Board of Legal SpecializationPractice Exam

When checking for breathing in an unresponsive patient, which actions are appropriate?

1. Checking for skin color changes

2. Listening for escaping air and watching for chest movements

3. Poking the patient to see if they respond

4. Counting heartbeats silently

The correct answer is: Listening for escaping air and watching for chest movements

When assessing an unresponsive patient for breathing, observing for signs of life is crucial. Listening for escaping air and watching for chest movements is an effective method because it directly indicates whether the patient is breathing. The presence of air moving in and out of the lungs can be detected through sound, while chest movements visually confirm respiratory activity. For example, if the chest rises and falls or if you can hear the flow of air, these are clear indicators of breathing. This method aligns with established guidelines for assessing respiratory function in emergencies, ensuring that responders can quickly identify whether immediate intervention, such as CPR, is necessary. In contrast, methods like checking for skin color changes or poking the patient are less effective in determining breathing status. Skin color may offer secondary clues about the patient’s circulation and general condition, but it does not inform about respiratory function directly. Similarly, poking the patient may elicit a response unrelated to breathing and is not a reliable indicator of respiratory activity. Counting heartbeats silently, while a component of assessing a patient's overall status, also does not provide information about whether the patient is breathing.