The American Heart Association teaches BLS CPR classes in Berkeley & Oakland in Alameda County. The BLS study guide will prepare you for a BLS CPR.
I’ve noted that some of the people who come to my website were asking at a search engine for a copy of the Red Cross written final test for lifeguard training/CPR or for sample or practice Red Cross and American Heart Association test questions. At the beginning of an American Red Cross CPR/AED for the Professional Rescuer test it says: INSTRUCTIONS: Read each question slowly and carefully. Then choose the best answer and fill in that circle on the answer sheet Here’s the advice I give my students before an exam: Read the question. And I get looks from the students as if to say to me”well, duh, Mary!” But when they think about it afterwards, most people realize that not reading the question is the main reason they failed (if they studied!). I tend to miss questions when I’m still thinking about the previous question. If it was about infant CPR and the next one changes to adult CPR, I’m sometimes still thinking about infants and answer it wrong. When you fail to read a question carefully you might miss crucial words such as not, always, only, sometimes, every, never, possible, most, usually, immediately, quickly, downward, upward, from the side, from the back, before, or after.
Did the question refer to a person who is conscious or UNconscious, stable or UNstable? Supervised or UNsupervised? Is the symptom normal or ABnormal?
Did it say partial or complete, may result in, or always results in, after giving care, before giving care, a common cause or rarely a cause, most serious, most essential, primary concern? There is a big difference between placing something on ice and wrapping something in a clean dressing, placing it in a plastic bag and then placing it on ice. Is it asking you about an illness or an injury? A primary responsibility or a secondary responsibility?
Another way to say ‘ not‘ is involves all but which of the following. You should do all of the following except. What kind of answer does the question want you to find? Does it ask for the correct answer or the statement that is wrong? Does it offer some fairly correct answers and ask you to choose the best one?
Red Cross tests (and AHA American Heart Association tests) ask for the best answer. It might seem as though more than one is right, but only one is really best. Some of the potential answers may be statements of fact.
If you were to read them as a separate sentence you would think, yes that is true, or yes, that is something I should do. But are they the answer to the question? Read the question.
Don’t read more into the question than is actually printed. Don’t think, but if then this would be different. Read the question. Statistically speaking, most people should not change an answer on a multiple choice question unless they re-read it and realize they failed to read it properly the first time. Lots of questions give you a situation and tell you what step you have just taken and ask you what to do next. If you think back through the steps you did during skills practice it should help.
Sometimes you might have to think back to the beginning of the procedure to remember something in the middle, but that’s okay if it works for you. There are a number of strategies for picking the correct answer. Some people read the question and try to think of the right answer in their mind before reading the answer choices. Then they look at the answers and pick the best one.
Some people start by crossing off the obviously wrong answers and then choose from the remainder. (Except don’t actually write on a test you are not supposed to write on.) Some read the whole thing and pause, hoping the correct answer will pounce out at them. Especially if a test has a time limit and the answer doesn’t pounce quickly enough, you need to budget your time.
Go on to the next questions. Sometimes something in a later question can help you.
In one class, out of 24 people, one didn’t fill in the bubble at all on one test question, and four were certain that the reason they missed an answer was because they filled in the wrong bubble by mistake. If you skip a question and want to go back later be certain you skip the bubble space on the answer sheet as well.
Make it extremely clear which answer you picked if you change answers. Especially if you take an exam on a computer form like a Scantron, be careful to erase all extra marks before turning in the exam.
Read the textbook. Some Red Cross, AHA (American Heart Association), YMCA test questions are worded literally with phrases from the textbook and if you just skimmed through it you might miss the answer to a question. If you actually read the text you will be more likely to recognize a correct answer. Many textbook chapters end with sample questions that are truly worth your time to review. If you didn’t understand why an answer is correct, ask your instructor. The Red Cross certification tests are multiple-choice.
80% is passing. (For most Red Cross exams you can have two tries if you need them, but they will be two different tests.) Stay focused in class and listen to the lecture/video. In some classes the often repeated phrases are literally the answer to a test question, like Check, Call, Care (in that order!). Some Red Cross test questions are worded literally with words from the video, which are often repeated in the lecture. If you are busy texting a friend with your smart-enough-phone in your lap during videos you could lose out. Get sleep the night before a major exam.
It does you more harm than good to stay up all night cramming. Go to bed, and if you must, set your alarm a little early for last minute review over a decent breakfast with complex carbs and protein, not sugar-covered-caffeine-fat-bombs. Have this meal a couple of hours before the exam so your body will be done sending your blood supply to your stomach for digestion and can have your blood supply and oxygen in it available for your brain. During the exam, try to relax a little. Wiggle your toes/fingers. Don’t let the tension build up to where you are not even breathing!
(Please note that tapping your pencil, heavy sighs, moaning and groaning are all distracting to others taking the exam, and can be considered.) More advanced classes require that you know and be able to properly use more advanced vocabulary. If you have at first taken a lower level class and then move to higher level you can’t be complacent and think that you already know everything. A member of the public can call any wound a cut, but a person training in Emergency Response, Title 22 or lifeguard training should know the difference between an avulsion, laceration, puncture or abrasion. As a lifeguard you might have referred to burns as first, second, and third degree, but in a higher level class such as Title 22 or Emergency Response you need to know the difference between superficial, partial thickness and full thickness. Blood from a wound can come from capillaries, arteries or veins.
Do you know the kind of bleeding from each? Will you care for, (or not care for) this wound with a bandage, pressure bandage, tourniquet, dressing, universal dressing, occlusive dressing? What is a normal heart rate, what is compensating, and what is the rate of compressions for various kinds of CPR?
Every year some 350,000 people suffer cardiac arrest—when the suddenly stops working—away from the relative safety of a hospital. Whether those people receive cardiopulmonary resuscitation right away can literally mean the difference between life and death. Research has found that the willingness of bystanders to perform CPR can result in a twofold increase in a victim’s chance of survival. But research also shows that many people are afraid to jump in and help. Less than a third of people who go into sudden receive CPR from a bystander, according to recent studies. “Often people hesitate to do CPR because they haven’t had training, are afraid of doing it wrong, or even fear they might get sued if they cause an unintentional injury,” says Orly Avitzur, M.D., medical director for Consumer Reports.
Thanks to good Samaritan laws enacted in every state, you can’t be sued if you act in good faith in an emergency. “And the risk of injuring someone is quite low—you can really only make them better, not worse,” says Jonathan L. Epstein, senior director of science and content development for the American Red Cross.
For this reason, experts say fear—and even a lack of formal training—shouldn’t stop you from intervening in an emergency. In fact, evidence has emerged in the past 10 years that a technique called “hands-only CPR,” where you do chest compressions without mouth-to-mouth resuscitation, can be just as effective as doing both. A released earlier this month found that while more than half of Americans said they know CPR, only 1 in 6 know that hands-only CPR is the recommended method. And only about one in 10 of the 1,000 people surveyed knew the correct beat pace for compressions. Hands-only CPR is much less complicated, making it a good choice if you have limited (or even zero) training.
Here’s what you should know the next time you have an opportunity to save someone’s life. “We want to get the message out to the public that doing anything is far superior to doing nothing,” Epstein says. “If you’re more comfortable doing the hands-only technique, that can help buy the victim precious minutes until the ambulance arrives.” A growing stack of evidence, including a 2017 review of the research from the Cochrane Collaboration, an independent panel of experts, supports this approach.
One 2010 study published in the New England Journal of Medicine looked at 1,941 patients who went into arrest outside of the hospital. Roughly half were given traditional CPR (chest compressions plus rescue breaths) by bystanders who were guided by the 911 dispatcher; the other half were given just chest compressions by bystanders who were guided by the 911 dispatcher. “We observed no significant difference between the two groups in the proportion of patients who survived to hospital discharge,” the authors wrote. Another benefit of the hands-only technique is accessibility.
“Getting full CPR training is a barrier for many people, and older people, as a group, are much less likely to be trained,” says Benjamin S. Abella, M.D., director of the Center for Resuscitation Science at the University of Pennsylvania and author of a recent study on age disparity in CPR training. While the mean age of sudden cardiac arrest victims is around 64, people 60 and older are about 50 percent less likely to be trained in CPR compared with those under younger than 49, Abella says. Teaching hands-only CPR could help increase knowledge and confidence in all age groups. “The barriers are much lower for learning the hands-only technique,” Abella says. In fact, he says, when people who took a full CPR certification course and others who took an abbreviated 30-minute class on the hands-only technique were tested 30 days later, both had retained similar skills. It’s important to note that hands-only CPR is to be used only on adults and teenagers.
The recommended technique for younger children and babies still includes both chest compressions and rescue breaths. But don’t hesitate to use hands-only CPR on everyone else. Just keep these tips in mind: Know the signs. “If someone collapses in front of you and they’re unresponsive when you yell at them or tap them on the shoulder, you should call 911 and immediately start chest compressions,” Epstein says.
Don’t go at it alone. Epstein recommends putting your phone on speaker and placing it right next to the victim, so you are able to speak to the 911 dispatcher and receive directions without stopping compressions. Keep the beat. “You want to push down on the center of the chest, hard and fast, trying to compress at least 2 inches down,” Epstein says. The goal is to work at a pace that allows for 100 compressions per minute. You can get a metronome app on your phone that will keep the beat or try singing the Bee Gees “Stayin’ Alive” (a song with 100 beats per minute) and compressing in time to the song.
Refresh your knowledge. While you can perform hands-only CPR with nothing more than the help of a 911 dispatcher, if you want to have more confidence in your skills, a brief training course—or even a review of all the steps involved—might help. Check out the American Heart Association and the Red Cross for a list of courses as well as videos and step-by-step directions for performing hands-only CPR technique.