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2025-2026 AHA BLS TEST

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

According to the American Heart Association guidelines, what is the recommended chest compression rate during cardiac arrest management?

a)

100-120 compressions per minute

b)

90-100 compressions per minute

c)

Less than 80 compressions per minute

d)

Less than 60 compressions per minute

2.

If two rescuers are available, which of the following actions is recommended every two minutes during CPR if one rescuer becomes fatigued?

a)

Allow pauses for each compression up to 18 seconds

b)

Rescuers should switch places

c)

Decrease the compression rate to 90 compressions per minute

d)

Decrease the compression to ventilation ratio to 10:1

3.

According to the 2025 guidelines, what are the recommended steps when giving CPR to cardiac arrest patients?

a)

Airway, Breathing, Chest compressions

b)

Chest compressions, Airway, Breathing

c)

Airway, Breathing, Check pulse

d)

Check pulse, Airway, Breathing

4.

Which of the following is NOT a sign of a severe obstruction of the airway?

a)

High-pitched noise when inhaling

b)

Crying uncontrollably

c)

Weak, ineffective cough

d)

Cyanosis around the lips

5.

Which of the following steps is NOT a part of the Out-of-Hospital Adult Chain of Survival?

a)

Early CPR

b)

Prevention

c)

Rapid defibrillation

d)

Integrated post-cardiac arrest care

6.

What is the primary cause of cardiac arrest?

a)

Sinus tachycardia

b)

Ventricular fibrillation

c)

Pulseless ventricular tachycardia

d)

The sino-atrial node

7.

What is the primary goal of CPR?

a)

To keep oxygenated blood moving to the brain and other vital organs

b)

To deliver a fresh supply of oxygen into the person's lungs

c)

To deliver a fresh supply of carbon dioxide into the person's lungs

d)

To compress the heart between the breastbone and spine

8.

When giving CPR to an infant, you should tilt the head to a:

a)

Past-neutral position

b)

Slightly past-neutral position

c)

Neutral position

d)

A or C

9.

What is the most likely complication of delivering too much air during rescue breathing?

a)

Lung collapse

b)

Pneumothorax

c)

Brain injury

d)

Gastric inflation

10.

How many breaths should be given during a two-rescuer CPR on an adult with an advanced airway in place?

a)

1 breath every 2-3 seconds

b)

2 breaths every 2-3 seconds

c)

1 breath every 6 seconds

d)

2 breaths every 6 seconds

11.

How will you know if the 1st rescue breath is effective?

a)

The victim will cough

b)

The victim will begin breathing on their own

c)

The victim's chest will rise and fall

d)

The victim's hand will move

12.

Rescue breathing is given to adults at the rate of:

a)

1 breath every 10 seconds

b)

1 breath every 6 seconds

c)

1 breath every 3-5 seconds

d)

2 breaths every 6 seconds

13.

What is the purpose of the head tilt/chin lift maneuver when giving rescue breaths?

a)

Prevent choking

b)

Open the airway

c)

Prevent vomiting

d)

Prevent neck injury

14.

Infant CPR is administered to children under the age of?

a)

Six months

b)

12 months

c)

Two years

d)

18 months

15.

What is the first thing you should do when you did not witness the infant collapse?

a)

Perform 2 minutes of CPR

b)

Call 911

c)

Perform chest compression

d)

Provide rescue breathing

16.

What should you do after attaching the AED pads to the victim's chest?

a)

Give abdominal thrusts.

b)

Allow the device to analyze the victim's heart rhythm.

c)

Check if the victim has a pulse

d)

Turn on the AED.

17.

Who can use an Automated External Defibrillator?

a)

Medical professionals

b)

Police officers

c)

Nurses

d)

Anyone can use an AED

18.

Which of the following is not a barrier device you can use during rescue breathing?

a)

Face shield

b)

Bag valve mask

c)

Oxygen mask

d)

Pocket Mask

19.

What is Hypoxia?

a)

A bloodborne pathogen

b)

A type of PPE worn on the face

c)

A medication used to treat HBV exposure

d)

A shortage of oxygen in the body

20.

What will you do to assess the pulse of an adult victim?

a)

Check the brachial artery pulse for at least 5 seconds

b)

Check the carotid pulse for 5 to 10 seconds

c)

Check the carotid artery pulse for at least 20 seconds

d)

Checking the pulse is not necessary for adult victims

21.

The target depth of chest compressions for an adult is:

a)

1 ½ in

b)

2-3 in

c)

1.5 - 2.5 in

d)

2 - 2.4 in

22.

A 49 year-old male suffers a witnessed cardiac arrest. He has a known cardiac history per his family. You notice a bulge in the upper left chest under the skin. There is a healed incision over the bulge. Which is true of AED use?

a)

AED cannot be used on this person

b)

Place a magnet over the bulge before using the AED

c)

You should place pads over the bulge

d)

You should avoid placing pads directly over the bulge

23.

