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First Aid and CPR Practice Test (US) 2026

First aid, CPR and AED courses in the US, such as those from the American Heart Association and the American Red Cross, often end with a written test and a skills check. This practice covers CPR for adults, children and infants, AED use, choking, bleeding, burns and sudden illness, based on the 2025 AHA CPR guidelines and the 2024 AHA and Red Cross first aid guidelines. It is study material, not medical advice.

  • First aid
  • United States
  • 120 questions
  • Checked October 10, 2026

Quick answer

Pass mark: No single government exam. The training organization sets any written test, skills check and pass mark. It is run by No government exam. Training organizations such as the American Heart Association and the American Red Cross run the courses and issue cards; OSHA requires trained first aid providers at workplaces without nearby medical care. Practise here for free with 120 questions, each with the answer and an explanation. Checked against official sources on October 10, 2026.

Read before you practiseStart with the First Aid and CPR Study Guide (US): plain-language notes, diagrams and the numbers to remember.
  1. Question 1 of 25

    The American Red Cross teaches three emergency action steps, shown in this diagram. What are they, in order?
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    Answer: A. Check, Call, Care

    The steps are Check (the scene and the person), Call (911) and Care (give first aid until help arrives).

  2. Question 2 of 25

    What number do you call for an ambulance in the United States?
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    Answer: D. 911

    911 is the emergency number for police, fire and ambulance across the US.

  3. Question 3 of 25

    Before you check an injured person, what should you do first?
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    Answer: D. Make sure the scene is safe and put on gloves or other PPE

    The Red Cross says to check the scene for safety first, form a first impression and use personal protective equipment.

  4. Question 4 of 25

    How does the American Red Cross suggest checking whether a person is responsive?
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    Answer: A. Shout, tap the person, and shout again

    Use shout-tap-shout to check responsiveness without moving the person.

  5. Question 5 of 25

    What is the longest you should take to check whether an unresponsive person is breathing?
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    Answer: D. 10 seconds

    Check breathing for no more than 10 seconds so CPR is not delayed.

  6. Question 6 of 25

    An adult does not respond and is not breathing, or is only gasping. What should happen next?
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    Answer: D. Call 911 and get an AED, or have someone do it, then start CPR

    An unresponsive person who is not breathing normally needs 911, an AED and CPR right away.

  7. Question 7 of 25

    You are alone with a cell phone and find an adult in cardiac arrest. What should you do?
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    Answer: C. Call 911, put the phone on speaker and start CPR right away

    A lone rescuer with a phone can call 911 on speaker and start CPR at almost the same time.

  8. Question 8 of 25

    Disposable gloves are right there in a first aid kit when you need to give CPR. What does the AHA say about using them?
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    Answer: A. It is reasonable to use PPE such as gloves when they are immediately available

    PPE is reasonable when it is immediately available, but do not let it delay CPR for long.

  9. Question 9 of 25

    A responsive adult has a twisted ankle. What should you do before you start to help?
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    Answer: B. Tell them your name and ask if you can help

    A responsive adult can accept or refuse care, so introduce yourself and ask first.

  10. Question 10 of 25

    How long should you wash your hands with soap and water after giving first aid?
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    Answer: C. At least 20 seconds

    Wash with soap and water for at least 20 seconds, or use a hand sanitizer with at least 60% alcohol.

  11. Question 11 of 25

    An adult is unresponsive and their breathing is absent or not normal. What should a lay rescuer assume?
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    Answer: C. The person is in cardiac arrest and needs CPR

    Lay rescuers should assume cardiac arrest when an adult is unresponsive with absent or abnormal breathing.

  12. Question 12 of 25

    What is agonal breathing?
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    Answer: C. Slow, irregular gasping that does not move enough air

    Agonal breaths are slow, irregular gasps. They are a sign of cardiac arrest, not normal breathing.

  13. Question 13 of 25

    Marker 1 in the diagram shows where to push for adult chest compressions. Where is it?
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    Answer: C. The center of the chest, on the lower half of the breastbone

    Place the heel of one hand on the lower half of the breastbone with the other hand on top.

  14. Question 14 of 25

    Marker 3 shows the rescuer's position. How should your arms and shoulders be?
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    Answer: C. Shoulders directly over your hands, elbows locked

    With straight arms and shoulders over your hands, you can push straight down using your body weight.

