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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST
2025/2026 ACTUAL EXAM TEST BANK| COMPLETE
350 QUESTIONS AND DETAILED ANSWERS (100%
CORRECT ANSWERS) ALREADY GRADED A+
The best assessment of fluid resuscitation of the adult burn patient is:
Select one:
- Urine output of 0.5 mL/kg/hr.
- normalization of blood pressure
- normalization of the heart rate
- measuring a normal central venous pressure
- providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid -
Correct Answer - a. Urine output of 0.5 mL/kg/hr.
The diagnosis of shock must include:
Select one:
- hypoxemia
- acidosis
- hypotension
- increased vascular resistance
- evidence of inadequate organ perfusion - Correct Answer - e.
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 1 / 4
pg. 2 from a 6-cm wound of his medial right thigh. Immediate management of the
wound should consist of:
Select one:
- application of a tourniquet
- direct pressure on the wound
- packing the wound with gauze
- direct pressure on the femoral artery at the groin
- debridement of devitalized tissue - Correct Answer - b.
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:
Select one:
- respiratory acidosis
- metabolic acidosis
- cerebral vasoconstriction with diminished perfusion
- neurogenic pulmonary edema
- shift of the oxyhemoglobin dissociation curve - Correct Answer - c.
Which one of the following findings in an adult is most likely to require immediate management during the primary survey?
Select one:
- distended abdomen
- Glasgow Coma Scale score of 11
- temperature of 36.5°C (97.8°F)
- deformity of the right thigh
- respiratory rate of 40 breaths per minute - Correct Answer - e. 2 / 4
pg. 3 A patient is brought to the emergency department after a motor vehicle crash. He is conscious and there is no obvious external trauma. His blood pressure is 60/40 mm Hg and his heart rate is 70 beats per minute. His skin is warm. Which one of the following statements is TRUE?
Select one:
- Vasoactive medications have no role in this patient's management.
- The hypotension should be managed with volume resuscitation alone.
- Flexion and extension views of the c-spine should be performed early.
- Abdominal visceral injuries can be excluded as a cause of hypotension.
- Flaccidity of the lower extremities and loss of deep tendon reflexes are
expected. - Correct Answer - e. Flaccidity of the lower extremities and loss of deep tendon reflexes are expected
Which one of the following is the most effective method for initially treating frostbite?
Select one:
- moist heat
- early amputation
- padding and elevation
- vasodilators and heparin
- topical application of silver sulfadiazine - Correct Answer - a. moist heat
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours before he is extricated. On arrival to the emergency department, his right lower extremity is cool, mottled, insensate, and motionless. Despite normal vital signs, a pulse cannot be palpated below the right femoral artery and the muscles of the lower extremity are firm and hard. During the management of this patient, which of the following is most likely to improve the chances for limb salvage? 3 / 4
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Select one:
- applying skeletal traction
- administering anticoagulant drugs
- administering thrombolytic therapy
- surgical consultation for right lower extremity fasciotomy
- transferring the patient to the trauma center 120 km away - Correct
Answer - d. surgical consultation for right lower extremity fasciotomy
A patient arrives in the emergency department after being beaten about the head and face with a wooden club. He is comatose and has a palpable depressed skull fracture. His face is swollen and ecchymosis. He has gurgling respirations and vomitus on his face and clothing. The most appropriate step after providing supplemental oxygen and elevating his jaw
is to:
Select one:
- requests a CT scan
- inserts a gastric tube
- suctions the oropharynx
- obtain a lateral cervical spine x-ray
- ventilate the patient with a bag-mask - Correct Answer - c. suction the
oropharynx
A 22-year-old man sustains a gunshot wound to the left chest and is transported to a small community hospital; no surgical capabilities are available. In the emergency department, a chest tube is inserted and 700 mL of blood is evacuated. The trauma center accepts the patient in transfer.Just before the patient is placed in the ambulance for transfer, his blood pressure decreases to 80/68 mm Hg and his heart rate increases to 136
beats per minute. The next step should be to:
Select one:
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