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ATLS Practice QUESTIONS AND ANSWERS A+ GRADED 100% VERIFIED 2025/2026
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ATLS Practice QUESTIONS AND ANSWERS A+ GRADED 100% VERIFIED 2025/2026
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ATLS Practice1. A 16 year old girl is rescued from a burning house. She has 25% partial thickness
burns, and the burned areas are hot to the touch. What is the appropriate treatment?
2. A. Apply ice to burned areas until cool to touch
3. B. Apply clean water to burned areas for up to 1-2 minutes
4. C. Apply iced water to burned areas until cool to touch
5. D. Do not apply anything to burned areas other than clean sheets - ANS-B. Apply
clean water to burned areas for up to 1-2 minutes
6. A 23 year old female has won the
"Let's-see-who-can-lean-the-farthest-backward-over-
the-second-story-balcony-railing contest. You arrive to find her boyfriend standing
over her, holding two beers, as she lies on the grass under the balcony. She opens
her eyes to voice, her skin is cool, clammy and ashen, respirations are rapid and
shallow, radial pulses are too rapid to count and thready. There is no external
bleeding. She has flat neck veins, a normal chest and abdomen and pelvis. Her
boyfriend tells you that she has some kind of heart problem but he doesn't know
what. Placed on the monitor, she shows a wide-complex tachycardia of about 280.
What kind of shock is she suffering?
7. A. Hypovolemic shock
8. B. Relative hypovolemic (high-space) shock
9. C. Mechanical (obstructive) shock
10. D. Cardiogenic shock - ANS-D. Cardiogenic shock
11. A 23 year old female has won the
"Let's-see-who-can-lean-the-farthest-backward-over-
the-second-story-balcony-railing" contest. You arrive to find her boyfriend standing
over her, holding two beers, as she lies on the grass under the balcony. She opens
her eyes to voice, her skin is normal in color, respirations about 16 and unlabored,
pulse 54 and a little weak at the wrist, with no external bleeding. She has flat neck
veins, a normal chest and abdomen and a stable pelvis. First responders who arrived
just before you, tell you that her pulse ox reading is 94 and her blood pressure is
74/30. What type of shock is present?
12. A. Hypovolemic shock
13. B. Relative hypovolemic (high-space) shock
14. C. Mechanical (obstructive) shock
15. D. Cardiogenic shock - ANS-B. Relative hypovolemic (high-space) shock
16. A 34 year old man has a gunshot wound to the right groin area. Arterial bleeding,
which cannot be controlled with direct pressure, is coming from the wound. The
patient appears confused, diaphoretic, and has weak peripheral pulses. What is the
appropriate fluid resuscitation for this patient?
17. A. Intravenous fluid at a "keep open" rate
18. B. Apply a hemostatic agent and gain intravenous access given enough fluid to
maintain peripheral pulses
19. C. Intravenous fluid at a wide open rate; give at least two liters, then reassess patient
, 20. D. No intravenous access should be established in this situation - ANS-B. Apply a
hemostatic agent and gain intravenous access given enough fluid to maintain
peripheral pulses
21. A 34 year old man is injured in a motor vehicle collision. Physical examination is
normal
22. except for diffuse abdominal tenderness. He is conscious and vital signs obtained
enroute to the hospital are respirations 20 per ,minute, pulse rate is 120 per minute
blood pressure 100/60; How should this patient be managed in the field?
23. A. Intravenous fluid at a "keep open" rate
24. B. Intravenous fluid at 20 ml/kg bolus
25. C. Fentanyl 100 mcg intravenous
26. D. Insert an oropharyngeal airway and assist ventilations - ANS-A. Intravenous fluid
at a "keep open" rate
27. A 49 year old man is involved in a motor vehicle collision. First responders are doing
CPR. Findings include a distended abdomen and obviously deformed pelvis and a
quick look at the monitor shows asystole. Which of the following is the most
appropriate act?
28. A. Establish intravenous access and administer a 20mL/kg bolus
29. B. Establish intravenous access and administer a 1 liter bolus
30. C. Establish intravenous access and administer a 2-4 liter bolus
31. D. Resuscitative efforts should not be started and the patient pronounced dead -
ANS-D. Resuscitative efforts should not be started and the patient pronounced dead
32. Among the following, what is the most common cause of preventable trauma death in
the injured adult patient?
33. A. Airway obstruction
34. B. Cardiac tamponade
35. C. Hemorrhagic shock
36. D. Spinal injury - ANS-C. Hemorrhagic shock
37. As intracerebral pressure rises, after an isolated head injury, what does the systolic
blood pressure do?
38. A. Stays the same
39. B. Decreases
40. C. Increases
41. D. Changes randomly - ANS-C. Increases
42. Changes in which of the following is most useful to follow in the child with head
injury?
43. A. Frequency of vomiting
44. B. Level of consciousness
45. C. Reflexes
46. D. Sensory exam - ANS-B. Level of consciousness
47. Definitive control of the airway is achieved by ____________ - ANS-Endotracheal
intubation
48. Describe the 3 for 1 rule - ANS-Replace each mL of blood loss with 3 ml of crystalloid
solution
49. Full thickness burn - ANS-Third degree burn
50. Hemostatic agents applied directly to the source of bleeding must be used in
conjunction with:
51. A. direct pressure to the wound
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