Certified Pediatric Emergency Nurse (CPEN) Practice Exam

What should be the initial focus in a critical situation concerning airway management?

1. Position, suction, oxygen

2. Administer medication

3. Check blood pressure

4. Begin chest compressions

The correct answer is: Position, suction, oxygen

In a critical situation concerning airway management, the initial focus should be on position, suction, and oxygen. This approach addresses the most immediate threats to a patient's airway and breathing. Positioning the patient properly can help to keep the airway open and facilitate adequate ventilation. For example, placing a patient in a semi-recumbent position or using the head-tilt-chin-lift maneuver can be crucial in cases of airway obstruction or respiratory distress. Suctioning is vital for clearing any obstructions, such as mucus or foreign bodies, that may compromise the airway. This step is particularly important in pediatric patients who may be more prone to airway blockages due to their smaller anatomical structures. Providing oxygen is also essential to ensure that the patient is receiving adequate respiratory support. In critical situations, especially when dealing with compromised airways or respiratory failure, supplemental oxygen can be life-saving and supports the patient's overall need for oxygenation. While administering medication, checking blood pressure, and beginning chest compressions may be crucial in other contexts, they are not the immediate priorities when managing airway issues. The critical focus on positioning, suctioning, and oxygenation directly impacts the patient's ability to breathe and stabilizes their condition before further interventions.