ATLS Test Study Guide TEST 4 LATEST VERSIONS REAL EXAM QUESTIONS AND CORRECT ANSWER S
|AGRADE
Order of Initial Assessment - correct answer 1. Preparation -prehospital and hospital
2. Triage
3. Primary Survey- ABCDEs
4. Adjuncts to primary
5. Consider transfer
6. Secondary Survey- head to toe exam and pt history
7. Continue post-resuscitation and re-evalution
8. Definitive care
Why should primary and secondary surveys be repeated frequently? - correct answer Identify
any change in the patient's status and need for additional intervention
Prehospital Phase Preparation - correct answer - notify receiving hospital to allow for
mobilization of trauma team to be there when pt arrives
- provide airway maintenance, control of bleeding, assess shock, immobilize c-spine/other
injuries
- transport to the closest facility, preferred trauma center
- minimize scene time
- obtain report needed for triage at the hospital
Hospital Phase Preparation - correct answer - resuscitation area available for patients
- proper airway equipment
- warmed IV crystalloid solutions
- a protocol to summon additional medical equipment
- transfers agreements w/ verified trauma centers are established
**Consider wearing protection (face mask, gloves, eye care) due to concern for hepatitis and
AIDs in patients
Triage - correct answer sorting patients based on resources required for treatment and the
resources that are actually available
- order of patient is based on ABC priorities
, ATLS Test Study Guide TEST 4 LATEST VERSIONS REAL EXAM QUESTIONS AND CORRECT ANSWER S
|AGRADE
Multiple Casualties vs Mass Casualties - correct answer multiple: incidents are those in which
the number of patients and the severity of their injures DO NOT exceed the capability of the
facility
mass: the number of patients and severity of their injuries DO exceed the capability of the
facility
Primary Survey - correct answer Vitals must be assessed quickly and efficiently using the
ABCDE method
Airway maintenance w/ restriction of c-spine
Breathing and Ventilation
Circulation w/ hemorrhage control
Disability - neurologic status
Exposure/Environmental control
How can you assess ABCD in a patient in under 10 seconds? - correct answer Identify yourself
Ask the patient their name
Ask the patient what happened
If the patient is able to give an appropriate response during the primary survey what does that
mean about their ABCD status - correct answer the patient likely doesn't have an extreme
airway or breathing compromise and not a markedly decreased level of consciousness
A trauma patient with a known head injury has a compromised airway, do you assess the head
trauma or airway - correct answer Airway - clear, suction, administer oxygen, open and secure
airway
What is important with airway maintenance? - correct answer Restrict the cervical spine,
ALWAYS assume a cervical spinal injury exists
Airway Maintenance - correct answer assess airway's patency, inspect any form of obstruction
including foreign bodies or fractures, suction blood and secretions
*if the patient is able to communicate verbally, the airway is likely not compromised --> UNLESS
GCS less than 8, then will still likely have to intubate
Trauma patient is able to speak so you are not worried about airway compromise, what is a
scenario in which you should still be concerned even with verbal communication? - correct
|AGRADE
Order of Initial Assessment - correct answer 1. Preparation -prehospital and hospital
2. Triage
3. Primary Survey- ABCDEs
4. Adjuncts to primary
5. Consider transfer
6. Secondary Survey- head to toe exam and pt history
7. Continue post-resuscitation and re-evalution
8. Definitive care
Why should primary and secondary surveys be repeated frequently? - correct answer Identify
any change in the patient's status and need for additional intervention
Prehospital Phase Preparation - correct answer - notify receiving hospital to allow for
mobilization of trauma team to be there when pt arrives
- provide airway maintenance, control of bleeding, assess shock, immobilize c-spine/other
injuries
- transport to the closest facility, preferred trauma center
- minimize scene time
- obtain report needed for triage at the hospital
Hospital Phase Preparation - correct answer - resuscitation area available for patients
- proper airway equipment
- warmed IV crystalloid solutions
- a protocol to summon additional medical equipment
- transfers agreements w/ verified trauma centers are established
**Consider wearing protection (face mask, gloves, eye care) due to concern for hepatitis and
AIDs in patients
Triage - correct answer sorting patients based on resources required for treatment and the
resources that are actually available
- order of patient is based on ABC priorities
, ATLS Test Study Guide TEST 4 LATEST VERSIONS REAL EXAM QUESTIONS AND CORRECT ANSWER S
|AGRADE
Multiple Casualties vs Mass Casualties - correct answer multiple: incidents are those in which
the number of patients and the severity of their injures DO NOT exceed the capability of the
facility
mass: the number of patients and severity of their injuries DO exceed the capability of the
facility
Primary Survey - correct answer Vitals must be assessed quickly and efficiently using the
ABCDE method
Airway maintenance w/ restriction of c-spine
Breathing and Ventilation
Circulation w/ hemorrhage control
Disability - neurologic status
Exposure/Environmental control
How can you assess ABCD in a patient in under 10 seconds? - correct answer Identify yourself
Ask the patient their name
Ask the patient what happened
If the patient is able to give an appropriate response during the primary survey what does that
mean about their ABCD status - correct answer the patient likely doesn't have an extreme
airway or breathing compromise and not a markedly decreased level of consciousness
A trauma patient with a known head injury has a compromised airway, do you assess the head
trauma or airway - correct answer Airway - clear, suction, administer oxygen, open and secure
airway
What is important with airway maintenance? - correct answer Restrict the cervical spine,
ALWAYS assume a cervical spinal injury exists
Airway Maintenance - correct answer assess airway's patency, inspect any form of obstruction
including foreign bodies or fractures, suction blood and secretions
*if the patient is able to communicate verbally, the airway is likely not compromised --> UNLESS
GCS less than 8, then will still likely have to intubate
Trauma patient is able to speak so you are not worried about airway compromise, what is a
scenario in which you should still be concerned even with verbal communication? - correct
