Skip to content
DG Exit Exam
Answer Key

REFA exit exam questions and answers — Set 3 — Refresher Elementary First Aid

Set 3 of the Refresher Elementary First Aid (REFA) exit exam bank — 30 of 155 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.

Bank last rebuilt .

30 of 30 shown · Set 3

Nothing in this set matches that. Try a shorter word, or search the whole key.

Set 3 — 30 REFA exit exam questions with answers

1. If you are the first person to discover the fire, what should you do ?

  • A. Leave the building immediately
  • B. Head to your locker and get your personal items
  • C. Pick up a fire extinguisher and tackle the fire
  • D. Activate the fire alarm
Answer: D — Activate the fire alarm
The person who discovers a fire must raise the alarm immediately, using the nearest manual call point, so the crew and the emergency response are started. Early alarm is the first step in all shipboard fire procedures.

2. Your role in making the first aid successful work effectively includes four steps

  • A. Elevate, identify, decide, execute
  • B. Check, cal, care, protect
  • C. Recognize, decide, call, provide
  • D. None of the above
Answer: C — Recognize, decide, call, provide
The four steps for effective first aid are to recognise that an emergency exists, decide to act, call for help and provide care until help takes over. These steps help the first aider respond quickly and in order.

3. Where does the partly digested food ( in liquid form) goes after it leaves stomach ?

  • A. Gullet
  • B. Appendix
  • C. Small intestine
  • D. Large intestine
Answer: C — Small intestine
After leaving the stomach, the partly digested liquid food (chyme) passes into the small intestine, where most digestion and absorption of nutrients take place before the remainder moves into the large intestine.

4. You have someone who is pale, sweating, profusely, trembling and acting aggressively. They appear drunk but do not smell of alcohol. What may be wrong with them ?

  • A. They are suffering from a diabetic emergency
  • B. They are suffering from a heart attack
  • C. They are suffering from an epileptic seizure
  • D. They are suffering from a stroke
Answer: A — They are suffering from a diabetic emergency
Paleness, heavy sweating, trembling and aggressive or confused behaviour that looks like drunkenness without any smell of alcohol are classic signs of hypoglycaemia, a diabetic emergency. Giving sugar if the casualty is conscious can quickly reverse it.

5. Pelvic fracture can cause severe and even life threatening bleeding in to the

  • A. Pelvic areas
  • B. Abdominal cavities
  • C. Large intestine
  • D. A & B
Answer: D — A & B
A fractured pelvis can damage large blood vessels and cause severe, life-threatening internal bleeding into both the pelvic area and the abdominal cavity. This is why such casualties often show signs of shock.

6. What symptoms are associated with heat exhaustion_____

  • A. Cool, moist, pale, or flushed skin
  • B. Rapid weak pulse
  • C. Rapid, shallow breathing
  • D. All of the above
Answer: D — All of the above
Heat exhaustion produces cool, moist, pale or flushed skin, a rapid weak pulse and rapid shallow breathing, together with headache, nausea and weakness. All the listed signs are typical of the condition.

7. On an infant, if you are the lone rescuer, you should perform compressions

  • A. Using to finger just below the nipple line
  • B. Using the heel of one hand just below he nipple line
  • C. Using the heal of two hands just below the nipple line
  • D. None of the above
Answer: A — Using to finger just below the nipple line
A lone rescuer gives infant chest compressions with two fingers just below the nipple line in the centre of the chest. The infant's chest is small and fragile, so two fingers give the correct depth of about 4 cm.

8. On an infant where you check the pulse ?

  • A. Inside the wrist just above the hand
  • B. On the neck to the right or left side of the wind pipe
  • C. Behind the knee cap
  • D. Inside the arm between the elbow and shoulder
Answer: D — Inside the arm between the elbow and shoulder
In an infant, the pulse is checked at the brachial artery on the inside of the upper arm between the elbow and shoulder. The neck of an infant is too short for reliable use of the carotid pulse.

9. A burn should be immersed or placed under water for at least ______ minutes

  • A. 5 min
  • B. 10 min
  • C. 15 min
  • D. 20 min
Answer: B — 10 min
A burn should be cooled under cool running water for at least 10 minutes to stop the burning process, reduce pain and limit tissue damage. Many current guidelines now recommend up to 20 minutes.

10. When caring for someone who has suffered an electric shock, you would not ______

  • A. Check breathing and pulse
  • B. Check for possible fractures
  • C. Cool the burned areas
  • D. Treat for shock
Answer: B — Check for possible fractures
In electric shock, the priorities are breathing and pulse, cooling the entry and exit burns and treating for shock. Looking for fractures is not a first priority for electric shock care, so it is the step not normally taken.

