2026/2027 Edition | 100 Questions
Real Exam-Based Questions & Verified Answers with 100% Accuracy
Paramedic Program Admission Prep | Graded A+
Q1: You are scanning your zone and notice a patron in the shallow end who is bobbing
up and down, with their head tilted back and mouth at water level. They are making no
forward progress. What type of emergency is this?
A. Distressed swimmer
B. Active drowning victim [CORRECT]
C. Passive drowning victim
D. Spinal injury
Correct Answer: B
Rationale: Correct because an active drowning victim struggles at the surface, exhibits vertical
positioning, and attempts to keep their mouth above water to breathe but cannot call for help. A
distressed swimmer can still make forward progress and call for help, while a passive victim is
submerged or motionless at the surface.
Q2: What is the primary responsibility of a lifeguard?
A. Testing the pool water chemistry every hour
B. Ensuring patron safety and preventing injuries by actively scanning the zone [CORRECT]
C. Teaching swim lessons to beginner patrons
D. Maintaining the cleanliness of the pool deck and locker rooms
Correct Answer: B
Rationale: Correct because the primary responsibility of a lifeguard, as outlined by the
American Red Cross, is to ensure the safety of patrons and prevent injuries through vigilant
surveillance. While other tasks may be secondary responsibilities, they must never interfere with
the primary duty of scanning the assigned zone.
,Q3: Which of the following describes the RID factor in surveillance?
A. Recognition, Intrusion, Distraction
B. Response, Investigation, Delegation
C. Recognition, Intervention, Documentation
D. Relief, Identification, Defense
Correct Answer: A
Rationale: Correct because the RID factor stands for Recognition (identifying a victim),
Intrusion (entering the water to make the rescue), and Distraction (being distracted from
surveillance duties). Per the American Red Cross Lifeguarding Manual, understanding the RID
factor helps lifeguards maintain effective scanning and avoid cognitive overload.
Q4: Under the Good Samaritan laws, which of the following statements is true?
A. They guarantee legal immunity no matter what actions are taken.
B. They protect rescuers from liability when acting in good faith, without negligence, and
within the scope of their training. [CORRECT]
C. They only apply to professional emergency medical personnel.
D. They require rescuers to obtain expressed consent before rendering any care.
Correct Answer: B
Rationale: Correct because Good Samaritan laws are designed to protect individuals who
voluntarily render emergency care from legal liability, provided they act reasonably, in good
faith, and not in a grossly negligent manner. They do not provide absolute immunity and apply
to off-duty professionals as well as bystanders.
Q5: Which of the following is an example of a secondary responsibility that should not
interfere with surveillance?
A. Recognizing a swimmer in distress
B. Adjusting the pool's chlorine levels
C. Answering a patron's question about the facility's operating hours [CORRECT]
D. Performing a deep-water rescue
Correct Answer: C
Rationale: Correct because answering a quick question is a secondary duty that can be briefly
addressed without compromising zone coverage. Adjusting chemicals is typically a maintenance
,task, while recognizing distress and performing rescues are primary surveillance and emergency
response duties.
Q6: When providing care to a conscious adult who is choking, at what point should you
activate the Emergency Action Plan (EAP) and summon EMS?
A. Immediately before providing any care
B. After 5 abdominal thrusts
C. If the object is not dislodged after 5 cycles of 5 abdominal thrusts [CORRECT]
D. Only if the victim becomes unconscious
Correct Answer: C
Rationale: Correct because per the American Red Cross guidelines, you should attempt to
relieve a choking victim with abdominal thrusts but activate the EAP and call EMS if the
obstruction is not cleared after 5 cycles (about 2 minutes). If the victim becomes unconscious at
any point, you must immediately call EMS and begin CPR.
Q7: What is the correct compression-to-ventilation ratio for a single rescuer performing
CPR on an adult, child, or infant?
A. 15:2
B. 30:2 [CORRECT]
C. 30:1
D. 50:2
Correct Answer: B
Rationale: Correct because the universal compression-to-ventilation ratio for a single rescuer
providing CPR to an adult, child, or infant is 30 compressions to 2 ventilations. This ratio
ensures adequate circulation while minimizing interruptions in chest compressions.
, Q8: [Unfolding Scenario 1 - Part 1] You are lifeguarding and notice a submerged passive
victim at the bottom of the pool in the deep end. You enter the water using a stride
jump, swim to the victim, and perform a passive victim front rescue. What is the co rrect
method to surface with the victim?
A. Pull the victim straight up from under the arms as quickly as possible.
B. Position the rescue tube under the victim's armpits and kick to the surface. [CORRECT]
C. Roll the victim onto their back underwater and push off the bottom using your legs.
D. Allow the victim's natural buoyancy to bring them to the surface while holding their wrist.
Correct Answer: B
Rationale: Correct because placing the rescue tube under the victim’s armpits provides
immediate buoyancy and allows the lifeguard to use a strong kick to surface smoothly. Pulling a
victim straight up risks injury to the lifeguard's back and does not provide the necessary support
for an passive victim.
Q9: [Unfolding Scenario 1 - Part 2] As you surface with the submerged victim from the
previous question, your backup lifeguard enters the water to assist. The victim is
unresponsive and not breathing. What is the most appropriate action for the backup
lifeguard?
A. Begin ventilations with a resuscitation mask immediately in the water.
B. Take over the rescue tube and help tow the victim to the edge of the pool. [CORRECT]
C. Check for a carotid pulse while you continue to swim.
D. Signal the other lifeguard on duty to clear the pool.
Correct Answer: B
Rationale: Correct because safely and rapidly extricating the victim from the water is the
priority so that a primary assessment and CPR can be effectively performed on land. The backup
lifeguard assisting with the tow facilitates the quickest possible removal to the deck.