During assessment of alertness and airway, you must simultaneously ______.

• A. Continue cervical spinal stabilization
• B. Check pulse
• C. Administer oxygen
• D. Visualize the mouth

Answer: (A)

Maintaining cervical spine stabilization is essential while you quickly assess alertness and airway because suspected spinal injury should be immobilized until cleared. Any movement of the head or neck can worsen a cervical injury, so you hold the head in line and use inline stabilization (or keep the collar on) while you check responsiveness and airway patency. Use airway maneuvers that minimize neck movement, such as a jaw-thrust, and be prepared to secure the airway without compromising spine protection. If the patient needs repositioning for airway management or suction, move them as a unit with inline stabilization. This approach protects the cervical spine during the critical moment of assessing consciousness and airway.