(45 QUESTIONS) UP-TO-DATE ACTUAL EXAM QUESTIONS AND
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Examiner/Administrator: National Federation of State High School
Associations
Candidate Name: ____________________________
Candidate ID: _______________________________
Date: ______________________________________
Examination Centre/Location: ________________
This assessment evaluates a coach’s ability to recognize, prevent, and respond
to health and safety risks in athletic environments. It focuses on emergency
preparedness, injury management, environmental safety, and athlete well-
being. Candidates are expected to apply critical thinking in real-world
coaching scenarios involving athletes of varying ages and conditions. The
exam reflects current best practices in sports medicine, first aid, and risk
mitigation.
Core Competency Areas:
• Emergency Action Planning (EAP)
• Injury Recognition and Immediate Care
• Environmental and Heat Safety
• Concussion Awareness and Management
• Sudden Cardiac Arrest and CPR/AED
• General Health and Risk Prevention
Instructions to Candidates:
• Time allowed: 60 minutes.
• Total Questions: Approximately 45 (This section contains Q1–Q30).
• Select the most appropriate answer for each scenario-based question.
• Read each question carefully before answering.
• All answers must be based on best practice guidelines for coaching safety.
, Disclaimer: This is an original simulated examination designed to reflect the
structure and rigor of the official certification. It is intended solely for
educational preparation.
Q1. During a high-intensity training session on a hot day, an athlete collapses
and is confused, with hot, dry skin and no sweating. What is the MOST
appropriate immediate action?
A. Provide water and allow rest in shade
B. Begin rapid cooling and activate emergency medical services
C. Elevate legs and monitor pulse
D. Give electrolyte drinks and reassess
Correct Answer: B. Begin rapid cooling and activate emergency
medical services
Explanation: This scenario indicates heat stroke, a life-threatening
emergency requiring immediate cooling (ice bath if possible) and EMS
activation. A is insufficient for severity. C is inappropriate as circulation is not
the primary issue. D delays critical treatment.
Q2. A player receives a blow to the head and reports dizziness but insists on
continuing. What should the coach do?
A. Allow play if symptoms improve
B. Remove the athlete and monitor for concussion symptoms
C. Ask teammates for observation
D. Provide water and reassess
Correct Answer: B. Remove the athlete and monitor for concussion
symptoms
Explanation: Any suspected concussion requires immediate removal from
play. A risks worsening injury. C is unreliable. D ignores neurological risk.
Q3. What is the primary purpose of an Emergency Action Plan (EAP)?
A. Improve team performance
B. Reduce liability only
C. Ensure coordinated emergency response
D. Replace medical personnel
,Correct Answer: C. Ensure coordinated emergency response
Explanation: EAP ensures preparedness and quick action during
emergencies. A and B are secondary. D is incorrect as it supplements—not
replaces—medical professionals.
Q4. An athlete complains of chest pain and collapses. What is the FIRST step?
A. Check pulse and breathing
B. Call parents
C. Give water
D. Move athlete to bench
Correct Answer: A. Check pulse and breathing
Explanation: Immediate assessment determines need for CPR/AED. B
delays care. C and D are inappropriate in cardiac emergencies.
Q5. Which symptom is MOST indicative of dehydration?
A. Excessive sweating
B. Dark urine
C. Increased energy
D. Rapid weight gain
Correct Answer: B. Dark urine
Explanation: Dark urine signals dehydration. A may occur before
dehydration. C is unrelated. D contradicts fluid loss.
Q6. What is the recommended first aid for a suspected fracture?
A. Apply heat immediately
B. Immobilize the area
C. Massage the injury
D. Encourage movement
Correct Answer: B. Immobilize the area
Explanation: Immobilization prevents further damage. A and C worsen
injury. D risks complications.
, Q7. An athlete shows signs of heat exhaustion. What is appropriate?
A. Continue practice slowly
B. Move to cool area and hydrate
C. Apply ice only
D. Ignore symptoms
Correct Answer: B. Move to cool area and hydrate
Explanation: Cooling and hydration are key. A worsens condition. C is
incomplete. D is unsafe.
Q8. Which condition requires immediate AED use?
A. Sprain
B. Sudden cardiac arrest
C. Dehydration
D. Muscle cramp
Correct Answer: B. Sudden cardiac arrest
Explanation: AED restores heart rhythm. Others do not require
defibrillation.
Q9. What is the main goal of CPR?
A. Restart the heart
B. Maintain circulation and oxygen flow
C. Reduce pain
D. Prevent sweating
Correct Answer: B. Maintain circulation and oxygen flow
Explanation: CPR keeps blood flowing until advanced care arrives. A is
AED’s role.
Q10. Which is a sign of concussion?
A. Clear thinking
B. Loss of coordination
C. Increased strength
D. Faster reflexes