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How can you best protect yourself from possiblebloodborne pathogen transmission whenproviding care?
Use personal protective equipment (PPE),such as disposable gloves and a breathingbarrier, when providing care.
A 12-year-old boy at a swim meet grabs his chestand begins to make wheezing noises. After youobtain consent to provide care, his mother informsyou that he has a history of asthma, but does nothave his inhaler nearby. What care should you provide?
Summon more advanced medical personneland place the victim into a position thathelps breathing.
While having a snack in the concession area, achild suddenly clutches his throat with both hands.You ask him if he is choking and he frantically nodsyes. You activate your facility’s emergency actionplan (EAP). You identify yourself as a lifeguard andobtain consent from the parents. What should youdo next?
Stand or kneel behind the victim and give5 back blows and 5 abdominal thrusts.
You and another lifeguard find an unconsciousadult on the floor in the locker room. You activateyour facility’s EAP, size-up the scene and performa primary assessment. You find the victim is notmoving or breathing, but has a pulse. You shouldsummon EMS personnel, then:
You come upon a scene where a patron appears tobe injured. Before approaching the victim, which ofthe following will you not do as you size-up
When providing care during an emergency, whichof the following should you do first?
As the first lifeguard on the scene, you areperforming CPR on an adult. When performingchest compressions, how deeply should youcompress the chest?
CPR should be performed on which of thefollowing victims?
What is the first step of the Cardiac Chain of Survival?
Early recognition and access to the emergencymedical services (EMS) system
Youareprovidingcaretoavictimhavingaheartattack. Which of the following would you do first?
Once you have turned on the automated externaldefibrillator (AED), you should:
Apply the pads and allow the AED to analyzethe heart rhythm.
To ensure effective chest compressions duringCPR, which of the following is most appropriate?
Allowing the chest to fully recoilbetween compressions
You are performing CPR on a victim and a secondlifeguard arrives. Which of the following is mostappropriate for the second lifeguard to do first?
Check to see whether EMS personnel havebeen called.
Whichofthefollowingismostessentialtousewhen giving ventilations to protect you and thevictim from disease transmission?
You are providing care to a facility maintenanceworker who has fallen off the top of a ladder. Thevictim is conscious. Which of the following shouldyou do first?
Obtain consent from the victim toprovide care.
For which of the following should you summonEMS personnel?
A victim with an open leg wound with thebone protruding
You pull an unconscious adult from the water whois taking infrequent gasps. During the primaryassessment you find that the victim has a pulse.Which of the following should you do next?
IfthereisariskoftheAEDpadstouchingeachother, such as with a small child or an infant, you should:
Place one pad in the middle of the chest andthe other on the back.
You have sized up the scene and determinedthe scene is safe. When performing a primaryassessment, which of the following would youdo next?
Which of the following statements aboutbag-valve-mask resuscitators (BVMs) ismost accurate?
You are preparing to give ventilations to a5-year-old boy using a resuscitation mask. Youshould give 1 ventilation about every:
When compressing a child’s chest during CPR, youshould compress at a rate of at least how manycompressions per minute?
An AED has advised that a shock should be given.Which of the following is appropriate?
You are about to apply AED pads to a victim’s chestwhen you notice that the victim has several bodypiercings with jewelry on his chest. Which of thefollowing should you do?
Apply the pads to the chest, making sure toavoid the jewelry.
The cycle of chest compressions and ventilations intwo-rescuer CPR for an infant is:
You are positioned above the child’s head and areusing a resuscitation mask to give ventilations.After you position the mask, which of the followingshould you do next?
Youareprovidingcaretoapatronwhostartedchoking on some food. The victim becomesunconscious. Which of the following should youdo first?
Lower the victim carefully to the ground andopen his airway.
Where should you place your hands when givingchest compressions to an infant during CPR?
One hand on the forehead and two or threefingers on the center of the chest
When giving abdominal thrusts to an adult, whereshould you position your fist?
