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ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES $12.49   Add to cart

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ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 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 increas...

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  • September 18, 2024
  • 62
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ATLS
  • ATLS
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

ATLS PRACTICE TEST 2024-2025 ACTUAL EXAM 250
REAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES

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

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

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

Bronchial intubation of the right or left mainstem bronchus can easily occur during infant

endotracheal intubation because: - Answer✔️✔️-The trachea is relatively short.

A 23-year-old man sustains 4 stab wounds to the upper right chest during an altercation

and is brought by ambulance to a hospital that has full surgical capabilities. His wounds

are all above the nipple. He is endotracheally intubated, closed tube thoracostomy is

performed, fluid resuscitation is initiated through 2 large-caliber IVs. FAST exam does

not reveal intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is

160 beats per minute, and respiratory rate is 14 breaths per minute (ventilated with

100% O2). 1500 mL of blood has drained from the right chest. The most appropriate

next step in managing this patient is to: - Answer✔️✔️-urgently transfer the patient to the

operating room

A 39-year-old man is admitted to the emergency department after an automobile

collision. He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6.

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