100+ Free Level 3 Paediatric First Aid Practice Questions

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2026 Statistics

Key Facts: Level 3 Paediatric First Aid Exam

3 Years

Certificate Validity

DfE EYFS Framework

5 Breaths

Initial Rescue Breaths

UK Resuscitation Council

14 Days

Ofsted Notice Window

EYFS Statutory Guidance

This is an English-language MCQ study adaptation for the official assessment; it does not replace required practical, oral, written, or hands-on performance.

Sample Level 3 Paediatric First Aid Practice Questions

Try these sample questions to test your Level 3 Paediatric First Aid exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Under UK Resuscitation Council guidelines for paediatric basic life support, how is an 'infant' defined?

A.A child under 2 years of age (<24 months)

B.A child under 1 year of age (<12 months)

C.A child between 1 year and 5 years of age

D.A child under 6 months of age

Explanation: Under UK Resuscitation Council paediatric guidelines, an infant is defined as a child under 1 year of age (<12 months). Resuscitation techniques for infants differ from those used for older children in terms of airway positioning and compression technique.

2Under UK paediatric basic life support guidance, how is a 'child' defined for first aid resuscitation purposes?

A.From birth up to 12 years of age

B.From 1 year of age up to puberty

C.From 5 years of age up to 16 years

D.From 2 years of age up to 18 years

Explanation: In UK paediatric first aid, a child is defined as being from 1 year of age up to the onset of puberty. Beyond puberty, adult resuscitation guidelines are followed.

3What is the very first step a first aider should take when approaching an unresponsive infant or child?

A.Check for a radial or carotid pulse for 10 seconds

B.Ensure the scene is safe for yourself, the casualty, and any bystanders

C.Attach automated external defibrillator (AED) pads

D.Immediately open the airway and give 5 rescue breaths

Explanation: Scene safety is always the first priority in emergency care. The first aider must ensure there are no environmental hazards (such as traffic, fire, or electricity) before approaching the casualty.

4How should a first aider check for responsiveness in an infant under 1 year of age?

A.Pinch the infant's neck skin firmly until they cry

B.Gently tap the infant's feet or shoulders and call their name loudly

C.Shine a bright light directly into the infant's eyes

D.Vigorously shake the infant by the shoulders to elicit a response

Explanation: To assess responsiveness in an infant, gently tap the soles of their feet or gently touch their shoulders while calling their name or speaking loudly. Never shake an infant due to the risk of spinal or brain injury.

5What head position should be maintained when opening the airway of an unresponsive infant (<1 year)?

A.Head turned completely to the left side

B.Neutral head position ('sniffing position') without over-extending the neck

C.Full backward head tilt with strong chin lift

D.Head flexed chin-to-chest position

Explanation: An infant's trachea is flexible and can be occluded if the head is tilted back too far. A neutral position (often called the 'sniffing position') maintains an open airway without over-extension.

6How long should a first aider look, listen, and feel for normal breathing in an unresponsive child before starting CPR?

A.At least 1 minute

B.Up to 10 seconds

C.Exactly 30 seconds

D.5 to 10 minutes

Explanation: In line with UK Resuscitation Council guidelines, breathing should be assessed by looking for chest movement, listening for breath sounds, and feeling for air on your cheek for no more than 10 seconds.

7What is the mandatory first resuscitation step after opening the airway of an unresponsive, non-breathing infant or child?

A.Perform 30 rapid chest compressions

B.Deliver 5 initial rescue breaths

C.Apply AED pads to the chest

D.Perform 5 abdominal thrusts

Explanation: Paediatric cardiac arrest is most commonly caused by respiratory failure (hypoxia). Therefore, UK guidelines specify delivering 5 initial rescue breaths before starting chest compressions.

8What is the recommended ratio of chest compressions to rescue breaths for a single first aider performing CPR on a child?

A.30 chest compressions to 2 rescue breaths

B.50 chest compressions to 5 rescue breaths

C.5 chest compressions to 1 rescue breath

D.15 chest compressions to 2 rescue breaths

Explanation: For lay first aiders and single rescuers in the UK, the chest compression to ventilation ratio for both children and adults is 30 compressions to 2 breaths (30:2), after delivering the 5 initial rescue breaths.

