{
  "module": "103.3",
  "title": "103.3 CPR and First Aid Skills",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "What is the first link in the chain of survival?",
        "options": [
          "Post-arrest care in the hospital",
          "Rehab and recovery",
          "Recognizing cardiac arrest and calling 911",
          "Advanced care by EMS"
        ],
        "correct": 2,
        "explanation": "The chain starts with spotting the emergency and calling 911."
      },
      {
        "question": "How fast should you push during adult CPR?",
        "options": [
          "100 to 120 times a minute",
          "20 to 30 times a minute",
          "60 times a minute",
          "200 times a minute"
        ],
        "correct": 0,
        "explanation": "Push hard and fast at 100 to 120 compressions a minute."
      },
      {
        "question": "Where do you place your hands for adult CPR?",
        "options": [
          "On the stomach",
          "On the left shoulder",
          "On the neck",
          "On the center of the chest"
        ],
        "correct": 3,
        "explanation": "Compressions go on the center of the chest."
      },
      {
        "question": "What does an AED do?",
        "options": [
          "Measures blood sugar",
          "Can shock the heart back into a normal rhythm",
          "Gives oxygen",
          "Reverses an overdose"
        ],
        "correct": 1,
        "explanation": "An AED is a portable device that can shock the heart in cardiac arrest."
      },
      {
        "question": "A man is coughing hard after swallowing food, but he can talk. What should the CHW do?",
        "options": [
          "Start abdominal thrusts at once",
          "Slap his back hard",
          "Let him keep coughing and stay close",
          "Start CPR"
        ],
        "correct": 2,
        "explanation": "If a person can cough or talk, let them keep coughing and be ready to help."
      },
      {
        "question": "A woman cannot talk, cough or breathe and is holding her throat. What should the CHW do?",
        "options": [
          "Have someone call 911 and give 5 back blows and 5 abdominal thrusts",
          "Give her water",
          "Wait to see if it passes",
          "Do a blind finger sweep in her mouth"
        ],
        "correct": 0,
        "explanation": "A fully blocked airway needs back blows and abdominal thrusts right away."
      },
      {
        "question": "What is the first thing to do with your hands for a severely bleeding wound?",
        "options": [
          "Wash the wound with water",
          "Raise the arm and wait",
          "Remove any object in the wound",
          "Press hard on the wound"
        ],
        "correct": 3,
        "explanation": "Firm, direct pressure is the first hands-on step to stop bleeding."
      },
      {
        "question": "Which is a sign of an opioid overdose?",
        "options": [
          "Very large pupils and fast talking",
          "Cannot be woken, with slow or gurgling breathing",
          "Sneezing and a runny nose",
          "Red, flushed face and sweating while awake"
        ],
        "correct": 1,
        "explanation": "Unresponsiveness and slow, shallow or gurgling breathing are key overdose signs."
      },
      {
        "question": "You find someone who will not wake up, has blue lips, and has a needle nearby. You have naloxone. What should the CHW do?",
        "options": [
          "Leave and report it later",
          "Splash cold water and wait",
          "Give naloxone, call 911, and stay with them",
          "Try to make them vomit"
        ],
        "correct": 2,
        "explanation": "Give naloxone, call 911, support breathing, and stay until help arrives."
      },
      {
        "question": "Why should you still call 911 after giving naloxone?",
        "options": [
          "Naloxone can wear off and the person needs medical care",
          "It is only required for children",
          "Naloxone is illegal without 911",
          "You do not need to call 911"
        ],
        "correct": 0,
        "explanation": "Naloxone can wear off before the opioid does, so medical care is still needed."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "What is the first thing to do with your hands for a severely bleeding wound?",
        "options": [
          "Wash the wound with water",
          "Raise the arm and wait",
          "Remove any object in the wound",
          "Press hard on the wound"
        ],
        "correct": 3,
        "explanation": "Firm, direct pressure is the first hands-on step to stop bleeding."
      },
      {
        "question": "A woman cannot talk, cough or breathe and is holding her throat. What should the CHW do?",
        "options": [
          "Have someone call 911 and give 5 back blows and 5 abdominal thrusts",
          "Give her water",
          "Wait to see if it passes",
          "Do a blind finger sweep in her mouth"
        ],
        "correct": 0,
        "explanation": "A fully blocked airway needs back blows and abdominal thrusts right away."
      },
      {
        "question": "You find someone who will not wake up, has blue lips, and has a needle nearby. You have naloxone. What should the CHW do?",
        "options": [
          "Leave and report it later",
          "Splash cold water and wait",
          "Give naloxone, call 911, and stay with them",
          "Try to make them vomit"
        ],
        "correct": 2,
        "explanation": "Give naloxone, call 911, support breathing, and stay until help arrives."
      },
      {
        "question": "Which is a sign of an opioid overdose?",
        "options": [
          "Very large pupils and fast talking",
          "Cannot be woken, with slow or gurgling breathing",
          "Sneezing and a runny nose",
          "Red, flushed face and sweating while awake"
        ],
        "correct": 1,
        "explanation": "Unresponsiveness and slow, shallow or gurgling breathing are key overdose signs."
      },
      {
        "question": "What does an AED do?",
        "options": [
          "Measures blood sugar",
          "Can shock the heart back into a normal rhythm",
          "Gives oxygen",
          "Reverses an overdose"
        ],
        "correct": 1,
        "explanation": "An AED is a portable device that can shock the heart in cardiac arrest."
      },
      {
        "question": "Where do you place your hands for adult CPR?",
        "options": [
          "On the stomach",
          "On the left shoulder",
          "On the neck",
          "On the center of the chest"
        ],
        "correct": 3,
        "explanation": "Compressions go on the center of the chest."
      },
      {
        "question": "How fast should you push during adult CPR?",
        "options": [
          "100 to 120 times a minute",
          "20 to 30 times a minute",
          "60 times a minute",
          "200 times a minute"
        ],
        "correct": 0,
        "explanation": "Push hard and fast at 100 to 120 compressions a minute."
      },
      {
        "question": "Why should you still call 911 after giving naloxone?",
        "options": [
          "Naloxone can wear off and the person needs medical care",
          "It is only required for children",
          "Naloxone is illegal without 911",
          "You do not need to call 911"
        ],
        "correct": 0,
        "explanation": "Naloxone can wear off before the opioid does, so medical care is still needed."
      },
      {
        "question": "A man is coughing hard after swallowing food, but he can talk. What should the CHW do?",
        "options": [
          "Start abdominal thrusts at once",
          "Slap his back hard",
          "Let him keep coughing and stay close",
          "Start CPR"
        ],
        "correct": 2,
        "explanation": "If a person can cough or talk, let them keep coughing and be ready to help."
      },
      {
        "question": "What is the first link in the chain of survival?",
        "options": [
          "Post-arrest care in the hospital",
          "Rehab and recovery",
          "Recognizing cardiac arrest and calling 911",
          "Advanced care by EMS"
        ],
        "correct": 2,
        "explanation": "The chain starts with spotting the emergency and calling 911."
      }
    ]
  }
}