In the middle of the abdomen, just abovethe navel
When providing care to a conscious infantwho is choking, which of the following ismost appropriate?
Positioning the infant so the head is lower thanthe chest
A person has been injured and is conscious.You should:
Obtain consent, check the victim forlife-threatening conditions and speak withthe victim to find out what happened.
Identify and care for conditions that are notlife threatening.
An injured patron is conscious and bleedingseverely. After summoning EMS personnel,obtaining consent and putting on disposablegloves, what is your next care step?
Press firmly against the wound with a steriledressing and bandage.
A way to remember the questions to ask whentaking a brief history is to use the acronymSAMPLE. What does the A in SAMPLE stand for?
What is the first step you should take in caring fora victim with burns?
If a victim is having a seizure in the water:
Support the victim with his or her head abovewater until the seizure ends.
During a swim meet, the bleachers behind yourguard station suddenly collapse. As you checkthe scene, you notice several people who appearinjured. Who should you approach first?
When caring for musculoskeletal injuries, whatdoes RICE stand for?
Signs and symptoms of sudden illness donot include:
When checking a victim during a secondaryassessment you notice changes in her LOC. Whatdoes the C stand for in LOC?
You come upon a scene where someone seemsto be hurt. During the primary assessment, youshould check for all of the following EXCEPT:
Which of the following would you identify as theuniversal sign that a conscious person is choking?
As you are giving ventilations with a resuscitationmask, the victim vomits. Which of the followingwould you do first?
You are providing care to a conscious infant who ischoking. When giving chest thrusts, which of thefollowing would you use?
You determine that a victim is unconscious butbreathing. While waiting with the victim for EMSpersonnel, you would position the victim:
While preparing to use an automated externaldefibrillator (AED) on a victim, you notice amedication patch on the victim’s chest. Whichaction is most appropriate?
You are giving ventilations to a 5-year-old childusing a resuscitation mask. You should give
1 ventilation about every:
Whengivingchestcompressionstoanadult,howwould you position your hands?
Heel of one hand on the center of the chestwith the other hand on top
You are performing CPR on a victim and you noticethat the victim’s chest begins to rise and fall. Which of the following would you do first?
When using a resuscitation mask, which of thefollowing should you do?
Place the broad end of the mask between thelower lip and chin.
Whichofthefollowingfindingswouldleadyoutodetermine that an infant’s airway is open?
During a primary assessment, which of thefollowing should you evaluate first?
You are walking on the pool deck when the swimteam coach suddenly collapses in front of you.During your primary assessment you do not find apulse, you should:
Suspect he is in cardiac arrest and immediatelybegin CPR.
Based on which of the following signs andsymptoms would you determine that a victim isexperiencing respiratory distress?
You and another lifeguard find an unconsciousadult on the locker room floor. The other lifeguardgoes to summon EMS personnel. You complete aprimary assessment and find that the victim has apulse but is not breathing. Which of the followingshould you do next?
AstheonlylifeguardperformingCPRona7-year-old child, you would perform cycles of:
An AED indicates that “No shock is advised.”Which of the following is most appropriate todo next?
Youareprovidingcaretoanadultwhoisunconscious and not breathing. You give 1ventilation during CPR and notice that the chestdoes not rise. Which of the following should youdo next?
Retilt the head and then attemptanother ventilation.
You and a fellow lifeguard are giving ventilationsusing a BVM. You position the mask over thevictim’s mouth and nose. What should the otherlifeguard do?
You and another lifeguard are preparing for CPRon an adult who collapsed in the locker room. Youdetermine that there is no breathing or pulse andstate, “Victim has no pulse. Begin CPR.” Which ofthe following should the other lifeguard do next?
Which of the following should you do first whenapproaching the scene of an emergency?
When using an AED, which of the following shouldyou do immediately after attaching the AED padsto the victim’s chest?
A person has been injured and is conscious.
