
profound hypocarbia should be avoided to prevent:
After being involved in a motor vehicle crash, a 25-year- perform an exploratory laparotomy
old man is brought to a hospital that has surgery
capabilities available.. Computed tomography of the
chest and abdomen shows an aortic injury and splenic
laceration with free abdominal fluid. His blood pressure
falls to 70 mm Hg after CT. The next step is:
Which one of the following statements regarding Leakage of amniotic fluid is an indication for hospital admission.
abdominal trauma in the pregnant patient is TRUE?
The first maneuver to improve oxygenation after chest administer supplemental oxygen
injury is:
,A 25-year-old man, injured in a motor vehicular crash, is 9
admitted to the emergency department. His pupils react
sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure;
however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
A 20-year-old woman who is at 32 weeks gestation, is perform needle or finger decompression of the right chest
stabbed in the upper right chest. In the emergency
department, her blood pressure is 80/60 mm Hg. She is
gasping for breath, extremely anxious, and yelling for
help. Breath sounds are diminished in the right chest. The
most appropriate first step is to:
Which one of the following findings in an adult is most respiratory rate of 40 breaths per minute
likely to require immediate management during the
primary survey?
The most important, immediate step in the management placement of an occlusive dressing over the wound
of an open pneumothorax is:
The following are contraindications for tetanus toxoid history of neurological reaction or severe hypersensitivity to the product
administration:
A 56-year-old man is thrown violently against the breath sounds
steering wheel of his truck during a motor vehicle crash.
On arrival in the emergency department he is diaphoretic
and complaining of chest pain. His blood pressure is
60/40 mm Hg and his respiratory rate is 40 breaths per
minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of
his hypotension?
Bronchial intubation of the right or left mainstem The trachea is relatively short.
bronchus can easily occur during infant endotracheal
intubation because:
A 23-year-old man sustains 4 stab wounds to the upper urgently transfer the patient to the operating room
right chest during an altercation and is brought by
ambulance to a hospital that has full surgical capabilities.
His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is performed, fluid
resuscitation is initiated through 2 large-caliber IVs. FAST
exam does not reveal intraabdominal injuries. His blood
pressure now is 60/0 mm Hg, heart rate is 160 beats per
minute, and respiratory rate is 14 breaths per minute
(ventilated with 100% O2). 1500 mL of blood has drained
from the right chest. The most appropriate next step in
managing this patient is to:
, A 39-year-old man is admitted to the emergency restrict cervical motion and attempt orotracheal intubation using 2 people
department after an automobile collision. He is cyanotic,
has insufficient respiratory effort, and has a GCS score of
6. His full beard makes it difficult to fit the oxygen
facemask to his face. The most appropriate next step is
to:
A patient is brought to the emergency department after a Flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
motor vehicle crash. He is conscious and there is no
obvious external trauma. He arrives at the hospital
completely immobilized on a long spine board. His blood
pressure is 60/40 mm Hg and his heart rate is 70 beats
per minute. His skin is warm. Which one of the following
statements is TRUE?
Which one of the following is the most effective method moist heat
for initially treating frostbite?
A 32-year-old man's right leg is trapped beneath his surgical consultation for right lower extremity fasciotomy
overturned car for nearly 2 hours before he is extricated.
On arrival in the emergency department, his right lower
extremity is cool, mottled, insensate, and motionless.
Despite normal vital signs, pulses cannot be palpated
below the right femoral artery and the muscles of the
lower extremity are firm and hard. During the
management of this patient, which of the following is
most likely to improve the chances for limb salvage?
A patient arrives in the emergency department after suction the oropharynx
being beaten about the head and face with a wooden
club. He is comatose and has a palpable depressed skull
fracture. His face is swollen and ecchymotic. He has
gurgling respirations and vomitus on his face and
clothing. The most appropriate step after providing
supplemental oxygen and elevating his jaw is to:
A 22-year-old man sustains a gunshot wound to the left repeat the primary survey and proceed with transfer
chest and is transported to a small community hospital no
surgical capabilities are available. In the emergency
department, a chest tube is inserted and 700 mL of blood
is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the
ambulance for transfer, his blood pressure decreases to
80/68 mm Hg and his heart rate increases to 136 beats
per minute. The next step should be to:
