EFA exit exam questions and answers — Set 25 — Elementary First Aid
Set 25 of the Elementary First Aid (EFA) exit exam bank — 30 of 1185 questions, with the correct option marked and a one-line explanation for every one. Read it end to end, jump to a single set, or search it — then sit the same bank as a timed paper. The real DG Shipping exit exam is 30 marks with 15 to pass.
These are the bank's original groupings. Practising deals the whole bank out again every time you reshuffle, so a practice “Set 3” is a different 30 questions each time — the set numbers below are the source file's, and are only used here so the key stays navigable. Options are listed in their original order with fixed letters; when you practise, those move too.
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Set 25 — 30 EFA exit exam questions with answers
1. When performing chest compressions, where on the casualty's body do you place your hands?
- A. Heel of one hand on the centre of the chest (lower half of the breastbone), with the other hand on top
- B. On the upper part of the breastbone near the throat
- C. On the left side of the chest over the ribs
- D. On the abdomen just below the ribs
2. A person has frostbite on the feet. What should you do?
- A. Rewarm the feet in warm water not exceeding about 40°C (105°F), then cover with dry sterile dressings
- B. Rub the feet vigorously with snow
- C. Warm the feet in front of a fire or heater
- D. Let the person walk on the feet to restore circulation
3. After applying a compression bandage, which sign shows that the bandage may be too tight?
- A. Swelling below the bandage and severe pain
- B. Warm, pink skin below the bandage
- C. Normal pulse below the bandage
- D. The bandage feels secure and comfortable
4. Blood serves as a vehicle for transporting:
- A. Oxygen, nutrients, carbon dioxide, wastes, hormones and antibodies
- B. Only oxygen
- C. Only food and water
- D. Only nerve impulses
5. Which of the following best describes a contusion?
- A. A bruise caused by bleeding under unbroken skin
- B. A deep cut with clean edges
- C. A wound caused by a pointed object
- D. A tearing away of a flap of skin
6. Which of the following conditions would indicate that a casualty is dead?
- A. Rigor mortis (stiffening of the body) is present
- B. The skin is wet and clammy
- C. The pulse is rapid and weak
- D. The casualty is breathing slowly
7. What is the disadvantage of using a tourniquet initially to stop bleeding?
- A. It cuts off blood and oxygen to the limb, which may lead to loss of the injured part
- B. It increases the bleeding
- C. It causes the casualty to become hypothermic
- D. It cannot be applied to an arm
8. An infant is in cardiac arrest and only an adult AED with adult pads is available. What should you do?
- A. Use the adult AED, placing the pads on the front and back of the chest so they do not touch
- B. Do not use the AED at all
- C. Cut the adult pads in half to fit the infant
- D. Use the AED only after 30 minutes of CPR
9. How will you check a patient in shock for paleness if the skin is dark?
- A. Check the mucous membranes (inside of lips and eyelids) and the nail beds
- B. Check the colour of the palms only after exercise
- C. Look at the hair colour
- D. Check the colour of the soles after warming
10. Where is the heart located?
- A. Just above the diaphragm, in the middle of the thorax, extending slightly to the left
- B. In the abdomen below the stomach
- C. On the right side of the chest beneath the right lung
- D. Behind the spinal column in the lower back
11. Redness of the eye can be caused by:
- A. Welding arc flash without eye protection
- B. Wearing safety goggles
- C. Drinking cold water
- D. Low blood pressure
12. You come upon an unconscious victim with a pulse who does not appear to be breathing. You are unable to deliver the first breath. What is the next step?
- A. Repeat the head tilt/chin lift manoeuvre and attempt the breath again
- B. Start abdominal thrusts immediately
- C. Give up and wait for the doctor
- D. Turn the victim into the recovery position
13. ____ is a condition in which an injured person's vital organs slow down due to a serious injury.
- A. Shock
- B. Fatigue
- C. Fainting
- D. Cramp
14. A shipmate touches some live electrical wires and collapses unconscious. What is the first thing you should do?
- A. Find and isolate the source of electricity
- B. Pull the casualty away with your bare hands
- C. Start chest compressions immediately while the casualty is still touching the wires
- D. Pour water on the casualty
15. You are treating an infant in cardiac arrest. Where do you place the AED pads?
- A. One on the centre of the chest and one on the back
- B. Both on the front of the chest touching each other
- C. One on each arm
- D. One on the abdomen and one on the leg
16. What should you do if you think someone has a broken leg?
- A. Keep the person calm and still in the position found, support the limb and get medical help
- B. Make the person walk to test the leg
- C. Straighten the leg forcibly
- D. Massage the injured area
17. To prevent further contamination and infection of a wound, you should cleanse the surrounding skin by:
- A. Swabbing outward from the wound edge, using a fresh swab for each stroke
- B. Scrubbing towards the wound with the same swab
- C. Blowing on the wound to dry it
- D. Applying cotton wool directly into the wound
18. If a stroke is suspected you should do the F.A.S.T. test. What do these letters stand for?
- A. Face, Arms, Speech, Time
- B. Feel, Assess, Stop, Treat
- C. Fever, Airway, Shock, Temperature
- D. Fast, Alert, Sit, Talk
19. The simple pick-a-back method of carrying is useful only where the casualty is ____.
- A. Conscious and able to hold on
- B. Unconscious
- C. Suffering from a spinal injury
- D. Suffering from a leg fracture
20. Which of the following cannot be treated as a minor injury?
- A. Wounds near joints
- B. A small surface graze
- C. A minor bruise on the arm
- D. A small superficial cut on a fingertip
21. Which one of the following factors increases the risk of life-threatening injury?
- A. High velocity of impact
- B. Low velocity of impact
- C. Wearing protective clothing
- D. A short fall onto a soft surface
22. The pulse rate of a normal adult averages about:
- A. 72 beats per minute
- B. 10 beats per minute
- C. 40 beats per minute
- D. 150 beats per minute
23. In adults, the only site for the formation of red blood cells is the:
- A. Red bone marrow
- B. Yellow bone marrow
- C. Liver
- D. Spleen
24. The number of cycles of CPR (30 compressions to 2 breaths) that should be performed for an adult in 2 minutes is:
- A. 5
- B. 2
- C. 10
- D. 15
25. Where are the blood vessels that supply the skin found?
- A. Dermis
- B. Epidermis
- C. Hair shaft
- D. Nails
26. If the throat is covered with a grey layer (membrane), it is a sign of:
- A. Diphtheria
- B. Common cold
- C. Tonsillitis caused by a virus
- D. Asthma
27. A strain occurs when a muscle or group of muscles is over-stretched and possibly torn by violent or sudden movement, for example lifting heavy weights incorrectly. The treatment of a strain may be remembered by the word RICE. What does RICE stand for?
- A. Rest, Ice, Compression, Elevation
- B. Rub, Ice, Cover, Exercise
- C. Rest, Immobilise, Cool, Examine
- D. Relax, Inspect, Compress, Exercise
28. A six-month-old baby is turning blue around the mouth. He appears to be gagging but cannot cry or take a breath after being given marbles to play with. What is the next step?
- A. Deliver back blows and chest thrusts
- B. Give abdominal thrusts
- C. Perform a blind finger sweep of the mouth
- D. Give him water to drink
29. First aid must be administered immediately to:
- A. Restore breathing and heartbeat
- B. Clean minor scratches
- C. Bandage a sprained ankle
- D. Treat a mild headache
30. The factor which indicates that a drug-related emergency is life-threatening is:
- A. Altered mental status
- B. Dilated pupils only
- C. Mild nausea
- D. A slight headache
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