Breathing Emergencies & Choking Practice Questions (Pool Lifeguard)

This part of the pool lifeguard theory exam covers breathing emergencies — from respiratory distress to respiratory arrest and choking. These are common and can become life-threatening quickly.

Topics include the signs of respiratory distress, rescue breaths, and choking care. Note that under ANZCOR guidance, choking is managed with back blows and chest thrusts — abdominal thrusts (the Heimlich manoeuvre) are not recommended.

Questions last reviewed July 2026 · ANZCOR guidelinesHow our questions are made

What this part of the exam covers

  • Signs of respiratory distress and respiratory arrest (not breathing normally, though a pulse may be present)
  • The rescue-breath concept and getting an effective seal with a resuscitation mask / barrier device
  • Common causes: asthma, severe allergic reaction (anaphylaxis), and the drowning process
  • Choking in a responsive adult or child: back blows and chest thrusts (ANZCOR does not recommend abdominal thrusts)
  • Choking in an infant: back blows and chest thrusts
  • What to do when a choking casualty becomes unresponsive: send for help and begin CPR

Practice questions

Choose an answer to test yourself — the explanation appears once you answer.

Australia · ANZCOR guidelines

1. Which breathing pattern is most concerning?

Australia · ANZCOR guidelines

2. How long should one rescue breath take to give?

Australia · ANZCOR guidelines

3. Which action is correct for a choking infant?

Australia · ANZCOR guidelines

4. How many back blows and chest thrusts are used in the choking sequence for a responsive adult or child?

Australia · ANZCOR guidelines

5. A responsive adult is choking and cannot cough or speak well. What should you do?

Australia · ANZCOR guidelines

6. A good seal with a barrier device helps rescue breaths work better.

Australia · ANZCOR guidelines

7. A choking casualty who becomes unresponsive should be left sitting upright while waiting for help.

Australia · ANZCOR guidelines

8. Which is a common cause of breathing emergencies?

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Frequently asked questions

What is the difference between respiratory distress and respiratory arrest?
Respiratory distress means a person is having difficulty breathing but is still breathing. Respiratory arrest means normal breathing has stopped, although a pulse may still be present.
How is choking managed under ANZCOR guidance?
For a responsive choking casualty, ANZCOR uses back blows and chest thrusts and does not recommend abdominal thrusts (the Heimlich manoeuvre). Confirm the current technique with your certification course.
What should you do if a choking casualty becomes unresponsive?
Lower them safely, send for help if not already done, and begin CPR. Follow your course's current ANZCOR-based guidelines.

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