American Red Cross Lifeguard Certification Written
Exam | Latest Verified Questions and Detailed Answers
OVERVIEW DESCRIPTION
This comprehensive set of multiple-choice questions is designed for the American Red
Cross Lifeguard Certification Written Exam, assessing theoretical knowledge across
six essential core areas: Water Rescues and Emergency Protocols; CPR, AED, and
Oxygen Administration; First Aid; Emergency Action Plans; Facility Safety, Prevention,
and Surveillance; and Professional Lifeguard Responsibilities. The exam is
administered by the American Red Cross and evaluates a candidate’s ability to
recognize drowning victims, execute rescue techniques, manage spinal injuries,
perform CPR and use an AED, deliver first aid for medical and trauma emergencies,
activate and follow an Emergency Action Plan, maintain effective patron surveillance,
and uphold legal and professional standards of care.
1. Water Rescues and Emergency Protocols
QUESTION 1
A patron is vertical in the water, not kicking, head tilted back with the mouth just above
the surface, and arms pressing downward but making no forward progress. This best
describes a:
A. Distressed swimmer
B. Active drowning victim
C. Passive drowning victim
D. Tired swimmer on a back float
CORRECT ANSWER: A
EXPERT RATIONALE:
A distressed swimmer can still support themselves, may call for help, and shows
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inefficient but voluntary movement. An active drowning victim cannot call out and
struggles at the surface.
QUESTION 2
Which finding indicates a passive drowning victim?
A. Body is vertical with arms thrashing at the surface
B. Victim is face-down and motionless on the bottom
C. Victim is treading water while calling for help
D. Swimmer is waving an arm above the surface while gasping
CORRECT ANSWER: B
EXPERT RATIONALE:
Passive victims are unconscious or unable to act; they are often found motionless on the
bottom or floating face-down at the surface.
QUESTION 3
A swimmer is 5 feet from the pool wall, able to keep their face out of the water and
gasping for air while grabbing onto a lane line. The safest first action for a lifeguard is
to:
A. Perform a compact jump and swim with a rescue tube
B. Extend a rescue tube or shepherd’s crook from the deck
C. Jump in immediately without any equipment
D. Throw a ring buoy past the swimmer and pull them in
CORRECT ANSWER: B
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EXPERT RATIONALE:
A reaching assist keeps the lifeguard on deck and is the simplest, safest rescue when the
victim is close enough to grab an extended device.
QUESTION 4
For a conscious active drowning victim just beyond the reach of a rescue tube extension,
what is the appropriate entry?
A. Stride jump with rescue tube positioned against the chest
B. Slide-in feet-first while maintaining visual contact
C. Compact jump with rescue tube tucked under both arms
D. Run-and-swan dive entry to reduce splash
CORRECT ANSWER: A
EXPERT RATIONALE:
The stride jump allows the lifeguard to keep the rescue tube high and the head above
water while maintaining visual contact with the victim.
QUESTION 5
While performing a rear rescue on a passive drowning victim at the surface, the
lifeguard should position the rescue tube:
A. Under the victim’s arms and across the chest
B. Across the victim’s back with straps loose
C. Under the victim’s neck and shoulders only
D. At the lifeguard’s own waist as a buoyancy aid
CORRECT ANSWER: A
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EXPERT RATIONALE:
Placing the tube under the victim’s arms and across the chest supports the airway and
keeps the victim stable for in-water breathing assessment and transport.
QUESTION 6
When a submerged victim is discovered in deep water, the lifeguard should:
A. Hold breath, submerge, grasp the victim, and push off the bottom
B. Enter with a rescue tube, perform a feet-first surface dive, and approach from behind
C. Dive head-first without equipment, grab the victim, and tow to the surface
D. Wait for backup before entering the water
CORRECT ANSWER: B
EXPERT RATIONALE:
A feet-first surface dive with rescue tube allows rapid descent and keeps equipment
ready; approaching from behind avoids panic grabs.
QUESTION 7
Which is the primary purpose of in-water stabilization for a suspected spinal injury?
A. Immediately remove the victim from the water
B. Prevent movement of the head, neck, and spine until secured to a backboard
C. Clear the pool and activate EMS before any contact
D. Check consciousness and apply an AED
CORRECT ANSWER: B