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ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS) | Latest Update $18.28   Add to cart

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ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS) | Latest Update

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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 initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 b...

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  • November 14, 2024
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  • 2024/2025
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ATLS PRACTICE TEST 2024-2025 ACTUAL
EXAM 250 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS)
| Latest Update
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 initial fluid resuscitation 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. A tube thoracostomy is performed for decreased

left chest 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:

✓ re-examine the chest



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:

✓ complete spine x-ray series



Which of the following is true regarding the initial resuscitation of a trauma patient?

✓ Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgow Coma Scale score on reevaluation.



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In managing a patient with a severe traumatic brain injury, the most important initial step is to:

✓ 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?

✓ An ABG would demonstrate a base deficit between -6 and -10 mEq/L.



The physiological hypervolemia of pregnancy has clinical significance in the management of

the severely injured, gravid woman by:

✓ increasing the volume of blood loss to produce maternal hypotension



The best assessment of fluid resuscitation of the adult burn patient is:

✓ urinary output of 0.5 mL/kg/hr



The diagnosis of shock must include:

✓ 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:

✓ direct pressure on the wound




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For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to

prevent:

✓ cerebral vasoconstriction with diminished perfusion



After being involved in a motor vehicle crash, a 25-year-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:

✓ perform an exploratory laparotomy



Which one of the following statements regarding abdominal trauma in the pregnant patient is

TRUE?

✓ Leakage of amniotic fluid is an indication for hospital admission.



The first maneuver to improve oxygenation after chest injury is:

✓ administer supplemental oxygen



A 25-year-old man, injured in a motor vehicular crash, is 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:

✓ 9



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A 20-year-old woman who is at 32 weeks gestation, is 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:

✓ perform needle or finger decompression of the right chest



Which one of the following findings in an adult is most likely to require immediate

management during the primary survey?

✓ respiratory rate of 40 breaths per minute



The most important, immediate step in the management of an open pneumothorax is:

✓ placement of an occlusive dressing over the wound



The following are contraindications for tetanus toxoid administration:

✓ history of neurological reaction or severe hypersensitivity to the product



A 56-year-old man is thrown violently against the 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?

✓ breath sounds




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