  15. Question 15 of 25

    What is the correct rate for chest compressions?
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    Answer: A. 100 to 120 per minute

    Push at a rate of 100 to 120 compressions per minute for adults, children and infants.

  16. Question 16 of 25

    How deep should you push on the chest of an average adult?
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    Answer: B. At least 2 inches (5 cm), but not more than 2.4 inches (6 cm)

    Compress at least 2 inches (5 cm) and avoid going deeper than 2.4 inches (6 cm).

  17. Question 17 of 25

    Marker 2 in the diagram is an up arrow. What does it show?
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    Answer: D. Let the chest come all the way back up after each compression

    Allow complete chest recoil by not leaning on the chest between compressions.

  18. Question 18 of 25

    You are trained in CPR and willing to give breaths. What is the compression-to-breath ratio for an adult?
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    Answer: B. 30 compressions, then 2 breaths

    Trained lay rescuers give cycles of 30 compressions followed by 2 breaths.

  19. Question 19 of 25

    How long should each rescue breath take?
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    Answer: B. About 1 second, with visible chest rise

    Give each breath over about 1 second, just enough to make the chest rise.

  20. Question 20 of 25

    Your first rescue breath does not make the chest rise. What should you do?
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    Answer: D. Re-tilt the head, reseal your mouth and give the second breath

    Re-tilt the head and reseal. If the second breath still does not go in, something may be blocking the airway.

  21. Question 21 of 25

    How do you open the airway before giving rescue breaths?
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    Answer: D. Use the head-tilt/chin-lift

    The head-tilt/chin-lift moves the tongue away from the back of the throat.

  22. Question 22 of 25

    What are the two steps of Hands-Only CPR for an adult who suddenly collapses?
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    Answer: C. Call 911, then push hard and fast in the center of the chest

    Compression-only (Hands-Only) CPR is appropriate when rescuers are untrained or unwilling to give breaths.

  23. Question 23 of 25

    Who should use compression-only (Hands-Only) CPR on an adult?
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    Answer: A. Rescuers who are untrained or unwilling to give breaths

    Compression-only CPR is appropriate for lay rescuers who are untrained or unwilling to give breaths.

  24. Question 24 of 25

    How long should any pause in chest compressions be?
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    Answer: B. Less than 10 seconds

    Keep interruptions to less than 10 seconds so blood keeps moving.

  25. Question 25 of 25

    Where should the person be when you give CPR?
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    Answer: D. On their back on a firm, flat surface

    A firm, flat surface lets each compression push the chest down effectively.

What to know before the test

  • The 2025 AHA guidelines keep the compression rate at 100 to 120 per minute and the adult depth at least 2 inches (5 cm), but not more than 2.4 inches (6 cm).
  • For severe choking in adults and children, the 2025 AHA guidelines call for cycles of 5 back blows followed by 5 abdominal thrusts.
  • The two-finger technique for infant compressions is no longer recommended. Use the heel of one hand or two thumbs with the hands encircling the chest.
  • The 2024 Guidelines for First Aid were co-authored by the American Heart Association and the American Red Cross.
  • The American Red Cross says to cool a burn with cool or cold running water for at least 10 minutes, ideally 20 minutes.
  • OSHA requires a person adequately trained in first aid at a workplace with no infirmary, clinic or hospital nearby.

Frequently asked questions

Is there an official government first aid or CPR test in the US?

No. Training organizations such as the American Heart Association and the American Red Cross run courses and issue certificates. Some jobs require a specific provider or course.

What changed for choking in the 2025 guidelines?

For adults and children with severe choking, give 5 back blows followed by 5 abdominal thrusts, and repeat. For infants, alternate 5 back blows with 5 chest thrusts.

What is Hands-Only CPR?

If you see a teen or adult suddenly collapse, call 911 and push hard and fast in the center of the chest. It is appropriate for rescuers who are untrained or unwilling to give breaths.

How deep should I push during CPR?

At least 2 inches (5 cm) for an average adult, but not more than 2.4 inches (6 cm). About 2 inches (5 cm) for a child and about 1.5 inches (4 cm) for an infant.

Do I need to be certified to use an AED?

AEDs are designed for the public and give voice prompts. Training helps you act quickly and confidently, so a CPR and AED course is a good idea.

Sources

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