If the person is responsive and able to answer questions during secondary assessment, what is the first step?

• A. Explain that the examination is to find injuries
• B. Remove clothing to inspect
• C. Start CPR
• D. Move the person to a lie-down position

Answer: (A)

In a secondary assessment, the first step with a responsive person is to explain what you’re going to do and obtain consent to proceed with the examination. This respects their autonomy, helps reduce fear, and ensures they understand you’re checking for injuries and other issues. Once consent is given, you can perform the head-to-toe examination and take a SAMPLE history. Removing clothing should occur only after consent and when necessary to inspect for injuries; starting CPR isn’t appropriate when the person is awake and answering questions, and moving them to a lie-down position isn’t the initial action in the secondary assessment.