ATLS PRACTICE TEST 2024-2025 ACTUAL EXAM
250 REAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS)
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: - ✔✔ANSWER✔✔->>>>>>>>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: - ✔✔ANSWER✔✔->>>>>>>>complete
spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma
patient? - ✔✔ANSWER✔✔->>>>>>>>Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe traumatic brain injury, the most important
initial step is to: - ✔✔ANSWER✔✔->>>>>>>>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? -
✔✔ANSWER✔✔->>>>>>>>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: - ✔✔ANSWER✔✔-
>>>>>>>>increasing the volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is: -
✔✔ANSWER✔✔->>>>>>>>urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ✔✔ANSWER✔✔->>>>>>>>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: - ✔✔ANSWER✔✔->>>>>>>>direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent: - ✔✔ANSWER✔✔->>>>>>>>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: -
✔✔ANSWER✔✔->>>>>>>>perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE? - ✔✔ANSWER✔✔->>>>>>>>Leakage of amniotic fluid is
an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is: -
✔✔ANSWER✔✔->>>>>>>>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: -
✔✔ANSWER✔✔->>>>>>>>9
, 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: -
✔✔ANSWER✔✔->>>>>>>>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? - ✔✔ANSWER✔✔->>>>>>>>respiratory
rate of 40 breaths per minute
The most important, immediate step in the management of an open
pneumothorax is: - ✔✔ANSWER✔✔->>>>>>>>placement of an occlusive dressing
over the wound
The following are contraindications for tetanus toxoid administration: -
✔✔ANSWER✔✔->>>>>>>>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? - ✔✔ANSWER✔✔->>>>>>>>breath sounds
A provider is examining a patient who sustained a severe traumatic head injury.
He documents no Doll's eyes. What does this signify? - ✔✔ANSWER✔✔-
>>>>>>>>Brainstem injury
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