- What "Passing Score" Actually Means for FA
- The Hands-On Skills Assessment: What Gets Graded
- Knowledge Checks and Course Content Questions
- Content Areas You Must Master
- Certificate Paths and Why Your Route Affects the Outcome
- If You Don't Demonstrate a Skill Correctly
- A Short Prep Timeline Tied to FA Content
- FAQ
- FA (Adult and Pediatric First Aid/CPR/AED r.25) is graded on demonstrated skill competency, not a fixed percentage score.
- Only blended and in-person routes include instructor-observed skills and a two-year OSHA-compliant digital certificate.
- Online-only training skips live skill demonstration and yields a certificate of completion, which may not satisfy workplace rules.
- The graded hands-on stations cover bleeding control, choking response, CPR, AED use, and safe glove removal.
What "Passing Score" Actually Means for FA
If you're searching for a single number - "you need an 80% to pass FA" - the honest answer is that FA doesn't work like a standard multiple-choice certification exam with one published cutoff score. The Adult and Pediatric First Aid/CPR/AED r.25 course is built around demonstrated competency. You pass by correctly performing the required skills in front of an instructor, not by clearing a percentage threshold on a knowledge test alone.
This distinction matters more than most candidates realize when they're preparing. If you're used to studying for exams where you memorize facts and bubble in answers, you need to shift your mindset: FA success is measured hands-on. For a broader breakdown of how the course is structured and scored, our FA study guide for first-attempt success walks through the preparation mechanics in more detail.
The Hands-On Skills Assessment: What Gets Graded
The current r.25 hands-on assessment evaluates a defined set of physical skills. This is the core of what determines whether you pass, and it's specific to FA - not a generic checklist. The graded skill stations include:
- Controlling bleeding - applying direct pressure and, where appropriate, using a tourniquet correctly
- Responding to choking - recognizing severity and performing the correct intervention for adults, children, and infants
- Performing CPR - correct hand placement, compression depth and rate, and rescue breathing technique across age groups
- Using an AED - powering on, placing pads correctly, and following device prompts without hesitation
- Safe removal of gloves - a small but frequently overlooked step that's explicitly part of the graded sequence
Instructors watch each of these in real time during blended and in-person delivery. There's no partial credit for "mostly right" - you either execute the technique correctly for the scenario given, or you get coached and retry. If you want a deeper sense of how demanding this actually is compared to how it's often described online, see our full FA difficulty guide.
Key Takeaway
The five graded skill areas - bleeding control, choking response, CPR, AED use, and glove removal - are the actual "test." Drill each one physically, not just conceptually, before your session.
Knowledge Checks and Course Content Questions
Alongside the skills stations, FA includes knowledge-based content review woven through the course material. These questions check whether you understand the reasoning behind the skill - why you check responsiveness before starting CPR, when to use an epinephrine auto-injector versus waiting for EMS, or how to recognize an asthma emergency that needs an inhaler intervention.
Because the r.25 curriculum was updated to align with the 2025 ILCOR consensus and the 2025 AHA/Red Cross guidelines, expect the content questions to reflect current care sequencing - not older CPR ratios or outdated first aid steps you might remember from a certification years ago. If your last card was issued before this update cycle, don't assume your existing muscle memory matches the current standard.
For a topic-by-topic breakdown of what shows up in the content review, our guide to FA's content areas organizes the material so you can study it systematically instead of relying on a scattered course outline.
Content Areas You Must Master
While FA isn't organized into weighted "exam domains" the way some professional certifications are, the r.25 curriculum does break down into clear content areas that map directly to what you'll be tested on, both in knowledge checks and skills stations.
Cardiac Emergencies: CPR and AED Use
This is the highest-stakes content area. You must be able to perform CPR on adults, children, and infants and operate an AED correctly under observation.
- Correct compression rate, depth, and hand placement by age group
- AED pad placement and safe operation sequence
- Recognizing cardiac arrest versus other emergencies
Breathing Emergencies
Choking response and airway management across age groups, plus recognizing when a breathing emergency requires an inhaler or other intervention.
- Age-specific choking response technique
- Asthma inhaler assistance
- Recognizing severity: mild versus severe airway obstruction
Injury Emergencies: Bleeding, Splinting, Tourniquets
Controlling severe bleeding is a graded skill, and the r.25 course also covers splinting and tourniquet application as part of injury response.
