ATLS Initial Assessment and Management 2

Question 1

During the primary survey, a trauma patient has absent breath sounds on the left, distended neck veins, and tracheal deviation to the right. What action should be taken BEFORE chest X-ray?

Accepted Answer

Perform needle decompression of the left chest

Answer

Tension pneumothorax is a clinical diagnosis requiring immediate needle decompression without waiting for radiographic confirmation.

Question 2

In the ATLS primary survey, what is the correct sequence of assessment?

Accepted Answer

Airway, Breathing, Circulation, Disability, Exposure

Answer

The ATLS primary survey follows ABCDE: Airway, Breathing, Circulation, Disability, Exposure.

Question 3

Which injury must be identified and treated during the primary survey?

Accepted Answer

Massive hemothorax

Answer

Massive hemothorax (>1500 mL) is an immediately life-threatening condition that must be treated during the primary survey.

Question 4

A trauma patient has HR 130, BP 70/50, RR 30, and altered mental status. What class of hemorrhagic shock?

Accepted Answer

Class IV

Answer

Tachycardia >120, hypotension, tachypnea >30, and altered mental status indicate Class IV shock (>40% blood volume loss).

Question 5

When should the secondary survey be initiated?

Accepted Answer

After primary survey is complete and resuscitation initiated

Answer

The secondary survey begins after the primary survey is complete and initial resuscitation efforts are underway.

ATLS - Advanced Trauma Life Support Practice Test

ATLS - Advanced Trauma Life Support Practice Test

ATLS Initial Assessment and Management 2