MCOLES State Licensing Practice Exam

What is the initial response when assessing breathing in a victim?

1. Check for pulse

2. Open the airway

3. Monitor skin color

4. Administer oxygen

The correct answer is: Open the airway

The initial response when assessing breathing in a victim is to open the airway. This step is crucial because if the airway is obstructed, the victim will not be able to breathe properly, making it impossible to assess their breathing accurately. Clearing and opening the airway allows for better observation of the victim's breathing pattern and effectiveness. Once the airway is open, assessing the quality of breathing—such as whether the chest is rising and falling, the presence of any unusual sounds, or if the patient is struggling to breathe—can begin. This step should be the priority in any emergency situation involving respiratory distress. While checking for a pulse or monitoring skin color are important steps in a comprehensive assessment of the victim, they come after ensuring the airway is unobstructed. Administering oxygen is also a subsequent step and should only be done after confirming that the airway is clear and a need for supplemental oxygen has been determined. Therefore, opening the airway is the most logical and immediate action to take when assessing breathing.