AHA Pediatric Advanced Life Support (PALS) Practice Exam 2025 - Free PALS Practice Questions and Study Guide

The first action when responding to a child exhibiting respiratory distress is to assess the airway. This step is crucial because ensuring that the airway is open and unobstructed is fundamental in addressing respiratory issues. If the airway is compromised, no amount of oxygen administration or other interventions will be effective.

By assessing the airway initially, the responder can identify whether there is a blockage, swelling, or any other issues that might impede breathing. Upon confirming that the airway is clear, the responder can then proceed to provide appropriate treatments, such as administering oxygen or encouraging deep breathing, which are secondary steps in managing the child's respiratory distress.

In respiratory emergencies, it’s vital to act quickly and methodically. Failing to assess the airway could lead to mismanagement and worsen the child’s condition, making this evaluation the top priority.