Certified Pediatric Emergency Nurse (CPEN) Practice Exam

What is the appropriate action if a child is unconscious during an airway assessment?

1. Start CPR immediately

2. Place them in a recovery position

3. Check for secretions and clear the airway

4. Monitor for breathing patterns

The correct answer is: Check for secretions and clear the airway

In the scenario where a child is unconscious during an airway assessment, checking for secretions and clearing the airway is the appropriate action. The immediate priority in any unconscious patient is to ensure that the airway is patent and free from obstructions, as compromised airways can lead to hypoxia and further complications. During an airway assessment, recognizing the importance of secretions such as mucus or vomit is crucial. Clear airways allow for adequate ventilation and oxygenation. This action should be taken promptly to prevent any respiratory distress. While starting CPR, placing the child in a recovery position, or monitoring breathing patterns are important considerations in different contexts, they may not address the immediate concern of ensuring that the airway is clear and functional. In unconscious patients, particularly in a pediatric emergency, ensuring the airway is unobstructed is the vital first step before moving to other life-saving measures.