11. What is an open fracture ?

  • A. A fracture in which the bone ends can move around
  • B. A fracture in which the bone is exposed as the skin is broken
  • C. A fracture which causes complications such as a punctured lung
  • D. A fracture in which the bone has bent and split
Answer: B — A fracture in which the bone is exposed as the skin is broken
An open (compound) fracture is one where the broken bone has pierced the skin or there is an open wound leading to the fracture. It carries a high risk of infection and serious bleeding.

12. How should you pen the airway of an unconscious casualty ?

  • A. Head tilt and chin lift
  • B. Jaw thrust
  • C. Head tilt and jaw thrust
  • D. Lift the chin
Answer: A — Head tilt and chin lift
The head-tilt chin-lift manoeuvre is the standard way for a first aider to open the airway of an unconscious casualty, lifting the tongue away from the back of the throat. The jaw thrust is used mainly when spinal injury is suspected.

13. What steps would you take to control bleeding from a nose bleed ?

  • A. Sit casualty down, lean forward and pinch soft part of nose
  • B. Sit casualty down, lean backward and pinch soft part of nose
  • C. Lie casualty down and pinch soft part of nose
  • D. Lie casualty down and pinch top of the nose
Answer: A — Sit casualty down, lean forward and pinch soft part of nose
For a nosebleed, sit the casualty down, lean them forward and pinch the soft part of the nose for about 10 minutes. Leaning forward lets blood drain out of the nose instead of down the throat.

14. An unconscious casualty is lying on their back and has a broken leg, What position is best for the casualty ?

  • A. Leave them as they
  • B. Sitting up position
  • C. Recovery position
  • D. Lying down with the legs raised
Answer: C — Recovery position
An unconscious, breathing casualty is placed in the recovery position (modified as needed for the fracture), because a clear airway takes priority over the limb injury.

15. What should a casualty with a severe allergy carry at all times

  • A. Insulin
  • B. HCQ
  • C. Adrenaline
  • D. Aspirin
Answer: C — Adrenaline
A person with a known severe allergy should carry an adrenaline (epinephrine) auto-injector at all times. Adrenaline quickly reverses airway swelling and low blood pressure in anaphylaxis until medical help arrives.

16. What is the best method of avoiding accident in workplace ?

  • A. By wearing safety equipment
  • B. Doing things in one’s own way
  • C. By observing safety precautions
  • D. Doing things with highly skilled working practice
Answer: C — By observing safety precautions
Observing safety precautions, such as following safe working procedures, permits to work and risk assessments, is the best way to prevent workplace accidents. PPE is the last line of defence and does not replace safe practice.

17. What will be the effect if a person shows the symptoms of drowsiness ?

  • A. Activeness
  • B. Laziness
  • C. Conscious
  • D. Unconscious
Answer: D — Unconscious
Drowsiness is a lowered level of consciousness, and if the cause is not corrected the person may become unconscious. A drowsy casualty must be closely watched and their airway protected.

18. Which of the following behaviours reduces your risk for injury ?

  • A. Always wearing a safety belt when working
  • B. Limiting intake of alcohol
  • C. Limiting intake of foods high in cholesterol
  • D. Both a and b
Answer: D — Both a and b
Wearing a safety belt or harness when working at height and limiting alcohol intake both directly reduce the risk of injury. A low-cholesterol diet benefits health but does not affect injury risk.

19. A wound where there is damage to the soft tissue and blood vessel under the skin is called ____

  • A. A scrape
  • B. A cut
  • C. A bruise
  • D. A avulsion
Answer: C — A bruise
A bruise (contusion) is damage to the soft tissue and blood vessels beneath unbroken skin, causing bleeding under the surface and discolouration. A scrape, cut or avulsion involves breaks in the skin.

20. When giving care or external bleeding, what should you do first ?

  • A. Elevate the injury
  • B. Apply direct pressure
  • C. Apply a loose dressing
  • D. Apply a tourniquet
Answer: B — Apply direct pressure
The first step in caring for external bleeding is to apply firm direct pressure over the wound, usually with a sterile dressing. Elevation and other measures follow, and a tourniquet is only for life-threatening limb bleeding.

21. when caring for a victim who has an objective impaled in their hand you should ____

  • A. Remove the object, flush with cold water and transport to hospital
  • B. Immobilize the object by placing several dressings around it
  • C. Break object off where it sticks out, and bandage injury
  • D. None of the above
Answer: B — Immobilize the object by placing several dressings around it
An impaled object should not be removed, as it may be plugging the wound. It is stabilised with several bulky dressings placed around it and bandaged in place, and the casualty is taken for medical care.

