REFA exit exam questions and answers — Set 1
Set 1 of the Refresher Elementary First Aid (REFA) exit exam bank — 30 of 88 questions, with the correct option marked. This bank is answer-only: the source published no usable explanations for it, so there are none here either. 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 1 — 30 REFA exit exam questions with answers
1. Which fire extinguisher is most prone to freezing when stowed in low temperature?
- A. Halon 1211
- B. Carbon dioxide
- C. Foam
- D. Dry chemical
2. You discover a particle embedded in the casualty cornea. You should
- A. Remove the particle with a moist corner of a facial tissue or clean cloth
- B. Flush the eye with water for 10 min
- C. Use a splinter force to remove the particle
- D. Cover the eye and transport the casualty to medical help
3. After an extremity fracture has been immobilised, the responder should check for circulation
- A. In the injured limb only
- B. Distal to the injury
- C. Proximal to the injury
- D. At the site of the fracture
4. When performing adult CPR you give
- A. 2 slow breaths and 30 chest compressions
- B. 1 slow breaths and 10 chest compressions
- C. 5 slow breaths and 10 chest compressions
- D. 3 slow breaths and 15 chest compressions
5. What method of handling you see if victim is unconscious
- A. Pick a back method
- B. Fireman lift
- C. Simple fore and aft carry
- D. Both B and C
6. A faint is a brief loss of consciousness of more than momentary duration caused by a temporary reduction in the flow of blood to the brain. How would you prevent anyone from fainting ?
- A. If standing in a crowd, flex the leg muscles and toes to aid circulation
- B. Try to keep the person in an upstanding position
- C. Tell the person to sit down in a sitting position breathing normally
- D. Tell the person to sit down and lean forward with the head between the knees taking deep breaths
7. What is the most important thing to do if you think someone is having a heart attack ?
- A. Give aspirin and wait to see
- B. Help the person lie down
- C. Call the persons doctor
- D. Call medical help
8. To safety perform a chair carry you need ?
- A. 2 rescuers
- B. 3 rescuers
- C. 4 rescuers
- D. 5 rescuers
9. What is the best way to remove a tick ?
- A. Smoother it in butter
- B. Lift it put carefully with tweezers
- C. Scrape it off with a hard, flat object like a credit card
- D. Burn it off with a hot match
10. You have a casualty that is muttering to themselves but not making any sense. The face appears to be dropping in one side what might be wrong with them ?
- A. They are have a heart attack
- B. They are in shock after witnessing an accident
- C. They may be having a stroke
- D. None of the above
11. Urine enters the bladder through which structure ?
- A. Ureters
- B. Collecting duct
- C. Kidney
- D. Urethra
12. What damage could occur if first aider’s hand are placed at hte tip of the sternum during heart compression ?
- A. The patient may vomit as his stomach is squeezed
- B. The lungs may be punctured leading to severe loss of breath
- C. The ribs might be cracked
- D. The liver might be torn leading to severe internal bleeding
13. When caring for a chocking infant what position is the infant held ?
- A. Upside down by ankles and shoulders
- B. Face up on flat surface
- C. Face down on your fore arm with head lower than the body
- D. Face down on your knee with head lower than the body
14. Signs that hernia is serious include
- A. Pain and tenderness at site
- B. Pale, ashen skin colour at site
- C. Hernia can be pushed back into the body
- D. Hernia is above the diaphragm
15. How you should react to an emergency ?
- A. Asses the scene for safety
- B. Estimate the number of victims and call help
- C. Get the first aid kit put on PPE before helping
- D. All of the above
16. The proper stimulant for unconscious person is
- A. Tea
- B. Coffee
- C. Whiskey and water
- D. Ammonia inhalant
17. If someone suffers heart attack and has ceased breathing, you should ?
- A. Immediately give stimulant by force if necessary
- B. Make the victim comfortable in a bunk
- C. Immediately start CPR
- D. Administer oxygen
18. A communicate fracture is one where the bone has
- A. Broken into pieces which are floating.
- B. Broken where only part of the bone is fractured
- C. Broken clearly with each and attached
- D. Broken and is affecting muscles and nerve
19. In order to initiate CPR on a drowning victim
- A. Start chest compression before the victim is removed from the water
- B. Drain water from the lungs before ventilating
- C. Begin mouth-to-mouth ventilation
- D. Do not lit the head back since it may cause vomiting
20. Some people are very allergic to insect bites and stings. The condition is called ______.
- A. Septic chock
- B. Cardiac arrest
- C. Toxic shock and syndrome
- D. Anaphylactic shock
21. Heat stroke attack bodies vital organs except
- A. Brain
- B. Heart
- C. Kidney
- D. Bones
22. When performing abdominal thrust how many thrust do you do ?
- A. 1 to 5 thrust
- B. 6 to 10 thrust
- C. 15 to 20 thrust
- D. 30 to 40 thrust
23. What does the ABC’s for first aid stand for ?
- A. The letters in the alphabet b. c. * d.
- B. Air, breathing, circulation
- C. Airway , breathing, circulation
- D. None of the above
24. If a person is chocking you should do nothing as long as
- A. They are coughing
- B. They are still conscious
- C. Their face has not turned blue
- D. They start crying
25. Before giving CPR you should make sure ?
- A. They are not bleeding
- B. They are conscious or unconscious
- C. They are not vomiting
- D. They are not dead
26. You are alone and administering CPR to an victim. How many chest compression and how many inflations should you administer in each sequence ?
- A. 15 compression then 2 inflations
- B. 15 compression then 4 inflations
- C. 30 compression then 2 inflations
- D. 30 compression then 4 inflations
27. The content of the first aid kit include the following except
- A. Micropore
- B. Macropore
- C. Bandages
- D. Scissor
28. Advance communications system and technology stipulated by WHO where medical advice can be sought by
- A. Tele medicine
- B. Satellite communication
- C. Radio medical advice
- D. Compulsory in board specialized
29. Which of the following is not a good approach to managing stress
- A. Talking directly to the person who is causing the stress
- B. Giving yourself a treat like comfort food or a cocktail
- C. Accepting that there are things beyond your control
- D. Trying cognitive-therapy to learn new coping skills
30. A high-fiber, low-fat diet and regular exercise can help to ____.
- A. Increase CVD
- B. Increase weight
- C. Lose weight
- D. None
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