OBJECTIVE ASSESSMENT - EXAM
ATLS 10th Edition Post Test
Actual Questions & Answers
(Verified Answers) 2026/2027
Update, 100% Guaranteed Score
Pass || Complete A+ Guide
Certification Exam
50 100% 2026
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Primary Survey & ABCDE Approach Airway Adjuncts & Definitive Airways
Hemorrhagic Shock & Fluid Resuscitation Thoracic Injury Recognition & Management
Abdominal Trauma Assessment & InterventionTraumatic Brain Injury & Spinal Cord Protection
COVER PAGE - 1
, SECTION 1 | Initial Assessment & Primary Survey | Q1-Q9 | ATLS 10th Edition Post Test Actual Questions & Answers
Q1 Question 1 of 50
A 34-year-old male construction worker is brought to the ED after falling 15 feet from
a scaffold. He is alert but anxious. His initial vital signs are HR 110, BP 100/70, RR 24,
SpO2 94% on room air. During the primary survey, you note a 2 cm laceration on his
forehead with active bleeding and tenderness over the left upper quadrant. What is
the most appropriate next step in management?
A. Obtain a CT scan of the abdomen to evaluate for splenic injury
B. Apply direct pressure to the forehead laceration and continue the primary survey
C. Insert a nasogastric tube to decompress the stomach
D. Administer 2 liters of crystalloid fluid bolus immediately
Correct Answer: B
B. Apply direct pressure to the forehead laceration and continue the primary survey
Rationale:
The primary survey follows a systematic ABCDE approach and must not be interrupted by individual injuries.
Life-threatening hemorrhage control is part of the primary survey (C in circulation). Direct pressure addresses
the bleeding while allowing completion of the survey. CT imaging and fluid bolus are secondary survey
interventions, and nasogastric tube placement is not a priority in the primary survey.
Q2 Question 2 of 50
A 28-year-old motorcyclist is brought in after a high-speed collision. He is
unconscious with a GCS of 7. His airway is patent but he has gurgling respirations.
HR 130, BP 80/50. During the primary survey, which intervention takes highest
priority?
A. Obtain a chest X-ray to evaluate for pneumothorax
B. Establish large-bore IV access and begin fluid resuscitation
C. Perform endotracheal intubation for airway protection
D. Apply a cervical collar for spinal immobilization
Correct Answer: C
C. Perform endotracheal intubation for airway protection
Rationale:
In the ATLS primary survey, airway management always takes precedence. An unconscious patient with a
GCS of 7 and gurgling respirations is at immediate risk of airway obstruction and aspiration. Endotracheal
intubation secures the airway before addressing breathing, circulation, or disability. Cervical immobilization is
maintained during intubation but does not supersede airway control.
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, SECTION 1 | Initial Assessment & Primary Survey | Q1-Q9 | ATLS 10th Edition Post Test Actual Questions & Answers
Q3 Question 3 of 50
A 45-year-old woman is involved in a motor vehicle collision. She is awake and
oriented. Her vital signs are HR 95, BP 130/80, RR 18, SpO2 98%. During the primary
survey, you note bilateral breath sounds and a palpable radial pulse. Which
component of the primary survey should be addressed next?
A. Exposure and environmental control
B. Disability (neurologic assessment)
C. Circulation with hemorrhage control
D. Breathing and ventilation
Correct Answer: B
B. Disability (neurologic assessment)
Rationale:
The primary survey follows the ABCDE sequence. With a patent airway (A), bilateral breath sounds (B), and
palpable radial pulse indicating adequate circulation (C), the next step is Disability (D) - neurologic assessment
including GCS and pupillary examination. Exposure (E) follows after disability assessment is complete.
Q4 Question 4 of 50
A 62-year-old man is brought to the trauma bay after being struck by a car. He is
confused but follows commands. His vital signs are HR 120, BP 90/60, RR 28, SpO2
92%. You note distended neck veins and muffled heart sounds. Which finding during
the primary survey is most critical to address immediately?
A. The patient's confusion indicates a traumatic brain injury
B. The vital signs suggest tension pneumothorax requiring needle decompression
C. The combination of hypotension, tachycardia, and muffled heart sounds suggests cardiac
tamponade
D. The low oxygen saturation requires immediate intubation
Correct Answer: C
C. The combination of hypotension, tachycardia, and muffled heart sounds suggests cardiac tamponade
Rationale:
Beck's triad (hypotension, distended neck veins, muffled heart sounds) is pathognomonic for cardiac
tamponade, a life-threatening condition requiring immediate pericardiocentesis or thoracotomy. While
confusion and hypoxemia are concerning, cardiac tamponade causes obstructive shock and will rapidly lead to
cardiac arrest if not addressed. Tension pneumothorax would present with unilateral absent breath sounds
and tracheal deviation.
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