22. What should you do if someone is unconscious, but you are not a trained first aider?

  • A. Get medical help immediately
  • B. Try to perform CPR on the crew
  • C. Move the crew on to their back
  • D. Slap the crew to see if they would wake up
Answer: A — Get medical help immediately
Someone without first aid training who finds an unconscious person should get trained medical help immediately. Calling for help quickly is the most useful action and prevents harm from incorrect treatment.

23. How can you reduce the risk of disease transmission when caring for open bleeding wounds ?

  • A. Wash your hands immediately after giving care
  • B. Avoid direct contact with the blood
  • C. Use protective barriers such as gloves or plastic wrap
  • D. All of the above
Answer: D — All of the above
Washing hands after giving care, avoiding direct contact with blood and using barriers such as gloves or plastic wrap all reduce the risk of transmitting disease from open wounds. They should all be used together.

24. The accepted treatment for a femur or thigh fracture is

  • A. Place a short padded splint on each side of the leg
  • B. This type of fracture is best handled by a traction splint applied by those with special training
  • C. Move the victim before properly applying a leg splint
  • D. Bind both legs with two long splints using two cravats, one above and one below the break
Answer: B — This type of fracture is best handled by a traction splint applied by those with special training
A femur fracture can cause major blood loss and muscle spasm, so it is best managed with a traction splint applied by people trained in its use. Untrained handling can worsen bleeding and damage.

25. Which of the following is a common treatment for bulimia

  • A. Family therapy
  • B. Cognitive Behaviour Therapy
  • C. Psycodynamic therapy
  • D. Humanistic therapy
Answer: B — Cognitive Behaviour Therapy
Cognitive Behaviour Therapy is the most widely used and best-supported treatment for bulimia nervosa, helping the person change the thoughts and behaviours behind the binge-purge cycle.

26. Noro virus can be prevented by the following except

  • A. Washing hands often
  • B. isolating sick person
  • C. Drinking little amount of water
  • D. Maintaining strong immune system
Answer: C — Drinking little amount of water
Norovirus is prevented by frequent hand washing, isolating sick persons and keeping the immune system strong. Drinking only a small amount of water does nothing to prevent it, and dehydration is in fact a risk during the illness.

27. How often should you have a Pap smear?

  • A. Once a year after puberty
  • B. Once a year after either turning 21 or having sexual intercourse for the first time
  • C. Once a year after age 21 and twice every year after 30
  • D. Once a year if you're not in a monogamous relationship
Answer: B — Once a year after either turning 21 or having sexual intercourse for the first time
Under the older screening guidance, women were advised to begin yearly Pap smears at age 21 or once they became sexually active, whichever came first. Current guidance has since changed to less frequent testing.

28. How often should an adult have a tetanus-diphtheria booster?

  • A. 5years
  • B. 2years
  • C. 10years
  • D. 15years
Answer: C — 10years
Adults should receive a tetanus-diphtheria (Td) booster every 10 years to maintain immunity. Seafarers should keep this up to date because cuts and puncture wounds are common on board.

29. The first link in the chain of survival for a casualty in cardiac arrest is:

  • A. Transport of the casualty ashore
  • B. Early defibrillation
  • C. Early recognition of the emergency and calling for help
  • D. Post-resuscitation care by a doctor
Answer: C — Early recognition of the emergency and calling for help
The chain of survival starts with early recognition and a call for help, followed by early CPR, early defibrillation and post-resuscitation care. Each link improves survival, but nothing happens until someone recognises the emergency and raises the alarm.

30. The main aims of first aid are often summarised as:

  • A. Diagnose the illness, prescribe medicine and discharge the casualty
  • B. Move the casualty, record details and inform the company
  • C. Give drugs, stitch wounds and arrange evacuation
  • D. Preserve life, prevent the condition worsening and promote recovery
Answer: D — Preserve life, prevent the condition worsening and promote recovery
First aid aims to preserve life, prevent deterioration and promote recovery until medical help is available. The elementary first aider is not expected to diagnose or prescribe; that remains with the person in charge of medical care or a doctor.

Printing this? Use your browser's Print (Ctrl/⌘ + P) — the buttons, the search box and the site chrome drop out and the questions run on as plain text, so a set fits a few pages. Filter to one set first if you only want that set on paper.

Send this REFA answer key to your batch

Send on WhatsApp

More free tools for seafarers