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 check for breathing you should:

Ask the person to say their name

Look at the chest, listen and feel for breathing

Shake the person firmly

Check the pulse only

2 / 30

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

Life-threatening injuries (Airway, Breathing, Circulation)

Fractures only

Emotional distress

Minor cuts and bruises

3 / 30

In the ABC priorities, “A” stands for:

Alertness

Assessment

Airway

Alignment

4 / 30

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

Concussion

Hidden severe external and internal bleeding

Spinal alignment

Internal organ function

5 / 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

6 / 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

Make them walk to check leg strength

Sit the person up to help breathing

7 / 30

You should continue artificial respiration until:

The person opens their eyes

The ambulance is more than 30 minutes away

Five minutes have passed

The person breathes unassisted or medical aid takes over

8 / 30

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

Remove seat belts from all casualties

Determine the number of casualties and severity of injuries

Give everyone something to drink

Move all injured people off the road immediately

9 / 30

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

Neck extension

Jaw thrust with NO head tilt

Side-lying position

Head-tilt chin-lift

10 / 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

11 / 30

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

Chest injuries only

Cardiac medications

Consciousness level

Circulation – severe bleeding and shock

12 / 30

For severe external bleeding, the first step is to:

Expose the wound

Apply a cold pack through clothing

Give the person water

Sit the person up

13 / 30

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

Continue with artificial respiration

Place them in recovery position only

Stop and wait for medical aid

Start full CPR with compressions

14 / 30

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

Unconsciousness requires immediate food intake

Unconsciousness means the heart has stopped

Unconsciousness always means spinal injury

Unconsciousness is a breathing emergency

15 / 30

A possible indication of internal bleeding from the lungs is:

Clear mucus

Hoarseness

Dry cough

Coughed up frothy blood

16 / 30

In the ABC priorities, “B” stands for:

Bandaging

Blood Loss

Burns

Not Breathing

17 / 30

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

Their airway is open and breathing is effective

They are not in shock

Their blood pressure is normal

They have no fractures

18 / 30

Bandages are used to:

Hold dressings, maintain pressure, support and immobilize

Cool burned areas

Replace dressings completely

Clean wounds

19 / 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

20 / 30

Shock is best described as:

A broken bone

A loss of circulation often present with injury or illness

A brief fainting episode with no risk

Only an emotional reaction

21 / 30

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

One breath every two seconds

Two breaths every ten seconds

One breath every ten seconds

One breath every five seconds

22 / 30

If blood soaks through the first dressing, you should:

Stop pressing on the wound

Remove the soaked dressing and replace it

Apply powder to the wound

Add more dressings without removing the first

23 / 30

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

Give two slow breaths

Start chest compressions only

Give them something to drink

Place them in recovery position immediately

24 / 30

If breathing is ineffective, you should first:

Cover them with a blanket and wait

Assess the rate and depth and assist if needed

Move the person into a sitting position

Give them water

25 / 30

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

Jaw thrust with no head tilt

Neck rotation

Head-tilt chin-lift

Shoulder lift

26 / 30

A major sign that internal bleeding may be present is:

Massive bruising

Runny nose

Mild itching

Sneezing

27 / 30

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

Leave the mouth slightly open

Ensure a good mouth-to-mouth seal

Only blow air into the nose

Cover both mouth and nose with your hand

28 / 30

After bleeding has stopped, you should:

Massage the area

Apply a bandage to secure the dressing

Remove the dressing to let air in

Lower the limb below heart level

29 / 30

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

Serious chest injury

Allergic reaction

Leg fractures

Head injury

30 / 30

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

Stroke

Internal injury or internal bleeding

Facial fractures

Broken ribs

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.