9When performing chest compressions on an infant under 1 year, where should fingers be placed and what depth should be achieved?

A.Center of the ribcage using the palm; depth of 2 cm

B.Over the stomach area using two thumbs; depth of 5 cm

C.Lower half of the sternum using two fingers; depth of at least one-third of chest depth (approx. 4 cm)

D.Upper half of the sternum using the heel of one hand; depth of 6 cm

Explanation: For an infant, compressions are performed on the lower half of the sternum (just below the inter-nipple line) using two fingers (index and middle) to a depth of at least one-third of the chest depth (approx. 4 cm / 1.5 inches).

10What technique should be used to deliver chest compressions to a child aged between 1 year and puberty?

A.Two fingers on the middle of the chest, compressing to 2 cm depth

B.Heel of one hand (or two hands for larger children) on the lower half of the sternum, compressing to at least one-third of chest depth (approx. 5 cm)

C.Both elbows locked using full adult bodyweight on the abdomen

D.Three fingers positioned over the left side of the ribcage

Explanation: For a child, compressions are applied over the lower half of the sternum using the heel of one hand (or two hands if the child is larger) to press down at least one-third of the depth of the chest (approx. 5 cm / 2 inches).

About the Level 3 Paediatric First Aid Exam

This is an English-language MCQ study adaptation for the official assessment; it does not replace required practical, oral, written, or hands-on performance.

Assessment

Practical first-aid skills assessment plus written theory covering infant/child CPR, choking, medical emergencies, and injuries/wounds. This is an English-language MCQ study adaptation for the official assessment; it does not replace required practical, oral, written, or hands-on performance.

Time Limit

12 hours (2-day course assessment)

Passing Score

70% - 100%

Exam Fee

£80 - £150 (Ofqual Regulated Awarding Organisations (Highfield, Qualsafe, TQUK, VTCT))

Level 3 Paediatric First Aid Exam Content Outline

25%

Infant & Child CPR and AED Use

Cardiopulmonary resuscitation for infants (<1 yr) and children (1 yr to puberty), 5 rescue breaths, compression ratios, and AED operation.

25%

Management of Choking & Unconsciousness

Foreign body airway obstruction algorithms, back blows, chest/abdominal thrusts, AVPU assessment, and recovery position.

25%

Paediatric Medical Emergencies

Anaphylaxis (AAI administration), asthma inhaler/spacer protocols, meningitis tumbler test, febrile seizures, and croup.

25%

Injuries, Wounds, Fractures & EYFS Reporting

Bleeding, burns (20-min cooling), fractures, head injuries, poisoning, plus DfE EYFS statutory requirements, Ofsted 14-day notification, and RIDDOR.

How to Pass the Level 3 Paediatric First Aid Exam

What You Need to Know

Passing score: 70% - 100%
Assessment: Practical first-aid skills assessment plus written theory covering infant/child CPR, choking, medical emergencies, and injuries/wounds. This is an English-language MCQ study adaptation for the official assessment; it does not replace required practical, oral, written, or hands-on performance.
Time limit: 12 hours (2-day course assessment)
Exam fee: £80 - £150

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Level 3 Paediatric First Aid Study Tips from Top Performers

1Remember the 5 initial rescue breaths rule for infant and child resuscitation before starting 30 chest compressions.

2Understand the key difference in choking management: chest thrusts for infants under 1 year, abdominal thrusts for children over 1 year.

3Know statutory EYFS reporting rules: parents must be informed on the same day, and Ofsted must be notified of serious incidents within 14 days.

Frequently Asked Questions

What is the requirement for Paediatric First Aid under EYFS?

Under the DfE Early Years Foundation Stage (EYFS) statutory framework, at least one person who has a current full Level 3 Paediatric First Aid (PFA) certificate must be on the premises and available at all times when children are present, and must accompany children on outings.

How long is a Level 3 Paediatric First Aid certificate valid?

The Level 3 Paediatric First Aid certificate is valid for 3 years from the date of issue. The HSE and DfE strongly recommend annual half-day refresher training.

What is the difference between an infant and a child in paediatric first aid?

In paediatric resuscitation, an infant is defined as under 1 year of age (<12 months), while a child is defined from 1 year of age up to puberty.