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Lifeguard Challenge Unconscious Scenarios 2026

Total questions: 15

Worksheet time: 23mins

Name
Class
Date
1.

The automated external defibrillator (AED) can be used to treat:

a)

A normal sinus rhythm

b)

No pulse, which may be caused by ventricular fibrillation or ventricular tachycardia

c)

A heart rate that will eventually lead to unconsciousness

d)

Guests who are suffering from respiratory distress

2.

Your team needs to extricate a large guest from the water who is unconscious. No spinal injury is suspected. What is one safe modification to the standard rapid extrication procedure that could be considered?

a)

Keep the guest in the water until professional rescuers arrive to safely extricate the guest

b)

Strap the guest onto the backboard and use full spinal precautions in the water before extrication

c)

Completely strap the guest to the board so that CPR can begin prior to rapid extrication

d)

Carefully and quickly fasten one strap around the guest's chest to secure him to the backboard prior to extrication

3.

The proper chest compression rate for an adult when performing CPR is:

a)

A range between 75-95 chest compressions a minute

b)

A rate of about 110 chest compressions a minute

c)

A rate of about 100-120 chest compressions a minute

d)

A rate not to exceed 130 chest compressions every 5-cycles

4.

When an unconscious guest who is not breathing is extricated, what steps should you follow exiting the water?

a)

Move the guest 6 ft from the water, immediately put on gloves before touching the guest

b)

Move the guest 6 ft from the water, immediately check for a pulse

c)

Move the guest 6 ft from the water, immediately provide 2 rescue breaths before checking for a pulse.

d)

Move the guest as far away from the water’s as possible, immediately provide 2 rescue breaths while you check for a pulse for up to 10 seconds

5.

In order to properly perform a rapid extrication procedure, lifeguards must:

a)

Make sure to remove any personal flotation devices on the guest, then safely remove the unconscious guest from the water with a backboard

b)

Remember that use of the backboard is optional – get the guest out any way you can

c)

Safely remove the unconscious guest from the water with a backboard, using at least two lifeguards

d)

Perform at least two rescue breaths before pulling the guest out of the water

6.

What steps should be taken by the primary lifeguard when dealing with an unconscious guest in the water?

a)

Put the guest in an open airway position, check for spontaneous breathing, if none, begin rescue breathing while moving to the extrication point

b)

Put the guest on the rescue tube and begin moving toward a backboard and the extrication point

c)

Glove up, put the guest in open airway position, check spontaneous breathing, if none, do rescue breaths and move to the extrication point

d)

Put guest in an open airway position, check for spontaneous breathing, if none, begin moving to the extrication point while maintaining an open airway then begin in-water rescue breathing if waiting for the backboard

7.

Rescue breathing is given to adults at the rate of:

a)

15 Compressions then 2 Breaths

b)

1 Breath Every 6 Seconds

c)

30 Compressions then 2 Breaths

d)

1 Breath Every 3 Seconds

8.

When checking for a pulse on a guest:

a)

Locate the carotid artery in the neck for all age groups. The pulse should be checked for up to 10 seconds

b)

Locate the carotid artery in the neck for adults and children. Locate the femoral artery in the leg for infants. Check pulse for up to 10 seconds

c)

Try the carotid artery for 10 seconds, if no pulse is found check the brachial artery for an additional 10 seconds, just to be sure

d)

Locate the carotid artery in the neck for adults and children. Locate the brachial artery in the arm for infants. Check pulse for up to 10 seconds

9.

When performing two-rescuer CPR on an adult, the compression to breath ratio is:

a)

30 chest compressions and 2 breaths

b)

15 chest compressions and 1 breath

c)

30 chest compressions and 1 breath

d)

15 chest compressions and 2 breaths

10.

When performing two-rescuer CPR on a child or infant, the compression to breath ratio is:

a)

30 chest compressions and 2 breaths

b)

15 chest compressions and 1 breath

c)

30 chest compressions and 1 breath

d)

15 chest compressions and 2 breaths

11.

The AED has been applied to a guest. A shock was advised and delivered after the initial AED analysis. Your next step is to:

a)

Immediately check for a pulse for 10 seconds in the carotid artery (adults & kids) or in the brachial artery (infants)

b)

Immediately set the AED for another rhythm analysis (approximately 2 minutes)

c)

Immediately perform CPR, beginning with 2 rescue breaths until prompted by the AED to stand clear (approximately 2 minutes)

d)

Immediately perform CPR, beginning with compressions until prompted by the AED to stand clear (approximately 2 minutes)

12.

The correct ratio of chest compressions to breaths when providing single rescuer CPR to a child is:

a)

30 chest compressions to 1 breath

b)

15 chest compressions to 1 breath

c)

15 chest compressions to 2 breaths

d)

30 chest compressions to 2 breaths

13.

You are performing rescue breathing when a ventilation you deliver does not cause the chest to rise and fall. What is the next step?

a)

Re-position the guest's head and the resuscitation mask, then try the ventilation again if that ventilation does not go in, start CPR

b)

Immediately begin CPR, making sure to check the mouth before attempting another breath

c)

Check the mouth and remove any liquids or solids, then attempt to deliver another ventilation

d)

Immediately attempt to give the guest another breath, if that ventilation does not go in, start CPR

14.

When agonal breathing is detected while performing rescue breathing with supplemental oxygen support, you should:

a)

Immediately stop providing breaths and wait for the agonal breathing to subside, while you continue to monitor the guest

b)

Continue rescue breathing with supplemental oxygen support, and reassess two minutes after the time you began

c)

Immediately begin CPR, starting with chest compressions and attach the AED as soon as possible

d)

Immediately place the guest in the recovery position (because they are breathing), then apply a Pulse Ox to determine if a non-rebreather is needed.

15.

A guest is found partially submerged. The guest appears rigid and exhibits jerking motions. During the rescue you notice the guest's skin is blue and froth is coming from the mouth. The guest is most likely in which stage of drowning?

a)

Hypoxic convulsions stage

b)

Seizure

c)

Involuntary breath-holding stage

d)

Cardiac Arrest