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.
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.
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Question 1 of 25
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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).
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Question 2 of 25
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Answer: D. 911
911 is the emergency number for police, fire and ambulance across the US.
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Question 3 of 25
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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.
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Question 4 of 25
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Answer: A. Shout, tap the person, and shout again
Use shout-tap-shout to check responsiveness without moving the person.
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Question 5 of 25
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Answer: D. 10 seconds
Check breathing for no more than 10 seconds so CPR is not delayed.
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Question 6 of 25
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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.
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Question 7 of 25
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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.
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Question 8 of 25
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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.
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Question 9 of 25
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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.
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Question 10 of 25
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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.
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Question 11 of 25
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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.
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Question 12 of 25
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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.
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Question 13 of 25
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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.
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Question 14 of 25
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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.
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Question 15 of 25
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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.
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Question 16 of 25
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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).
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Question 17 of 25
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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.
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Question 18 of 25
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Answer: B. 30 compressions, then 2 breaths
Trained lay rescuers give cycles of 30 compressions followed by 2 breaths.
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Question 19 of 25
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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.
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Question 20 of 25
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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.
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Question 21 of 25
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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.
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Question 22 of 25
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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.
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Question 23 of 25
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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.
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Question 24 of 25
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Answer: B. Less than 10 seconds
Keep interruptions to less than 10 seconds so blood keeps moving.
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Question 25 of 25
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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.
Keyboard: 1–4 to answer, Enter for the next question.
The real test: No single government exam. The training organization sets any written test, skills check and pass mark.
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
- American Heart Association: 2025 Guidelines, Adult Basic Life Support
- American Heart Association: 2025 Guidelines, Pediatric Basic Life Support
- American Heart Association: Top Things to Know, 2025 Guidelines for CPR and ECC
- American Heart Association and American Red Cross: 2024 Guidelines for First Aid
- American Red Cross: CPR steps
- American Red Cross Scientific Advisory Council: Burn cooling advisory
- OSHA: 29 CFR 1910.151, Medical services and first aid
- HRSA: Poison Help