You obtain consent to check the victim forlife-threatening conditions. What life-threateningcondition would require you to immediatelysummon EMS personnel?
You and a patron enter the locker room and find anunconscious person lying on the floor. You size-upthe scene and then you begin performing a primaryassessment. The patron asks, “Should we movehim to the first aid room?” What should you
Tell the patron the victim should not be movedsince there is no immediate danger.
A patron has cut her leg on the edge of thebleachers and is bleeding heavily. You think thepatron is in shock because she:
Leave the arm in the position you find it or inthe position the patron is holding it.
A way to remember the questions to ask whentaking a brief history is to use the acronymSAMPLE. What does the S in SAMPLE stand for?
A patron seems to be having a diabetic emergency.You should:
Apatronhasslurredspeech,isunabletoliftherright arm level with her left arm and is unable tosmile without one side of her face drooping. Youmake note of the time the symptoms started. Theseare symptoms of:
You notice a patron that is swimming laps whosuddenly slips under water without a struggle anddoes not resurface. This person is probably:
Inspecting the pool and rescue equipmentbefore the facility opens and paying closeattention to patrons in the water by activelyscanning the assigned area.
A man is unexpectedly pushed from behind andfalls from the deck into the water and is in distress.After you activate the emergency action plan(EAP), what are included in your next steps.
Extend a rescue tube to him while remainingon deck, then provide any additional care.
Which of the following is a primary responsibility
of a lifeguard?
Enforcing facility rules and regulations andeducating patrons about them
Minimize movement of the victim’s head andneck using the head splint technique.
While scanning your zone, you notice a personmotionless in the water. The steps you followin a water emergency are performed in thefollowing order:
Activate the EAP, enter the water, perform anappropriate rescue, move the victim to a safeexit point, remove the victim from the waterand provide emergency care as needed.
While scanning the pool, you witness a patronstruggling while swimming and then go underwater. Which of the following applies?
You have duty to act and perform theappropriate rescue.
A lifeguard can no longer see some of the patronsat one side of the swimming area from hisstation because of glare from the afternoon sun.To maintain effective patron surveillance, thelifeguard should:
Adjust his position slightly to remove the glarespot from his surveillance area.
A patron starts running on the deck. You blow yourwhistle to get her attention. Next, you enforce therules and regulations by:
Telling her she could slip or fall and she mustwalk on the deck.
Whencaringforasuspectedhead,neckorspinal injury in water, proper manual in-linestabilization is:
Working with other lifeguards, facility staff andsupervisors as a team is:
One of the primary responsibilities ofa lifeguard.
You are a lifeguard on surveillance duty during abusy family swim session. It is important to:
Scan all areas in your assigned zone ofcoverage and carry your rescue tube with youat all times.
A head, neck or spinal injury rarely happens:
Which of the following is true about accidentalfecal releases (AFRs)?
Require water treatment, temporary poolclosure and immediate lifeguard attention.
You are lifeguarding during a family swim sessionwhen you notice a swimmer swimming full lengthsof the pool under water. What should you do?
Immediately stop him from continuing theactivity and explain the dangers of the activity.
Afterremovingaconsciousvictimyoususpecthasa spinal injury from the water, you should do allthe following except:
Dry the victim off and apply the pads ofan AED.
Two lifeguards are on surveillance duty during apublicswim.Youareonabreak.Onelifeguardactivates the facility’s EAP for a submerged passivevictim and enters the water. Which steps should you take next to assist in the rescue?
Bring the backboard to the lifeguard and assistin removing the victim from the water as theother lifeguard clears the pool.
Alifeguardkeepsaneyeonthepatronsofthepool,checking the bottom, middle and surface of thewater. He is demonstrating:
A mother and her son walk over to you; she statesthat he fell on the pool deck and hit his head. Younotice he has blood and fluid running from his earand he is feeling dizzy. What steps should youtake next?
Provide manual stabilization while the otherlifeguards prepare to backboard him.
