1|P a g e
ATLS POST-TEST EXAM|| ACTUAL EXAM ALL
QUESTIONS AND 100% QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE UPDATE 2026-2027
WITH VERIFIED SOLUTIONS|| ASSURED PASS
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid
solution 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. His breath
sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation,
a closed tube thoracostomy is performed for decreased left breath sounds with the
return of a small amount of blood and no air leak. After chest tube insertion, the
most appropriate next step is:
a) reexamine the chest.
b) perform an aortogram.
c) obtain a CT scan of the chest.
d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
Which one of the following physical findings suggests a cause of hypotension
other than spinal cord injury?
a) priapism.
b) bradycardia.
c) diaphragmatic breathing.
d) presence of deep tendon reflexes. - ANSWER: d) presence of deep tendon
reflexes.
,A construction worker falls two stories from a building and sustains bilateral
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. The suspected
diagnosis is most likely to be confirmed by:
a) compartment pressures
b) retrograde urethrogram
c) Doppler-ultrasound studies
d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
In managing the head-injured patient, the most important initial step is to:
a) obtain c-spine film.
b) secure the airway.
c) support the circulation.
d) control scalp hemorrhage. - ANSWER: b) secure the airway.
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss
of 2 liters. Which one of the following statements applies to this patient?
a) His pulse pressure will be widened.
b) His urinary output will be at the lower limits of normal.
c) He will have tachycardia, but no change in his systolic blood pressure.
d) His systolic blood pressure will be decreased with a narrowed pulse
pressure. - ANSWER: d) His systolic blood pressure will be decreased with a
narrowed pulse pressure.
,The physiologic hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by:
a) reducing the need for blood transfusion.
b) increasing the risk of pulmonary edema.
c) increasing the volume of blood loss to produce maternal hypotension.
d) complicating the mangement of closed head injury. - ANSWER: c)
increasing the volume of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the burn patient is:
a) adequate urinary output.
b) reversal of systemic acidosis.
c) normalization of the heart rate.
d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
The diagnosis of shock must include:
a) increased vascular resistance.
b) evidence of inadequate organ perfusion.
c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion.
A 7-year-old boy is brought to the emergency 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:
, a) application of a tourniquet.
b) direct pressure on the wound.
c) packing the wound with gauze.
d) direct pressure on the femoral artery at the groin. - ANSWER: b) direct
pressure on the wound.
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
a) respiratory acidosis.
b) metabolic acidosis.
c) cerebral vasoconstriction with diminished perfusion.
d) neurogenic pulmonary edema. - ANSWER: c) cerebral vasoconstriction
with diminished perfusion.
A 25-year-old man is brought to a hospital with a general surgeon after being
involved in a motor vehicle crash. Computed tomography 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:
a) contrast angiography.
b) transfer to a higher level trauma center.
c) exploratory laparotomy.
d) infuse additional crystalloids. - ANSWER: c) exploratory laparotomy.
Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE?
ATLS POST-TEST EXAM|| ACTUAL EXAM ALL
QUESTIONS AND 100% QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE UPDATE 2026-2027
WITH VERIFIED SOLUTIONS|| ASSURED PASS
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid
solution 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. His breath
sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation,
a closed tube thoracostomy is performed for decreased left breath sounds with the
return of a small amount of blood and no air leak. After chest tube insertion, the
most appropriate next step is:
a) reexamine the chest.
b) perform an aortogram.
c) obtain a CT scan of the chest.
d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
Which one of the following physical findings suggests a cause of hypotension
other than spinal cord injury?
a) priapism.
b) bradycardia.
c) diaphragmatic breathing.
d) presence of deep tendon reflexes. - ANSWER: d) presence of deep tendon
reflexes.
,A construction worker falls two stories from a building and sustains bilateral
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. The suspected
diagnosis is most likely to be confirmed by:
a) compartment pressures
b) retrograde urethrogram
c) Doppler-ultrasound studies
d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
In managing the head-injured patient, the most important initial step is to:
a) obtain c-spine film.
b) secure the airway.
c) support the circulation.
d) control scalp hemorrhage. - ANSWER: b) secure the airway.
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss
of 2 liters. Which one of the following statements applies to this patient?
a) His pulse pressure will be widened.
b) His urinary output will be at the lower limits of normal.
c) He will have tachycardia, but no change in his systolic blood pressure.
d) His systolic blood pressure will be decreased with a narrowed pulse
pressure. - ANSWER: d) His systolic blood pressure will be decreased with a
narrowed pulse pressure.
,The physiologic hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by:
a) reducing the need for blood transfusion.
b) increasing the risk of pulmonary edema.
c) increasing the volume of blood loss to produce maternal hypotension.
d) complicating the mangement of closed head injury. - ANSWER: c)
increasing the volume of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the burn patient is:
a) adequate urinary output.
b) reversal of systemic acidosis.
c) normalization of the heart rate.
d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
The diagnosis of shock must include:
a) increased vascular resistance.
b) evidence of inadequate organ perfusion.
c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion.
A 7-year-old boy is brought to the emergency 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:
, a) application of a tourniquet.
b) direct pressure on the wound.
c) packing the wound with gauze.
d) direct pressure on the femoral artery at the groin. - ANSWER: b) direct
pressure on the wound.
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
a) respiratory acidosis.
b) metabolic acidosis.
c) cerebral vasoconstriction with diminished perfusion.
d) neurogenic pulmonary edema. - ANSWER: c) cerebral vasoconstriction
with diminished perfusion.
A 25-year-old man is brought to a hospital with a general surgeon after being
involved in a motor vehicle crash. Computed tomography 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:
a) contrast angiography.
b) transfer to a higher level trauma center.
c) exploratory laparotomy.
d) infuse additional crystalloids. - ANSWER: c) exploratory laparotomy.
Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE?
