Certified Pediatric Emergency Nurse (CPEN) Practice Exam

In which situation is suctioning secretions necessary for pediatric airway management?

1. When the patient is stable

2. When secretions are present

3. When the patient requires medication

4. When assessing circulation

The correct answer is: When secretions are present

Suctioning secretions is necessary when secretions are present because these can obstruct the airway, leading to decreased ventilation and potential respiratory distress. In pediatric patients, who may have smaller airways and a higher risk for airway obstruction, it is crucial to maintain a clear airway for effective breathing. The presence of secretions can cause additional complications, such as ineffective cough or weak respiratory effort, which is common in various pediatric illnesses. Therefore, clearing any secretions helps to ensure that the airway remains patent, allowing for optimal oxygenation and ventilation, which is vital in emergency situations.