Series 4-7a: Diagnosing Injuries and Establishing Priorities for Treatment

The “Diagnosing Injuries and Establishing Priorities for Treatment” section of the Alberta School Bus Knowledge Test assesses a driver’s ability to quickly evaluate injuries and prioritize care in emergency situations.

Alberta School Bus Test - SERIES 4-7a: Diagnosing Injuries and Establishing Priorities for Treatment 1

1 / 30

To open the airway when no spinal injury is suspected, use:

Head-tilt chin-lift

Shoulder lift

Neck rotation

Jaw thrust with no head tilt

2 / 30

If there is no response and unconsciousness is suspected, you must remember that:

Unconsciousness means the heart has stopped

Unconsciousness requires immediate food intake

Unconsciousness is a breathing emergency

Unconsciousness always means spinal injury

3 / 30

After bleeding has stopped, you should:

Remove the dressing to let air in

Lower the limb below heart level

Apply a bandage to secure the dressing

Massage the area

4 / 30

If blood soaks through the first dressing, you should:

Stop pressing on the wound

Apply powder to the wound

Remove the soaked dressing and replace it

Add more dressings without removing the first

5 / 30

To open the airway when spinal injury is suspected, use:

Head-tilt chin-lift

Neck extension

Side-lying position

Jaw thrust with NO head tilt

6 / 30

In a multiple-casualty situation, what injuries must you check and treat first?

Minor cuts and bruises

Fractures only

Life-threatening injuries (Airway, Breathing, Circulation)

Emotional distress

7 / 30

When performing artificial respiration, you should pinch the nose and:

Only blow air into the nose

Cover both mouth and nose with your hand

Ensure a good mouth-to-mouth seal

Leave the mouth slightly open

8 / 30

When checking a responsive person, asking “Where does it hurt?” helps you know:

Their blood pressure is normal

They have no fractures

They are not in shock

Their airway is open and breathing is effective

9 / 30

For severe external bleeding, the first step is to:

Sit the person up

Apply a cold pack through clothing

Give the person water

Expose the wound

10 / 30

To check for breathing you should:

Check the pulse only

Ask the person to say their name

Look at the chest, listen and feel for breathing

Shake the person firmly

11 / 30

Shock is best described as:

Only an emotional reaction

A loss of circulation often present with injury or illness

A broken bone

A brief fainting episode with no risk

12 / 30

To bring severe bleeding under control, you should primarily:

Apply direct, even pressure over the wound

Apply ice only

Use a tourniquet immediately in all cases

Elevate the opposite limb

13 / 30

Bandages are used to:

Clean wounds

Hold dressings, maintain pressure, support and immobilize

Replace dressings completely

Cool burned areas

14 / 30

Artificial respiration for an adult is given at a rate of:

One breath every five seconds

One breath every ten seconds

One breath every two seconds

Two breaths every ten seconds

15 / 30

In the ABC priorities, “A” stands for:

Airway

Alertness

Alignment

Assessment

16 / 30

Artificial respiration for a child is given at a rate of:

One breath every three seconds

One breath every five seconds

Two breaths every ten seconds

One breath every ten seconds

17 / 30

Dressings must be:

Made only of cotton wool

Reused if they look clean

Sticky and fluffy to cushion the wound

Sterile, absorbent, lint free, non-sticky and large enough

18 / 30

A major sign that internal bleeding may be present is:

Sneezing

Runny nose

Massive bruising

Mild itching

19 / 30

You should continue artificial respiration until:

The person breathes unassisted or medical aid takes over

The person opens their eyes

The ambulance is more than 30 minutes away

Five minutes have passed

20 / 30

Having a person take a deep breath and cough helps you assess for:

Head injury

Serious chest injury

Leg fractures

Allergic reaction

21 / 30

A “wet check” or rapid body survey is used to detect:

Concussion

Hidden severe external and internal bleeding

Spinal alignment

Internal organ function

22 / 30

If breathing is ineffective, you should first:

Cover them with a blanket and wait

Give them water

Assess the rate and depth and assist if needed

Move the person into a sitting position

23 / 30

In the ABC priorities, “B” stands for:

Bandaging

Burns

Blood Loss

Not Breathing

24 / 30

If the person is not breathing, the initial action is to:

Give them something to drink

Place them in recovery position immediately

Give two slow breaths

Start chest compressions only

25 / 30

After two slow breaths, if there is a pulse but no breathing, you should:

Stop and wait for medical aid

Continue with artificial respiration

Place them in recovery position only

Start full CPR with compressions

26 / 30

A possible indication of internal bleeding from the lungs is:

Hoarseness

Coughed up frothy blood

Dry cough

Clear mucus

27 / 30

When head, neck, or spinal injuries are suspected, you should:

Not move the person unless there is immediate danger

Turn their head to see if it hurts

Sit the person up to help breathing

Make them walk to check leg strength

28 / 30

In the ABC priorities, “C” primarily refers to:

Circulation – severe bleeding and shock

Cardiac medications

Consciousness level

Chest injuries only

29 / 30

After a collision, what should you do before starting treatment?

Determine the number of casualties and severity of injuries

Remove seat belts from all casualties

Give everyone something to drink

Move all injured people off the road immediately

30 / 30

Asking a person to pull in their stomach and blow out again helps you assess for:

Stroke

Broken ribs

Facial fractures

Internal injury or internal bleeding

Your score is

Candidates are tested on identifying life-threatening conditions, such as severe bleeding, breathing difficulties, or unconsciousness, and understanding the importance of treating the most critical injuries first. This section emphasizes the need for calm, clear decision-making and knowing when to call for professional medical assistance. Mastery of these skills ensures that school bus drivers can provide effective initial care, helping to stabilize injured passengers until emergency responders arrive on the scene.