- Direct pressure technique and when to escalate
- Proper tourniquet placement and timing
- Basic splinting for suspected fractures
Medical Emergencies: Auto-Injectors and Naloxone
Reflecting current guideline updates, the course includes content on epinephrine auto-injectors and naloxone administration for suspected opioid overdose.
- When and how to assist with an epinephrine auto-injector
- Recognizing signs consistent with opioid overdose
- Naloxone administration basics
Mastering these four areas covers the large majority of what you'll be asked to demonstrate or explain. If you want the full content map alongside study sequencing, revisit the FA content areas guide before you schedule your session.
Certificate Paths and Why Your Route Affects the Outcome
One detail that trips up a lot of candidates: "passing" doesn't produce the same outcome depending on how you take the course. FA is available online, blended, and in person - but only two of those three routes result in a certification that most employers will accept.
| Delivery Method | Skill Demonstration | What You Receive |
|---|---|---|
| Online only | No live skills check | Certificate of completion - may not meet workplace requirements |
| Blended (online + in-person skills) | Instructor-observed | Two-year, OSHA-compliant digital certificate |
| Fully in person | Instructor-observed | Two-year, OSHA-compliant digital certificate |
If your goal is to satisfy an employer's OSHA workplace requirement, the blended or in-person route is the one that actually "counts" in the way most people mean when they say they passed FA. The digital certificate issued through these paths includes a unique ID and QR code, so an employer can verify it directly rather than taking your word for it.
Before you register, it's worth understanding the full cost structure of each path - our FA certification cost breakdown lays out how pricing differs by delivery method, and FA requirements guide covers eligibility details if you're unsure which route applies to your situation.
If You Don't Demonstrate a Skill Correctly
Because the assessment is competency-based rather than a single timed test, a shaky first attempt at a skill station isn't necessarily a hard fail the way missing questions on a multiple-choice exam would be. Instructors are trained to coach candidates through correction in real time - if your compression depth is off during CPR practice or your AED pad placement is wrong, you'll typically get feedback and another chance to demonstrate it correctly within the session.
That said, this isn't a guarantee, and it isn't a substitute for arriving prepared. Treat the live session as a performance, not a learning session from scratch. Practice each skill physically - ideally on a mannequin or with a partner - before you show up, so the instructor is confirming competency you already have rather than teaching it to you for the first time under time pressure.
For a realistic sense of where candidates commonly stumble and why, see what the data shows about FA outcomes.
A Short Prep Timeline Tied to FA Content
You don't need weeks of study for FA the way you might for a lengthy professional certification, but rushing in unprepared is the most common reason people struggle with the skills stations. A short, focused prep window works best.
Review Cardiac and Breathing Emergencies
- Read through CPR sequencing for adults, children, and infants
- Review choking response by age group
- Watch or rehearse AED operation steps
Review Injury and Medical Emergencies
- Practice direct pressure and tourniquet application
- Review epinephrine auto-injector and naloxone use cases
- Review splinting basics
Physical Run-Through
- Practice each graded skill hands-on, not just mentally
- Time yourself on CPR compressions and glove removal sequence
- Identify any skill you're still unsure about before session day
This isn't a rigid template - adjust it based on how much hands-on experience you already have. If you've never physically practiced CPR compressions before, give yourself more than five days. The FA cheat sheet is a useful quick-reference for the night before your skills session.
Frequently Asked Questions
FA doesn't use a single published percentage cutoff the way many multiple-choice exams do. Passing is based on demonstrating each required skill correctly during instructor observation, combined with completing the course's knowledge content review.
Yes, but the tradeoff is significant: online-only training has no live skill demonstration, and it produces a certificate of completion that may not meet workplace or OSHA requirements. Blended and in-person routes include the instructor-observed skills check and issue the two-year OSHA-compliant certificate.
The current assessment covers controlling bleeding, responding to choking, performing CPR, using an AED, and safely removing gloves - across adult, child, and infant scenarios where applicable.
Instructors typically provide feedback and allow you to correct and re-demonstrate a skill within the session, since the assessment is competency-based rather than a single pass/fail attempt on a timed test.
No - the certificate you receive depends on your delivery method. Only blended and in-person training include instructor-observed skills and result in the two-year OSHA-compliant digital certificate with a verifiable ID and QR code.
For more on how FA compares across formats, costs, and career relevance, browse the related guides on FA Exam Prep's practice test platform, including detailed breakdowns of FA-related earnings data and whether FA certification is worth pursuing for your specific role.