You are alone when you encounter a person who appears to be in cardiac or respiratory arrest. What are the first 3 steps you should take to stabilize the person?: Check for danger, ____________, send for help.

a)

Start CPR

b)

Check for responsiveness

c)

Place an advanced airway

d)

Start an IV access

24.

The proper steps for operating an AED are:

a)

Power on the AED, attach electrode pads, analyze the rhythm, deliver shock

b)

Power on the AED, clear the victim, attach electrode pads, analyze the rhythm

c)

Attach the electrode pads, power on the AED, analyze the rhythm, deliver shock

d)

Clear the patient, attach the pads, power on the AED, deliver shock

25.

What is the compression-to-breath ratio in two-person CPR for an adult?

a)

60:2

b)

30:2

c)

15:2

d)

30:2

26.

How many chest compressions per minute should be given to a victim when administering CPR?

a)

100-120

b)

60-100

c)

115-130

d)

80-100

27.

What is important to remember about AED pad placement on infants?

a)

If child AED pads are not available, do not use the AED

b)

Ensure the pads overlap each other in very small infants

c)

Place 1 adult pad on the chest

d)

You may need to place one pad on the chest and one pad on the back, according to the diagrams on the pads

28.

The correct ratio for rescue breaths for infants and children is:

a)

Give 1 breath every 3-5 seconds (12-20 breaths/min)

b)

Give 1 breath every 2-3 seconds (20-30 breaths/min)

c)

Give 2 breaths every 6 seconds (about 20-24 breaths/min)

d)

Give 2 breaths every 3-5 seconds (about 24-28 breaths/min)

29.

Which is the preferred technique for giving rescue breaths to an infant?

a)

Mouth-to-nose

b)

Mouth-to-mouth

c)

Mouth-to-mouth-to nose

d)

Any method is acceptable

30.

What is the correct compression-to-ventilation ratio for a single rescuer of a 3-year-old child?

a)

15:1

b)

15:2

c)

30:1

d)

30:2

31.

Which of the following is NOT an acceptable route of administration for naloxone?

a)

Subcutaneous

b)

Intranasal

c)

Intramuscular

d)

Intravenous

32.

For what age victim is the 2-thumb-encircling hands technique recommended?

a)

A child younger than 3 years

b)

An infant younger than 1 year

c)

A child older than 3 years

d)

An infant older than 1 year

33.

What is the correct chest compression depth for an infant?

a)

About 1.5 inches (4 cm) or one third the depth of the chest

b)

About 2.5 inches (6.5 cm) or half the depth of the chest

c)

About 0.5 inches (1.2 cm) or one tenth the depth of the chest

d)

About 3 inches (7.5 cm) or three quarters the depth of the chest

34.

Which victim of a severe airway obstruction should not receive abdominal thrusts?

a)

An average-sized 8-year-old male eating a Happy Meal at McDonald's

b)

An elderly female eating brunch in a country club restaurant

c)

A 7-month pregnant woman having a picnic in the park with her kids

d)

A 28-year-old male about to propose to his girlfriend at Ruth’s Chris Steakhouse

35.

Your 21-year-old roommate uses heroin. Before you could find another roommate, you find her unresponsive with no breathing, but she does have a strong pulse. You suspect an opioid-associated life-threatening emergency. A friend is phoning 9-1-1 and is looking for the naloxone auto injector. What action should you take?

a)

Provide rapid defibrillation with an AED

b)

Remain with your roommate until the naloxone arrives and administer it immediately

c)

Begin CPR, starting with chest compressions

d)

Provide rescue breathing, 1 breath every 6 seconds

36.

After performing high-quality CPR for 5 minutes, the victim still has no organized rhythm when the AED analyzes the rhythm. However, the team leader insists on pausing compressions to check for a pulse. Which action demonstrates constructive intervention?

a)

Ask the rescuer ventilating the victim what you should say

b)

Suggest resuming chest compressions without delay

c)

Wait until afterward to discuss your concern with the team leader

d)

Ask the team leader if he is trying to kill the patient and let him know you will take it from here

37.

What action should you take when the AED is analyzing the heart rhythm?

a)

Check the pulse

b)

Continue chest compressions

c)

Give rescue breaths only

d)

Stand clear of the victim

38.

What is the compression-to-breath ratio when performing CPR on an infant with 2 providers?

a)

15:2

b)

30:2

c)

15:2

d)

20:2

39.

You are performing high-quality CPR when the AED arrives. You clear the victim when prompted by the AED. The AED analyzes the victim and determines no shock is advised. What is your next best action?

a)

Provide rescue breathing at 1 breath every 5-6 seconds

b)

Resume CPR immediately for about 2 minutes or until prompted by AED to reanalyze rhythm

c)

Check for breathing and pulse

d)

Monitor until advanced life support providers arrive to take over

40.

Which statement best describes sudden cardiac arrest?

a)

When respiratory distress in adults occurs and the heart rate does not change

b)

When the heart rate is 40-60 BPM and respirations increase

c)

When an abnormal rhythm develops and the heart stops beating unexpectedly

d)

When blood flow to the heart is blocked and the heart rate increases