Certified Pediatric Emergency Nurse (CPEN) Practice Exam

What should be the first step in managing trauma emergencies?

1. Stabilizing the spine

2. Administering pain medication

3. Establishing IV access

4. Intubating the patient

The correct answer is: Stabilizing the spine

The first step in managing trauma emergencies is stabilizing the spine. This is crucial because many trauma patients, particularly those with potential spinal injuries, can have significant complications if their spine is not adequately stabilized. In cases of trauma, it is essential to maintain spinal alignment to prevent further injury to the spinal cord and associated structures. Stabilizing the spine typically involves the use of cervical collars and proper positioning to limit movement. This step is vital to ensure that any potential injuries do not worsen by manipulating the patient during assessment and treatment. Once the spine is stabilized and the patient's safety is secured, medical providers can proceed with other interventions such as airway management, pain control, and establishing intravenous access as needed.