The lifeguard supervisor expects the pool to bevery busy in the afternoon. For effective patronsurveillance, she sets up multiple lifeguard stationsto reduce the number of patrons watched by eachlifeguard. This type of coverage is called:
Move your head and eyes as you scan to lookdirectly at each area rather than staring in afixed direction.
When providing care to a conscious person yoususpect of having a head, neck or spinal injury andwho was injured from a fall on the pool deck:
You do not move the victim unless the scenebecomes unsafe.
A woman collides with another swimmer whilediving into the pool and asks the lifeguard forhelp. Without doing an assessment, the lifeguardtells the woman she can continue swimming.The woman leaves the facility and seeks medicalattention from a hospital after she begins to feeltingling sensations in her arms and legs. Thelifeguard may be:
During a weather-related power failure at a facility, you should:
During in-service training, lifeguards practice
the steps of recognizing a distressed swimmer,rescuing an active victim, informing managementand speaking with witnesses. The lifeguards arepracticing parts of a(n):
You enter the mechanical room and find amaintenance worker lying on his back on the
floor next to a ladder. You check the scene anddetermine it is safe to enter. During your primaryassessment, you find the victim is unconscious butbreathing. You must leave to get help, what should you do?
Which of the following is true if the manager ofthe facility has assigned you as the only lifeguardconducting patron surveillance?
Which of the following pieces of equipment need tobe easily accessible for emergency use:
A technique to minimize movement for a victimwith a suspected head, neck or spinal injury who isface-down, at the surface and in water less than
3 feet deep is the:
If three lifeguards are on duty, emergency back-upcoverage takes place:
Which of the following is the least important for asafe group visit to a pool?
Ensuring there are multiple activities plannedfor the group
While caring for someone with a suspected spinalinjury, you secure the straps on a backboard in thefollowing order:
It is the primary responsibility of facilitymanagement to provide all but which ofthe following?
Educating patrons about and enforcingfacility rules
The hazard communication standard includeshaving MSDS information available. What isincluded in this information?
Contains information about what type ofchemicals are in use at the facility
A patron dives into the shallow end of the lap pool.You suspect she has a head, neck or spinal injurybecause she has:
During a morning adult lap swim, you notice aswimmer who slows down and is no longer able tomake any forward progress. Which of the followingis true?
She is in danger of becoming an active victim ifnot assisted.
A patron comes up to you complaining of neckpain. He says his hands and feet are tingling. Whatinjury might you suspect, and what care wouldyou provide?
You should suspect a head, neck or spinalinjury. Immediately provide manualstabilization of the victim’s head and neck andsummon EMS personnel.
A technique used in the water to minimizemovement of the victim’s head and neck is the:
Which of the following pieces of equipment must alifeguard have instantly accessible at all times.
During an in-service training, lifeguards practicethe steps of an emergency action plan, such as:
Following rescue procedures, informing management and conducting staff debriefings.
Which of the following is true of a submergedunconscious victim in deep water that you suspecthas a spinal injury?
If the victim is not breathing, you wouldremove the victim from the water.
You are walking through the park on your way tothe pool to report for duty and witness an adultsuddenly collapse while playing catch with his son.You check the scene to be sure it is safe and thendecide to perform CPR on the adult victim. Whichlegal consideration applies?
Signs and symptoms of a person you suspect of ahead, neck, or spinal injury include:
Before providing care to a conscious person yoususpect of having a head, neck or spinal injury whois injured from a fall on the pool deck:
You do not move the victim unless the scenebecomes unsafe.
A large number of patrons are swimming at thefacility. For effective patron surveillance, yoursupervisor decides to add another lifeguard stationand tells you to modify the zone coverage based onthe new station to:
Reduce the number of patrons watched byeach lifeguard.
In the event of thunder and lightning at an outdoorfacility, lifeguards should:
Clear everyone from the water at the firstsound of thunder or first sighting of lightning.
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